气候变化与老年人：绘制健康影响和干预战略：范围界定审查
Climate change and older adults: mapping health impacts and intervention strategies: a scoping review.
摘要(中文译文)
本范围综述旨在考察气候变化对老年人健康的影响，并评估针对该人群的现有干预措施。本综述遵循Arksey和O'Malley框架及PRISMA-ScR指南。在PubMed、Google Scholar、Scopus和Web of Science上进行了全面检索。纳入的研究为关注60岁及以上成年人、考察气候变化对身心健康影响的研究，涵盖任何地理环境或照护级别。采用描述性分析和主题分析以确定关键发现和知识空白。气候变化通过增加传染病暴露、极端气温以及空气和水质恶化，对老年人的身心健康产生不利影响。老年人尤其易患热相关疾病、心血管事件和呼吸系统疾病，其中女性和患有合并症者风险更高。气候变化还与这一人群中焦虑、失眠及其他心理健康问题的增加相关。社会支持和针对性干预措施——如社区意识项目和降温费用补贴——与风险降低相关。基于社区的举措已显示出在极端天气事件期间降低老年人死亡率和增强其韧性的潜力。医疗保健专业人员应接受关于影响老年人的气候相关健康结局的教育。保护这一脆弱人群需要采取紧迫、包容和有针对性的策略，包括教育、改善医疗保健可及性以及量身定制的干预措施。
Abstract
This scoping review aimed to examine the impact of climate change on the health of older adults and to evaluate existing interventions targeting this population. The review followed Arksey and O'Malley's framework and the PRISMA-ScR guidelines. A comprehensive search was conducted across PubMed, Google Scholar, Scopus, and Web of Science. Eligible studies included those focusing on adults aged 60 years and older that examined the physical and mental health impacts of climate change across any geographic setting or level of care. Descriptive and thematic analyses were performed to identify key findings and knowledge gaps. Climate change adversely affects the physical and mental health of older adults through increased exposure to infectious diseases, extreme temperatures, and poor air and water quality. Older adults are particularly vulnerable to heat-related illnesses, cardiovascular events, and respiratory conditions, with women and individuals with comorbidities at higher risk. Climate change is also associated with increased anxiety, insomnia, and other mental health concerns in this population. Social support and targeted interventions-such as community awareness programs and subsidized cooling costs-are associated with reduced risk. Community-based initiatives have demonstrated potential in reducing mortality and enhancing resilience among older adults during extreme weather events. Healthcare professionals should be educated about climate-related health outcomes affecting older adults. Protecting this vulnerable population requires urgent, inclusive, and targeted strategies, including education, improved healthcare access, and tailored interventions.
如何引用
AMA
Ponnarasu Ponnu, Manish Taywade, Sandeep Das. Climate change and older adults: mapping health impacts and intervention strategies: a scoping review.. Osong public health and research perspectives. 2026; doi:10.24171/j.phrp.2025.0324.
APA
Ponnarasu Ponnu, Manish Taywade, Sandeep Das (2026). Climate change and older adults: mapping health impacts and intervention strategies: a scoping review.. Osong public health and research perspectives. https://doi.org/10.24171/j.phrp.2025.0324
GB/T 7714
Ponnarasu Ponnu, Manish Taywade, Sandeep Das. Climate change and older adults: mapping health impacts and intervention strategies: a scoping review.[J]. Osong public health and research perspectives, 2026 doi:10.24171/j.phrp.2025.0324.
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