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Alwadi Y, Al-Delaimy WK, Abdulla F, Koutrakis P, Alahmad B. A 19-year analysis of hot and cold temperature burdens on mortality in Amman, Jordan. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 951:175624. [PMID: 39163938 DOI: 10.1016/j.scitotenv.2024.175624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2024] [Revised: 08/16/2024] [Accepted: 08/16/2024] [Indexed: 08/22/2024]
Abstract
BACKGROUND Most studies on climate-induced health effects have primarily focused on developed countries. Jordan, in particular, has seen limited research in quantifying the differential impacts of temperature on mortality. Jordan's unique demographic composition, characterized by significant refugee population influxes, necessitates research in this area to identify vulnerable populations. This study aims to: 1) quantify the mortality burden of hot and cold temperature in Amman, Jordan, and 2) identify vulnerable groups within the population. METHODS We collected 19 years of daily all-cause mortality records from 2000 to 2018 in Amman, Jordan, aggregated by sex and nationality. We used a time series design in a distributed lag non-linear model for temperature to estimate non-linear associations and lagged effects of temperature on mortality across sex and nationality. We calculated attributable mortality for temperatures above (heat) and below (cold) the minimum mortality temperature for each category. RESULTS We analyzed 184,166 all-cause mortalities; 106,977 were males, and 22,118 were non-Jordanians. Amman's calculated minimum mortality temperatures were 23.2 °C for males, 21.5 °C for females, 22.3 °C for Jordanians, and 24.7 °C for non-Jordanians. Our findings reveal that females exhibited greater vulnerability to heat, with a 2.59 % (1.54 %, 3.59 %) heat attributable mortality fraction compared to 1.17 % (0.53 %, 1.80 %) for males, while non-Jordanians were susceptible to cold, with an 8.36 % (2.83 %, 14.66 %) cold attributable mortality fraction compared to 5.91 % (4.37 %, 7.41 %) for Jordanians. CONCLUSION This study highlights the increased vulnerability of marginalized communities in Amman to temperature extremes. It emphasizes the need for further research to identify at-risk groups not only in Amman but also in other cities across Jordan. Such research is crucial for developing targeted protective strategies to safeguard these populations.
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Affiliation(s)
- Yazan Alwadi
- Environmental Health Department, Harvard T.H. Chan School of Public Health, United States of America.
| | - Wael K Al-Delaimy
- Herbert Wertheim School of Public Health and Human Longevity Science, UC San Diego, 9500 Gilman Dr., La Jolla, CA 92093, United States of America
| | - Fayez Abdulla
- Civil Engineering Department, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Petros Koutrakis
- Environmental Health Department, Harvard T.H. Chan School of Public Health, United States of America
| | - Barrak Alahmad
- Environmental Health Department, Harvard T.H. Chan School of Public Health, United States of America
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2
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Della Rocca B, Bello R, Carbone M, Pezzella P, Toni C, Sampogna G, Tarsitani L, Luciano M, Fiorillo A. Promoting mental health and preventing mental health problems in child and adolescent refugees and asylum seekers: A systematic review on psychosocial interventions. Int J Soc Psychiatry 2024; 70:653-666. [PMID: 38069651 DOI: 10.1177/00207640231214964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/02/2024]
Abstract
BACKGROUND According to the United Nations Commissioner for Refugees (UNHCR), children and adolescents represent 41% of all forcibly displaced individuals. They have to deal with conflicts, violence, and the many difficulties of flight and resettlement during a critical stage of their emotional, social, cognitive, and physical development. They are more likely to experience mental health problems during migration. Despite the several known risk factors, it is frequently challenging for refugees and asylum seekers to get mental health care. In this paper we review available studies on interventions aimed at promoting mental health and at preventing common mental disorders in immigrant adolescents and children. METHODS The relevant PubMed, Scopus, PsychINFO and Web of Science databases were searched for papers published until March 21, 2023, using ("immigrants" OR "migration" OR "asylum seekers" OR "refugees") AND ("promotion" OR "prevention") AND ("mental health" OR "mental disorders" OR "psych*") AND ("children" OR "adolescents" OR "young adults") as search string. Fourteen articles qualified for the detailed review. RESULTS AND CONCLUSIONS The majority of available interventions, although highly heterogeneous in format and content, showed significant improvement in several psychopathological dimensions, including trauma-related symptoms, psychological stress, anxiety, depressive and cognitive symptoms. Available studies on interventions for the prevention of mental disorders and the promotion of mental health in refugees and asylum seekers children and adolescents indicate that provided interventions were associated with a global improvement for participants. Implementation strategies to improve their scalability are highly needed.
