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A systematic review of the inequality of health burdens related to climate change

Frontiers of Environmental Science & Engineering 2024年第5期18卷 137-153页

作者： Xinke Song Shihui Zhang Hai Huang Qun Ding Fang Guo Yaxin Zhang Jin Li Mingyu Li Wenjia Cai Can Wang State Key Joint Laboratory of Environment Simulation and Pollution Control School of EnvironmentTsinghua UniversityBeijing100084China Department of Earth System Science Tsinghua UniversityBeijing100084China

Climate change significantly impacts human health,exacerbating existing health inequalities and creating new ones.This study addresses the lack of systematic review in this area by analyzing 2440 publications,focusing on four key terms:health,disparities,environmental factors,and climate change.Strict inclusion criteria limited the selection to English-language,peer-reviewed articles related to climate health hazards,ensuring the relevance and rigor of the synthesized studies.This process synthesized 65 relevant studies.Our investigation revealed that recent research,predominantly from developed countries,has broadened its scope beyond temperature-related impacts to encompass diverse climate hazards,including droughts,extreme weather,floods,mental health issues,and the intersecting effects of Coronavirus Disease 2019.Research has highlighted exposure as the most studied element in the causal chain of climate change-related health inequalities,followed by adaptive capability and inherent sensitivity.The most significant vulnerabilities were observed among populations with low socioeconomic status,ethnic minorities,and women.The study further reveals research biases and methodological limitations,such as the paucity of attention to underdeveloped regions,a narrow focus on non-temperature-related hazards,challenges in attributing climate change effects,and a deficit of large-scale empirical studies.The findings call for more innovative research approaches and a holistic integration of physical,socio-political,and economic dimensions to enrich climate-health discourse and inform equitable policy-making.

关键词： Climate change Health impact Human well-being inequality Vulnerability

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Health benefits from the rapid reduction in ambient exposure to air pollutants after China's clean air actions:progress in efficacy and geographic equality

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National Science Review 2024年第2期11卷 103-113页

作者： Tao Xue Ruohan Wang Meng Wang Yanying Wang Dan Tong Xia Meng Conghong Huang Siqi Ai Fangzhou Li Jingyuan Cao Mingkun Tong Xueqiu Ni Hengyi Liu Jianyu Deng Hong Lu Wei Wan Jicheng Gong Shiqiu Zhang Tong Zhu Clean Air Asia Institute of Reproductive and Child Health National Health Commission Key Laboratory of Reproductive Health/Department of Epidemiology and Biostatistics Ministry of Education Key Laboratory of Epidemiology of Major Diseases(PKU) School of Public Health Peking University Health Science Centre State Environmental Protection Key Laboratory of Atmospheric Exposure and Health Risk Management and Center for Environment and Health Peking University Advanced Institute of Information Technology Peking University Department of Epidemiology and Environmental Health School of Public Health and Health ProfessionsUniversity at Buffalo State Key Joint Laboratory of Environment Simulation and Pollution Control College of Environmental Sciences and EngineeringPeking University Department of Earth System Science Tsinghua University School of Public Health Key Laboratory of Public Health Safety of the Ministry of Education and Key Laboratory of Health Technology Assessment of the Ministry of HealthFudan University College of Land Management Nanjing Agricultural University National&Local Joint Engineering Research Center for Rural Land Resources Use and Consolidation

Clean air actions （CAAs） in China have been linked to considerable benefits in public health.However,whether the beneficial effects of CAAs are equally distributed geographically is unknown.Using high-resolution maps of the distributions of major air pollutants (fine particulate matter[PM2.5]and ozone[O3]) and population,we aimed to track spatiotemporal changes in health impacts from,and geographic inequality embedded in,the reduced exposures to PM2.5and O3from 2013 to 2020.We used a method established by the Global Burden of Diseases Study.By analyzing the changes in loss of life expectancy（LLE） attributable to PM2.5and O3,we calculated the gain of life expectancy （GLE） to quantify the health benefits of the air-quality improvement.Finally,we assessed the geographic inequality embedded in the GLE using the Gini index （GI）.Based on risk assessments of PM2.5and O3,during the first stage of CAAs（2013 to 2017）,the mean GLE was 1.87 months.Half of the sum of the GLE was disproportionally distributed in about one quarter of the population exposed （GI 0.44）.During the second stage of CAAs（2017 to 2020）,the mean GLE increased to 3.94 months and geographic inequality decreased （GI 0.18）.According to our assessments,CAAs were enhanced,from the first to second stages,in terms of not only preventing premature mortality but also ameliorating health inequalities.The enhancements were related to increased sensitivity to the health effects of air pollution and synergic control of PM2.5and O3levels.Our findings will contribute to optimizing future CAAs.

