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气候变化对育龄妇女的健康影响:孟加拉国萨特希拉沿海社区的一项研究

The health impact of climate change on the women in reproductive age: a study of coastal communities in Satkhira, Bangladesh.

作者信息

Amin Md Noman, Hossain Md Alamgir, Islam Md Rakibul, Mondal Sabuj, Ali Md Hossain

机构信息

Department of Sociology, Gopalganj Science and Technology University, Gopalganj, Bangladesh.

Department of Sociology, Rabindra University, Dhaka, Bangladesh.

出版信息

Front Public Health. 2025 Jun 24;13:1560498. doi: 10.3389/fpubh.2025.1560498. eCollection 2025.

Abstract

BACKGROUND

Climate change and health issues pose a global threat, particularly in developing countries like Bangladesh. Within the socio-economic structure in coastal regions, women played a crucial role in contributing livelihood and living resources, while new climatic ecology creates chaotic relationships between environment and human health. The emerging adverse climatic ecology is directly and indirectly affecting them in the sphere of their both outdoor and indoor activism. This study explores the health impacts of climate change on the women of reproductive age (ages between 14 and 49 from the Bangladeshi perspective) living in coastal communities, i.e., Satkhira, Bangladesh.

METHODS

To choose study locations, this study conducted a literature survey to find out the most vulnerable coastal region of Bangladesh. The study has selected the five most vulnerable unions of Shyamnagar upazila in Satkhira district. This study adopted a multi-method approach combining in-depth interviews and KIIs. Based on this methodological guide, this study interviewed 25 women and 5 married men, while their responses have further been supplemented and validated by KIIs with health workers and medical officers.

RESULTS

Findings show that climate change posture to new climatic ecology facilitating adverse situations that lead to the intrusion of saline water within communities, lack of fresh and drinkable water, women exposure to waterborne diseases resulting from both salinity and scarcity of fresh usable water, skin disorders, gynaecological and reproductive illnesses, and vector-borne diseases. Women also bear an encountered burden in their struggle to acquire water and good health, including limited hygiene facilities and maternal care. This dilemma is even worsened during the summer season, which exposes women to heat waves, resulting in physical complications such as anaemia, pregnancy risks, heat stroke, dehydration, hypertension and psychological complications like anxiety, stress and depression.

CONCLUSION

Breaches in awareness and prevention practices were outlined from the study, as there is a need to realize integrated solutions to address the environmental and health challenges of the populations. Further, there is an absolute need to continue improving access to safe water, healthcare services, and education as a way to build resilience in affected communities.

摘要

背景

气候变化与健康问题构成全球威胁,在孟加拉国等发展中国家尤为如此。在沿海地区的社会经济结构中,女性在提供生计和生活资源方面发挥着关键作用,而新的气候生态在环境与人类健康之间造成了混乱的关系。新出现的不利气候生态在她们的户外和室内活动领域直接或间接地影响着她们。本研究从孟加拉国的视角,探讨气候变化对居住在沿海社区(即孟加拉国萨特基拉)的育龄妇女(14至49岁)健康的影响。

方法

为选择研究地点,本研究进行了文献调查,以找出孟加拉国最脆弱的沿海地区。该研究选取了萨特基拉区沙姆纳加尔乡五个最脆弱的联合村。本研究采用了深度访谈和关键信息访谈相结合的多方法途径。基于此方法指南,本研究采访了25名女性和5名已婚男性,同时通过与卫生工作者和医务人员的关键信息访谈进一步补充和验证了他们的回答。

结果

研究结果表明,气候变化形成新的气候生态,助长了不利状况,导致盐水侵入社区、缺乏新鲜饮用水、女性因盐分和可用淡水短缺而接触水传播疾病、皮肤疾病、妇科和生殖疾病以及媒介传播疾病。女性在获取水和良好健康方面也面临重重困难,包括卫生设施和孕产妇护理有限。在夏季,这种困境更加恶化,女性面临热浪,导致贫血、妊娠风险、中暑、脱水、高血压等身体并发症以及焦虑、压力和抑郁等心理并发症。

结论

研究概述了在认识和预防措施方面存在的不足,因为需要实现综合解决方案,以应对民众面临的环境和健康挑战。此外,绝对有必要继续改善安全饮用水、医疗服务和教育的可及性,以此增强受影响社区的复原力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/12234526/96f2226ebd64/fpubh-13-1560498-g001.jpg

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