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Affiliation(s)
- Bianca Della Rocca
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | - Rosaria Bello
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | - Marco Carbone
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | - Pasquale Pezzella
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | - Claudia Toni
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | - Gaia Sampogna
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | | | - Mario Luciano
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania "Luigi Vanvitelli," Largo Madonna delle Grazie, Naples, Italy
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3
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Bajerge NM, Khankeh H, Dashtbozorgi A, Farrokhi M. Abstruse Side of Climate Change, Impact on Malaria: A Systematic Evidence Review Comparing Iran versus Globally. IRANIAN JOURNAL OF PUBLIC HEALTH 2024; 53:1047-1057. [PMID: 38912133 PMCID: PMC11188642 DOI: 10.18502/ijph.v53i5.15584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Accepted: 09/16/2023] [Indexed: 06/25/2024]
Abstract
Background Infectious outbreaks due to disrupted social and environmental conditions after climate change-induced events complicate disasters. This research aimed to determine the contentions of bioclimatic variables and extreme events on the prevalence of the most common Climate-Sensitive Infectious Disease (CSID); Malaria in Iran. Methods The present narrative systematic review study was conducted on the bioclimatic variable impact on the prevalence of malaria, as a common CSID. The search was conducted in 3 sections: global climate change-related studies, disaster related, and studies that were conducted in Iran. The literature search was focused on papers published in English and Persian from Mar 2000 to Dec 2021, using electronic databases; Scopus, Web of Science, PubMed, Google Scholar, SID, Magiran, and IranDoc. Results Overall, 41 studies met the inclusion criteria. The various types of climatic variables including; Temperature, rainfall, relative humidity, and hydrological events including; flood, drought, and cyclones has been reported as a predictor of malaria. The results of studies, inappropriately and often were inconsistent in both Iran and other parts of the world. Conclusion Identifying malaria outbreak risks is essential to assess vulnerability, and a starting point to identify where the health system is required to reduce the vulnerability and exposure of the population. The finding of most related studies is not congruent to achieve reliable information, more extensive studies in all climates and regions of the country, by climatic models and high accuracy risk map, using the long period of bioclimatic variables and malaria trend is recommended.
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Affiliation(s)
- Nader Majidi Bajerge
- Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Hamidreza Khankeh
- Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Amene Dashtbozorgi
- Center for Remote Sensing and GIS Research, Faculty of Earth Sciences, Shahid Beheshti University, Tehran, Iran
| | - Mehrdad Farrokhi
- Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Fernández S, Arce G, García-Alaminos Á, Cazcarro I, Arto I. Climate change as a veiled driver of migration in Bangladesh and Ghana. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 922:171210. [PMID: 38417512 DOI: 10.1016/j.scitotenv.2024.171210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/29/2024] [Accepted: 02/21/2024] [Indexed: 03/01/2024]
Abstract
People living in deltaic areas in developing countries are especially prone to suffer the effects from natural disasters due to their geographical and economic structure. Climate change is contributing to an increase in the frequency and intensity of extreme events affecting the environmental conditions of deltas, threatening the socioeconomic development of people and, eventually, triggering migration as an adaptation strategy. Climate change will likely contribute to worsening environmental stress in deltas, and understanding the relations between climate change, environmental impacts, socioeconomic conditions, and migration is emerging as a key element for planning climate adaptation. In this study, we use data from migration surveys and econometric techniques to analyse the extent to which environmental impacts affect individual migration decision-making in two delta regions in Bangladesh and Ghana. The results show that, in both deltas, climatic shocks that negatively affect economic security are significant drivers of migration, although the surveyed households do not identify environmental pressures as the root cause of the displacement. Furthermore, environmental impacts affecting food security and crop and livestock production are also significant as events inducing people to migrate, but only in Ghana. We also find that suffering from environmental stress can intensify or reduce the effects of socioeconomic drivers. In this sense, adverse climatic shocks may not only have a direct impact on migration but may also condition migration decisions indirectly through the occupation, the education, or the marital status of the person. We conclude that although climate change and related environmental pressures are not perceived as key drivers of migration, they affect migration decisions through indirect channels (e.g., reducing economic security or reinforcing the effect of socioeconomic drivers).
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Affiliation(s)
- Sara Fernández
- Department of Applied & Structural Economics & History, Faculty of Economics and Business, Complutense University of Madrid, Campus de Somosaguas, 28223, Pozuelo de Alarcón, Madrid, Spain.
| | - Guadalupe Arce
- Escuela Técnica Superior de Ingeniería Agronómica y de Montes y Biotecnología, Universidad de Castilla-La Mancha (UCLM), Campus Universitario, s/n, 02071 Albacete, Spain.
| | - Ángela García-Alaminos
- Department of Economic Analysis and Finances, University of Castilla-La Mancha, Albacete, Spain.
| | - Ignacio Cazcarro
- ARAID (Aragonese Foundation for Research & Development), Zaragoza, Spain; Instituto Agroalimentario de Aragón-IA2 (Universidad de Zaragoza-CITA), Departamento de Análisis Económico, Zaragoza, Spain; Basque Centre for Climate Change, Leioa, Bizkaia, Spain.
| | - Iñaki Arto
- Basque Centre for Climate Change, Leioa, Bizkaia, Spain.
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5
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Aghababaeian H, Ostadtaghizadeh A, Kiarsi M, Sarfaraz H, Ahvazi LA, Maniey M. The practices of heat adaptation among elderly in Dezful: A qualitative study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:85. [PMID: 38720692 PMCID: PMC11078460 DOI: 10.4103/jehp.jehp_134_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 04/27/2023] [Indexed: 05/12/2024]
Abstract
BACKGROUND Useful experiences of the elderly in adapting to the environment may play an important role in formulating future policies. This study was conducted to explain the past experiences of the elderly in Dezful in adapting to heat. MATERIALS AND METHODS This study was conducted with a qualitative research approach and a qualitative content analysis method in 2020 and 2021. The experiences of 18 elderly in Dezful were collected through semi-structured interviews via recording, face-to-face interviews, and data observation. Sampling was performed by the purpose-based method, and the data of this stage were analyzed using a content analysis approach using the Zhang and Wildemuth method. RESULTS During the data analysis process, three main themes were extracted, including psychophysiological, socioeconomic, and environmental adaptation. Also, twelve subthemes including changes in physiological conditions, urban architecture, house architecture, diet, clothing, business conditions, mindset, life conditions, and the use of factors (spirituality, experience, and natural capacities) were extracted. CONCLUSION Explaining the experiences of the elderly in Dezful, who have lived with heat for many years, can provide better identification of solutions and more tangible experiences of adaptation to heat for other communities. These experiences can be used in urban, cultural, and social planning.
