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埃塞俄比亚东北部妇女对气候变化及其相关因素的健康影响的认知。

Knowledge about the health impact of climate change and associated factors among women in Northeastern Ethiopia.

作者信息

Natnael Tarikuwa

机构信息

Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

Sci Rep. 2025 Jul 9;15(1):24768. doi: 10.1038/s41598-025-06235-y.

Abstract

Globally, climate change (CC) is a major challenge to the health and lives of people especially in developing countries like Ethiopia. CC is an issue of great importance for public health and socioeconomic equity due to its diverse consequences. In developing nations, women still make up approximately half of the agricultural labor force. SDGs 13 and 5 would be achieved and CC mitigation efforts would rise if more women took part in it. Women should therefore be adequately informed about mitigating measures. However, there is no study regarding the issue among women. Therefore, this study attempted to fill this gap. A cross-sectional study was conducted from June 1 to 30, 2024 among systematically selected 401 women in Northeastern Ethiopia. Binary logistic regression models at 95% confidence interval (CI) were used to determine the factors affecting the knowledge about the health impacts of CC. From the bi-variable analysis, variables having a P-value < 0.25 were retained into the multivariable analysis. In multivariable analysis, variables with a p-value of less than 0.05 were considered statistically significant. Of the total women, 47.4% were between 18 and 30 years, with a mean age of 31 years. This study uses the mean to determine participants knowledge level; those who score the mean or higher are seen as having good knowledge, while those who score below the mean were regarded as having poor knowledge. In the research area, women had good knowledge prevalence about the health impact of CC at 34.4% (95% CI: 29.7-39.4). This research revealed that higher educational level (AOR = 3.46, 95%CI = 1.75-6.85) and using TV/radio as source of information (AOR = 2, 95%CI = 1.24-3.24) were significantly correlated with having good knowledge about the health impact of CC. In the current study, women's good knowledge about the health impact of CC was very low. This implies the need to support the women through intensive and continuous health information through radio and television.

摘要

在全球范围内,气候变化对人们的健康和生活构成了重大挑战,尤其是在埃塞俄比亚这样的发展中国家。由于气候变化的各种后果,它对公共卫生和社会经济公平来说是一个极其重要的问题。在发展中国家,女性仍占农业劳动力的近一半。如果有更多女性参与其中,可持续发展目标13和5将得以实现,减缓气候变化的努力也会增强。因此,应该让女性充分了解缓解措施。然而,尚未有针对女性这一问题的研究。所以,本研究试图填补这一空白。2024年6月1日至30日,在埃塞俄比亚东北部系统选取的401名女性中开展了一项横断面研究。采用95%置信区间(CI)的二元逻辑回归模型来确定影响对气候变化健康影响认知的因素。在双变量分析中,P值<0.25的变量被纳入多变量分析。在多变量分析中,P值小于0.05的变量被视为具有统计学意义。在所有女性中,47.4%的年龄在18至30岁之间,平均年龄为31岁。本研究使用平均值来确定参与者的知识水平;得分等于或高于平均值的人被视为具有良好知识,而得分低于平均值的人则被视为知识水平较差。在研究区域,女性对气候变化健康影响的良好认知患病率为34.4%(95%CI:29.7 - 39.4)。本研究表明,较高的教育水平(调整后比值比[AOR]=3.46,95%CI=1.75 - 6.85)以及将电视/广播作为信息来源(AOR=2,95%CI=1.24 - 3.24)与对气候变化健康影响具有良好认知显著相关。在当前研究中,女性对气候变化健康影响的良好认知非常低。这意味着需要通过广播和电视提供密集且持续的健康信息来支持女性。

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