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Exploring Strategies for Investigating the Mechanisms Linking Climate and Individual-Level Child Health Outcomes: An Analysis of Birth Weight in Mali.
Demography ( IF 3.6 ) Pub Date : 2021-04-01 , DOI: 10.1215/00703370-8977484
Kathryn Grace 1 , Andrew Verdin 2 , Audrey Dorélien 3 , Frank Davenport 4 , Chris Funk 4 , Greg Husak 4
Affiliation  

The goal of this article is to consider data solutions to investigate the differential pathways that connect climate/weather variability to child health outcomes. We apply several measures capturing different aspects of climate/weather variability to different time periods of in utero exposure. The measures are designed to capture the complexities of climate-related risks and isolate their impacts based on the timing and duration of exposure. Specifically, we focus on infant birth weight in Mali and consider local weather and environmental conditions associated with the three most frequently posited potential drivers of adverse health outcomes: disease (malaria), heat stress, and food insecurity. We focus this study on Mali, where seasonal trends facilitate the use of measures specifically designed to capture distinct aspects of climate/weather conditions relevant to the potential drivers. Results indicate that attention to the timing of exposures and employing measures designed to capture nuances in each of the drivers provides important insight into climate and birth weight outcomes, especially in the case of factors impacted by precipitation. Results also indicate that high temperatures and low levels of agricultural production are consistently associated with lower birth weights, and exposure to malarious conditions may increase likelihood of nonlive birth outcomes.

中文翻译:

探索将气候与个人水平的儿童健康成果联系起来的机制的策略:马里的出生体重分析。

本文的目的是考虑数据解决方案,以研究将气候/天气变化与儿童健康状况联系起来的差异途径。我们采用了多种措施来捕获子宫内暴露的不同时期的气候/天气变化的不同方面。这些措施旨在捕获与气候有关的风险的复杂性,并根据暴露的时间和持续时间来隔离其影响。具体来说,我们重点关注马里的婴儿出生体重,并考虑与三种最常见的不利健康后果潜在驱动因素相关的当地天气和环境条件:疾病(疟疾),热应激和食物不安全。我们将这项研究的重点放在马里,季节性趋势有助于使用专门设计的措施来捕获与潜在驱动因素有关的气候/天气状况的不同方面。结果表明,关注暴露的时间并采取旨在捕获每个驱动因素细微差别的措施,可以对气候和出生体重的结果提供重要的了解,尤其是在受到降水影响的因素的情况下。结果还表明,高温和低水平的农业生产一直与较低的出生体重有关,暴露于疾病条件下可能会增加非活产结果的可能性。结果表明,关注暴露的时间并采取旨在捕获每个驱动因素细微差别的措施,可以对气候和出生体重的结果提供重要的了解,尤其是在受到降水影响的因素的情况下。结果还表明,高温和低水平的农业生产一直与较低的出生体重有关,暴露于疾病条件下可能会增加非活产结果的可能性。结果表明,关注暴露的时间并采取旨在捕获每个驱动因素细微差别的措施,可以对气候和出生体重的结果提供重要的了解,尤其是在受到降水影响的因素的情况下。结果还表明,高温和低水平的农业生产一直与较低的出生体重有关,暴露于疾病条件下可能会增加非活产结果的可能性。
更新日期:2021-04-01
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