关键词： clean air action public health inequality fine particulate matter ozone

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Applying Machine Learning Approach to Explore Childhood Circumstances and Self-Rated Health in Old Age-China and the US,2020-2021

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China CDC weekly 2024年第11期6卷 213-218,I0008-I0013页

作者： Shutong Huo Derek Feng Thomas M.Gill Xi Chen Department of Health Society&BehaviorPublic HealthUniversity of CaliforniaIrvineCAUSA Department of Statistics and Data Science Yale UniversityNew HavenCTUS Department of Internal Medicine Yale School of MedicineNew HavenCTUS Department of Health Policy and Management Yale School of Public HealthNew HavenCTUS Department of Economics Yale UniversityNew HavenCTUS.

Introduction:Childhood circumstances impact senior health,prompting the introduction of machine learning methods to assess their individual and collective contributions to senior health.Methods:Using health and retirement study(HRS)and China Health and Retirement Longitudinal Study(CHARLS),we analyzed 2,434 American and 5,612 Chinese participants aged 60 and above.Conditional inference trees and forests were employed to estimate the influence of childhood circumstances on self-rated health(SRH).Results:The conventional method estimated higher inequality of opportunity(IOP)values in both China(0.039,accounting for 22.67%of the total Gini coefficient 0.172)and the US(0.067,accounting for 35.08%of the total Gini coefficient 0.191).In contrast,the conditional inference tree yielded lower estimates(China:0.022,accounting for 12.79%of 0.172;US:0.044,accounting for 23.04%of 0.191),as did the forest(China:0.035,accounting for 20.35%of 0.172;US:0.054,accounting for 28.27%of 0.191).Childhood health,financial status,and regional differences were key determinants of senior health.The conditional inference forest consistently outperformed others in predictive accuracy,as demonstrated by lower out-of-sample mean squared error(MSE).Discussion:The findings emphasize the need for early-life interventions to promote health equity in aging populations.Machine learning showcases the potential in identifying contributing factors.

关键词： collective inequality estimates

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Overlooked uneven progress across sustainable development goals at the global scale: Challenges and opportunities

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The Innovation 2024年第2期5卷 42-50页

作者： Yali Liu Jianqing Du Yanfen Wang Xiaoyong Cui Jichang Dong Pan Gu Yanbin Hao Kai Xue Hongbo Duan Anquan Xia Yi Hu Zhi Dong Bingfang Wu Jüurgen P.Kropp Bojie Fu School of Grassland Science Beijing Forestry UniversityBeijing 100083China Beijing Yanshan Earth Critical Zone National Research Station University of Chinese Academy of SciencesBeijing 101408China College of Resources and Environment University of Chinese Academy of SciencesBeijing 100049China State Key Laboratory of Tibetan Plateau Earth System Environment and ResourcesChinese Academy of SciencesBeijing 100101China College of Life Sciences University of Chinese Academy of SciencesBeijing 100049China School of Economics and Management University of Chinese Academy of SciencesBeijing 100190China School of Humanities University of Chinese Academy of SciencesBeijing 100049China Key Laboratory of Adaptation and Evolution of Plateau Biota Northwest Institute of Plateau BiologyChinese Academy of SciencesXining 810001China School of Innovation and Entrepreneurship University of Chinese Academy of SciencesBeijing 100190China State Key Laboratory of Remote Sensing Science Aerospace Information Research InstituteChinese Academy of SciencesBeijing 100101China Potsdam Institute for Climate Impact Research 14412 PotsdamGermany Institute for Environmental Science and Geography University of Potsdam14412 PotsdamGermany State Key Laboratory of Urban and Regional Ecology Research Center for Eco-Environmental SciencesChinese Academy of SciencesBeijing 100085China

