Belesova Kristine, Green Rosemary, Clercq-Roques Romain, Falconer Jane, Waddington Hugh Sharma, Whitmee Sarah, Reynolds Tamzin, Hassan Syreen, Haines Andy
Department of Public Health, Environments and Society and Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK.
Department of Population Health and Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.
Wellcome Open Res. 2022 Aug 25;7:98. doi: 10.12688/wellcomeopenres.17498.2. eCollection 2022.
Effective and rapid actions are required to achieve global goals for climate change mitigation, and there is an opportunity to ensure that the actions taken are also positive for human health. However, little is known about the relative magnitude of the health co-benefits that can be achieved from mitigation actions, so robust and comprehensive syntheses of the evidence on the nature and effects of relevant actions are required. This paper presents a protocol for an interdisciplinary and cross-sectoral umbrella review of systematic reviews, synthesising modelled and empirical evidence on such actions.
Nine bibliographic databases will be searched, capturing literature across a wide range of disciplines and sectors. Unique records retrieved by the searches will be screened by two independent reviewers. The quality of all the included systematic reviews will be assessed using A MeaSurement Tool to Assess Systematic Reviews (AMSTAR) 2 critical appraisal tool. Data will be extracted on methodological and thematic characteristics of the reviews, nature of the actions, and their effects on greenhouse gas emission reduction, health, and its determinants, as well as any other reported effects and interactions across different actions.
Narrative and quantitative synthesis methods will be used to create a typology of relevant actions, map pathways to their impacts on health, compare the magnitude of health and greenhouse gas (GHG) emission reduction impacts by selected characteristics of the actions and the nature of the evidence, as well as to identify gaps in evidence syntheses.
This review will identify the most effective actions for global climate change mitigation and health based on the best available scientific evidence. This protocol has been registered in PROSPERO, Reg No.: CRD42021239292.
需要采取有效且迅速的行动来实现全球减缓气候变化的目标，并且有机会确保所采取的行动对人类健康也具有积极影响。然而，对于减缓行动能够带来的健康协同效益的相对规模，人们知之甚少，因此需要对相关行动的性质和影响的证据进行强有力且全面的综合分析。本文提出了一项针对系统评价的跨学科和跨部门伞状综述方案，综合有关此类行动的模型和实证证据。
将检索九个文献数据库，涵盖广泛的学科和领域的文献。检索到的独特记录将由两名独立评审员进行筛选。将使用评估系统评价的测量工具（AMSTAR）2关键评估工具来评估所有纳入的系统评价的质量。将提取有关评价的方法学和主题特征、行动的性质、其对温室气体减排、健康及其决定因素的影响的数据，以及不同行动之间报告的任何其他影响和相互作用的数据。
将使用叙述性和定量综合方法来创建相关行动的类型学，绘制其对健康影响的途径，根据行动的选定特征和证据的性质比较健康和温室气体减排影响的规模，并确定证据综合方面的差距。
本综述将根据现有最佳科学证据，确定全球气候变化减缓与健康方面最有效的行动。 本方案已在国际前瞻性系统评价注册库（PROSPERO）中注册，注册号：CRD42021239292。
