Cambio climático y salud ambiental en carreras de salud de grado en Latinoamérica
DOI:
https://doi.org/10.11606/s1518-8787.2021055002891Palavras-chave:
Cambio climático, Personal de salud, Curriculum, Enseñanza, Salud ambiental, América LatinaResumo
OBJETIVO: Analizar la incorporación de cursos de cambio climático y salud ambiental en las mallas curriculares del grado en Medicina, Enfermería, Nutrición y Psicología clínica en universidades latinoamericanas. MÉTODOS: Revisión documental de tipo descriptiva y transversal. Se analizaron las mallas curriculares de las diez primeras universidades latinoamericanas según los rankings QS Latin American University 2020, Times Higher Education World University 2020 y Academic Ranking of World Universities 2019. En cada malla curricular se buscó la presencia de cursos relacionados al cambio climático y la salud ambiental. RESULTADOS: De las 161 universidades que se incluyeron en el estudio, 104 ofrecían la carrera de Medicina, 93 de Enfermería, 77 de Nutrición y 118 de Psicología clínica. La mayor parte de las mallas curriculares incorporaron cursos de salud pública y/o epidemiología (más del 70%), sin embargo, entre el 22% y el 41% incluyeron cursos de salud ambiental, y solo una malla curricular tuvo un curso en cambio climático en Medicina y Enfermería (1%). CONCLUSIONES: Los cursos de cambio climático y salud ambiental han sido introducidos, de forma escasa, en las mallas curriculares del campo de la salud en universidades latinoamericanas. Esto podría debilitar el importante rol que cumplen los profesionales de la salud en la asistencia sanitaria a la población.
Referências
Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, et al. Managing the health effects of climate change. Lancet. 2009;373(9676):1693-733. https://doi.org/10.1016/S0140-6736(09)60935-1 [ Links ]
Magrin GO, Marengo JA, Boulanger J-P, Buckeridge MS, Castellanos E, Poveda G, et al. Central and South America. In: Barros, V.R., Field, D.J, editors. Climate change 2014: Impacts, Adaptation, and Vulnerability. Part B: Regional Aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: New York, 2014. [ Links ]
Lima-Camara TN. Arboviroses emergentes e novos desafios para a saúde pública no Brasil. Rev Saude Publica. 2016;50(36). https://doi.org/10.1590/S1518-8787.2016050006791 [ Links ]
Comisión Económica para América Latina y el Caribe. Panorama Social de América Latina 2019. Santiago: Naciones Unidas; 2019. 264 p. [ Links ]
Neal-Boylan L, Breakey S, Nicholas PK. Integrating climate change topics into nursing curricula. J Nurs Educ. 2019;58(6):364-8. https://doi.org/10.3928/01484834-20190521-09 [ Links ]
Kreslake JM, Sarfaty M, Roser-Renouf C, Leiserowitz AA, Maibach EW. The Critical Roles of Health Professionals in Climate Change Prevention and Preparedness. Am J Public Health. 2018;108(S2):S68-9. https://doi.org/10.2105/AJPH.2017.304044 [ Links ]
Williams P. Broadening influence on the food supply and environmental sustainability. Nutr Diet. 2019;76(3):247-9. https://doi.org/10.1111/1747-0080.12554 [ Links ]
Palinkas LA, Wong M. Global climate change and mental health. Curr Opin Psychol. 2020;32:12-6. https://doi.org/10.1016/j.copsyc.2019.06.023 [ Links ]
Watts N, Amann M, Ayeb-Karlsson S, Belesova K, Bouley T, Boykoff M, et al. The Lancet Countdown on health and climate change: from 25 years of inaction to a global transformation for public health. Lancet. 2018;391(10120):581-630. https://doi.org/10.1016/S0140-6736(17)32464-9 [ Links ]
Lavey WG. Teaching the health impacts of climate change in many American higher education programs. Int J Sustain High Educ. 2019;20(1):39-56. [ Links ]
Quacquarelli Symonds. QS Latin American University Rankings 2020 [Internet]. London: Quacquarelli Symonds; 2020 [cited 2020 Jun 8]. Available from: https://www.topuniversities.com/university-rankings/latin-american-university-rankings/2020 [ Links ]
Times Higher Education World University Rankings. World University Rankings 2020 [Internet]. London: Times Higher Education, 2020 [cited 2020 Jun 8]. Available from: https://www.timeshighereducation.com/world-university-rankings/2020/world-ranking#!/page/0/length/25/sort_by/rank/sort_order/asc/cols/stats [ Links ]
Shanghai Ranking. Academic Ranking of World Universities 2019 [Internet]. Shanghai: Shanghai Ranking; 2019 [cited 2020 Jun 8]. Available from: http://www.shanghairanking.com/ARWU2019.html [ Links ]
Prüss-Ustün A, Wolf J, Corvalán C, Neville T, Bos R, Neira M. Diseases due to unhealthy environments: an updated estimate of the global burden of disease attributable to environmental determinants of health. J Public Health (Oxf). 2016;39(3):464-75. https://doi.org/10.1093/pubmed/fdw085 [ Links ]
