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本文引用的文献

1
Extreme weather should be defined according to impacts on climate-vulnerable communities.极端天气应根据对气候脆弱社区的影响来定义。
Nat Clim Chang. 2024 May;14(5):462-467. doi: 10.1038/s41558-024-01983-7. Epub 2024 Apr 23.
2
The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action.《柳叶刀》健康与气候变化倒计时2024年报告:面对行动迟缓带来的破纪录威胁。
Lancet. 2024 Nov 9;404(10465):1847-1896. doi: 10.1016/S0140-6736(24)01822-1. Epub 2024 Oct 30.
3
Socio-ecological impacts of extreme weather events in two informal settlements in Nairobi, Kenya.肯尼亚内罗毕两个非正规住区极端天气事件的社会-生态影响。
Front Public Health. 2024 Jun 3;12:1389054. doi: 10.3389/fpubh.2024.1389054. eCollection 2024.
4
Climate distress, climate-sensitive risk factors, and mental health among Tanzanian youth: a cross-sectional study.坦桑尼亚青年的气候困扰、气候敏感风险因素与心理健康:一项横断面研究。
Lancet Planet Health. 2023 Nov;7(11):e877-e887. doi: 10.1016/S2542-5196(23)00234-6.
5
Mental Health Impacts of Climate Change Among Vulnerable Populations Globally: An Integrative Review.气候变化对全球脆弱人群心理健康的影响:综合述评。
Ann Glob Health. 2023 Oct 6;89(1):66. doi: 10.5334/aogh.4105. eCollection 2023.
6
Psychometric evaluation of PHQ-9 and GAD-7 among community health volunteers and nurses/midwives in Kenya following a nation-wide telephonic survey.在肯尼亚全国范围内进行电话调查后,对社区卫生志愿者以及护士/助产士进行患者健康问卷-9(PHQ-9)和广泛性焦虑障碍量表-7(GAD-7)的心理测量评估。
Front Psychiatry. 2023 May 30;14:1123839. doi: 10.3389/fpsyt.2023.1123839. eCollection 2023.
7
Depressive symptoms and associated social and environmental factors among women living in informal settlements in Nairobi, Kenya.肯尼亚内罗毕非正规住区妇女的抑郁症状及相关社会和环境因素。
Glob Public Health. 2023 Jan;18(1):2200499. doi: 10.1080/17441692.2023.2200499.
8
Mental health and gender-based violence: An exploration of depression, PTSD, and anxiety among adolescents in Kenyan informal settlements participating in an empowerment intervention.心理健康与基于性别的暴力:肯尼亚非正规住区参与赋权干预的青少年中抑郁、创伤后应激障碍和焦虑的研究。
PLoS One. 2023 Mar 29;18(3):e0281800. doi: 10.1371/journal.pone.0281800. eCollection 2023.
9
The Effects of Climate Change on Mental Health.气候变化对心理健康的影响。
Dtsch Arztebl Int. 2023 Feb 24;120(8):117-124. doi: 10.3238/arztebl.m2022.0403.
10
Climate Change and Substance-Use Behaviors: A Risk-Pathways Framework.气候变化与物质使用行为:风险途径框架
Perspect Psychol Sci. 2023 Jul;18(4):936-954. doi: 10.1177/17456916221132739. Epub 2022 Nov 28.

气候脆弱社区的极端天气经历与心理健康:对肯尼亚内罗毕非正规住区女性的大规模调查结果

Experiences of extreme weather and mental health in climate-vulnerable communities: results from a large-scale survey of women living in informal settlements in Nairobi, Kenya.

作者信息

Brown Haley E, Balakrishnan Anna K, Stamps Kianna M, Obara Lena M, Witte Susan S, Winter Samantha C

机构信息

University of California San Diego, Scripps Institution of Oceanography, 8622 Kennel Way, CA, 92037, La Jolla, USA.

School of Social Work, Columbia University, 1255 Amsterdam Ave, New York, NY, 10027, USA.

出版信息

BMC Psychol. 2025 Sep 2;13(1):1000. doi: 10.1186/s40359-025-03319-2.

DOI:10.1186/s40359-025-03319-2
PMID:40898288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12403442/
Abstract

Climate change is a major global health threat with significant impacts on mental health, especially among vulnerable populations. Residents of informal settlements-characterized by inadequate infrastructure and housing-are particularly at risk due to their exposure to extreme weather and limited access to healthcare. This study investigates the association between experiences of extreme weather and mental health among women residing in two large informal settlements in Nairobi, Kenya. Using cross-sectional survey data from 800 women, we found significant associations between anxiety (GAD-7) and depression (PHQ-9) and women's experiences of colder-than-usual temperatures (Anxiety β = 0.75, p = 0.03; Depression β = 0.82, p = 0.03) and droughts (Anxiety β = 3.22, p = 0.001; Depression β = 2.90, p = 0.01). This study demonstrates how self-reported experiences of extreme weather are associated with mental health challenges among marginalized populations, and highlights the value of experiential data in identifying climate-related vulnerabilities.

摘要

气候变化是对全球健康的重大威胁,对心理健康有显著影响,尤其是在弱势群体中。以基础设施和住房不足为特征的非正式住区居民,由于暴露于极端天气且获得医疗保健的机会有限,面临的风险尤其高。本研究调查了肯尼亚内罗毕两个大型非正式住区的女性极端天气经历与心理健康之间的关联。利用来自800名女性的横断面调查数据,我们发现焦虑(广泛性焦虑障碍量表-7)和抑郁(患者健康问卷-9)与女性经历比平常更寒冷的气温(焦虑β = 0.75,p = 0.03;抑郁β = 0.82,p = 0.03)以及干旱(焦虑β = 3.22,p = 0.001;抑郁β = 2.90,p = 0.01)之间存在显著关联。本研究表明了极端天气的自我报告经历如何与边缘化人群的心理健康挑战相关联,并强调了经验数据在识别与气候相关的脆弱性方面的价值。