Australian and New Zealand Journal of Public Health最新文献_第8页

Impact of the COVID-19 pandemic on new parents enrolled in the ‘BABY1000’ birth cohort study in Sydney, Australia: A mixed-methods study COVID-19 大流行对参加澳大利亚悉尼 "BABY1000 "出生队列研究的新生儿父母的影响：混合方法研究

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-02-01 DOI: 10.1016/j.anzjph.2024.100127

Allison Marie Grech , Sweekriti Sharma , Nathalie Kizirian , Adrienne Gordon

Objective

The COVID-19 pandemic was, and continues to be, uniquely experienced by women in the perinatal period and their families. Whilst long-term impacts of the pandemic are unknown, exposures in pregnancy and early life have impacts across the life-course and future generations. The objective of this manuscript was to explore how the pregnancy, postpartum and parenting experiences of a subset of participants from the ‘BABY1000’ cohort in Sydney, Australia, were affected by the COVID-19 pandemic, and explore associations between these experiences and state anxiety.

Methods

Mixed methods were used. Participants were requested to complete an online survey including the State-Trait Anxiety Inventory short form (STAI-6), followed by an invitation to participate in focus group discussions (FGDs).

Results

From September to November 2021, 88 parents completed the survey (mean age 33.5 years, 60% born in Australia, 58% primiparous). Twenty-two parents participated in FGDs. Six themes were identified regarding the experience of parents: (1) Maternal support, (2) Family relationships, (3) Stress and mental health, (4) Healthcare, (5) Family lifestyle and routine, and (6) Long-term impacts. The mean STAI-6 score was 40 (SD 12.3), representing high anxiety. High anxiety was significantly associated with concern regarding COVID-19 and feeling overburdened and lonely.

Conclusions

The COVID-19 pandemic and associated public health orders significantly impacted participants’ pregnancy, postpartum and parenting experiences. Whilst these experiences included some unexpected positives, for many, these were outweighed by negative impacts on mental health, social support, health behaviours, and family relationships.

Implications for Public Health

Ongoing longitudinal research is imperative to identify potential long-term effects of the pandemic across the life-course, better support families in the short and long-term, and plan for public health crises in the future.

目标围产期妇女及其家人曾经并将继续独特地经历 COVID-19 大流行。虽然该流行病的长期影响尚不可知，但孕期和生命早期的暴露会对整个生命过程和后代产生影响。本文旨在探讨澳大利亚悉尼 "BABY1000 "队列中一部分参与者的孕期、产后和育儿经历如何受到 COVID-19 大流行的影响，并探讨这些经历与状态焦虑之间的关联。要求参与者完成一份在线调查，包括状态-特质焦虑量表简表（STAI-6），然后邀请他们参加焦点小组讨论（FGDs）。结果从 2021 年 9 月到 11 月，共有 88 位父母完成了调查（平均年龄 33.5 岁，60% 出生于澳大利亚，58% 为初产妇）。22名家长参加了小组讨论。关于父母的经历，确定了六个主题：(1) 母亲的支持，(2) 家庭关系，(3) 压力和心理健康，(4) 医疗保健，(5) 家庭生活方式和常规，以及 (6) 长期影响。STAI-6 的平均得分为 40（标准差为 12.3），代表高度焦虑。高度焦虑与对 COVID-19 的担忧以及感觉负担过重和孤独有很大关系。对公共卫生的启示持续的纵向研究对于确定大流行病在整个生命过程中可能产生的长期影响、更好地为家庭提供短期和长期支持以及为未来的公共卫生危机制定计划至关重要。

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引用次数: 0

Preparing for a hotter climate: A systematic review and meta-analysis of heatwaves and ambulance callouts in Australia 为更炎热的气候做好准备：对澳大利亚热浪和救护车出动情况的系统回顾和荟萃分析。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-02-01 DOI: 10.1016/j.anzjph.2023.100115

Mehak Oberai , Zhiwei Xu , Aaron J.E. Bach , Dung Phung , Jessica T. Watzek , Shannon Rutherford

Objective

The objective of this study was to quantify the impact of heatwaves on likelihood of ambulance callouts for Australia.

