低收入和中等收入国家幼儿的洪水和腹风险
Pin Wang1,2, Ernest O Asare3, Virginia E Pitzer3
1Department of Environmental Health Sciences, Yale School of Public Health, New Haven, Connecticut.
JAMA pediatrics
|October 2, 2023
概括
洪水,特别是严重或持续的洪水,会增加幼儿的腹风险,尤其是在干旱后. 气候变化需要更多的努力来保护儿童免受这些加剧的环境健康威胁.
科学领域:
- 环境流行病学环境流行病学
- 全球公共卫生全球公共卫生
- 气候变化影响气候变化的影响.
背景情况:
- 气候变化正在增加洪水的频率和强度.
- 有限的研究存在于洪水暴露和腹风险,特别是考虑到干旱和水,卫生和卫生 (WaSH) 因素.
- 了解这些关联对于公共卫生干预至关重要.
研究的目的:
- 调查洪水暴露与五岁以下儿童腹风险之间的联系.
- 评估以前的干旱条件和WaSH实践如何改变这种关联.
主要方法:
- 采用43个低收入和中等收入国家的多集群调查 (2009-2019) 进行的跨部门研究.
- 利用来自达特斯洪水观测站的历史洪水数据.
- 分析了使用双项通用线性混合效应逻辑回归模型的腹患病率.
主要成果:
- 洪水暴露与五岁以下儿童腹风险增加有关.
- 极端洪水,长期洪水 (>2周) 和干旱后的洪水显示出明显更高的腹风险.
- 洪水发生2至4周后,风险最高,如果之前经历了12个月的干旱,风险显著增加 (OR 1.96).
结论:
- 洪水,特别是严重的,持续的或干旱前的事件,在LMIC的幼儿中增加了腹的风险.
- 由于气候变化导致洪水和干旱频率的增加,需要加强公共卫生战略.
- 保护儿童的健康需要解决这些复杂的环境暴露.
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