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Affiliation(s)
- Hamidreza Aghababaeian
- Department of Medical Emergencies, Dezful University of Medical Sciences, Dezful, Iran
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
- Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas Ostadtaghizadeh
- Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Climate Change and Health Research Center (CCHRC), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran
| | - Maryam Kiarsi
- Department of Medical Emergencies, Dezful University of Medical Sciences, Dezful, Iran
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
| | - Hossein Sarfaraz
- Asistant Professor of Communication, Department of Communication Studies, Allameh Tabataba'i University, Tehran, Iran
| | - Ladan Aragi Ahvazi
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
| | - Mohammad Maniey
- Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Evans-Agnew R, LeClair J, Sheppard DA. Just-relations and responsibility for planetary health: The global nurse agenda for climate justice. Nurs Inq 2024; 31:e12563. [PMID: 37256546 DOI: 10.1111/nin.12563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 05/09/2023] [Accepted: 05/11/2023] [Indexed: 06/01/2023]
Abstract
There is an urgent call for nurses to address climate change, especially in advocating for those most under threat to the impacts. Social justice is important to nurses in their relations with individuals and populations, including actions to address climate justice. The purpose of this article is to present a Global Nurse Agenda for Climate Justice to spark dialog, provide direction, and to promote nursing action for just-relations and responsibility for planetary health. Grounding ourselves within the Mi'kmaw concept of Etuaptmumk (two-eyed seeing), we suggest that climate justice is both call and response, moving nurses from silence to Ksaltultinej (love as action). We review the movement for climate justice in nursing, weaving between our own stories, our relations with Mi'kmaw ways of knowing, and the stories of the movement, with considerations for the (w)holistic perspectives foundational to nursing's metaparadigm of person, environment, and health. We provide a background to the work of the Global Nurse Agenda for Climate Justice steering committee including their role at the 26th United Nations Climate Change Conference in Glasgow, 2021, and share our own stories of action to frame this agenda. We accept our Responsibility for the challenges of climate justice with humility and invite others to join us.
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Affiliation(s)
- Robin Evans-Agnew
- School of Nursing and Healthcare Leadership, University of Washington Tacoma, Tacoma, Washington, USA
| | - Jessica LeClair
- School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - De-Ann Sheppard
- Faculty of Science, St. Francis Xavier University, Antigonish, Nova Scotia, Canada
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7
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Ziegler C, Muchira J. Climate Change: The Ultimate Determinant of Health. Prim Care 2023; 50:645-655. [PMID: 37866837 DOI: 10.1016/j.pop.2023.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2023]
Abstract
Climate change ubiquitously influences social determinants of health via various pathways. Disproportionately burdening communities who have contributed the least to greenhouse gas (GHG) emissions and benefitted the least from economic benefits obtained through high-emission activities that cause climate change, climate justice must be centered in any discussion of health equity. This article will explore how climate change contributes to health disparities in vulnerable populations, why this is a justice issue for primary care to address, and what we can do to promote equity, resilience, and adaption in our current economic system while mitigating GHG emissions, leveraging the health sector.
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Affiliation(s)
- Carol Ziegler
- Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA.
| | - James Muchira
- Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA. https://twitter.com/JamesMuturi5
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Mohammadi M, Jafari H, Etemadi M, Dalugoda Y, Mohtady Ali H, Phung H, Ahmadvand A, Dwirahmadi F, Barnes P, Chu C. Health Problems of Increasing Man-Made and Climate-Related Disasters on Forcibly Displaced populations: A Scoping Review on Global Evidence. Disaster Med Public Health Prep 2023; 17:e537. [PMID: 37994107 DOI: 10.1017/dmp.2023.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2023]
Abstract
Forcibly displaced populations are among the most vulnerable groups in disasters. They experience poorer health conditions compared with nondisplaced individuals. However, a clear picture is lacking regarding the overall health problems encountered by disaster-induced mid- to long-term displaced people. This study investigated these disorders prevalence and identified their correlates among long-settled displaced populations worldwide. The current scoping review follows the PRISMA-ScR guidelines; a systematic search was conducted on PubMed, Web of Science, and CINAHL and included original peer-reviewed studies, commentary, reviews, and grey literature published in English between January 1990 to June 2022. In the thematic and content analysis, the authors applied the narrative review approach to identify themes and sub-themes. Forty-eight documents were identified as fully relevant to this study. The largest number of published papers were from Asia, followed by the Middle East, the United States, and Europe. IDPs in developed countries were the most researched populations. Human-made disasters were addressed by 89% of the included studies. The four main thematic categories included were "physical health," "mental health," "inadequate facilities," and "lack of healthy behaviour." The worsening of noncommunicable diseases had the highest prevalence, followed by communicable diseases. Due to their condition, forcibly displaced migrants face a triple burden of communicable diseases and noncommunicable diseases such as mental health issues. Health-related research and policy need to consider the links among disasters, health problems, and forced migration as a determinant of health in the new era of climate change-driven displacements.
