Evaluation of climate change adaptation measures for childhood asthma: A systematic review of epidemiological evidence

被引:21
作者
Hu, Yabin [1 ]
Cheng, Jian [2 ]
Liu, Shijian [1 ]
Tan, Jianguo [3 ]
Yan, Chonghuai [4 ]
Yu, Guangjun [5 ]
Yin, Yong [6 ,10 ]
Tong, Shilu [1 ,7 ,8 ,9 ,11 ]
机构
[1] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Sch Med, Dept Clin Epidemiol & Biostat, Shanghai, Peoples R China
[2] Anhui Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Hefei, Peoples R China
[3] Shanghai Meteorol Serv, Shanghai Key Lab Meteorol & Hlth, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Xinhua Hosp, Shanghai Key Lab Childrens Environm Hlth, MOE,Sch Med, Shanghai, Peoples R China
[5] Shanghai Childrens Hosp, Ctr Biomed Informat, Shanghai, Peoples R China
[6] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Sch Med, Dept Resp Med, Shanghai, Peoples R China
[7] Anhui Med Univ, Inst Environm & Populat Hlth, Sch Publ Hlth, Hefei, Peoples R China
[8] Nanjing Med Univ, Ctr Global Hlth, Sch Publ Hlth, Nanjing, Peoples R China
[9] Queensland Univ Technol, Sch Publ Hlth & Social Work, Brisbane, Australia
[10] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Sch Med, Dept Resp Med, 1678 Dongfang Rd, Shanghai 200127, Peoples R China
[11] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Sch Med, Dept Clin Epidemiol & Biostat, 1678 Dongfang Rd, Shanghai 200127, Peoples R China
关键词
Adaptation; Asthma; Childhood; Climate change; Environmental exposure; AIR-POLLUTION; METEOROLOGICAL FACTORS; EXTREME TEMPERATURES; AMBIENT-TEMPERATURE; HEALTH; EXPOSURE; EXACERBATIONS; CHILDREN; GENDER; IMPACT;
D O I
10.1016/j.scitotenv.2022.156291
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Global climate change (GCC) is widely accepted as the biggest threat to human health of the 21st century. Children are particularly vulnerable to GCC due to developing organ systems, psychological immaturity, nature of daily activities, and higher level of per-body-unit exposure. There is a rising trend in the disease burden of childhood asthma and allergies in many parts of the world. The associations of CC, air pollution and other environmental exposures with childhood asthma are attracting more research attention, but relatively few studies have focused on CC adaptation measures and childhood asthma. This study aimed to bridge this knowledge gap and conducted the first systematic review on CC adaptation measures and childhood asthma. We searched electronic databases including PubMed, Embase, and Web of Science using a set of MeSH terms and related synonyms, and identified 20 eligible studies included for review. We found that there were a number of adaptation measures proposed for childhood asthma in response to GCC, including vulnerability assessment, improving ventilation and heating, enhancing community education, and developing forecast models and early warning systems. Several randomized controlled trials show that improving ventilation and installing heating in the homes appear to be an effective way to relieve childhood asthma symptoms, especially in win-ter. However, the effectiveness of most adaptation measures, except for improving ventilation and heating, have not been explored and quantified. Given more extreme weather events (e.g., cold spells and heatwaves) may occur as cli-mate change progresses, this finding may have important implications. Evidently, further research is urgently war-ranted to evaluate the impacts of CC adaptation measures on childhood asthma. These adaptation measures, if proven to be effective, should be integrated in childhood asthma control and prevention programs as GCC continues.
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页数:9
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