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绘制妇女生殖健康、气候变化、自然灾害与气候驱动移民之间的联系:聚焦低收入和中等收入国家——系统综述

Drawing the Linkage Between Women's Reproductive Health, Climate Change, Natural Disaster, and Climate-driven Migration: Focusing on Low- and Middle-income Countries - A Systematic Overview.

作者信息

Afzal Fahad, Das Arindam, Chatterjee Soumitra

机构信息

Institute of Health Management Research, IIHMR University, Jaipur, Rajasthan, India.

Department of Administrative, Birla Public School, Pilani, Rajasthan, India.

出版信息

Indian J Community Med. 2024 Jan-Feb;49(1):28-38. doi: 10.4103/ijcm.ijcm_165_23. Epub 2024 Jan 12.

Abstract

BACKGROUND

One of the most important aspects of women's well-being and welfare is RSH (reproductive and sexual health). Reproductive health is not an exception to the threat that CCC (climate change and climate crisis) poses to numerous facets of public health. Firstly, the present review seeks to identify the influence of climatic changes, natural disasters, and climate-driven migration on RSH. Secondly, to identify knowledge gaps regarding the same.

MATERIAL AND METHODS

Two databases (Scopus and PubMed) were scanned using Boolean operation. The literature search aimed to find records pertaining to topics of RSH and climate change. Using the PRISMA-ScR method, records were screened and shortlisted based on established inclusion criteria. This literature search was carried out in November 2022. In the shortlisted records, preference for the comprehensive review articles was given.

RESULTS

The present review is based on 38 records that collectively revealed that climate crisis and natural disasters have many negative impacts on female reproductive health. These effects are observed in different phases of life, ranging from teenage to menopause. The unique strength of the present review is that it draws a relationship between female reproductive health and the direct as well as indirect effects of the CCC. The available literature about LMICs is predominantly confined to drought, flood, and earthquake. Disasters like tsunamis, cyclones, and avalanches remain unexplored.

CONCLUSION

From the available literature, it is quite evident that CCC has an adverse effect on a woman's reproductive life as well as a bearing on future generations' health. Filling these knowledge gaps is pivotal for designing more effective disaster and health policies. Policymakers should take into consideration these detrimental effects while designing health schemes and policies for females.

摘要

背景

生殖与性健康(RSH)是女性幸福和福祉的最重要方面之一。生殖健康也未能免受气候变化与气候危机(CCC)对公共卫生诸多方面构成的威胁。首先,本综述旨在确定气候变化、自然灾害和气候驱动的移民对生殖与性健康的影响。其次,找出这方面的知识空白。

材料与方法

使用布尔运算搜索两个数据库(Scopus和PubMed)。文献检索旨在查找与生殖与性健康及气候变化主题相关的记录。采用PRISMA-ScR方法,根据既定的纳入标准对记录进行筛选和入围。该文献检索于2022年11月进行。在入围记录中,优先选择综述文章。

结果

本综述基于38条记录,这些记录共同表明气候危机和自然灾害对女性生殖健康有许多负面影响。这些影响在从青少年到更年期的不同生命阶段都有观察到。本综述的独特优势在于它揭示了女性生殖健康与气候变化与气候危机的直接和间接影响之间的关系。关于低收入和中等收入国家(LMICs)的现有文献主要局限于干旱、洪水和地震。海啸、气旋和雪崩等灾害仍未得到探讨。

结论

从现有文献来看,很明显气候变化与气候危机对女性的生殖生活有不利影响,也关系到后代的健康。填补这些知识空白对于设计更有效的灾害和卫生政策至关重要。政策制定者在为女性设计健康计划和政策时应考虑到这些有害影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa8/10900460/0d8fa782aa19/IJCM-49-28-g001.jpg

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