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Affiliation(s)
- Mahan Mohammadi
- School of Medicine and Dentistry, Griffith University, Brisbane, QLD 4222, Australia
| | - Hamid Jafari
- Department of Medical Emergencies, School of Medical Sciences, Sirjan, Iran
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Manal Etemadi
- The National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, UK
- Population Health Sciences, Bristol Medical School, University of Bristol, UK
| | - Yohani Dalugoda
- School of Public Health, The University of Queensland, Herston, QLD 4006, Australia
| | - Heba Mohtady Ali
- Cities Research Institute & School of Engineering and Built Environment, Griffith University, Gold Coast, Australia
| | - Hai Phung
- School of Medicine and Dentistry, Griffith University, Brisbane, QLD 4222, Australia
| | - Alireza Ahmadvand
- School of Medicine and Dentistry, Griffith University, Brisbane, QLD 4222, Australia
| | - Febi Dwirahmadi
- School of Medicine and Dentistry, Griffith University, Brisbane, QLD 4222, Australia
| | - Paul Barnes
- School of Medicine and Dentistry, Griffith University, Brisbane, QLD 4222, Australia
| | - Cordia Chu
- School of Medicine and Dentistry, Griffith University, Brisbane, QLD 4222, Australia
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Abstract
The climate crisis is a planetary existential threat, disproportionately affecting the poorest populations worldwide. People in low- and middle-income countries (LMICs) experience the most detrimental consequences of climate injustice, endangering their livelihoods, safety, overall wellbeing, and survival. Although the 2022 United Nations Climate Change Conference (COP27) put forth several internationally salient recommendations, the outcomes fall short to efficiently tackle the suffering that exists at the intersection of social and climate injustice. Individuals with serious illness living in LMICs have the highest burden of health-related suffering globally. In fact, more than 61 million people experience serious health-related suffering (SHS) each year that is amenable to palliative care. Despite this well-documented burden of SHS, an estimated 88-90% of palliative care need is unmet, the majority in LMICs. To equitably address suffering at individual, population, and planetary levels in LMICs, a palliative justice approach is crucial. The interplay of human and planetary suffering requires that current planetary health recommendations be expanded to incorporate a whole-person and whole-people perspective that recognizes the need for environmentally conscious and community-based research and policy initiatives. Conversely, palliative care efforts should incorporate planetary health considerations to ensure sustainability in capacity building and service provision. In sum, the optimal health of the planet will remain elusive until we can holistically recognize the value of relieving all suffering due to life-limiting conditions, as well as the value in preserving the natural resources of countries in which all people are born, live, age, suffer, die, and grieve.
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Affiliation(s)
- William E. Rosa
- Department of Psychiatry and Behavioral Sciences,
Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Liz Grant
- Global Health Academy, University of Edinburgh,
Edinburgh, Scotland
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10
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Larson ER, Armstrong EM, Harper H, Knapp S, Edwards KJ, Grierson D, Poppy G, Chase MW, Jones JDG, Bastow R, Jellis G, Barnes S, Temple P, Clarke M, Oldroyd G, Grierson CS. One hundred important questions for plant science - reflecting on a decade of plant research. THE NEW PHYTOLOGIST 2023; 238:464-469. [PMID: 36924326 DOI: 10.1111/nph.18663] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 11/14/2022] [Indexed: 06/18/2023]
Affiliation(s)
- Emily R Larson
- School of Biological Sciences, Bristol University, 24 Tyndall Avenue, Bristol, BS8 1TQ, UK
| | - Emily May Armstrong
- School of Biological Sciences, Bristol University, 24 Tyndall Avenue, Bristol, BS8 1TQ, UK
| | - Helen Harper
- School of Biological Sciences, Bristol University, 24 Tyndall Avenue, Bristol, BS8 1TQ, UK
| | - Sandra Knapp
- Natural History Museum, Cromwell Road, London, SW7 5BD, UK
| | - Keith J Edwards
- School of Biological Sciences, Bristol University, 24 Tyndall Avenue, Bristol, BS8 1TQ, UK
| | - Don Grierson
- School of Biosciences, University of Nottingham, Sutton Bonington Campus, nr Loughborough, LE12 5RD, UK
| | - Guy Poppy
- Biological Sciences, University of Southampton, University Road, Southampton, SO17 1BJ, UK
| | - Mark W Chase
- Department of Environment and Agriculture, Curtin University, Perth, WA, 6845, Australia
- Royal Botanic Gardens Kew, Richmond, London, TW9 3AE, UK
| | | | - Ruth Bastow
- Crop Health and Protection Ltd, York Biotech Campus, Sand Hutton, York, YO41 1LZ, UK
| | - Graham Jellis
- Agrifood Charities Partnership, The Bullock Building, University Way, Cranfield, Bedford, MK43 OGH, UK
| | | | - Paul Temple
- Wold Farm, Driffield, East Yorkshire, YO25 3BB, UK
| | - Matthew Clarke
- Bayer - Crop Science, Monsanto UK Ltd, 230 Science Park, Cambridge, CB4 0WB, UK
| | - Giles Oldroyd
- Crop Science Centre, Lawrence Weaver Road, Cambridge, CB3 0LE, UK
| | - Claire S Grierson
- School of Biological Sciences, Bristol University, 24 Tyndall Avenue, Bristol, BS8 1TQ, UK
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11
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Neira M, Erguler K, Ahmady-Birgani H, Al-Hmoud ND, Fears R, Gogos C, Hobbhahn N, Koliou M, Kostrikis LG, Lelieveld J, Majeed A, Paz S, Rudich Y, Saad-Hussein A, Shaheen M, Tobias A, Christophides G. Climate change and human health in the Eastern Mediterranean and Middle East: Literature review, research priorities and policy suggestions. ENVIRONMENTAL RESEARCH 2023; 216:114537. [PMID: 36273599 PMCID: PMC9729515 DOI: 10.1016/j.envres.2022.114537] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 09/29/2022] [Accepted: 10/06/2022] [Indexed: 05/17/2023]
Abstract
Human health is linked to climatic factors in complex ways, and climate change can have profound direct and indirect impacts on the health status of any given region. Susceptibility to climate change is modulated by biological, ecological and socio-political factors such as age, gender, geographic location, socio-economic status, occupation, health status and housing conditions, among other. In the Eastern Mediterranean and Middle East (EMME), climatic factors known to affect human health include extreme heat, water shortages and air pollution. Furthermore, the epidemiology of vector-borne diseases (VBDs) and the health consequences of population displacement are also influenced by climate change in this region. To inform future policies for adaptation and mitigation measures, and based on an extensive review of the available knowledge, we recommend several research priorities for the region. These include the generation of more empirical evidence on exposure-response functions involving climate change and specific health outcomes, the development of appropriate methodologies to evaluate the physical and psychological effects of climate change on vulnerable populations, determining how climate change alters the ecological determinants of human health, improving our understanding of the effects of long-term exposure to heat stress and air pollution, and evaluating the interactions between adaptation and mitigation strategies. Because national boundaries do not limit most climate-related factors expected to impact human health, we propose that adaptation/mitigation policies must have a regional scope, and therefore require collaborative efforts among EMME nations. Policy suggestions include a decisive region-wide decarbonisation, the integration of environmentally driven morbidity and mortality data throughout the region, advancing the development and widespread use of affordable technologies for the production and management of drinking water by non-traditional means, the development of comprehensive strategies to improve the health status of displaced populations, and fostering regional networks for monitoring and controlling the spread of infectious diseases and disease vectors.