Methods

A systematic review and meta-analysis was conducted to retrieve and synthesise evidence published from 1 January 2011 to 31 May 2023 about the association between heatwaves and the likelihood of ambulance callouts in Australia. Different heatwave definitions were used ranging from excess heat factor to heatwave defined as a continuous period with temperatures above certain defined thresholds (which varied based on study locations).

Results

We included nine papers which met the inclusion criteria for the review. Eight were eligible for the meta-analyses. The multilevel meta-analyses revealed that the likelihood of ambulance callouts for all causes and for cardiovascular diseases increased by 10% (95% confidence interval: 8%, 13%) and 5% (95% confidence interval: 1%, 3%), respectively, during heatwave days.

Conclusions

Exposure to heatwaves is associated with an increased likelihood of ambulance callouts, and there is a dose–response association between heatwave severity and the likelihood of ambulance callouts.

Implications for public health

The number of heatwave days are going to increase, and this will mean an increase in the likelihood of ambulance callouts, thereby, spotlighting the real burden that heatwaves place on our already stressed healthcare system. The findings of this study underscore the critical need for proactive measures, including the establishment of research initiatives and holistic heat health awareness campaigns, spanning from the individual and community levels to the healthcare system, in order to create a more resilient Australia in the face of heatwave-related challenges.

研究目的本研究旨在量化热浪对澳大利亚救护车出诊可能性的影响：我们进行了系统回顾和荟萃分析，检索并综合了2011年1月1日至2023年5月31日期间发表的有关澳大利亚热浪与救护车出诊概率之间关系的证据。我们使用了不同的热浪定义，从过量热量因子到热浪定义，热浪定义为气温超过特定阈值的持续时间（根据研究地点的不同而不同）：我们纳入了 9 篇符合纳入标准的论文。其中八篇符合荟萃分析的条件。多层次荟萃分析表明，在热浪天，因各种原因和心血管疾病出动救护车的可能性分别增加了10%（95%置信区间：8%，13%）和5%（95%置信区间：1%，3%）：结论：暴露在热浪中与救护车出动的可能性增加有关，热浪严重程度与救护车出动的可能性之间存在剂量反应关系：热浪天数将会增加，这意味着救护车出诊的可能性也会增加，从而凸显出热浪给本已压力重重的医疗保健系统带来的实际负担。这项研究的结果突出表明，我们亟需采取积极主动的措施，包括制定研究计划和开展全面的热健康意识宣传活动，从个人、社区到医疗保健系统，从而建设一个面对热浪相关挑战更具复原力的澳大利亚。

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引用次数: 0

Deadly places: The role of geography in Aboriginal and Torres Strait Islander COVID-19 vaccination 致命的地方：地理因素在土著居民和托雷斯海峡岛民接种 COVID-19 疫苗中的作用

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-02-01 DOI: 10.1016/j.anzjph.2024.100130

Gustavo Hermes Soares, Joanne Hedges, Brianna Poirier, Sneha Sethi, Lisa Jamieson

Objective

The objective of this study was to investigate the geospatial distribution of COVID-19 vaccination rates for Aboriginal and Torres Strait Islander Peoples across Local Government Areas in Australia.

Methods

We described the patterns of COVID-19 vaccination across jurisdictions, identified clusters with different levels of vaccination uptake, and assessed the relationship between contextual factors and vaccination (spatial error model, spatial lag model, and geographic weighted regression).

Results

The proportion of the Aboriginal and Torres Strait Islander population that received at least two doses of a COVID-19 vaccine by the last week of June 2022 ranged from 62.9% to 97.5% across Local Government Areas. The proportion of the overall population who is Aboriginal or Torres Strait Islander (β = 0.280, standard deviation [SD] = 1.92), proportion of the total labour force employed (β =0.286, SD = 0.98), and proportion of individuals who speak an Aboriginal or Torres Strait Islander language (β =0.215, SD = 0.15) had, on average, the strongest effects on COVID-19 vaccination rates.

