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热浪对死亡率和发病率的影响及其相关脆弱性因素:系统评价。

The Impact of Heatwaves on Mortality and Morbidity and the Associated Vulnerability Factors: A Systematic Review.

机构信息

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.

Environmental Health Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Shah Alam 40170, Malaysia.

出版信息

Int J Environ Res Public Health. 2022 Dec 6;19(23):16356. doi: 10.3390/ijerph192316356.

Abstract

BACKGROUND

This study aims to investigate the current impacts of extreme temperature and heatwaves on human health in terms of both mortality and morbidity. This systematic review analyzed the impact of heatwaves on mortality, morbidity, and the associated vulnerability factors, focusing on the sensitivity component.

METHODS

This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 flow checklist. Four databases (Scopus, Web of Science, EBSCOhost, PubMed) were searched for articles published from 2012 to 2022. Those eligible were evaluated using the Navigation Guide Systematic Review framework.

RESULTS

A total of 32 articles were included in the systematic review. Heatwave events increased mortality and morbidity incidence. Sociodemographic (elderly, children, male, female, low socioeconomic, low education), medical conditions (cardiopulmonary diseases, renal disease, diabetes, mental disease), and rural areas were crucial vulnerability factors.

CONCLUSIONS

While mortality and morbidity are critical aspects for measuring the impact of heatwaves on human health, the sensitivity in the context of sociodemographic, medical conditions, and locality posed a higher vulnerability to certain groups. Therefore, further research on climate change and health impacts on vulnerability may help stakeholders strategize effective plans to reduce the effect of heatwaves.

摘要

背景

本研究旨在从死亡率和发病率两方面探讨极端温度和热浪对人类健康的当前影响。本系统评价分析了热浪对死亡率、发病率的影响以及相关脆弱性因素,重点关注敏感性部分。

方法

本系统评价按照 2020 年系统评价和荟萃分析首选报告项目清单的要求进行。从 2012 年至 2022 年,在 Scopus、Web of Science、EBSCOhost 和 PubMed 四个数据库中搜索文章。使用导航指南系统评价框架评估符合条件的文章。

结果

共有 32 篇文章纳入系统评价。热浪事件增加了死亡率和发病率。社会人口统计学(老年人、儿童、男性、女性、低社会经济地位、低教育程度)、医疗条件(心肺疾病、肾脏疾病、糖尿病、精神疾病)和农村地区是关键的脆弱性因素。

结论

虽然死亡率和发病率是衡量热浪对人类健康影响的关键方面,但社会人口统计学、医疗条件和地理位置方面的敏感性使某些群体面临更高的脆弱性。因此,进一步研究气候变化和健康对脆弱性的影响可能有助于利益相关者制定有效的计划来减少热浪的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0a9/9738283/bbc125c72ed6/ijerph-19-16356-g001.jpg

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