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Affiliation(s)
- Marco Neira
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus.
| | - Kamil Erguler
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus
| | | | | | - Robin Fears
- European Academies Science Advisory Council (EASAC), Halle (Saale), Germany
| | | | - Nina Hobbhahn
- European Academies Science Advisory Council (EASAC), Halle (Saale), Germany
| | - Maria Koliou
- University of Cyprus Medical School, Nicosia, Cyprus
| | - Leondios G Kostrikis
- Department of Biological Sciences, University of Cyprus, Nicosia, Cyprus; Cyprus Academy of Sciences, Letters, and Arts, Nicosia, Cyprus
| | - Jos Lelieveld
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus; Max Planck Institute for Chemistry, Mainz, Germany
| | - Azeem Majeed
- Department of Primary Care & Public Health, Imperial College London, London, United Kingdom
| | - Shlomit Paz
- Department of Geography and Environmental Studies, University of Haifa, Haifa, Israel
| | - Yinon Rudich
- Department of Earth and Planetary Sciences, The Weismann Institute of Science, Rehovot, Israel
| | - Amal Saad-Hussein
- Environment and Climate Change Research Institute, National Research Centre, Cairo, Egypt
| | - Mohammed Shaheen
- Damour for Community Development - Research Department, Palestine
| | - Aurelio Tobias
- Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain
| | - George Christophides
- Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus; Department of Life Sciences, Imperial College London, London, United Kingdom.
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Kiarsi M, Amiresmaili M, Mahmoodi M, Farahmandnia H, Nakhaee N, Zareiyan A, Aghababaeian H. Heat wave adaptation paradigm and adaptation strategies of community: A qualitative phenomenological study in Iran. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:408. [PMID: 36824085 PMCID: PMC9942165 DOI: 10.4103/jehp.jehp_440_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 04/29/2022] [Indexed: 06/18/2023]
Abstract
BACKGROUND Heat wave adaptation is a new concept related to experiencing heat. The present study aims at investigating a conceptual definition, that is, the mental framework of heat wave adaptation and its strategies. MATERIALS AND METHODS A phenomenological study was performed to explain the mental concept. At the same time with the data collection process, data analysis was also performed using Colaizzi method. Semi-structured interview method and purposeful sampling with maximum variety were used. Interviews were conducted with 23 different subjects in the community. The accuracy of the data was guaranteed using Lincoln & Guba scientific accuracy criteria. RESULTS The two main themes of the adaptation paradigm as well as its strategies were divided into the main categories of theoretical and operational concepts, as well as personal care measures and government measures. Under the category of individual measures, we obtained "clothing, nutrition, building, place of residence and lifestyle," and under the category of governance actions, the "managerial, research, health, organizational" subcategories were obtained. CONCLUSION According to the results of the conceptual-operational definition, heat wave adaptation is an active process and an effort to reduce the adverse effects of heat waves on individual and social life, and striking a balance that will not only result in individual awareness and actions that will lead to lifestyle changes, but also mostly requires integrated and comprehensive planning in the community. On the one hand, heat waves could not only be regarded as a threat or danger, but can also become an opportunity for the development of a community through identification and smart measures, and for adaptation, the community must take it as a risk. The community should have a plan in advance, apply the necessary rules and training, and use the new facilities and rules where necessary. This practical concept definition includes the main features of heat wave adaptation.
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Affiliation(s)
- Maryam Kiarsi
- Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammadreza Amiresmaili
- Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
| | - Mohammadreza Mahmoodi
- Department of Health in Emergencies and Disasters, School of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
- Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
- Department of Nutrition, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Hojjat Farahmandnia
- Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
| | - Nouzar Nakhaee
- Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
- Health Services Management Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Iran
| | - Armin Zareiyan
- Public Health Department, Health in Emergencies and Disasters Department, Nursing Faculty, AJA University of Medical Sciences, Tehran, Iran
| | - Hamidreza Aghababaeian
- Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
- Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran
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McDermott-Levy R, Mariani B, Lupinacci P. Nursing Students' Self-Efficacy in Immigrant Health. Nurse Educ 2022; 47:225-229. [PMID: 35113052 DOI: 10.1097/nne.0000000000001151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND The United States has the largest, most diverse immigrant population. Nurses will care for immigrant clients in all areas of nursing practice. PURPOSE The purpose of this study was to determine nursing students' self-efficacy in working with immigrant clients following a service-learning experience. METHODS A pre-/posttest descriptive study was used to measure students' self-efficacy in cultural aspects of screening, providing health education, and assisting with health care access prior to and after a voluntary service-learning experience at a resettlement agency. RESULTS Statistical significance was found in overall scale score and in all 19 individual items except 2 related to working with (P = .21) and communicating with (P = .49) the health care team. Overall, pretest and posttest results revealed that students' self-efficacy working with immigrant clients was improved. CONCLUSION Collaborating with an immigrant resettlement program to provide a structured immigrant health learning experience for prelicensure nursing students can improve self-efficacy in working with immigrant clients.