Cheng J, Xu Z, Bambrick H, Prescott V, Wang N, Zhang Y, et al. Cardiorespiratory effects of heatwaves: A systematic review and meta-analysis of global epidemiological evidence. Environ Res. 2019;177:108610. https://doi.org/10.1016/j.envres.2019.108610 [ Links ]
Smith MR, Myers SS. Impact of anthropogenic CO2 emissions on global human nutrition. Nat Clim Chang. 2018;8(9):834-9. [ Links ]
Jackson L, Devadason CA. Climate Change, Flooding and Mental Health. New York: The Rockefeller Foundation, 2019. [ Links ]
Rabinowitz P, Conti L. Links Among Human Health, Animal Health, Ecosystem Health. Annu Rev Public Health. 2013;34(1):189-204. https://doi.org/10.1146/annurev-publhealth-031912-11442619. [ Links ]
World Health Organization. Arguing for Universal Health Coverage. Geneva: World Health Organization; 2013. 40 p. [ Links ]
United Nations. About the Sustainable Development Goals - United Nations Sustainable Development [Internet]. New York: United Nations; 2015 [cited 2019 Feb 9]. Available from: https://www.un.org/sustainabledevelopment/sustainable-development-goals/ [ Links ]
World Health Organization. WHO Health and Climate Change Survey Report: Tracking Global Progress. Geneva: World Health Organization; 2019. [ Links ]
Shea B, Knowlton K, Shaman J. Assessment of Climate-Health Curricula at International Health Professions Schools. JAMA Netw open. 2020;3(5):e206609. https://doi.org/10.1001/jamanetworkopen.2020.6609 [ Links ]
Mantilla GC, Li C. Enseñanza de cambio climático y salud en facultades de medicina en Colombia. Rev Salud Ambient. 2019;19(2):116-24. [ Links ]
Whitmee S, Haines A, Beyrer C, Boltz F, Capon AG, Ferreira B, et al. Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation-Lancet Commission on planetary health. Lancet. 2015;386(10007):1973-2028. https://doi.org/10.1016/S0140-6736(15)60901-1 [ Links ]
Mackenzie JS, Jeggo M. The one health approach-why is it so important? Trop Med Infect Dis. 2019;4(2):88. https://doi.org/10.3390/tropicalmed4020088 [ Links ]
Stone SB, Myers SS, Golden CD. Cross-cutting principles for planetary health education. Lancet Planet Heal. 2018;2(5):e192-3. https://doi.org/10.1016/S2542-5196(18)30022-6 [ Links ]
Lopez-Medina IM, Álvarez-Nieto C, Grose J, Elsbernd A, Huss N, Huynen M, et al. Competencies on environmental health and pedagogical approaches in the nursing curriculum: A systematic review of the literature. Nurse Educ Pract. 2019;37:1-8. https://doi.org/10.1016/j.nepr.2019.04.004 [ Links ]
Bell EJ. Climate change: What competencies and which medical education and training approaches? BMC Med Educ. 2010;10(1):31. [ Links ]
Patrick R, Capetola T, Townsend M, Nuttman S. Health promotion and climate change: exploring the core competencies required for action. Health Promot Int. 2011;27(4):475-85. https://doi.org/10.1093/heapro/dar055 [ Links ]
Vold L, Wallar L, Papadopoulos A. An evolution in health professional education: the ecological determinants of health. Int J Heal Promot Educ. 2020. https://doi.org/10.1080/14635240.2020.1780930 [ Links ]
McDermott-Levy R, Jackman-Murphy KP, Leffers JM, Jordan L. Integrating Climate Change Into Nursing Curricula. Nurse Educ. 2019;44(1):43-7. https://doi.org/10.1097/NNE.0000000000000525 [ Links ]
Red Campus Sustentable. Home - Red Campus Sustentable [Internet]. [cited 2020 Sep 8]. Available from: https://redcampussustentable.cl/ [ Links ]
Red Ambiental de Universidades Sostenibles. Red Ambiental de Universidades Sostenibles [Internet]. [cited 2020 Sep 8]. Available from: https://redraus.com.co/ [ Links ]
Red Ambiental Interuniversitaria. Bienvenidos a la Red Ambiental Interuniversitaria [Internet]. [cited 2020 Sep 8]. Available from: https://redambientalinteruniversitaria.wordpress.com/ [ Links ]
Maxwell J, Blashki G. Teaching about climate change in medical education: An opportunity. J Public health Res. 2016;5(1):673. https://doi.org/10.4081/jphr.2016.673 [ Links ]
Wellbery C, Sheffield P, Timmireddy K, Sarfaty M, Teherani A, Fallar R. It's time for medical schools to introduce climate change into their curricula. Acad Med. 2018;93(12):1774-7. https://doi.org/10.1097/ACM.0000000000002368 [ Links ]
NurSus. About us – NurSus [Internet]. [cited 2020 Sep 8]. Available from: http://nursus.eu/about-us/ [ Links ]
Phelan L, McBain B, Ferguson A, Brown P, Brown V, Hay I, et al. Learning and Teaching Academic Standards Statement for Environment and Sustainability. Sydney: Office for Learning and Teaching; 2015. 32 p. [ Links ]
QAA/HEA. Education for sustainable development: Guidance for UK higher education providers. Bristol: University of the West of England; 2014. [ Links ]
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Copyright (c) 2021 Yasna K Palmeiro-Silva, María Teresa Ferrada, Jorge Ramírez Flores, Ignacio Silva Santa Cruz
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
