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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:


探索研究气候与个体儿童健康结果之间联系的机制的策略:马里出生体重分析。



本文的目标是考虑数据解决方案,以调查将气候/天气变化与儿童健康结果联系起来的不同途径。我们采用多种措施来捕获子宫内暴露的不同时间段的气候/天气变化的不同方面。这些措施旨在捕捉气候相关风险的复杂性,并根据暴露的时间和持续时间隔离其影响。具体来说,我们关注马里的婴儿出生体重,并考虑与三种最常见的不良健康结果潜在驱动因素相关的当地天气和环境条件:疾病(疟疾)、热应激和粮食不安全。我们的研究重点是马里,那里的季节性趋势有助于使用专门设计的措施来捕捉与潜在驱动因素相关的气候/天气条件的不同方面。结果表明,关注暴露时间并采取旨在捕捉每个驱动因素细微差别的措施可以提供对气候和出生体重结果的重要见解,特别是在受降水影响的因素的情况下。研究结果还表明,高温和低农业生产水平始终与较低的出生体重相关,而接触疟疾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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