Health impacts of climate change and health and social inequalities in the UK.

Health impacts of climate change and health and social inequalities in the UK.
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在英国,气候变化,健康和社会不平等的健康影响。

DOI:
10.1186/s12940-017-0328-z
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发表时间:
2017-12-05
期刊:
Environmental health : a global access science source
影响因子:
--
通讯作者:
Paavola J
Paavola J
中科院分区:
其他
文献类型:
--
作者:
Paavola J

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本文探讨了社会和健康不平等如何塑造气候变化在英国的健康影响,以及气候变化适应和医疗保健提供的影响。特刊其他文章所产生的证据是根据其他文献,使用社会正义推理来解释的,以得出健康和社会不平等对气候变化健康结果的关键影响。暴露于冷热、空气污染、花粉、食品安全风险、卫生服务和设施的获取和运作中断、新出现的感染和洪水被视为气候变化影响健康结果的主要影响。年龄、先前存在的医疗条件和社会剥夺被认为是使人们易受伤害和经历与气候变化影响有关的更不利健康结果的关键(但不是唯一)因素。未来,气候变化、人口老龄化以及卫生和社会保健公共支出的减少可能会加剧与气候变化有关的健康结果的不平等。考虑到不同群体的不同接触、敏感性和适应能力的健康教育和公共准备措施有助于解决与气候变化有关的健康和社会不平等问题。基于个人准备、行动和行为改变的适应战略,由于有选择地采用,可能会加剧健康和社会不平等,除非这些战略与广泛的公共宣传运动和对采取适应措施的财政支持相结合。本文的在线版本(10.1186/s12940-017-0328-z)包含补充材料,可供授权用户使用。
This article examines how social and health inequalities shape the health impacts of climate change in the UK, and what the implications are for climate change adaptation and health care provision. The evidence generated by the other articles of the special issue were interpreted using social justice reasoning in light of additional literature, to draw out the key implications of health and social inequalities for health outcomes of climate change. Exposure to heat and cold, air pollution, pollen, food safety risks, disruptions to access to and functioning of health services and facilities, emerging infections and flooding are examined as the key impacts of climate change influencing health outcomes. Age, pre-existing medical conditions and social deprivation are found to be the key (but not only) factors that make people vulnerable and to experience more adverse health outcomes related to climate change impacts. In the future, climate change, aging population and decreasing public spending on health and social care may aggravate inequality of health outcomes related to climate change. Health education and public preparedness measures that take into account differential exposure, sensitivity and adaptive capacity of different groups help address health and social inequalities to do with climate change. Adaptation strategies based on individual preparedness, action and behaviour change may aggravate health and social inequalities due to their selective uptake, unless they are coupled with broad public information campaigns and financial support for undertaking adaptive measures. The online version of this article (10.1186/s12940-017-0328-z) contains supplementary material, which is available to authorized users.
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