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Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia

Title
Children's Environmental Health Indicators for Low- and Middle-Income Countries in Asia
Authors
Jung, Eun MiKim, Eun MeeKang, MinahGoldizen, FionaGore, FionaDrisse, Marie Noel BruneHa, Eun Hee
Ewha Authors
하은희김은미강민아
SCOPUS Author ID
하은희scopus; 김은미scopus; 강민아scopus
Issue Date
2017
Journal Title
ANNALS OF GLOBAL HEALTH
ISSN
2214-9996JCR Link
Citation
vol. 83, no. 43163.0, pp. 530 - 540
Keywords
Asiachildren's environmental health indicatorsdiarrheal diseasesinsect-borne diseaseslow-and middle-income countriesrespiratory diseases
Publisher
ELSEVIER SCI LTD
Indexed
SCI; SCIE; SCOPUS WOS
Abstract
BACKGROUND Given that low- and middle-income countries (LMICs) in Asia still have high child mortality rates, improved monitoring using children's environmental health indicators (CEHI) may help reduce preventable deaths by creating healthy environments. OBJECTIVES Thus, the aim of this study is to build a set of targeted CEHI that can be applied in LMICs in Asia through the CEHI initiative using a common conceptual framework. METHODS A systematic review was conducted to identify the most frequently used framework for developing CEHI. Due to the limited number of eligible records, a hand search of the reference lists and an extended search of Google Scholar were also performed. Based on our findings, we designed a set of targeted CEHI to address the children's environmental health situation in LMICs in Asia. The Delphi method was then adopted to assess the relevance, appropriateness, and feasibility of the targeted CEHI. FINDINGS The systematic review indicated that the Driving-Pressure-State-Exposure-Effect-Action framework and the Multiple-Exposures-Multiple-Effects model were the most common conceptual frameworks for developing CEHI. The Multiple-Exposures-Multiple-Effects model was adopted, given that its population of interest is children and its emphasis on the many-to-many relationship. Our review also showed that most of the previous studies covered upper-middle-or high-income countries. The Delphi results validated the targeted CEHI. The targeted CEHI were further specified by age group, gender, and place of residence (urban/rural) to enhance measurability. CONCLUSIONS Improved monitoring systems of children's environmental health using the targeted CEHI may mitigate the data gap and enhance the quality of data in LMICs in Asia. Furthermore, critical information on the complex interaction between the environment and children's health using the CEHI will help establish a regional environmental children's health action plan, named" The Children's Environment and Health Action Plan for Asia."
DOI
10.1016/j.aogh.2017.10.013
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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