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Planetary Health Research Digest 行星健康研究摘要
IF 24.1 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-07-01 DOI: 10.1016/S2542-5196(24)00145-1
Cahal McQuillan
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引用次数: 0
Correction to Lancet Planet Health 2024; 8: e41–50 柳叶刀星球健康》更正 2024; 8: e41-50
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00116-5
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引用次数: 0
Planetary Health Research Digest 行星健康研究摘要
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00122-0
Cahal McQuillan
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引用次数: 0
How many carbon emissions are saved by doing one less MRI? 少做一次 MRI 能减少多少碳排放?
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00092-5
Scott McAlister , Alexandra Barratt , Katy Bell , Forbes McGain
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引用次数: 0
Climate change anxiety, hurricane exposure, and climate change actions and attitudes: results from a representative, probability-based survey of US Gulf Coast residents 气候变化焦虑、飓风风险以及气候变化行动和态度:对美国墨西哥湾沿岸居民进行的代表性概率调查的结果
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00100-1
Dana Rose Garfin PhD , Gabrielle Wong-Parodi PhD
<div><h3>Background</h3><p>Exposure to climate change-related threats (eg, hurricanes) has been associated with mental health symptoms, including post-traumatic stress symptoms. Yet it is unclear whether climate change anxiety, which is understudied in representative samples, is a specific mental health threat, action motivator, or both, particularly in populations exposed to climate-change related disasters. We sought to examine the associations between exposure to hurricanes, climate change anxiety, and climate change actions and attitudes in a representative sample of US Gulf Coast residents.</p></div><div><h3>Methods</h3><p>This study used data from a 5-year, representative, prospectively assessed, probability-based, longitudinal cohort sample of residents in Texas and Florida (USA) exposed to exogenous catastrophic hurricanes rated category 3 or greater. Participants were adults aged 18 years and older and were initially recruited from the Ipsos KnowledgePanel in the 60 h before Hurricane Irma (Sept 8–11, 2017). Relationships between climate change anxiety, hurricane exposure, hurricane-related post-traumatic stress symptoms, general functional impairment, and climate change-related individual-level actions (eg, eating a plant-based diet and driving more fuel efficient cars) and collective-level actions (eg, petition signing and donating money) and climate change action attitudes were evaluated using structural equation modelling.</p></div><div><h3>Findings</h3><p>The final survey was completed by 1479 individuals (787 [53·2%] women and 692 [46·8%] men). Two climate change anxiety subscales (cognitive-emotional impairment and perceived experience of climate change) were confirmed using confirmatory factor analysis. Mean values were low for both climate change anxiety subscales: cognitive-emotional impairment (mean 1·31 [SD 0·63], range 1–5) and perceived climate change experience (mean 1·67 [SD 0·89], range 1–5); these subscales differentially predicted outcomes. The cognitive-emotional impairment subscale did not significantly correlate with actions or attitudes; its relationship with general functional impairment