Conclusion

Findings underscore the extent to which area-level demographic influence the COVID-19 vaccination for Aboriginal and Torres Strait Islander Australians.

Implications for public health

Findings can inform vaccination strategies that prioritise geographic areas with higher vulnerability to promote equity for Aboriginal and Torres Strait Islander Peoples.

方法我们描述了各辖区的 COVID-19 疫苗接种模式，确定了不同接种水平的集群，并评估了环境因素与疫苗接种之间的关系（空间误差模型、空间滞后模型和地理加权回归）。结果到2022年6月的最后一周，各地方政府辖区的土著居民和托雷斯海峡岛民至少接种了两剂COVID-19疫苗的比例从62.9%到97.5%不等。原住民或托雷斯海峡岛民占总人口的比例（β = 0.280，标准差 [SD] = 1.92）、就业人口占总劳动力的比例（β = 0.286，标准差 = 0.98）以及讲原住民或托雷斯海峡岛民语言的人口比例（β = 0.215，标准差 = 0.15）对 COVID-19 疫苗接种率的平均影响最大。对公共卫生的意义研究结果可为疫苗接种策略提供参考，这些策略应优先考虑较脆弱的地理区域，以促进土著居民和托雷斯海峡岛民的公平。

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引用次数: 0

Distress, waitlists and unmet needs: parents’ reports of child psychological difficulties in Aotearoa New Zealand 困扰、候补名单和未满足的需求：新西兰奥特亚罗瓦地区父母对儿童心理困难的报告

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-01-11 DOI: 10.1016/j.anzjph.2023.100120

Amy Kercher, Seona Beattie,, Liesje Donkin, Daniel Shepherd

Objective

Demand for children’s mental health services has increased in New Zealand, yet little is known of young children’s experience of psychological difficulties and treatment. This study investigated psychological symptoms and treatment experiences among primary-aged children.

Method

An online survey of parents assessed children’s anxiety, depression, attentional, emotional, conduct and peer problems, and experiences seeking psychological treatment.

Results

Based on 382 parental reports, between 24.9 and 34.6% of children experienced abnormal-range symptoms. Older children had higher distress, depression, and anxiety. Boys had more conduct, hyperactivity, and peer problems. Ethnicity was not associated with the incidence of symptoms, but parents of Pākeha/European children reported greater impact than Māori parents. One-third of children had been referred for assessment; more often older children, and those with higher hyperactivity, impact, and anxiety. Parents reported difficulties accessing assessment, common barriers included waitlists (53%), cost (43%), and not knowing who to contact (36%). Following intervention, only 51% of parents reported improvements.

Conclusion

NZ primary-aged children are experiencing more symptoms of psychological distress than previously reported and extensive difficulties accessing treatment.

Implications for Public Health

There is a need for further screening and increased access to treatment to prevent worsening mental health outcomes in children.

新西兰对儿童心理健康服务的需求有所增加，但人们对幼儿的心理障碍和治疗经历却知之甚少。本研究调查了小学年龄段儿童的心理症状和治疗经历。方法对家长进行在线调查，评估儿童的焦虑、抑郁、注意力、情绪、行为和同伴问题，以及寻求心理治疗的经历。结果根据 382 份家长报告，24.9% 到 34.6% 的儿童出现了异常范围的症状。年龄较大的儿童有更多的苦恼、抑郁和焦虑。男孩有更多的行为、多动和同伴问题。种族与症状发生率无关，但帕克哈族/欧裔儿童的父母比毛利族父母受到的影响更大。三分之一的儿童曾接受过转介评估；年龄较大的儿童以及多动、影响和焦虑程度较高的儿童更常接受转介评估。家长们表示在接受评估时遇到困难，常见的障碍包括等待名单（53%）、费用（43%）和不知道该联系谁（36%）。结论新西兰小学适龄儿童的心理困扰症状比以前报告的要多，而且在获得治疗方面存在广泛的困难。对公共卫生的影响有必要进行进一步筛查并增加获得治疗的机会，以防止儿童心理健康状况恶化。

