与气候变化相关的暴露,低出生体重和早产:审查协议概述
Elizabeth Ludwig-Borycz1, Adrianna I Rojas2, Dev Ram Sunuwar3
1School for Environment and Sustainability, University of Michigan, Ann Arbor, USA; Center for Global Health Equity, Michigan Medicine, Ann Arbor, USA.
Environment international
|August 3, 2025
概括
气候变化对妊娠结果产生负面影响,增加低出生体重和早产的风险,特别是在弱势群体中. 本综述综合了气候暴露影响出生结果的证据,以指导缓解策略.
科学领域:
- 环境健康 环境健康
- 生殖健康 生殖健康
- 气候变化研究 气候变化研究
背景情况:
- 人为气候变化对全球健康构成重大风险,不成比例地影响边缘化人口.
- 孕妇和他们的婴儿特别容易受到气候变化相关的暴露,这可能导致不良的分娩结果.
- 低出生体重和早产是导致5岁以下儿童死亡的主要原因.
研究的目的:
- 总结现有关于气候变化暴露对低出生体重和早产影响的审查证据.
- 确定与不良出生结果相关的特定气候变化相关暴露,并量化其规模.
- 为保护母亲和婴儿健康提供潜在风险减轻策略的信息.
主要方法:
- 采用了审查的审查 (ROR) 方法,遵守了审查总结 (PRIOR) 准则的首选报告项目.
- 在五个主要数据库 (PubMed,EMBASE,Web of Science,全球健康,Scopus) 进行了系统搜索,以寻找相关的系统审查.
- 两个独立的研究人员选了摘要和完整文本,第三个研究人员解决了差异. 使用Excel进行数据提取.
主要成果:
- 该审查旨在综合大约12次系统性审查的发现.
- 确定的气候变化暴露包括温度变化,热浪,降水变化,空气污染物,火灾和自然灾害.
- 将描述这些暴露与低出生体重/早产之间的关联的大小.
结论:
- 气候变化暴露与不良妊娠结果有关,如低出生体重和早产.
- 了解这些关联对于开发有针对性的干预措施来保护母亲和婴儿健康至关重要.
- 需要进一步的研究和政策制定,以减轻气候变化对出生结果的影响.
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