was attenuated by co-occurring hurricane-related post-traumatic stress symptoms, which were highly correlated with general functional impairment in all three models (all p<0·0001). The perceived climate change experience subscale correlated with climate change attitudes (<em>b</em>=0·57, 95% CI 0·47–0·66; p<0·0001), individual-level actions (<em>b</em>=0·34, 0·21–0·47; p<0·0001), and collective-level actions (<em>b</em>=0·22, 0·10–0·33; p=0·0002), but was not significantly associated with general functional impairment in any of the final models. Hurricane exposure correlated with climate change-related individual-level (<em>b</em>=0·26, 0·10–0·42; p=0·0011) and collective-level (<em>b</em>=0·41, 0·26–0·56; <em>p</em><0·0001) actions.</p></div><div><h3>Interpretation</h3><p>Expanded treatment for post-traumatic stress s
背景暴露于气候变化相关威胁(如飓风)与心理健康症状(包括创伤后应激症状)有关。然而,目前还不清楚在代表性样本中研究不足的气候变化焦虑是否是一种特定的心理健康威胁、行动动机或两者兼而有之,尤其是在暴露于气候变化相关灾害的人群中。我们试图研究美国墨西哥湾沿岸居民的代表性样本中飓风暴露、气候变化焦虑以及气候变化行动和态度之间的关联。这项研究使用了德克萨斯州和佛罗里达州(美国)居民的一个为期 5 年、具有代表性、前瞻性评估、基于概率的纵向队列样本数据,这些居民暴露于等级为 3 级或以上的外源灾难性飓风。参与者为 18 岁及以上的成年人,最初是在飓风艾尔玛(2017 年 9 月 8 日至 11 日)前 60 小时从益普索知识小组(Ipsos KnowledgePanel)中招募的。使用结构方程模型评估了气候变化焦虑、飓风暴露、与飓风相关的创伤后应激症状、一般功能障碍、与气候变化相关的个人层面行动(例如,以植物为基础的饮食和驾驶更省油的汽车)和集体层面行动(例如,签署请愿书和捐款)与气候变化行动态度之间的关系。两个气候变化焦虑子量表(认知-情感障碍和气候变化感知体验)通过确认性因子分析得到确认。两个气候变化焦虑分量表的平均值都很低:认知-情感障碍(平均值 1-31 [SD 0-63],范围 1-5)和感知气候变化体验(平均值 1-67 [SD 0-89],范围 1-5);这些分量表对结果的预测存在差异。认知-情感障碍分量表与行动或态度没有显著相关性;其与一般功能障碍的关系因同时出现飓风相关创伤后应激症状而减弱,而在所有三个模型中,飓风相关创伤后应激症状与一般功能障碍高度相关(均为 p<0-0001)。感知气候变化经历分量表与气候变化态度(b=0-57,95% CI 0-47-0-66;p<0-0001)、个人层面的行动(b=0-34,0-21-0-47;p<0-0001)和集体层面的行动(b=0-22,0-10-0-33;p=0-0002)相关,但在任何最终模型中都与一般功能障碍无显著关联。飓风暴露与气候变化相关的个人层面(b=0-26,0-10-0-42;p=0-0011)和集体层面(b=0-41,0-26-0-56;p<0-0001)的行动相关联。
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引用次数: 0
Emotional responses and psychological health among young people amid climate change, Fukushima's radioactive water release, and wars in Ukraine and the Middle East, and the mediating roles of media exposure and nature connectedness: a cross-national analysis 气候变化、福岛核泄漏、乌克兰和中东战争中青年人的情绪反应和心理健康,以及媒体曝光和自然联系的中介作用:跨国分析
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00097-4
Sam S S Lau PhD , Jason W L Fong BSSc , Nicola van Rijsbergen PhD , Laura McGuire PhD , Cherry C Y Ho PhD , Marco C H Cheng MEd , Dorothy Tse PhD
<div><h3>Background</h3><p>New global crises are emerging, while existing global crises remain unabated. Coping with climate change, the radioactive water released into the Pacific Ocean subsequent to the Fukushima nuclear accident in Japan, and the wars in Ukraine and the Middle East (hereafter referred to as the wars) as individual crises can negatively affect the psychological health of young people, but little is known about the compounded impact of multiple crises. We aimed to examine: (1) the emotional responses of young people towards each individual crisis, (2) how aggregate levels of emotional engagement in global crises might pose different potential trajectories in psychological health, and (3) the protective or exacerbating role of media exposure and nature connectedness as mediators on psychological health outcomes of young people.