BMJ public health · 2024
Climate change and sexual and reproductive health and rights research in low-income and middle-income countries: a scoping review.
СтатьяНазвание и аннотация: Перевод в очереди
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Arunda Malachi Ochieng, Sorcher Rachael, Canabarro Ana Paula Finatto, Svallfors Signe, Endler Margit, Gemzell-Danielsson Kristina, Kågesten Anna, Ali Moazzam, Bahamondes Luis, Barreix María, Chou Doris, Gonsalves Lianne, Johnston Heidi Bart, Kiarie James, Kim Caron Rahn, Narasimhan Manjulaa, Pallitto Christina, Shah Mehr Gul, Say Lale, Thorson Anna, Ekström Anna Mia, Larsson Elin C, Brizuela Vanessa
Аннотация
INTRODUCTION: This study aimed to provide an overview of the research landscape and to identify research gaps linking climate change events and sexual and reproductive health and rights (SRHR) in low-income and middle-income countries (LMICs), where the negative impacts of climate change are most severe.
METHODS: We conducted a scoping review to map research studies that link climate change events or factors and SRHR aspects in LMICs. We performed a structured literature search across six databases to identify relevant peer-reviewed publications between January 1994 and 6 September 2023. The literature search yielded 14 674 peer-reviewed articles. After screening, 75 articles were included, spanning 99 countries across the globe.
RESULTS: Climate change events such as extreme temperatures, drought, rainfall shocks, cyclones and floods were found to be associated with negative maternal and newborn health outcomes ranging from reduced or low birth weight, preterm births and low Apgar scores, to lack of pregnancy care, pregnancy complications, stillbirths, and newborn and maternal deaths. Associations were also found between climate-related events and increased gender-based violence and HIV prevalence, as well as fertility decisions and harmful practices such as female genital mutilations and early and forced marriages. About two-thirds (48/75) of the articles were from the African or Western Pacific regions. The main research gaps on climate change-related events and SRHR included abortion, reproductive cancers and contraception use.
CONCLUSION: Complementing existing evidence with targeted research to fill these knowledge gaps could enhance mitigation programmes and policies.
METHODS: We conducted a scoping review to map research studies that link climate change events or factors and SRHR aspects in LMICs. We performed a structured literature search across six databases to identify relevant peer-reviewed publications between January 1994 and 6 September 2023. The literature search yielded 14 674 peer-reviewed articles. After screening, 75 articles were included, spanning 99 countries across the globe.
RESULTS: Climate change events such as extreme temperatures, drought, rainfall shocks, cyclones and floods were found to be associated with negative maternal and newborn health outcomes ranging from reduced or low birth weight, preterm births and low Apgar scores, to lack of pregnancy care, pregnancy complications, stillbirths, and newborn and maternal deaths. Associations were also found between climate-related events and increased gender-based violence and HIV prevalence, as well as fertility decisions and harmful practices such as female genital mutilations and early and forced marriages. About two-thirds (48/75) of the articles were from the African or Western Pacific regions. The main research gaps on climate change-related events and SRHR included abortion, reproductive cancers and contraception use.
CONCLUSION: Complementing existing evidence with targeted research to fill these knowledge gaps could enhance mitigation programmes and policies.