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引用次数: 0

Assessing the scalability of evidence-based healthy eating and physical activity interventions in early childhood education and care: A cross-sectional study of end-user perspectives 评估幼儿教育和保育中以证据为基础的健康饮食和体育活动干预措施的可扩展性：关于最终用户观点的横断面研究

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-01-09 DOI: 10.1016/j.anzjph.2023.100122

Alice Grady , Jacklyn Jackson , Luke Wolfenden , Melanie Lum , Andrew Milat , Adrian Bauman , Rebecca Hodder , Sze Lin Yoong

Objectives

To describe early childhood education and care (ECEC) services: i) perceptions regarding the scalability of healthy eating and physical activity interventions; and ii) associations between scalability and service characteristics.

Methods

A cross-sectional survey was conducted with a randomly selected sample of ECEC services across Australia. The scalability of 12 healthy eating and physical activity interventions was assessed using items based on the Intervention Scalability Assessment Tool. Higher scores represented higher perceived scalability.

Results

From 453 participants, the highest scoring healthy eating and physical activity interventions were ‘providing healthy eating education and activities for children’ (M43.05) (out of 50) and ‘providing sufficient opportunities for child physical activity’ (M41.43). The lowest scoring was ‘providing families with lunchbox guidelines’ (M38.99) and ‘engaging families in activities to increase child physical activity’ (M38.36). Services located in rural areas, compared to urban areas, scored the overall scalability of both healthy eating and physical activity interventions significantly lower.

Conclusions

Perceptions regarding the scalability of healthy eating and physical activity interventions in the ECEC setting vary according to service characteristics.

Implications for public health

Findings identify where government investment and implementation efforts may be prioritised to facilitate scale-up. An investigation into the barriers and support required for lower-scoring interventions is warranted.

目标描述幼儿教育和保育（ECEC）服务：i）对健康饮食和体育锻炼干预措施可扩展性的看法；ii）可扩展性与服务特点之间的关联。方法对澳大利亚各地随机抽取的幼儿教育和保育服务进行横断面调查。采用干预措施可扩展性评估工具（Intervention Scalability Assessment Tool）中的项目对 12 项健康饮食和体育活动干预措施的可扩展性进行了评估。结果从 453 名参与者中，得分最高的健康饮食和体育锻炼干预措施是 "为儿童提供健康饮食教育和活动"（M43.05）（满分 50 分）和 "为儿童提供足够的体育锻炼机会"（M41.43）。得分最低的是 "为家庭提供午餐盒指南"（M38.99）和 "让家庭参与增加儿童体育活动的活动"（M38.36）。与城市地区相比，位于农村地区的服务机构对健康饮食和体力活动干预措施的整体可推广性的评分明显较低。结论对幼儿保育和教育环境中健康饮食和体力活动干预措施可推广性的看法因服务特点而异。有必要对得分较低的干预措施所面临的障碍和所需的支持进行调查。

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引用次数: 0

Development and implementation of Australian State, territory, and national policy on the health and wellbeing of adolescents and young adults: An exploration of policy actor perspectives using the Consolidated Framework for Implementation Research 制定和实施澳大利亚各州、地区和国家有关青少年健康和福祉的政策：利用实施研究综合框架探索政策参与者的观点

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-01-09 DOI: 10.1016/j.anzjph.2023.100112

Daniel Waller , Melissa Kang , Sally Gibson , Fiona Brooks , Sharon Medlow , Katharine Steinbeck , Lin Perry

Objectives

Government policies that support the health and wellbeing of young people (aged 10 to 25) can have important individual and societal impacts. The aim of this study was to explore policy actor perspectives on the development and implementation of Australian government policies focussed on the health and wellbeing of young people.

Methods

We utilised a qualitative research design consisting of semi-structured interviews with policy actors with experience working with Australian youth health policies. Our interview guide and analyses were informed by the Consolidated Framework for Implementation Research (CFIR). We interviewed 19 participants from various national, state, and territory bodies.