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Affiliation(s)
- Ruth McDermott-Levy
- Professor (Dr McDermott-Levy) and Associate Professor and Vice Dean for Academic Affairs (Dr Mariani), M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania; Co-Director (Dr McDermott-Levy), Mid-Atlantic Center for Children's Health and the Environment, Villanova, Pennsylvania; and Associate Professor (Dr Lupinacci), Department of Mathematics and Statistics, Villanova University, Villanova, Pennsylvania
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Jeong DW, Kim GS, Park MK. [Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool]. J Korean Acad Nurs 2022; 52:173-186. [PMID: 35575110 DOI: 10.4040/jkan.21211] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/27/2021] [Accepted: 02/22/2022] [Indexed: 01/10/2023]
Abstract
PURPOSE Climate change has various negative effects on human health, which has resulted in increased burden on the health care system. Nurses contribute significantly to assessing climate-related health risks and creating a healthy environment. This study aimed to evaluate the reliability and validity of the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. METHODS The 22 items of English CHANT were translated into Korean with forward-backward translation techniques. Internal consistency reliability, test-retest reliability, and construct validity using confirmatory factor analysis were performed using SPSS WIN (25.0) and AMOS (26.0). Survey data were collected from 220 master's, doctoral, and post-doctoral nursing students. RESULTS The K-CHANT consists of 20 items across 5 domains. Two items of the original CHANT were excluded because of low content validity index and standardized regression weights. The internal consistency reliability of the K-CHANT, assessed by Cronbach's αá was .81, with an intraclass correlation coefficient of .66~.90. The five subscales model was validated by confirmatory factor analysis (SRMR < .08, RMSEA < .08, AGFI > .70, CFI > .70). CONCLUSION The K-CHANT has satisfactory construct validity and reliability to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Future research should examine nurses' perceptions and behaviors related to the health effects of climate change and develop an action plan to improve it.
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Affiliation(s)
- Da Woon Jeong
- College of Nursing, Yonsei University, Seoul, Korea.,Department of Cardiovascular, Severance Hospital, Seoul, Korea
| | - Gwang Suk Kim
- College of Nursing, Yonsei University, Seoul, Korea.,Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea
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Harsono D, Peterson H, Nyhan K, Khoshnood K. Factors associated with HIV acquisition in the context of humanitarian crises: a scoping review protocol. JBI Evid Synth 2022; 20:1852-1860. [PMID: 35249997 PMCID: PMC10395317 DOI: 10.11124/jbies-21-00135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The objective of this scoping review is to describe the global evidence on factors associated with HIV acquisition among individuals affected by humanitarian crises. INTRODUCTION Humanitarian crises are described as an event or series of events originating from natural causes or human intervention that represents a critical threat to the health, safety, security, and well-being of a community. Humanitarian crises have generated a continued rise in the number of displaced persons worldwide. This forcible displacement may increase the risk of acquiring human immunodeficiency virus (HIV) among the affected populations through poverty, food insecurity, social instability, and lack of access to health services during and after a crisis. Understanding factors that may contribute to HIV acquisition among these populations will allow stakeholders to be better equipped in providing HIV prevention services and programs in humanitarian settings and to prioritize research efforts. INCLUSION CRITERIA This review will consider studies containing empirical data published in peer-reviewed and gray literature that investigate factors associated with HIV acquisition in populations affected by humanitarian crises caused by natural disasters and human-made complex emergencies. METHODS MEDLINE, Embase, Global Health (all accessed via Ovid), Scopus, and gray literature will be systematically searched. Studies published in English from 1990 will be included. Titles and abstracts of identified citations will be screened independently and assessed for eligibility by two authors. Potentially relevant full-text studies and data will be extracted by these authors using a data extraction form. Data will be presented in tabular form, figures, and a narrative summary.
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Affiliation(s)
- Dini Harsono
- Center for Interdisciplinary Research on AIDS, Yale School of Public Health, Yale University, New Haven, CT, USA Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT, USA Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, CT, USA Environmental Health Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA
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Delshad V, Stueck M, Ebadi A, Bidzan M, Khankeh H. Bio-psycho-social health assessment in prehospital emergency technicians: A systematic review. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:41. [PMID: 35372599 PMCID: PMC8974928 DOI: 10.4103/jehp.jehp_498_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 05/26/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Health is a complex structure and has physical, psychological, and social approaches. The importance and impact of health assessment have caused considerable attention to be paid to the employees of the health system and the determining factors of this relationship. Hence, the main purpose of this study was to find out the bio-psycho-social health situation in prehospital emergency technicians as the research question staff. MATERIALS AND METHODS The present study is a systematic review and data have retrieved through extensive search in Scopus, Web of Science, PubMed (including Medline), Cochrane Library, Irandoc, Magiran, MedLib, and SID databases with a combination of keywords of "Health, " "Assessment, " "Social," "Psychological," "Biological," "Emergency," and "prehospital," according to the search strategy, between 2000 and 202111 studies were reviewed; then, they were entered based on the objectives of the study and narrative analysis was performed by the researcher. RESULTS After analyzing the articles, a total of 4 factors affecting bio-psycho-social health in prehospital emergency technicians have been extracted and identified, which included health management, bio-psycho-social factors, occupational factors, and behavioral factors. CONCLUSION This research showed four factors, namely health management, bio-psycho-social factors, occupational factors, and behavioral factors which could be effective in Bio-Psycho-Social health. Since prehospital emergency services have an important role in maintaining the health of the community, which requires attention to the bio-psycho-social health of emergency personnel, more studies have focused on health management among the four mentioned factors, but the need to examine the other three factors for a more accurate assessment of the health of emergency personnel seems necessary. Therefore, prevention and response strategies based on bio-psycho-social health assessment models are proposed to promote the health of prehospital emergency technician staff.
