Brink Nicholas, Mansoor Kehkashan, Swiers Joost, Lakhoo Darshnika P, Parker Craig, Nakstad Britt, Sawry Shobna, Aunan Kristin, Otto Ilona M, Chersich Matthew F
Wits Planetary Health Research, University of the Witwatersrand, Johannesburg 2193, South Africa.
Wits RHI, University of the Witwatersrand, Johannesburg 2193, South Africa.
Int J Environ Res Public Health. 2024 Nov 26;21(12):1565. doi: 10.3390/ijerph21121565.
Climate change is among the greatest threats to health in the 21st century, requiring the urgent scaling-up of adaptation interventions. We aim to summarise adaptation interventions that were funded by the Belmont Forum and the European Union, the largest global funders of climate change and health research. A systematic search was conducted (updated February 2023) to identify articles on adaptation interventions for health within this funding network. The data extracted included study characteristics, types of interventions, and study outcomes. The results were synthesised narratively within the PRISMA-ScR guidelines. A total of 197 articles were screened, with 37 reporting on adaptation interventions. The majority of interventions focused on the general population (n = 17), with few studies examining high-risk populations such as pregnant women and children (n = 4) or migrants (n = 0). Targeted interventions were mostly aimed at behavioural change (n = 8) and health system strengthening (n = 6), while interventions with mitigation co-benefits such as nature-based solutions (n = 1) or the built environment (n = 0) were limited. The most studied climate change hazard was extreme heat (n = 26). Several studies reported promising findings, principally regarding interventions to counter heat impacts on workers and pregnant women and improving risk awareness in communities. These findings provide a platform on which to expand research and public health interventions for safeguarding public health from the effects of climate change.
气候变化是21世纪对健康的最大威胁之一,需要紧急扩大适应干预措施。我们旨在总结由贝尔蒙论坛和欧盟资助的适应干预措施,这两个组织是气候变化与健康研究领域最大的全球资助者。我们进行了一项系统检索(于2023年2月更新),以确定该资助网络内有关健康适应干预措施的文章。提取的数据包括研究特征、干预类型和研究结果。结果按照PRISMA-ScR指南进行了叙述性综合。共筛选了197篇文章,其中37篇报告了适应干预措施。大多数干预措施针对普通人群(n = 17),很少有研究关注高危人群,如孕妇和儿童(n = 4)或移民(n = 0)。针对性干预措施大多旨在改变行为(n = 8)和加强卫生系统(n = 6),而具有缓解协同效益的干预措施,如基于自然的解决方案(n = 1)或建筑环境(n = 0)则很有限。研究最多的气候变化危害是极端高温(n = 26)。几项研究报告了有前景的结果,主要涉及应对高温对工人和孕妇影响的干预措施以及提高社区风险意识。这些发现为扩大研究和公共卫生干预措施提供了一个平台,以保护公众健康免受气候变化的影响。