Pinchoff Jessie, Regules Ricardo, Gomez-Ugarte Ana C, Abularrage Tara F, Bojorquez-Chapela Ietza
Population Council, New York, NY, United States of America.
Population Council, Mexico City, Mexico.
PLOS Glob Public Health. 2023 Sep 27;3(9):e0002219. doi: 10.1371/journal.pgph.0002219. eCollection 2023.
Young people today are predicted to experience more climate change related stressors and harms than the previous generation, yet they are often excluded from climate research, policy, and advocacy. Increasingly, this exposure is associated with experience of common mental health disorders (CMD). The VoCes-19 study collected surveys from 168,407 young people across Mexico (ages 15-24 years) through an innovative online platform, collecting information on various characteristics including CMD and experience of recent climate harms. Logistic regression models were fit to explore characteristics associated with CMD. Structural equation models were fit to explore pathways between exposure, feeling of concern about climate change, and a sense of agency (meaning the respondent felt they could help address the climate crisis) and how these relate to CMD. Of the respondents, 42% (n = 50,682) were categorized as experiencing CMD, higher among those who experienced a climate stressor (51%, n = 4,808) vs those not experiencing climate stressors (41%, n = 43,872). Adjusting for key demographic characteristics, exposure to any climate event increased the odds of CMD by 50% (Odd Ratio = 1.57; 95% Confidence Interval (CI) 1.49, 1.64), highest for heatwaves. Specific climate impacts such as housing damage, loss of or inability to work, damage to family business, leaving school and physical health affected were adversely related to CMD, though for different climate hazards. More concern and less agency were related to CMD through different pathways, particularly for those exposed to recent events. Future research regarding the cumulative exposures to climate change, not just acute events but as an ongoing crisis, and various pathways that influence the mental health and well-being of young people must be clearly understood to develop programs and policies to protect the next generation.
据预测,与上一代相比,如今的年轻人将经历更多与气候变化相关的压力源和危害,但他们在气候研究、政策制定和宣传活动中却常常被排除在外。这种接触越来越多地与常见精神障碍(CMD)的经历相关联。VoCes - 19研究通过一个创新的在线平台,收集了墨西哥168407名年轻人(年龄在15 - 24岁之间)的调查问卷,收集了包括CMD和近期气候危害经历在内的各种特征信息。采用逻辑回归模型来探究与CMD相关的特征。构建结构方程模型以探索接触、对气候变化的担忧情绪和能动感(即受访者觉得自己能够帮助应对气候危机)之间的路径,以及这些因素与CMD的关系。在受访者中,42%(n = 50682)被归类为患有CMD,经历气候压力源的人群中这一比例更高(51%,n = 4808),而未经历气候压力源的人群中这一比例为41%(n = 43872)。在调整关键人口统计学特征后,接触任何气候事件会使患CMD的几率增加50%(比值比 = 1.57;95%置信区间(CI)为1.49,1.64),热浪导致的几率增加最高。特定的气候影响,如住房受损、失业或无法工作、家族企业受损、辍学以及身体健康受到影响,尽管针对不同的气候危害,但都与CMD呈负相关。更多的担忧和更少的能动感通过不同路径与CMD相关,尤其是对于那些经历近期事件的人。未来关于气候变化累积暴露的研究,不仅要关注急性事件,还要关注作为持续危机的气候变化,以及影响年轻人心理健康和幸福感的各种路径,必须要清晰地理解,以便制定保护下一代的项目和政策。