Review Advance Publication
An Evidence-Based Public Health Approach to Climate Change Adaptation
This EHP Advance Publication article has been peer-reviewed, revised, and accepted for publication. EHP Advance Publication articles are completely citable using the DOI number assigned to the article. This document will be replaced with the copyedited and formatted version as soon as it is available. Through the DOI number used in the citation, you will be able to access this document at each stage of the publication process.
Citation: Hess JJ, Eidson M, Tlumak JE, Raab KK, Luber G. An Evidence-Based Public Health Approach to Climate Change Adaptation. Environ Health Perspect; http://dx.doi.org/10.1289/ehp.1307396.
Received: 19 July 2013
Accepted: 3 July 2014
Advance Publication: 8 July 2014
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.
New Search FunctionWe're pleased to present our improved search page. Try it, and let us know what you think!
CEHN September 2014 Article of the Month“Prenatal Polybrominated Diphenyl Ether Exposures and Neurodevelopment in U.S. Children through 5 Years of Age: The HOME Study” (Environ Health Perspect; DOI:10.1289/ehp.1307562) has been selected by the Children’s Environmental Health Network (CEHN) as its September 2014 Article of the Month. These CEHN summaries discuss the potential policy implications of current children’s environmental health research.
Register Today for PPTOX IVEnvironmental Stressors in Disease and Implications for Human Health
October 26–29, 2014
Boston Marriott Long Wharf Hotel
Join the Endocrine Society for the fourth international summit of Prenatal Programming and Toxicity (PPTOX), a premiere conference series dedicated to cutting-edge discussion of environmental hazards during early life and long-term consequences.* Housing deadline: Monday, October 6
For more information, visit the Endocrine Society website.
Sign Up to Receive E-mail Alerts
Recent Advance Publications
Asthma in Inner-City Children at 5-11 Years of Age and Prenatal Exposure to Phthalates: The Columbia Center for Children’s Environmental Health Cohort
Comparative Assessment of the Effects of Climate Change on Heat- and Cold-Related Mortality in the United Kingdom and Australia
Proximity to Natural Gas Wells and Reported Health Status: Results of a Household Survey in Washington County, Pennsylvania
Green and Blue Spaces and Behavioral Development in Barcelona Schoolchildren: The BREATHE Project
Aerial Application of Mancozeb and Urinary Ethylene Thiourea (ETU) Concentrations among Pregnant Women in Costa Rica: The Infants’ Environmental Health Study (ISA)
Pyrethroid Pesticide Exposure and Parental Report of Learning Disability and Attention Deficit/Hyperactivity Disorder in U.S. Children: NHANES 1999–2002
Household Cooking with Solid Fuels Contributes to Ambient PM2.5 Air Pollution and the Burden of Disease
- Trending EHP news this week: Environmental influences on the aging brain http://t.co/6Z1aXYDwl8
- Trending EHP research this week: Proximity to natural gas wells and reported health status http://t.co/5YR4420qsI
- EHPNoonNews: When the snows fail http://t.co/OaLdfVzGwm @natgeo
- EHPNoonNews: Too few university jobs for America's young scientists http://t.co/gsM9Nkja53 @npr
- EHPNoonNews: Second container possibly leaked at NM nuclear waste site http://t.co/amGeGgQ8ok @reuters