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1.
Philos Trans R Soc Lond B Biol Sci ; 378(1889): 20220392, 2023 11 06.
Artigo em Inglês | MEDLINE | ID: mdl-37718607

RESUMO

Recent debates on climate mobilities have largely ignored the dynamics of mobility patterns including short-distance and short-duration circular movements to enhance adaptative capacity and resilience of households and individuals, enabling them to remain in place despite facing increasingly severe climatic risks. This paper explores Pacific Islanders' climate-related mobilities with reference to cases from Samoa. It first conceptualizes Samoan mobility, which is rooted in Samoan culture, norms and worldviews, and then uses this as a framework to examine ways in which people shift and diversify their residential locations for climate-associated reasons. The study employs a comparative case study approach using conversational (the Pacific-originated talanoa-style) interviews with 40 participants in two villages in Samoa-one urban and the other rural. Findings suggest that shifting spatially and temporarily between two residences (a practice called fa'a-'aigalua) occurs not only within the village but across villages. Thereby, villagers reduce the risk of incurring physical harm from climate-related disasters, while minimizing the risk of cultural harm from place detachment. Our study challenges the discourse of 'vulnerable Pacific Islanders' by demonstrating the adaptability of Samoans to changing socio-ecological and climatic circumstances and their ability to develop a variety of climate resilience strategies, including micro-mobilities and circular migration. This article is part of the theme issue 'Climate change adaptation needs a science of culture'.


Assuntos
Mudança Climática , Movimento , População das Ilhas do Pacífico , Dinâmica Populacional , Características de Residência , Migrantes , Humanos , Samoa , Locomoção , População Rural , População Urbana
2.
Lancet Reg Health West Pac ; 21: 100402, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35243458

RESUMO

BACKGROUND: Prevalence and exposures of adverse birth outcomes is well studied in low-and-middle-income countries but not well-established for the Pacific Island region. Our study mapped the available evidence on low birth weight (LBW), preterm birth, and small for gestational age (SGA)'s prevalence and their corresponding risks in the region. METHODS: We followed the five-staged Arksey and O'Malley's framework with clinicians' consultation in the region. Five scholarly databases and non-indexed studies were searched and extracted data were analysed as numerical and thematic summaries mapping the outcomes and exposures. FINDINGS: We included 20 studies representing 11 Pacific Island countries with the following mean prevalence and associations at 95% confidence interval. Estimated mean prevalence for LBW and preterm births were 12% and 13%, respectively. LBW were associated with malaria in pregnancy [aOR 3.3 (1.00, 10.60)], and betel nut and tobacco [aOR 2.4 (1.00, 6.00)]. Preterm births were associated with malaria in pregnancy [aOR 6.6 (2.46, 17.62)] and maternal obesity [aOR 1.5 (1.00, 2.30)]. SGA were associated with short stature [aOR 1.7 (1.22, 2.41)] and no antenatal bookings [aOR 4.0 (2.12, 7.57)]. INTERPRETATION: Several significant factors identified were malaria infection, obesity, betel nut and tobacco and no antenatal care, also validated by clinicians consulted. FUNDING: Australia National Health and Medical Research Council.

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