当前位置： SCI文献检索 > ENVIRONMENTAL RESEARCH期刊下所有文献 > Vulnerability to heatwaves and implications for public health interventions - A scoping review.

Vulnerability to heatwaves and implications for public health interventions - A scoping review.

Abstract：

BACKGROUND:Heatwaves form a serious public health threat, especially for vulnerable groups. Interventions such as active outreach programs, exposure reduction measures and monitoring and mapping of at-risk groups are increasingly implemented across the world but little is known about their effect. OBJECTIVES:To assess how vulnerable groups are identified and reached in heat health interventions, to understand the effectiveness and efficiency of those interventions, and to identify research gaps in existing literature. METHODS:We performed a literature search in relevant scientific literature databases and searched with a four element search model for articles published from 1995 onward. We extracted data on intervention measures, target group and evaluation of effectiveness and efficiency. RESULTS:We identified 23 eligible studies. Patterns exist in type of interventions 1) to detect and 2) to influence extrinsic and intrinsic risk and protective factors. Results showed several intervention barriers related to the variety and intersection of these factors, as well as the self-perception of vulnerable groups, and misconceptions and unfavorable attitudes towards intervention benefits. While modest indications for the evidence on the effectiveness of interventions were found, efficiency remains unclear. DISCUSSION:Interventions entailed logical combinations of measures, subsumed as packages. Evidence for effective and efficient intervention is limited by the difficulty to determine effects and because single measures are mutually dependent. Interventions prioritized promoting behavioral change and were based on behavioral assumptions that remain untested and mechanisms not worked out explicitly. CONCLUSIONS:Multifaceted efforts are needed to tailor interventions, compiled in heat health warning systems and action plans for exposure reduction and protection of vulnerable populations, to fit the social, economic and geographical context. Besides adequately addressing relevant risk and protective factors, the challenge is to integrate perspectives of vulnerable groups. Future research should focus on intervention barriers and improving the methods of effectiveness and efficiency evaluation.

journal_name

Environ Res

journal_title

Environmental research

authors

Mayrhuber EA,Dückers MLA,Wallner P,Arnberger A,Allex B,Wiesböck L,Wanka A,Kolland F,Eder R,Hutter HP,Kutalek R

doi

10.1016/j.envres.2018.05.021

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

42-54

eissn

0013-9351

issn

1096-0953

pii

S0013-9351(18)30270-6

journal_volume

166

pub_type

杂志文章,评审

在线工具

Vulnerability to heatwaves and implications for public health interventions - A scoping review.