Differences in progress across sustainable development goals(SDGs)are widespread globally;meanwhile,the rising call for prioritizing specific SDGs may exacerbate such gaps.Nevertheless,how these progress differences would influence global sustainable development has been long neglected.Here,we present the first quantitative assessment of SDGs’progress differences globally by adopting the SDGs progress evenness index.Our results highlight that the uneven progress across SDGs has been a hindrance to sustainable development because(1)it is strongly associated with many public health risks(e.g.,air pollution),social inequalities(e.g.,gender inequality,modern slavery,wealth gap),and a reduction in life expectancy;(2)it is also associated with deforestation and habitat loss in terrestrial and marine ecosystems,increasing the challenges related to biodiversity conservation;(3)most countries with low average SDGs performance show lower progress evenness,which further hinders their fulfillment of SDGs;and(4)many countries with high average SDGs performance also showcase stagnation or even retrogression in progress evenness,which is partly ascribed to the antagonism between climate actions and other goals.These findings highlight that while setting SDGs priorities may be more realistic under the constraints of multiple global stressors,caution must be exercised to avoid new problems from intensifying uneven progress across goals.Moreover,our study reveals that the urgent needs regarding SDGs of different regions seem complementary,emphasizing that regional collaborations(e.g.,demand-oriented carbon trading between SDGs poorly performed and well-performed countries)may promote sustainable development achievements at the global scale.

关键词： globally priori inequality

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Global prevalence and gender inequalities in at least 60 min of self-reported moderate-to-vigorous physical activity 1 or more days per week:An analysis with 707,616 adolescents

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Journal of Sport and Health Science 2024年第5期13卷 709-716页

作者： Raphael H.O.Araujo AndrúO.Werneck Clarice L.Martins Luciana L.Barboza Rafael M.Tassitano Nicolas Aguilar-Farias Gilmar M.Jesus Robinson Ramírez-Véelez Riki Tesler Adewale L.Oyeyemi Ellen C.M.Silva Robert G.Weaver Mark S.Tremblay Javier Brazo-Sayavera Grégore I.Mielke Danilo R.P.Silva Graduation Program in Health Sciences Londrina State University(UEL)Londrina 86057-970Brazil Center for Epidemiological Research in Nutrition and Health Department of NutritionSchool of Public HealthUniversidade de Sao Paulo(USP)Sao Paulo 01246-904Brazil Department of Physical Education Federal University of ParaıbaParaıba 58051-900Brazil Research Centre of Physical Activity Health and LeisureFaculty of SportsLaboratory for Integrative and Translational Research in Population Health(ITR)University of PortoPorto 4500Portugal Postgraduate Program in Physical Education University of BrasıliaBrasılia 70910-900Brazil Department of Kinesiology and Community Health University of Illinois at Urbana-ChampaignChampaignIL 61801-3841USA Department of Physical Education Sports and RecreationUniversidad de La FronteraTemuco 4680000Chile Department of Health State University of Feira de SantanaFeira de Santana 44036-900Brazil Navarrabiomed Hospital Universitario de Navarra(HUN)Navarra Institute for Health Research(IdiSNA)Universidad Publica de Navarra(UPNA)Pamplona 31006Spain Facultad de Ciencias de la Educacion Unidad Central del Valle del Cauca(UCEVA)TuluaValle del Cauca 763022Colombia Health Management Department Faculty of Heath sciencesAriel UniversityAriel 40700Israel College of Health Solutions Arizona State UniversityPhoenixAZ 85004USA Arnold School of Public Health University of South CarolinaColumbiaSC 29208USA Healthy Active Living and Obesity Research Group Children’s Hospital of Eastern Ontario Research InstituteOttawaON K1H 8L1Canada Department of Pediatrics University of OttawaOttawaON K1H 8L1Canada Department of Health Sciences Carleton UniversityOttawaON K1S 5B6Canada Department of Sports and Computer Science Universidad Pablo de Olavide(UPO)Seville 41013Spain Centro Universitario Regional Noreste Universidad de la RepublicaRivera 40000Uruguay School of Public Health The University of QueenslandBrisbaneQLD 4006Australia Department of Physical Education