Results

Several specific barriers and facilitators to policy development and implementation were identified using the Consolidated Framework for Implementation Research. Key policy development barriers were limited available resources (e.g. staffing and funding) and low relative priority within health and political systems. Key policy implementation barriers were limited available resources, limited policy compatibility with health services, cosmopolitanism issues related to interagency collaboration, and a lack of policy evaluation. Meaningful engagement of young people could also be improved.

Conclusions

Although Australian youth health policies are perceived as evidence-based and comprehensively developed, the ability to promote implementation remains stalled.

Implications for Public Health

The development of policy implementation plans, monitoring and evaluation mechanisms, funding and resources, and a strong commitment to removing barriers to working across multiple departments and systems is required to improve outcomes for young people.

目标支持青少年（10 至 25 岁）健康和幸福的政府政策会对个人和社会产生重要影响。本研究旨在探讨政策参与者对澳大利亚政府制定和实施关注青少年健康和福祉的政策的看法。方法我们采用了定性研究设计，包括对具有澳大利亚青少年健康政策工作经验的政策参与者进行半结构化访谈。我们的访谈指南和分析参考了实施研究综合框架 (CFIR)。我们采访了来自国家、州和地区不同机构的 19 位参与者。结果通过实施研究综合框架，我们确定了政策制定和实施过程中的一些具体障碍和促进因素。主要的政策制定障碍是可用资源（如人员和资金）有限，以及在卫生和政治系统中相对优先级较低。政策实施的主要障碍是可用资源有限、政策与卫生服务的兼容性有限、与机构间合作有关的世界主义问题以及缺乏政策评估。结论尽管澳大利亚的青少年健康政策被认为是以证据为基础并得到全面发展的，但推动政策实施的能力仍然停滞不前。对公共卫生的影响为改善青少年的成果，需要制定政策实施计划、监督和评估机制、资金和资源，并坚定地致力于消除跨部门和跨系统工作的障碍。

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引用次数: 0

High tobacco smoking rates in people with disability: An unaddressed public health issue 残疾人吸烟率高：一个尚未解决的公共卫生问题

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-01-05 DOI: 10.1016/j.anzjph.2023.100110

Tiana Vourliotis , Laura Twyman , Joshua Trigg , Alicia Kate Fairweather , George Disney , Sharon Lawn , Anne Kavanagh , Billie Bonevski

引用次数: 0

Potential lateral and upstream consequences in the development and implementation of social prescribing in Australia 澳大利亚制定和实施社会处方的潜在横向和上游后果。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2024-01-02 DOI: 10.1016/j.anzjph.2023.100121

Candice Oster , Svetlana Bogomolova

引用次数: 0

Attitudes, perceptions, and experiences of Western Australians towards vaccine safety surveillance systems following COVID-19 vaccines: A qualitative descriptive study 西澳大利亚人在接种 COVID-19 疫苗后对疫苗安全监控系统的态度、看法和经验：定性描述性研究。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-22 DOI: 10.1016/j.anzjph.2023.100108

Denis Liu Shiu Cheong , Jayden Tran , Wyitt Chong , Scott May , Samantha J. Carlson , Sandra M. Salter , Katie Attwell

Objective

Concerns regarding adverse events following immunisation are a barrier to vaccine uptake. Health professionals use vaccine safety surveillance systems (VSSSs) to monitor vaccines and inform the public of safety data. With little known about public attitudes, perceptions, and experiences with VSSS, we examined them in the context of COVID-19 vaccinations in Western Australia.

Methods

Researchers conducted 158 qualitative interviews between March 2021 and May 2022 within the broader [name redacted] project. Data regarding VSSS were coded in NVivo using the deductive and inductive methods.

Results

Despite some not knowing about VSSS, participants expected follow-up post COVID-19 vaccination. Vaccine hesitant or refusing participants knew about VSSS and regarded these systems positively. Additional considerations concerned the reliability of data collected by VSSS.

Conclusion

Perceptions of VSSS signal a lack of understanding about how these systems work. Future studies should further explore the public’s understanding of VSSS, whether VSSS improves vaccine confidence, and how governments can better communicate to the public about VSSS.

