Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany; Children in All Policies 2030, University College London, London, UK.
Lancet Child Adolesc Health. 2024 Jul;8(7):532-544. doi: 10.1016/S2352-4642(24)00084-1. Epub 2024 Jun 4.
Integration of child-specific adaptation measures into health policies is imperative given children's heightened susceptibility to the health impacts of climate change. Using a document analysis method, we examined 160 national adaptation policies for inclusion of child-relevant measures and identified 19 child health-related adaptation domains. 44 (28%) of 160 countries' policies that were analysed failed to include any domains, 49 (31%) included at least one child-related domain, 62 (39%) included between two and six domains, and five (3%) included at least seven domains. Predominant domains among child-specific adaptation measures included education and awareness raising, followed by community engagement and nutrition. No country addressed children's direct needs in the domain of mental health. National adaptation policies tend towards overly simple conceptualisations of children across four major lenses: age, social role, gender, and agency. Limited inclusion of child-specific measures in national adaptation policies suggests insufficient recognition of and action on children's susceptibility to climate change effects.
鉴于儿童更容易受到气候变化对健康的影响，将针对儿童的特殊适应措施纳入卫生政策势在必行。本研究采用文件分析法，对 160 项国家适应政策中与儿童相关的措施进行了审查，并确定了 19 个与儿童健康相关的适应领域。在分析的 160 个国家政策中，有 44 个（28%）国家的政策没有纳入任何领域，49 个（31%）国家的政策纳入了至少一个与儿童相关的领域，62 个（39%）国家的政策纳入了 2-6 个领域，5 个（3%）国家的政策纳入了至少 7 个领域。针对儿童的具体适应措施中主要包括教育和提高认识，其次是社区参与和营养。没有一个国家在心理健康领域解决了儿童的直接需求。国家适应政策往往过于简单地从四个主要视角来理解儿童：年龄、社会角色、性别和能动性。国家适应政策中对儿童特定措施的纳入有限，表明对儿童易受气候变化影响的认识和行动不足。