Background:Guidelines recommend that adolescents should accumulate an average of 60 min per day of moderate-to-vigorous physical activity(MVPA).However,using only this cut-off could hide important information.For instance,from a population-level point of view,increasing physical activity for those with no or low physical activity could provide more health benefits than increasing physical activity for those with intermediate levels.Also,including a more sensitive cut-point of≥1 days per week could be an additional strategy for identifying those with low access/opportunities for physical activity practice.Thus,the current study aims to estimate the prevalence of≥60 min of MVPA≥1 days per week among adolescents globally,and to describe any relevant gender inequalities.Methods:We used representative datasets from 146 countries/territories collected between 2003 and 2019.MVPA was self-reported.Participants were grouped into younger(≤14 years old)and older(>14 years old)adolescents.Crude Poisson regression models were used to identify the relative differences in≥60 min of MVPA≥1 days per week between boys and girls,and random-effects meta-analysis models were used to identify the pooled estimates.Analyses were stratified by country and region.Results:Approximately 80%of both younger and older adolescents reported≥60 min of MVPA≥1 days per week.This prevalence was≥94%in Europe and Central Asia and North America,while the estimates for the other regions were14y)=1.09(95%CI:1.08-1.10)).Conclusion:Approximately 8 out of 10 adolescents reported accumulating≥60 min of MVPA≥1 days per week,with notable differences between regions.Gender differences were observed in several countries,especially among the oldest adolescents.Priorities for physical activity promotion among adolescents

关键词： Global School-based Student Health Survey Health Behaviour Among School-aged Children survey inequality Surveillance Youth

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Synchronization of Drive-Response Networks With Delays on Time Scales

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IEEE/CAA Journal of Automatica Sinica 2024年第4期11卷 1063-1065页

作者： Yanxia Tan Zhenkun Huang the School of Science Jimei UniversityXiamen 361021China

Dear Editor,This letter deals with the synchronization in drive-response networks with discrete and distributed delays on time scales.Based on the theory of calculus on time scales,Lyapunov functional method and inequality technique,we obtain new sufficient conditions to ensure synchronization criteria which are dependent on boundedness of grainness but independent of the types of delays.Numerical simulations are given to illustrate the effectiveness of our new results.

关键词： inequality letter boundedness

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直接和间接消费所引起的中国城乡空气污染相关过早死亡不平等性

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Science Bulletin 2024年第4期69卷 544-553页

作者：王旌旭林金泰刘宇吴锋倪睿婧陈璐璐任芳萱杜鸣溪李钟仪张浩雨刘正中 Frontier Science Center for Deep Ocean Multispheres and Earth System(FDOMES)and Physical Oceanography Laboratory Ocean University of ChinaQingdao 266100China College of Oceanic and Atmospheric Sciences Ocean University of ChinaQingdao 266100China Laboratory for Climate and Ocean-Atmosphere Studies Department of Atmospheric and Oceanic SciencesSchool of PhysicsPeking UniversityBeijing 100871China College of Urban and Environmental Sciences Peking UniversityBeijing 100871China Institute of Carbon Neutrality Peking UniversityBeijing 100871China State Key Laboratory of Resources and Environmental Information Systems Institute of Geographical Sciences and Natural Resources ResearchChinese Academy of SciencesBeijing 100101China School of Public Policy and Administration Xi’an Jiaotong UniversityXi’an 710049China

Household consumption in China is associated with substantial PM_(2.5)pollution,through activities directly(i.e.,fuel use)and/or indirectly(i.e.,consumption of goods and services)causing pollutant emissions.Urban and rural households exhibit different consumption preferences and living areas,thus their contributions to and suffering from air pollution could differ.Assessing this contrast is crucial for comprehending the environmental impacts of the nation’s ongoing urbanization process.Here we quantify Chinese urban and rural households’contributions to ambient PM_(2.5)pollution and the health risks they suffer from,by integrating economic,atmospheric,and health models and/or datasets.The national premature deaths related to long-term exposure to PM_(2.5)pollution contributed by total household consumption are estimated to be 1.1 million cases in 2015,among which 56%are urban households and 44%are rural households.For pollution contributed indirectly,urban households,especially in developed provinces,tend to bear lower mortality risks compared with the portions of deaths or pollution they contribute.The opposite results are true for direct pollution.With China’s rapid urbanization process,without adequate reduction in emission intensity,the increased indirect pollution-associated premature deaths could largely offset that avoided by reduced direct pollution,and the indirect pollution-associated urban–rural inequalities might become severer.Developing pollution mitigation strategies from both production and consumption sides could help with reducing pollution-related mortality and associated urban-rural inequality.