</p></div><div><h3>Methods</h3><p>We conducted a cross-national online survey among young people (aged 18–29 years) from China, Portugal, South Africa, the USA, and the UK. We adopted stratified purposive sampling and distributed the survey using online platforms (<span>www.wenjuan.com</span><svg><path></path></svg> and <span>www.prolific.com</span><svg><path></path></svg>). Individuals were eligible for inclusion in our analysis if they were literate in Chinese or English and had no mental disorders diagnosed within the past 12 months. Participants were asked questions on their demographic characteristics and time spent on social media, including proportion of time exposed to media pertaining to global crises of interest, and they completed surveys based on validated scales that measure depression, anxiety, stress, and wellbeing, as well as emotional responses to each global crisis and nature relatedness. We assessed the survey results using descriptive statistics, ANOVA tests, cluster analysis for individual emotional responses, and structural equation modelling for the aggregate measure of emotional engagement towards individual global crises.</p></div><div><h3>Findings</h3><p>Between Oct 20 and Nov 3, 2023, 2579 individuals participated in the survey, of whom 400 participants from each country (200 male and 200 female participants) were included in our analysis (mean age 24·36 years [SD 2·86]). The mean emotional engagement varied between the global crises of interest (on a scale from 0 to 68, where 0 indicates no emotional response and 68 indicates strong emotional responses across 17 different emotions; wars: 32·42 [SD 14·57]; climate change: 28·79 [14·17]; radioactive water: 21·26 [16·08]), and emotional engagement also varied by country; for instance, for respondents from China, mean emotional engagement in radioactive water was relatively high (39·15 [10·72]) compared with the other countries, and for respondents from the USA, engagement with the wars was relatively low (29·45 [15·78]). We found significant variations in the level of emotional engagement between different crises, with distinct emot
背景新的全球危机正在出现,而现有的全球危机依然有增无减。应对气候变化、日本福岛核事故后排放到太平洋的放射性水、乌克兰和中东战争(以下简称战争)等单个危机会对青少年的心理健康产生负面影响,但人们对多重危机的复合影响却知之甚少。我们旨在研究:(1) 青少年对每场危机的情绪反应;(2) 在全球危机中的总体情绪参与水平如何可能对心理健康造成不同的潜在轨迹;(3) 媒体接触和自然联系作为中介对青少年心理健康结果的保护或加剧作用。我们采用了分层有目的抽样法,并通过在线平台(www.wenjuan.com 和 www.prolific.com)发布了调查问卷。只要能说中文或英文,且在过去 12 个月内未被诊断出患有精神疾病,就有资格参与我们的分析。我们向参与者询问了他们的人口统计学特征和在社交媒体上花费的时间,包括接触与所关注的全球危机相关的媒体的时间比例,他们还完成了基于有效量表的调查,该量表可测量抑郁、焦虑、压力和幸福感,以及对每一次全球危机的情绪反应和与自然的相关性。我们使用描述性统计、方差分析检验、个体情绪反应的聚类分析以及结构方程模型对调查结果进行了评估,并对各个全球危机的情绪参与度进行了综合测量。结果在 2023 年 10 月 20 日至 11 月 3 日期间,共有 2579 人参与了调查,其中来自每个国家的 400 名参与者(200 名男性参与者和 200 名女性参与者)被纳入了我们的分析范围(平均年龄为 24-36 岁 [SD 2-86] )。平均情绪参与度因所关注的全球危机而异(量表从 0 到 68,其中 0 表示无情绪反应,68 表示在 17 种不同情绪中的强烈情绪反应;战争:32-42 [SD 14-57];气候变化:28-79 [14-17];放射性水:21-26 [16-08]):例如,与其他国家相比,中国受访者对放射性水的平均情绪参与度相对较高(39-15 [10-72]),而美国受访者对战争的参与度相对较低(29-45 [15-78])。我们发现,在不同危机中,受访者的情感投入程度存在明显差异,各个国家的受访者的情感特征也各不相同。为了评估媒体接触和自然联系对心理结果的影响,我们使用结构方程模型构建了一个包括葡萄牙、南非、美国和英国在内的多国模型,以及一个针对中国的独立模型。这些模型阐明了情感投入与心理困扰和幸福感之间的关联,解释了两者之间的大部分差异。值得注意的是,虽然在生态危机(即气候变化和放射性水)中更多的情感投入通常预示着更糟糕的心理健康结果,但在独立的中国模型中,我们发现战争危机的效应方向对心理健康有积极的影响。此外,我们还发现,在多国模型中,媒体接触对战争对心理困扰的负面影响起中介作用,而在独立的中国模型中,媒体接触对心理健康的正面影响起中介作用。此外,与大自然的联系也是一种有效的调解因素,它能有效减轻情感参与某些危机(如放射性水和气候变化)对心理健康的不利影响。 解释我们的研究结果为我们提供了宝贵的见解,使我们了解情感参与全球危机的微妙动态及其对全球不同背景下年轻人心理健康结果的影响。我们需要进一步研究,以了解持续的和新的全球危机对青少年心理健康的负面影响,从而确定有效的沟通和干预策略,减轻这一全球性挑战的影响。
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引用次数: 0
Drowning and disasters: climate change priorities 溺水与灾害:气候变化优先事项
