Public health · 2025
Health system resilience and the health impacts of environmental degradation: A global analysis.
СтатьяНазвание и аннотация: Перевод в очереди
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Elkomy Shimaa, Jackson Tim
Аннотация
OBJECTIVES: This study examines the impact of environmental degradation, focusing on air pollution and CO2 emissions, as key climate stressors on health outcomes, specifically pollution-related mortality and disability-adjusted life years (DALYs). The research explores how healthcare infrastructure, accessibility, quality, and policies contribute to climate resilience by mitigating pollution-related mortality and supporting adaptation to environmental stressors.
STUDY DESIGN: Using panel data from 145 countries between 2009 and 2017, the study assesses both the direct effects of environmental factors on health outcomes and the mitigating role of healthcare systems. The design incorporates variation across countries and time to better understand these relationships.
METHODS: Panel analysis models estimate the relationship between air pollution, CO2 emissions, and health outcomes. Interaction terms between CO2 emissions and healthcare system indicators are tested to determine if stronger healthcare systems can reduce pollution-induced mortality and DALYs.
RESULTS: The study confirms that air pollution exposure is significantly linked to increased mortality and DALYs. While improved healthcare infrastructure, accessibility, and quality help mitigate some pollution-related health risks, they are insufficient to offset the long-term negative effects of CO2 emissions. The interaction terms between CO2 emissions and healthcare resilience are statistically insignificant, suggesting that even well-functioning healthcare systems cannot fully counteract the harmful consequences of environmental degradation.
CONCLUSION: While strengthening healthcare systems is vital for enhancing resilience to air pollution, the persistent adverse effects of CO2 emissions stress the need for integrated environmental and health policies. Emission reduction strategies and stricter environmental regulations must complement healthcare improvements to effectively safeguard public health.
STUDY DESIGN: Using panel data from 145 countries between 2009 and 2017, the study assesses both the direct effects of environmental factors on health outcomes and the mitigating role of healthcare systems. The design incorporates variation across countries and time to better understand these relationships.
METHODS: Panel analysis models estimate the relationship between air pollution, CO2 emissions, and health outcomes. Interaction terms between CO2 emissions and healthcare system indicators are tested to determine if stronger healthcare systems can reduce pollution-induced mortality and DALYs.
RESULTS: The study confirms that air pollution exposure is significantly linked to increased mortality and DALYs. While improved healthcare infrastructure, accessibility, and quality help mitigate some pollution-related health risks, they are insufficient to offset the long-term negative effects of CO2 emissions. The interaction terms between CO2 emissions and healthcare resilience are statistically insignificant, suggesting that even well-functioning healthcare systems cannot fully counteract the harmful consequences of environmental degradation.
CONCLUSION: While strengthening healthcare systems is vital for enhancing resilience to air pollution, the persistent adverse effects of CO2 emissions stress the need for integrated environmental and health policies. Emission reduction strategies and stricter environmental regulations must complement healthcare improvements to effectively safeguard public health.