Effectiveness of public health interventions in reducing morbidity and mortality during heat episodes: a structured review.

Effectiveness of public health interventions in reducing morbidity and mortality during heat episodes: a structured review.
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DOI:
10.3390/ijerph7030991
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发表时间:
2010-03
影响因子:
--
通讯作者:
Cole DC
Cole DC
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bassil KL;Cole DC

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人们越来越关注炎热天气对健康的影响,促进了公共卫生干预措施的发展,以减少与炎热有关的健康影响。然而,很少有人引用这种干预措施的有效性证据作为理由。我们的目标是审查同行评议和灰色文献,评估旨在降低发病率和/或死亡率的人群在炎热天气事件的干预措施。在考虑公众风险认知的研究中,大多数受访者都知道极端高温事件发生时,但不一定会改变他们的做法,主要是由于缺乏脆弱的自我认知和对应采取的适当行动的困惑。在关于高温期间和之后的健康结果的研究中,研究表明对降低发病率和死亡率有积极影响。虽然迄今为止有限的评价工作表明公共卫生干预措施产生了积极影响,但人们仍然担心老年人和无家可归者等最弱势群体是否得到充分的帮助。
Increasing concern over the impact of hot weather on health has fostered the development of public health interventions to reduce heat-related health impacts. However, evidence of the effectiveness of such interventions is rarely cited for justification. Our objective was to review peer-reviewed and grey literature evaluating interventions aimed at reducing morbidity and/or mortality in populations during hot weather episodes. Among studies considering public risk perceptions, most respondents were aware when an extreme heat episode was occurring but did not necessarily change their practices, primarily due to a lack of self-perception as vulnerable and confusion about the appropriate actions to be taken. Among studies of health outcomes during and following heat episodes, studies were suggestive of positive impacts in reducing morbidity and mortality. While the limited evaluative work to date suggests a positive impact of public health interventions, concern persists about whether the most vulnerable groups, like the elderly and homeless, are being adequately reached.
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