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气候变化减缓政策对儿童和青少年健康的影响:模型研究的系统评价。

Effects on child and adolescent health of climate change mitigation policies: A systematic review of modelling studies.

机构信息

Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK; Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.

Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK; Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.

出版信息

Environ Res. 2023 Dec 1;238(Pt 1):117102. doi: 10.1016/j.envres.2023.117102. Epub 2023 Sep 7.

Abstract

There is a growing body of modelling evidence that demonstrates the potential for immediate and substantial benefits to adult health from greenhouse gas mitigation actions, but the effects on the health of younger age groups is largely unknown. We conducted a systematic review to identify the available published evidence of the modelled effects on child and adolescent health (≤18 years of age) of greenhouse gas mitigation. We searched six databases of peer-reviewed studies published between January 1, 1990 and July 27, 2022, screened 27,282 original papers and included 23 eligible papers. All included studies were set in high- and middle-income countries; and all studies modelled the effects of interventions that could mitigate greenhouse gas emissions and improve air quality. Most of the available evidence suggests positive benefits for child and adolescent respiratory health from greenhouse gas mitigation actions that simultaneously reduce air pollution (specifically PM2.5 and nitrogen dioxide). We found scant evidence on child and adolescent health from regions more vulnerable to climate change, or on mitigation interventions that could affect exposures other than air pollution.

摘要

越来越多的模型研究证据表明,温室气体减排措施可能会对成年人的健康带来直接且显著的益处,但对于更年轻年龄段人群的影响在很大程度上尚不清楚。我们进行了一项系统综述,以确定现有的关于温室气体减排对儿童和青少年健康(≤18 岁)的模型研究结果。我们在六个经过同行评审的研究数据库中进行了检索,这些数据库的研究成果发表于 1990 年 1 月 1 日至 2022 年 7 月 27 日,筛选了 27282 篇原始论文,并纳入了 23 篇符合条件的论文。所有纳入的研究均设定在高收入和中等收入国家;所有研究均对可能减轻温室气体排放和改善空气质量的干预措施的影响进行了建模。大多数现有证据表明,温室气体减排措施对儿童和青少年的呼吸健康具有积极益处,同时可以减少空气污染(特别是 PM2.5 和二氧化氮)。我们发现,关于气候变化脆弱地区儿童和青少年健康的证据很少,也缺乏关于可能影响除空气污染以外的暴露的减排干预措施的证据。

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