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Health effects of climate change: an overview of systematic reviews

OBJECTIVES: We aimed to develop a systematic synthesis of systematic reviews of health impacts of climate change, by synthesising studies’ characteristics, climate impacts, health outcomes and key findings. DESIGN: We conducted an overview of systematic reviews of health impacts of climate change. W...

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Autores principales: Rocque, Rhea J, Beaudoin, Caroline, Ndjaboue, Ruth, Cameron, Laura, Poirier-Bergeron, Louann, Poulin-Rheault, Rose-Alice, Fallon, Catherine, Tricco, Andrea C, Witteman, Holly O
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191619/
https://www.ncbi.nlm.nih.gov/pubmed/34108165
http://dx.doi.org/10.1136/bmjopen-2020-046333
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author Rocque, Rhea J
Beaudoin, Caroline
Ndjaboue, Ruth
Cameron, Laura
Poirier-Bergeron, Louann
Poulin-Rheault, Rose-Alice
Fallon, Catherine
Tricco, Andrea C
Witteman, Holly O
author_facet Rocque, Rhea J
Beaudoin, Caroline
Ndjaboue, Ruth
Cameron, Laura
Poirier-Bergeron, Louann
Poulin-Rheault, Rose-Alice
Fallon, Catherine
Tricco, Andrea C
Witteman, Holly O
author_sort Rocque, Rhea J
collection PubMed
description OBJECTIVES: We aimed to develop a systematic synthesis of systematic reviews of health impacts of climate change, by synthesising studies’ characteristics, climate impacts, health outcomes and key findings. DESIGN: We conducted an overview of systematic reviews of health impacts of climate change. We registered our review in PROSPERO (CRD42019145972). No ethical approval was required since we used secondary data. Additional data are not available. DATA SOURCES: On 22 June 2019, we searched Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Cochrane and Web of Science. ELIGIBILITY CRITERIA: We included systematic reviews that explored at least one health impact of climate change. DATA EXTRACTION AND SYNTHESIS: We organised systematic reviews according to their key characteristics, including geographical regions, year of publication and authors’ affiliations. We mapped the climate effects and health outcomes being studied and synthesised major findings. We used a modified version of A MeaSurement Tool to Assess systematic Reviews-2 (AMSTAR-2) to assess the quality of studies. RESULTS: We included 94 systematic reviews. Most were published after 2015 and approximately one-fifth contained meta-analyses. Reviews synthesised evidence about five categories of climate impacts; the two most common were meteorological and extreme weather events. Reviews covered 10 health outcome categories; the 3 most common were (1) infectious diseases, (2) mortality and (3) respiratory, cardiovascular or neurological outcomes. Most reviews suggested a deleterious impact of climate change on multiple adverse health outcomes, although the majority also called for more research. CONCLUSIONS: Most systematic reviews suggest that climate change is associated with worse human health. This study provides a comprehensive higher order summary of research on health impacts of climate change. Study limitations include possible missed relevant reviews, no meta-meta-analyses, and no assessment of overlap. Future research could explore the potential explanations between these associations to propose adaptation and mitigation strategies and could include broader sociopsychological health impacts of climate change.
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spelling pubmed-81916192021-06-25 Health effects of climate change: an overview of systematic reviews Rocque, Rhea J Beaudoin, Caroline Ndjaboue, Ruth Cameron, Laura Poirier-Bergeron, Louann Poulin-Rheault, Rose-Alice Fallon, Catherine Tricco, Andrea C Witteman, Holly O BMJ Open Public Health OBJECTIVES: We aimed to develop a systematic synthesis of systematic reviews of health impacts of climate change, by synthesising studies’ characteristics, climate impacts, health outcomes and key findings. DESIGN: We conducted an overview of systematic reviews of health impacts of climate change. We registered our review in PROSPERO (CRD42019145972). No ethical approval was required since we used secondary data. Additional data are not available. DATA SOURCES: On 22 June 2019, we searched Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Cochrane and Web of Science. ELIGIBILITY CRITERIA: We included systematic reviews that explored at least one health impact of climate change. DATA EXTRACTION AND SYNTHESIS: We organised systematic reviews according to their key characteristics, including geographical regions, year of publication and authors’ affiliations. We mapped the climate effects and health outcomes being studied and synthesised major findings. We used a modified version of A MeaSurement Tool to Assess systematic Reviews-2 (AMSTAR-2) to assess the quality of studies. RESULTS: We included 94 systematic reviews. Most were published after 2015 and approximately one-fifth contained meta-analyses. Reviews synthesised evidence about five categories of climate impacts; the two most common were meteorological and extreme weather events. Reviews covered 10 health outcome categories; the 3 most common were (1) infectious diseases, (2) mortality and (3) respiratory, cardiovascular or neurological outcomes. Most reviews suggested a deleterious impact of climate change on multiple adverse health outcomes, although the majority also called for more research. CONCLUSIONS: Most systematic reviews suggest that climate change is associated with worse human health. This study provides a comprehensive higher order summary of research on health impacts of climate change. Study limitations include possible missed relevant reviews, no meta-meta-analyses, and no assessment of overlap. Future research could explore the potential explanations between these associations to propose adaptation and mitigation strategies and could include broader sociopsychological health impacts of climate change. BMJ Publishing Group 2021-06-09 /pmc/articles/PMC8191619/ /pubmed/34108165 http://dx.doi.org/10.1136/bmjopen-2020-046333 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Rocque, Rhea J
Beaudoin, Caroline
Ndjaboue, Ruth
Cameron, Laura
Poirier-Bergeron, Louann
Poulin-Rheault, Rose-Alice
Fallon, Catherine
Tricco, Andrea C
Witteman, Holly O
Health effects of climate change: an overview of systematic reviews
title Health effects of climate change: an overview of systematic reviews
title_full Health effects of climate change: an overview of systematic reviews
title_fullStr Health effects of climate change: an overview of systematic reviews
title_full_unstemmed Health effects of climate change: an overview of systematic reviews
title_short Health effects of climate change: an overview of systematic reviews
title_sort health effects of climate change: an overview of systematic reviews
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191619/
https://www.ncbi.nlm.nih.gov/pubmed/34108165
http://dx.doi.org/10.1136/bmjopen-2020-046333
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