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Affiliation(s)
- Vahid Delshad
- Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Abbas Ebadi
- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Nursing Management, Nursing Management, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mariola Bidzan
- Institute of Psychology, University of Gdansk, Gdańsk, Poland
| | - Hamidreza Khankeh
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
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Mazhin SA, Farrokhi M, Noroozi M, Roudini J, Hosseini SA, Motlagh ME, Kolivand P, Khankeh H. Criteria and components of the emergency and disaster database in Iran: A content analysis study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:407. [PMID: 35071613 PMCID: PMC8719566 DOI: 10.4103/jehp.jehp_93_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 03/04/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Nowadays, emergencies and disasters are considered one of the biggest problems in human life. To reduce the risk of emergencies and disasters, governments must develop strategies and policies using evidence-based methods. Disaster databases are the main source and tool for storing and managing a wide range of data in this field. This study was conducted with the aim of exploring the necessary criteria and components of the emergency and disasters database in Iran. MARTIALS AND METHODS This qualitative study was performed using content analysis in which 18 managers and experts with experience in registering, documenting, or responding to emergencies and disasters were selected through purposive sampling. Data collection was done using semi-structured interviews that continued until saturation. Data were analyzed by means of qualitative content analysis recommended by Landman and Graneheim. RESULTS In total, three main concepts concerning the necessary criteria and components of the database of natural and artificial emergencies and disasters in Iran were explored. The main concepts include information resources, information evaluation, and information management. Subconcepts include data collection, information transfer, access to information, information validation, disaster leveling, information registering, information storage and retrieval, information analysis, and information dissemination. CONCLUSION The experience of the participants showed that there are many challenges in the field of monitoring and gathering information about injuries and damages caused by emergencies and disasters in the country. The knowledge obtained from this study can be used to create and develop a database of emergencies and disasters in Iran. It will also provide insights for healthcare policymakers and managers in future planning areas to more effectively address identified challenges in preventing and responding to disasters at both regional and national levels.
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Affiliation(s)
- Sadegh Ahmadi Mazhin
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Nursing, School of Nursing and Emergency, Dezful University of Medical Sciences, Dezful, Iran
| | - Mehrdad Farrokhi
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehdi Noroozi
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Juliet Roudini
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Seyed Ali Hosseini
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | | | - Hamidreza Khankeh
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
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Sadeghimoghaddam A, Khankeh H, Norozi M, Fateh S, Farrokhi M. Effects of dust events and meteorological elements on stroke morbidity in northern Khuzestan, Iran. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:406. [PMID: 35071612 PMCID: PMC8719573 DOI: 10.4103/jehp.jehp_1686_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 01/16/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND In recent years, the prevalence of dust events has increased in the region and the world. According to the Meteorological Organization, the most frequent days with dust events are on stations located in Khuzestan province. Objective: Assessment of the effects of dust events and meteorological elements on stroke morbidity in health in Iran: a health promotion approach. MATERIALS AND METHODS The present study was a retrospective cohort study 2020 and 2013 provided between based on ecological data-based on population. Information about patients with stroke was obtained from the hospital. Information on the dust events and meteorological elements was also from the data center of the Meteorological Organization of Iran. Using STATA the correlation between the diseases and the, 14 statistical software version occurrence of dust events and changes in meteorological elements was obtained and the statistical model (Spearman correlation coefficient) individually estigate the equation was used inv modified by Poisson regression simultaneous effect of variables. RESULTS the results of adjusted statistical models show that increasing the severity of dust event increases the risk of stroke in males (lag 0-21 confidence interval [CI] 95% = 1.496-1.0067 relative risk [RR] = 1.03 P = 0.01). Increasing the average wind speed also increases the risk of stroke in males (lag 0-3 CI 95% = 1.0491-0.9996 RR = 1.02 P = 0.05). Increased rainfall and average relative humidity increase the risk of stroke in people under 60 years (lag 0-7 CI 95% = 1.0012-0.9058 RR = 1.95 P = 0.05). Increasing the average daily temperature reduces the risk of stroke in males (lag 0-3 CI 95% = 0.9874-0.9254 RR = 0.51 P < 0.001). CONCLUSION Increasing the intensity of dust storms along with meteorological elements has increased the risk of stroke. However, increasing the average temperature has had a protective effect on the risk of stroke.
