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沿海居民对极端温度和咸水对人类健康影响的认知:来自孟加拉国的证据。

Perceptions of coastal dwellers about the effects of extreme temperature and saline water on human health: evidence from Bangladesh.

作者信息

Zakaria Muhammad, Karim Rezaul, Islam Didar, Ahmad Md Sarwar, Ahammad Mostak, Cheng Feng, Xu Junfang

机构信息

Department of Communication, Wayne State University, Detroit, MI, United States.

Department of Communication and Journalism, University of Chittagong, Chattogram, Bangladesh.

出版信息

Front Public Health. 2025 Aug 1;13:1451933. doi: 10.3389/fpubh.2025.1451933. eCollection 2025.

Abstract

BACKGROUND

Climate change disproportionately affects coastal communities worldwide, increasing exposure to extreme temperature and saline water intrusion. Understanding these impacts is critical for public health planning and intervention. This study aims to examine the perceptions about the effects of climate change-induced phenomena, specifically extreme temperature and water salinity, on the overall human health of coastal communities residing in Ramgati, Lakshmipur, Bangladesh.

METHODS

The study adopted a quantitative research approach and utilized a cross-sectional survey design to gather data. The sample consisted of 391 participants ( = 391) residing in the coastal region of Ramgati. A structured questionnaire was employed to collect data. The gathered data were subjected to several bivariate analyses, including independent-sample -tests, Pearson correlation analysis, and hierarchical regression analysis, using IBM SPSS version 24.0.

RESULTS

Participants exposed to higher extreme temperature reported their perceptions of various health effects, such as heat stroke, dengue epidemic, migraine and headache. Additionally, participants experiencing elevated water salinity reported different health effects, including hair loss, high blood pressure, diarrhea, maternal health problems, child development, and hindered child mental health development. Linear regression analysis revealed that participants' age ( = 0.33,  < 0.001), gender ( = -0.16,  < 0.001), perceived risk of health diseases ( = 0.17,  < 0.001), high salinity in water ( = 0.15,  = 0.002), and high temperature ( = 0.25,  < 0.001) were significantly associated with the perception of health effects.

CONCLUSION

This study highlights the importance of addressing key issues regarding the effects of extreme temperature and saline water on human health. Specifically, the study reports on access to clean drinking water, climate change adaptation strategies, health education and awareness, an integrated public health approach, and the needs of vulnerable populations, in order to mitigate the effects of climate change on human health living in the coastal areas.

摘要

背景

气候变化对全球沿海社区的影响尤为严重,增加了人们暴露于极端温度和海水入侵的风险。了解这些影响对于公共卫生规划和干预至关重要。本研究旨在考察气候变化引发的现象,特别是极端温度和水盐度,对居住在孟加拉国拉克希米普尔拉姆加蒂沿海社区居民整体健康的影响认知。

方法

本研究采用定量研究方法,利用横断面调查设计收集数据。样本包括居住在拉姆加蒂沿海地区的391名参与者(n = 391)。采用结构化问卷收集数据。使用IBM SPSS 24.0对收集到的数据进行了多项双变量分析,包括独立样本t检验、Pearson相关分析和层次回归分析。

结果

暴露于更高极端温度的参与者报告了他们对各种健康影响的认知,如中暑、登革热流行、偏头痛和头痛。此外,经历水盐度升高的参与者报告了不同的健康影响,包括脱发、高血压、腹泻、孕产妇健康问题、儿童发育以及儿童心理健康发育受阻。线性回归分析显示,参与者的年龄(β = 0.33,p < 0.001)、性别(β = -0.16,p < 0.001)、感知到的健康疾病风险(β = 0.17,p < 0.001)、水中高盐度(β = 0.15,p = 0.002)和高温(β = 0.25,p < 0.001)与健康影响认知显著相关。

结论

本研究强调了应对极端温度和盐水对人类健康影响的关键问题的重要性。具体而言,该研究报告了关于获得清洁饮用水、气候变化适应策略、健康教育与意识、综合公共卫生方法以及弱势群体需求等方面的情况,以减轻气候变化对沿海地区人类健康的影响。

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