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介入疼痛科医生对气候变化的看法:脊柱介入学会(SIS)的一项调查。

Interventional pain physician beliefs on climate change: A Spine Intervention Society (SIS) survey.

作者信息

Fogarty Alexandra E, Godambe Maya, Duszynski Belinda, McCormick Zachary L, Steensma Joe, Decker Gregory

机构信息

Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University School of Medicine, St. Louis, MO, USA.

Brown School, Washington University in St. Louis, St. Louis, MO, USA.

出版信息

Interv Pain Med. 2023 Nov 1;2(4):100287. doi: 10.1016/j.inpm.2023.100287. eCollection 2023 Dec.

Abstract

SUMMARY OF BACKGROUND DATA

Although evaluated within other specialties, physicians' beliefs towards climate change and human health have not been described within Interventional Pain Medicine (IPM). Understanding belief systems is essential for developing solutions to build sustainable practices.

OBJECTIVES

Assess beliefs toward climate change within the field of IPM.

METHODS

Spine Intervention Society (SIS) members were invited to participate in an anonymous RedCap survey by email, social media, and advertisement at the 2022 SIS Annual Meeting. Descriptive statistics were calculated, and associations were estimated using Chi-Square (significance: p < 0.05).

RESULTS

One hundred and seventy-five participants responded to the survey. Participants most often identified as white (66 %; 95 % CI 57-73 %), male (78 %; 95 % CI 71-84 %), and from the United States (US) (76 %; CI 95 % 58-72 %), with 87 % (n = 123/141; 95 % CI 82-93 %) agreeing that climate change is happening (agree or strongly agree). While 78 % (95 % CI 80-92 %) agree that climate change and sustainability are important to them, only 47 % (95 % CI 34-51 %) agree that these are important to their patients. Those beliefs did not differ by age or geographical area (p > 0.05). However, physicians in non-leadership positions are more likely to disagree or strongly disagree that climate change is important to them (χ(2) = 15.98; p < 0.05), to their patients (χ(2) = 17.21; p < 0.05), or that societies should advocate for climate policies (χ(2) = 9.19; p < 0.05). Non-US physicians were more likely to believe that physicians have responsibilities to bring awareness to the health effects of climate change (χ(2) = 6.58; p < 0.05) and to agree that climate change is important to their patients (χ(2) = 10.50; p < 0.05).

DISCUSSION/CONCLUSION: Understanding specialty-specific physician views on climate change is essential for developing solutions to reduce the carbon footprint of medical practice and improve sustainability. The majority of SIS members believe that climate change is happening. Non-US physicians and physician-leaders are more likely to believe that climate change impacts their patients and that societies should advocate for climate policies.

摘要

背景数据总结

尽管在其他专业领域中对医生关于气候变化与人类健康的信念进行了评估,但在介入疼痛医学(IPM)领域尚未对此进行描述。理解信念体系对于制定构建可持续实践的解决方案至关重要。

目的

评估介入疼痛医学领域内对气候变化的信念。

方法

通过电子邮件、社交媒体以及在2022年脊柱介入学会(SIS)年会上做广告,邀请SIS成员参与一项匿名的RedCap调查。计算描述性统计数据,并使用卡方检验估计关联性(显著性:p < 0.05)。

结果

175名参与者回复了调查。参与者大多为白人(66%;95%置信区间57 - 73%)、男性(78%;95%置信区间71 - 84%)且来自美国(76%;95%置信区间58 - 72%),其中87%(n = 123/141;95%置信区间82 - 93%)同意气候变化正在发生(同意或强烈同意)。虽然78%(95%置信区间80 - 92%)同意气候变化和可持续性对他们很重要,但只有47%(95%置信区间34 - 51%)同意这些对他们的患者很重要。这些信念在年龄或地理区域上没有差异(p > 0.05)。然而,非领导职位的医生更有可能不同意或强烈不同意气候变化对他们很重要(χ(2) = 15.98;p < 0.05)、对他们的患者很重要(χ(2) = 17.21;p < 0.05),或者不同意社会应该倡导气候政策(χ(2) = 9.19;p < 0.05)。非美国医生更有可能认为医生有责任提高对气候变化健康影响的认识(χ(2) = 6.58;p < 0.05),并同意气候变化对他们的患者很重要(χ(2) = 10.50;p < 0.05)。

讨论/结论:了解特定专业医生对气候变化的看法对于制定减少医疗实践碳足迹并提高可持续性的解决方案至关重要。大多数SIS成员认为气候变化正在发生。非美国医生和医生领导者更有可能认为气候变化会影响他们的患者,并且社会应该倡导气候政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0337/11372966/693144fb331a/gr1.jpg

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