The Synergistic Relationship Between Climate Change and the HIV/AIDS Epidemic: A Conceptual Framework.


Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Jul 2021
Historique:
accepted: 31 12 2020
pubmed: 17 1 2021
medline: 2 6 2021
entrez: 16 1 2021
Statut: ppublish

Résumé

Climate change and HIV/AIDS represent two of the greatest threats to human health in the 21st century. However, limitations in understanding the complex relationship between these syndemics continue to constrain advancements in the prevention and management of HIV/AIDS in the context of a rapidly changing climate. Here, we present a conceptual framework that identifies four pathways linking climate change with HIV/AIDS transmission and health outcomes: increased food insecurity, increased prevalence of other infectious diseases, increased human migration, and erosion of public health infrastructure. This framework is based on an in-depth literature review in PubMed and Google Scholar from June 6 to June 27, 2019. The pathways linking climate change with HIV transmission and health outcomes are complex with multiple interacting factors. Food insecurity emerged as a particularly important mediator by driving sexual risk-taking behaviours and migration, as well as by increasing susceptibility to infections that are common among people living with HIV (PLWHIV). Future interventions should focus on decreasing carbon dioxide emissions globally and increasing education and investment in adaptation strategies, particularly in those areas of sub-Saharan Africa and southeast Asia heavily impacted by both HIV and climate change. Environmentally sustainable interventions such as urban gardening and investing in sustainable agriculture technologies also have significant health co-benefits that may help PLWHIV adapt to the environmental consequences of climate change.

Identifiants

pubmed: 33452659
doi: 10.1007/s10461-020-03155-y
pii: 10.1007/s10461-020-03155-y
pmc: PMC7810285
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2266-2277

Subventions

Organisme : NIAID NIH HHS
ID : K24 AI134326
Pays : United States

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Auteurs

Mark Lieber (M)

Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD, 21224, USA. mark.lieber@gmail.com.

Peter Chin-Hong (P)

University of California, San Francisco (UCSF), School of Medicine, 513 Parnassus Avenue, San Francisco, CA, 94143, USA.

Henry J Whittle (HJ)

Queen Mary University of London, Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Charterhouse Square Campus, UK.

Robert Hogg (R)

BC Centre for Excellence in HIV/AIDS, Division of Epidemiology and Population Health, Vancouver, Canada.

Sheri D Weiser (SD)

University of California, San Francisco (UCSF), Division of HIV, Infectious Disease and Global Medicine, San Francisco, CA, 94143, USA.

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