Sharma Sitasma, Anikeeva Olga
School of Public Health, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
J Racial Ethn Health Disparities. 2025 Jun 26. doi: 10.1007/s40615-025-02527-1.
Vulnerable populations such as culturally and linguistically diverse communities (CALD), ethnic minorities and racial groups face a disproportionate burden of climate change-related health impacts due to a combination of socio-cultural and economic factors, geographic vulnerabilities and health disparities. This review synthesised the existing evidence on the health and wellbeing impacts of climate change and related weather events among CALD communities.
A narrative synthesis approach was utilised to conduct a systematic review. Three electronic databases (PubMed, Scopus and Web of Science) were searched, identifying 25 studies for appraisal and synthesis. Studies published in the English language from January 2010 to March 2024 were included in the review.
The reviewed studies, mostly carried out in the USA, employed varied study designs, and focused on diverse CALD groups such as migrants, farmworkers and racial and ethnic minorities. The included studies addressed broader and specific climate change-related events, ranging from heat-related impacts and hurricanes to occupational heat exposure. CALD communities were found to be more vulnerable to climate change-related negative physical and mental health issues, further exacerbated by poor living conditions, limited access to healthcare, and cultural and language barriers.
Future efforts by governments, healthcare agencies, employers and research institutions should prioritise multilingual risk communication strategies, providing culturally appropriate health education and healthcare access, housing improvements and the investigation of long-term health impacts of climate change and coping mechanisms adopted among CALD populations.
文化和语言多元社区（CALD）、少数族裔和种族群体等弱势群体，由于社会文化和经济因素、地理脆弱性以及健康差距等综合因素，在气候变化相关的健康影响方面面临着不成比例的负担。本综述综合了关于气候变化及相关天气事件对CALD社区健康和福祉影响的现有证据。
采用叙述性综合方法进行系统综述。检索了三个电子数据库（PubMed、Scopus和Web of Science），确定了25项研究进行评估和综合。纳入综述的研究为2010年1月至2024年3月期间发表的英文研究。
所综述的研究大多在美国开展，采用了不同的研究设计，关注了不同的CALD群体，如移民、农场工人以及少数族裔和种族群体。纳入的研究涉及更广泛和具体的气候变化相关事件，从与高温相关的影响、飓风到职业性高温暴露。研究发现，CALD社区更容易受到气候变化相关的负面身心健康问题的影响，恶劣的生活条件、有限的医疗保健获取机会以及文化和语言障碍进一步加剧了这些问题。
政府、医疗保健机构、雇主和研究机构未来的工作应优先考虑多语言风险沟通策略，提供符合文化背景的健康教育和医疗保健服务，改善住房条件，并调查气候变化对CALD人群的长期健康影响以及他们所采用的应对机制。
