Last data update: May 13, 2024. (Total: 46773 publications since 2009)
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Query Trace: Tlumak JE[original query] |
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An evidence-based public health approach to climate change adaptation
Hess JJ , Eidson M , Tlumak JE , Raab KK , Luber G . Environ Health Perspect 2014 122 (11) 1177-86 BACKGROUND: Public health is committed to evidence-based practice, yet there has been minimal discussion of how to apply an evidence-based practice framework to climate change adaptation. OBJECTIVES: To review the literature on evidence-based public health (EBPH), determine whether it can be applied to climate change adaptation, and consider how emphasizing evidence-based practice may influence research and practice decisions related to public health adaptation to climate change. METHODS: We conducted a substantive review of EBPH, identified a consensus EBPH framework, and modified it to support an EBPH approach to climate change adaptation. We applied the framework to an example and considered implications for stakeholders. DISCUSSION: A modified EBPH framework can accommodate the wide range of exposures, outcomes, and modes of inquiry associated with climate change adaptation and the variety of settings in which adaptation activities will be pursued. Several factors limit application currently, including lack of higher level evidence of intervention efficacy and lack of guidelines for reporting climate change health impact projections. To enhance the evidence base there must be increased attention to designing, evaluating, and reporting adaptation interventions; standardized health impact projection reporting; and increased attention to knowledge translation. This has implications for funders, researchers, journal editors, practitioners, and policymakers. CONCLUSIONS: The current approach to EBPH can, with modifications, support climate change adaptation activities, but there is little evidence regarding interventions and knowledge translation, and guidelines for projecting health impacts are lacking. Realizing the goal of an evidence-based approach will require systematic, coordinated efforts among various stakeholders. |
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