Implications for public health

Lack of understanding of how VSSS operate may be stymying attempts to build public vaccine confidence. Healthcare providers and governments could build public knowledge and understanding of VSSS to mitigate concerns of adverse events following immunisation.

目的：对免疫接种后不良事件的担忧是疫苗接种的一个障碍。卫生专业人员使用疫苗安全监测系统 (VSSS) 来监测疫苗并向公众通报安全数据。由于公众对 VSSS 的态度、看法和经验知之甚少，我们结合西澳大利亚州的 COVID-19 疫苗接种情况对其进行了研究：研究人员在 2021 年 3 月至 2022 年 5 月期间，在更广泛的[名称已隐去]项目内进行了 158 次定性访谈。采用演绎法和归纳法在 NVivo 中对有关 VSSS 的数据进行编码：尽管有些人不知道 VSSS，但参与者期望在接种 COVID-19 疫苗后进行跟踪。对疫苗犹豫不决或拒绝接种的参与者了解 VSSS，并对这些系统持积极态度。其他考虑因素涉及 VSSS 收集数据的可靠性：对 VSSS 的看法表明人们对这些系统的工作原理缺乏了解。未来的研究应进一步探讨公众对 VSSS 的理解、VSSS 是否提高了疫苗的可信度以及政府如何更好地向公众宣传 VSSS：对公共卫生的启示：对 VSSS 如何运作缺乏了解可能会阻碍建立公众疫苗信心的努力。医疗保健提供者和政府可以加强公众对VSSS的认识和了解，以减轻对免疫接种后不良事件的担忧。

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引用次数: 0

Australian youth perspectives on the role of social media in climate action 澳大利亚青年对社交媒体在气候行动中的作用的看法。

IF 3.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health

Pub Date : 2023-12-22 DOI: 10.1016/j.anzjph.2023.100111

Grace Arnot , Hannah Pitt , Simone McCarthy , Chloe Cordedda , Sarah Marko , Samantha L. Thomas

Objective

The climate crisis poses a significant public health threat to current and future generations. Limited research has examined young people’s perspectives about the role of social media for climate awareness, action, and policy change.

Methods

Qualitatively led online survey of n=500 young Australians (aged 15–24). Questions focused on the effectiveness of social media platforms in communicating the need for climate action, with TikTok videos used to prompt about appeal strategies and campaigns. Data were analysed using a reflexive approach to thematic analysis.

Results

Participants perceived that social media platforms were a powerful and inclusive communication mechanism for climate action. Social media had the ability to reach diverse audiences and connect young people globally. Limitations included influencing key decision makers and risks associated with misinformation and disinformation. Participants supported messages that highlighted the urgent need for action, trusted celebrity and youth voices, and practical information to engage in action.

Conclusions

Social media presents a powerful opportunity for engaging young people in discussions and decisions made about the climate crisis.

Implications for public health

The public health community should be guided by young people in developing a range of social media mechanisms to empower them to have a seat at the table in public health responses to climate.

目标：气候危机对当代人和后代人的公共健康构成了重大威胁。有关年轻人对社交媒体在气候意识、行动和政策改变方面所起作用的看法的研究有限：方法：对 500 名澳大利亚年轻人（15-24 岁）进行定性在线调查。问题主要集中在社交媒体平台在宣传气候行动必要性方面的有效性，并使用 TikTok 视频提示有关呼吁策略和活动。我们采用主题分析的反思方法对数据进行了分析：结果：参与者认为，社交媒体平台是气候行动的一个强大而包容的传播机制。社交媒体有能力触及不同受众，并将全球青年联系起来。局限性包括影响关键决策者以及与错误信息和虚假信息相关的风险。与会者支持强调迫切需要采取行动的信息、值得信赖的名人和青年的声音以及参与行动的实用信息：结论：社交媒体为年轻人参与有关气候危机的讨论和决策提供了一个有力的机会：对公共卫生的影响：公共卫生界应在年轻人的指导下开发一系列社交媒体机制，使他们在公共卫生应对气候问题的过程中拥有一席之地。

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引用次数: 0