Vulnerability of indigenous health to climate change: A case study of Uganda's Batwa Pygmies
Vulnerability of indigenous health to climate change: A case study of Uganda's Batwa Pygmies
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DOI：
10.1016/j.socscimed.2012.04.016
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发表时间：
2012-09-01
影响因子：
5.4
通讯作者：
Edge, Victoria
中科院分区：
文献类型：
--
作者：
Berrang-Ford, Lea;Dingle, Kathryn;Edge, Victoria
气候变化对撒哈拉以南非洲地区人类健康的潜在影响是广泛、复杂的，而且基本上是不利的。该地区的土著人民被认为面临更大的风险，因为他们的健康状况相对较差，社会地位边缘化，以资源为基础的生计;然而，很少有人关注这些最脆弱的弱势群体。本文有助于解决这一差距，采取自下而上的方法来评估在乌干达农村的两个巴特瓦俾格米人社区的健康脆弱性气候变化。快速农村评估和PhotoVoice实地方法，辅以定性数据分析，用于确定关键的气候敏感，社区确定的健康成果，描述多个尺度的敏感性的决定因素，并描述巴特瓦卫生系统的适应能力。研究结果强调了脆弱性和适应能力的人类驱动因素的重要性，并强调需要解决健康的社会决定因素，以减少气候变化的潜在疾病负担。(c)2012爱思唯尔有限公司保留所有权利。
The potential impacts of climate change on human health in sub-Saharan Africa are wide-ranging, complex, and largely adverse. The region's Indigenous peoples are considered to be at heightened risk given their relatively poor health outcomes, marginal social status, and resource-based livelihoods; however, little attention has been given to these most vulnerable of the vulnerable. This paper contributes to addressing this gap by taking a bottom-up approach to assessing health vulnerabilities to climate change in two Batwa Pygmy communities in rural Uganda. Rapid Rural Appraisal and PhotoVoice field methods complemented by qualitative data analysis were used to identify key climate-sensitive, community-identified health outcomes, describe determinants of sensitivity at multiple scales, and characterize adaptive capacity of Batwa health systems. The findings stress the importance of human drivers of vulnerability and adaptive capacity and the need to address social determinants of health in order to reduce the potential disease burden of climate change. (c) 2012 Elsevier Ltd. All rights reserved.