Wong Ainslee, Hoang Tuyet-Mai H, Ferrara Victoria, Nguyen Thanh H
Department of Health and Kinesiology University of Illinois Urbana-Champaign Urbana IL USA.
School of Social Work University of Illinois Urbana-Champaign Urbana IL USA.
Geohealth. 2025 Jun 18;9(6):e2024GH001272. doi: 10.1029/2024GH001272. eCollection 2025 Jun.
The objective of this scoping review is to explore the systemic barriers that impact health inequities among vulnerable populations (e.g., racial/ethnic and gender groups, people with disabilities, refugees, immigrants, elders, young children, agricultural and fishery workers, and low-income individuals) when facing climate change stressors. We conducted an extensive review using nine search engines, which yielded 21 publications that focused on the health outcomes and barriers on the topic of climate change among vulnerable populations. Our findings indicated that poverty is the largest challenge preventing people from adequate health access and achieving positive outcomes, particularly for vulnerable populations globally. In addition, institutional and systemic barriers also differ based on regional differences, which suggests that health inequities are context dependent. Our scoping review has implications for (a) enhancing the effectiveness of climate change mitigation strategies and (b) addressing the healthcare barriers of vulnerable populations based on country-specific challenges.
本范围综述的目的是探讨弱势群体（例如种族/族裔和性别群体、残疾人、难民、移民、老年人、幼儿、农业和渔业工人以及低收入个体）在面对气候变化压力源时影响健康不平等的系统性障碍。我们使用九个搜索引擎进行了广泛的综述，结果得到了21篇关注弱势群体中气候变化主题的健康结果和障碍的出版物。我们的研究结果表明，贫困是阻碍人们获得充分医疗保健并取得积极成果的最大挑战，尤其是对全球弱势群体而言。此外，制度和系统性障碍也因地区差异而有所不同，这表明健康不平等取决于具体情况。我们的范围综述对（a）提高气候变化缓解战略的有效性以及（b）根据特定国家的挑战解决弱势群体的医疗保健障碍具有启示意义。
