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Systematic Review
- Adverse health effects of climate change and air pollution in people with disabilities: a systematic review
- Nakyung Rhim, Seohyun Lee, Kyung-Hwa Choi
- Epidemiol Health. 2024;46:e2024080. Published online September 27, 2024
- DOI: https://doi.org/10.4178/epih.e2024080
- 19,294 View
- 365 Download
- 12 Web of Science
- 12 Crossref
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Abstract
Summary
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AbstractGlobal warming and air pollution adversely affect the health of the entire human population, particularly older adults, people with disabilities (PWDs), and children. In this systematic review, we investigated the adverse health effects of climate change and air pollution in PWDs. We conducted a comprehensive literature search of the PubMed database using the terms “disab*,” “air pollution,” and “climate change” on July 4, 2023, and August 8, 2023 and searched the Web of Science (WOS) database on December 28, 2023. We identified 425 and 1,169 studies on climate change cited in PubMed and WOS, respectively, as well as 333 studies on air pollution in PubMed and 495 studies on air pollution in WOS. The studies were classified by type of exposure, and full-text screening was conducted to confirm that the population, intervention or exposure, comparator, outcome statement, and inclusion and exclusion criteria were met. The Newcastle-Ottawa Scale was used to assess the quality of the included cohort and case-control studies and for data analysis. In extreme temperatures, PWDs experienced higher rates of injury, heat-related illness, functional impairment, heart disease, mental disorders, and mortality than people who were non-disabled (ND). Exposure to air pollution resulted in higher rates of obesity, cardiovascular disease, poststroke neurological and functional disability, and mortality in PWDs than in people who were ND. Therefore, because PWDs were more affected by climate change and air pollution than people who were ND, sensitive policies and preparedness measures should be developed for PWDs.
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SummaryKorean summary
전체 인구, 특히 취약 계층의 건강은 기후 변화와 대기 오염으로 인해 부정적인 영향을 받을 수 있습니다. 본 체계적 고찰 연구는 장애인이 비장애인에 비해 환경적 요인에 노출되어 더 심각한 신체적, 정신적 건강 문제를 겪는다는 것을 보여줍니다.Key Message
The health of the entire human population, especially vulnerable people, might be negatively impacted by climate change and air pollution. This systematic review study implies that people with disabilities (PWDs) suffer more severe physical and mental health consequences from exposure to environmental challenges compared to non-disabled individuals. -
Citations
Citations to this article as recorded by
- Duration-specific effects of extreme heat on mortality among people with disabilities in Korea: a nationwide population-based study
Kyung-Hwa Choi, Jonghyuk Choi, Ho-Jang Kwon, Mina Ha, Yoonhyeok Choi, Hyungryul Lim
Environmental Research.2026; 289: 123375. CrossRef - Differential relationships between physical activity and mental health among adults with disabilities in Korea
Shiva Raj Acharya
BMC Public Health.2026;[Epub] CrossRef - Leave no one behind: a call to include people with disabilities in climate change and health research
Sera Kim, Yejin Kim, Jinah Park, Ranyeong Kim, Whanhee Lee, Michelle L Bell, Jong-Tae Lee
The Lancet Planetary Health.2026; 10(3): 101440. CrossRef - Subjective well-being of people with disability in Tasmania: Exploring the role of neighborhood environments, socioeconomic, and housing circumstances
Maria Hobbs, Kim Jose, Ceridwen Owen, Verity Cleland
Journal of Urban Affairs.2026; : 1. CrossRef - Impacts of climate change on mental health and its underlying mechanisms: an umberella review
Arezoo Davariniamotlaghquchan, Zeinab Niazmand, Mohsen Shafiee, Abbas Ostadtaghizadeh
Annals of General Psychiatry.2026;[Epub] CrossRef - Association between ambient temperature and all-cause hospitalization by functional status in Japan: A time-stratified case-crossover study
Hana Takeuchi, Vera Ling Hui Phung, Yoshihisa Miyamoto, Shotaro Aso, Chris Fook Sheng Ng, Lei Yuan, Hideo Yasunaga, Masahiro Hashizume
Environmental Epidemiology.2026; 10(4): e510. CrossRef - Association between ozone and emergency department visits in people with disabilities in South Korea: a nationwide case-crossover study
Jinah Park, Ayoung Kim, Michelle L Bell, Ziyad Al-Aly, Kristi L Ebi, Sooyoung Kim, Seoyeong Ahn, Cinoo Kang, Ho Kim, Whanhee Lee
International Journal of Epidemiology.2026;[Epub] CrossRef - Quantitative and Spatial Associations of High Disability Prevalence and Extreme Heat With Stroke Disparities in Chicago
Babu Gounder, Ting Hu, Rachel Loftus, Japhia Ramkumar, Holly Rosencranz
American Journal of Preventive Medicine.2026; 71(6): 108362. CrossRef - Mediation of Fine Particulate Matter on the Association Between Daily Temperature and Mortality
Dajeong Ham, Youn-Hee Lim, Soontae Kim, Ho-Jang Kwon, Sanghyuk Bae
Journal of Korean Medical Science.2025;[Epub] CrossRef - Ambient fine particulate matter and mortality risk among people with disability in Korea based on the National Health Insurance database: a retrospective cohort study
Jonghyuk Choi, Hyungryul Lim, Ho-Jang Kwon, Mina Ha, Soontae Kim, Kyung-Hwa Choi
BMC Public Health.2025;[Epub] CrossRef - Cardiometabolic Diseases and Mental Health Disorders in Korean Adults With Disabilities: A 3-Year Retrospective Analysis and Risk Comparison
Shiva Raj Acharya, NamKwen Kim, Navin Ray, Diwash Timilsina
American Journal of Preventive Medicine.2025; 69(3): 107938. CrossRef - Climate Change, Air Pollution and the Global Obesity Syndemic: a Review of Current Evidence
Natalia G. Vallianou, Dimitris C. Kounatidis, Eleni V. Geladari, Angelos Evangelopoulos, Vasileios Kaldis, Theodora Stratigou, Apostolos A. Evangelopoulos, Irene Karampela, Maria Dalamaga
Current Obesity Reports.2025;[Epub] CrossRef
- Duration-specific effects of extreme heat on mortality among people with disabilities in Korea: a nationwide population-based study
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