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Affiliation(s)
- Ali Sadeghimoghaddam
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Faculty of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
| | - Hamidreza Khankeh
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
| | - Mehdi Norozi
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Shahrokh Fateh
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehrdad Farrokhi
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Burrows K, Pelupessy DC, Khoshnood K, Bell ML. Environmental Displacement and Mental Well-Being in Banjarnegara, Indonesia. ENVIRONMENTAL HEALTH PERSPECTIVES 2021; 129:117002. [PMID: 34747632 PMCID: PMC8575071 DOI: 10.1289/ehp9391] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
BACKGROUND Residential moves (displacement) owing to climate- and weather-related disasters may significantly impact mental health. Despite the growing risk from climate change, health impacts of environmental-mobility remain understudied. OBJECTIVES We assessed the effects of displacement on the association between landslides and changes in perceived mental well-being in Banjarnegara, Indonesia. We also investigated whether sociodemographics (age, sex, level of education, household-level income, or employment in agriculture) and landslide characteristics (number and severity of landslides) were associated with differing odds of relocation after experiencing landslides. METHODS In this cross-sectional study, we surveyed 420 individuals who experienced landslides between 2014 and 2018 to assess perceived changes in mental well-being, comparing after landslide exposure to before landslide exposure. We used a novel six-item measure that was created in collaboration with the local community to compare perceived changes between those who were displaced by landslides and those who were not displaced, using logistic and multinomial regressions adjusted for sociodemographic characteristics. We then assessed whether the odds of displacement differed based on sociodemographic characteristics and landslide exposure characteristics, using logistic regressions. RESULTS Those who were displaced were more likely than those who were not displaced to report perceived increases in economic stability [odds ratio (OR)=3.06; 95% confidence interval (CI): 1.45, 6.46], optimism (OR=4.01; 95% CI: 1.87, 8.61), safety (OR=2.71; 95% CI: 1.44, 5.10), religiosity (OR=1.92; 95% CI: 1.03, 3.65), and closeness with community (OR=1.90; 95% CI: 1.10, 3.33) after landslides compared with before their first landslide during the study period. More frequent landslide exposures were associated with reduced odds of relocation, but more severe landslides were associated with increased odds of relocation. DISCUSSION These findings suggest that landslides affect the mental well-being not only of those who are displaced but also of those who are left behind. Further, this work supports the need for community-based participatory research to fully capture the health impacts of environmental mobility. https://doi.org/10.1289/EHP9391.
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Affiliation(s)
- Kate Burrows
- School of the Environment, Yale University, New Haven, Connecticut, USA
| | | | - Kaveh Khoshnood
- School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Michelle L. Bell
- School of the Environment, Yale University, New Haven, Connecticut, USA
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Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010751. [PMID: 34682492 PMCID: PMC8535610 DOI: 10.3390/ijerph182010751] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 09/27/2021] [Accepted: 09/29/2021] [Indexed: 12/31/2022]
Abstract
In Sub-Saharan Africa, communicable and other tropical infectious diseases remain major challenges apart from the continuing HIV/AIDS epidemic. Recognition and prevalence of non-communicable diseases have risen throughout Africa, and the reimagining of healthcare delivery is needed to support communities coping with not only with HIV, tuberculosis, and COVID-19, but also cancer, cardiovascular disease, diabetes, and depression. Many non-communicable diseases can be prevented or treated with low-cost interventions, yet implementation of such care has been limited in the region. In this Perspective piece, we argue that deployment of an integrated service delivery model is an urgent next step, propose a South African model for integration, and conclude with recommendations for next steps in research and implementation. An approach that is inspired by South African experience would build on existing HIV-focused infrastructure that has been developed by Ministries of Health with strong support from the U.S. President’s Emergency Response for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis and Malaria. An integrated chronic healthcare model holds promise to sustainably deliver infectious disease and non-communicable disease care. Integrated care will be especially critical as health systems seek to cope with the unprecedented challenges associated with COVID-19 and future pandemic threats.
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Mazhin SA, Farrokhi M, Noroozi M, Roudini J, Hosseini SA, Motlagh ME, Kolivand P, Khankeh H. Worldwide disaster loss and damage databases: A systematic review. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:329. [PMID: 34761015 PMCID: PMC8552254 DOI: 10.4103/jehp.jehp_1525_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 12/23/2020] [Indexed: 06/13/2023]
Abstract
Nowadays, disaster databases have become a valuable tool for disaster risk management and health promotion and serve various purposes. The purpose of this study is to provide a systematic review of disaster databases in the world and to identify the objectives, information sources, criteria, and variables of disaster data registration in the world's reputable databases. To conduct review, all English-language articles published without a time limit until the end of September 2020 were extracted from the databases of Web of Science, PubMed, Scopus, Cochrane Library, Science Direct, Google Scholar, and Embase. Necessary information in the papers including study time, type of disasters, related databases, dimensions and indicators of global and regional databases were extracted by using a researcher-made questionnaire. A total of 22 studies have been reviewed to identify the dimensions and indicators of disaster databases worldwide. The main focus was on global and regional databases, mostly used at the level of scientific societies and disaster experts. After explanation, researchers highlighted each of the disaster databases, along with the main differences available among the existing databases. Some databases have well-defined data collection methods. Their knowledge is high quality and they can be used to create and improve a disaster database at other levels. Disaster database limitations include risk bias, time bias, accounting bias, threshold bias, and geographical bias. To support the right decisions to reduce disaster risk, it is necessary to complement existing global, regional, and national databases. Countries need to take action to set up national databases.
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Affiliation(s)
- Sadegh Ahmadi Mazhin
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Nursing and Emergency, Dezful University of Medical Sciences, Dezful, Iran
| | - Mehrdad Farrokhi
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehdi Noroozi
- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Juliet Roudini
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Seyed Ali Hosseini
- Department of Occupational Therapy, Social Determinants of Health Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | | | - Hamidreza Khankeh
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden
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