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00090-1
Amy E Peden , Sean Chisholm , David R Meddings , Jonathan Abrahams
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引用次数: 0
Key considerations for research into how climate change affects sexual and reproductive health and rights 研究气候变化如何影响性与生殖健康及权利的主要考虑因素
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00093-7
Rachael Sorcher , Malachi Ochieng Arunda
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引用次数: 0
The burden of knowledge 知识的负担
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00123-2
The Lancet Planetary Health
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引用次数: 0
Measuring and valuing the health co-benefits of climate change mitigation: a scoping review 衡量和评估减缓气候变化对健康的共同惠益:范围界定审查
IF 25.7 1区 医学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-06-01 DOI: 10.1016/S2542-5196(24)00095-0
Ngan Thi Thu Dinh PhD , Judy Tran MHEcon , Prof Martin Hensher PhD

Despite growing interest in the health co-benefits of climate change mitigation actions, there is little recent evidence on the appropriateness of the measurement techniques being used to estimate them. We did a scoping review to identify the different approaches that have been used to measure and value health co-benefits in the climate change mitigation literature. We searched three databases (EBSCOhost, Web of Science, and MEDLINE Ovid) to identify relevant papers published between 2010 and 2023, and identified 267 studies that met our inclusion criteria to be included in the review. We found that health co-benefit studies are more typically published in the environmental science literature than in health journals. Despite calls going back many years for greater standardisation in methods, we found a highly diverse set of health measures and valuation approaches still in use. The majority of studies (232 [87%]) measured only near-term health co-benefits from reduced air pollution, and only 13 (5%) studies incorporated the longer term health benefits from mitigating the future health harms of climate change. Just over half the studies included monetary valuation of health co-benefits, using a variety of valuation approaches. Public and planetary health researchers, epidemiologists, and health economists should seek to engage more actively with those undertaking research in health co-benefits. This would allow consideration of how best to reconcile differing perspectives and techniques, how to achieve better standardisation of measurement and valuation, and how to extend the generally narrow focus of current health co-benefit studies to become more holistic and comprehensive.

尽管人们对气候变化减缓行动的健康共同效益越来越感兴趣,但近期却鲜有证据表明用于估算这些效益的测量技术是否合适。我们进行了一次范围审查,以确定气候变化减缓文献中用于衡量和评估健康共同效益的不同方法。我们检索了三个数据库(EBSCOhost、Web of Science 和 MEDLINE Ovid),以确定 2010 年至 2023 年间发表的相关论文,并确定了 267 项符合纳入标准的研究,将其纳入综述。我们发现,健康共同效益研究通常发表在环境科学文献上,而不是健康期刊上。尽管多年前就有人呼吁加强方法的标准化,但我们发现目前仍在使用的健康衡量标准和评估方法非常多样化。大多数研究(232 项[87%])仅衡量了减少空气污染带来的近期共同健康效益,只有 13 项(5%)研究纳入了减轻气候变化对未来健康危害带来的长期健康效益。略多于一半的研究采用各种估值方法对健康共同效益进行了货币估值。公共与行星健康研究人员、流行病学家和健康经济学家应寻求更积极地与从事健康共同效益研究的人员合作。这将有助于考虑如何最好地协调不同的观点和技术,如何更好地实现测量和估值的标准化,以及如何将当前健康共同效益研究普遍狭窄的重点扩展到更加全面和综合。
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引用次数: 0
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Lancet Planetary Health
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