关键词： Urban and rural households Pollution contribution Mortality risk inequality PM_(2.5)

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脱贫对中国实现碳中和目标的影响

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Science Bulletin 2024年第5期69卷 648-660页

作者：孙昕璐米志付杜慧滨 D'Maris Coffman The Bartlett School of Sustainable Construction University College LondonLondon WC1E 7HBUK College of Management and Economics Tianjin UniversityTianjin 300072China National Industry-Education Platform of Energy Storage Tianjin UniversityTianjin 300072China

China is facing challenges to tackle the threat of climate change while reducing social inequality.Poverty eradication requires improvement in the living conditions of low-income households,which leads in turn to higher carbon footprints and may undermine the efforts of climate change mitigation.Previous studies have assessed the climate impacts of poverty eradication,but few have quantified how the additional carbon emissions of poverty eradication are shared at the subnational level in China and the impact on China’s climate targets.We investigated the recent trend of carbon footprint inequality in China’s provinces and estimated the climate burden of different poverty reduction schemes,measured by increased carbon emissions.The results indicate that poverty eradication will not impede the achievement of national climate targets,with an average annual household carbon footprint increase of 0.1%–1.2%.However,the carbon emissions growth in less developed provinces can be 4.0%,five times that in wealthy regions.Less developed regions suffer a greater climate burden because of poverty eradication,which may offset carbon reduction efforts.Therefore,interregional collaboration is needed to coordinate inequality reduction with investments in low-carbon trajectories in all provinces.

关键词： Carbon emissions Poverty eradication Carbon neutrality inequality Input-output analysis

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inequality and workforce development in the post-COVID-19 environment:The case of Maine

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Economic and Political Studies 2023年第2期11卷 211-233页

作者： Thomas F.Remington Department of Government Harvard UniversityCambridgeMAUSA Department of Political Science Emory UniversityAtlantaGAUSA International Centre for the Study of Institutions and Development National Research University Higher School of EconomicsMoscowRussia

The article analyses the interaction between the COVID-19 pandemic and social inequality in the United States,taking the state of Maine as a case study.The pandemic has revealed the effects of high economic inequality on public health in the United States,where in comparison to most developed capitalist democracies,the health care system is expensive,inefficient,and highly skewed in quality and accessibility.Likewise,for industries that were already losing jobs,the pandemic has accelerated a painful transition and intensified the harsh social and economic consequences of high and rising inequality,especially for low-wage workers.The case of Maine underscores the point that policies aimed at reducing the disparities in the distribution of income,health care,education,and opportunity will reduce inequality,protect public health,and stimulate economic growth.

关键词： Maine COVID-19 pandemic inequality skill formation workforce development

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Association between socioeconomic inequality and the global prevalence of anxiety and depressive disorders:an ecological study

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General Psychiatry 2022年第3期35卷 205-208页

作者： Fatemeh Shahbazi Marjan Shahbazi Jalal Poorolajal Department of Epidemiology School of Public HealthHamadan University of Medical SciencesHamadanIran Students Research Committee Hamadan University of Medical SciencesHamadanIran Department of Occupational Therapy School of RehabilitationShahid Beheshti University of Medical SciencesTehranIran Modeling of Noncommunicable Diseases Research Center Hamadan University of Medical SciencesHamadanIran

Introduction Anxiety and depressive disorders pose significant public health issues across the world.Depression and other depressive disorders are mental illnesses characterised by a profound and persistent feeling of sadness or despair and a loss of interest in formerly pleasurable activities.Disturbances in sleep,appetite and cognitive processes are common symptoms.Globally,5%of adults are estimated to suffer from the disorder.1 Anxiety disorder is a chronic condition characterised by excessive and persistent apprehension,with physical symptoms such as sweating,palpitations,feelings of stress and increased blood pressure.

关键词： inequality character global

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