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Motivation & Overview:


The effects of the climate crisis are thought to be extremely far-reaching, from declining economic growth and agricultural productivity to housing displacement and job loss. An important set of consequences are psychological, relating to how climate change can exacerbate anxiety and one’s sense of hopelessness about an uninhabitable future. These psychological impacts are heightened for members of vulnerable and marginalized groups, as well as for those in poor and underdeveloped places that struggle to address climate change.

In “Adolescent psychological health, temporal discounting, and climate distress under increased flood exposure in Bangladesh,” Liza Goldberg and her coauthors examine the psychological well-being of 15 to 18-year-olds in two Bangladeshi cities that have been differentially affected by floods. The authors conduct surveys and focus groups with adolescents in the low-flood-risk capital city of Dhaka and the high-flood-risk city of Barisal. They find that although adolescents in both cities fear the personal impacts of climate change, rates of anxiety and depression are significantly higher in Barisal. In addition, those with anxiety and depression exhibit greater temporal discounting, meaning that short-term consequences are favored over longer-term ones. Discounting is an important — if neglected — consequence because adolescents will emerge as household decision-makers who must plan to adapt to climate change. The article is notable in increasing our knowledge of how floods harm members of an already vulnerable population.

Case Selection and Hypotheses:


Bangladesh is among the world’s most climate-vulnerable countries. This is due to its “deltaic” geography (i.e., its low, flat land, crossed by many rivers) and consequent flood exposure, extreme temperature and humidity, and poor air quality. Barisal — a city of over 500,000 that is roughly 115 kilometers from Dhaka — is highly vulnerable to flooding, as well as being poorer (relative to Dhaka) and limited in its “climate adaptation infrastructure.” Partly for these reasons, rates of migration from Barisal to Dhaka are the highest in Bangladesh. By contrast, Dhaka — the capital city of over 24 million — is less flood-exposed and is slightly wealthier. Respondents in Barisal and Dhaka reported around four floods and one flood per year, respectively.
 


 

Figure. Study site locations in Bangladesh. Study sites at Dhaka (A) and Barisal (B) are shown in red.

 

Figure. Study site locations in Bangladesh. Study sites at Dhaka (A) and Barisal (B) are shown in red.
 



The authors hypothesize that Barisal’s greater flood exposure would be associated with more anxiety and depression among its adolescents, and that anxiety and depression would be associated with greater temporal discounting. (In other words, they do not expect that flood exposure would be directly associated with discounting.) In addition, the authors expect that these negative psychological effects would be especially pronounced among poor Bangladeshis, girls, and those with a greater awareness of the climate crisis.

Data and Findings:


The authors surveyed 1200 Bangladeshi adolescents in 24 schools immediately after the flood season, which usually runs from May to September. In addition, 16 focus groups were conducted with around 160 total participants. Adolescents in both cities expressed a high familiarity with climate change. However, and consistent with the authors’ expectations, those in Barisal expressed significantly higher levels of agreement with statements about climate distress. For example 97% of those in Barisal compared to just 68% in Dhaka agreed that “My family’s security will be threatened,” 93% in Barisal and 58% in Dhaka agreed that “The things I most value will be destroyed,” and 98% in Barisal and 67% in Dhaka agreed that “My feelings about climate change negatively affect my daily life.” 
 


 

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Table 3. Climate distress survey results disaggregated by region.

 

Table 3. Climate distress survey results disaggregated by region.
 



The focus groups corroborated this unequal sense of despair, especially concerning the future and one’s educational and career goals. In Barisal, a boy said, “We expect that we will have to continue withstanding this [flooding] for many years to come,” while a girl said, “I used to want to become a teacher myself, but now I believe I will need to get married immediately after school because my father keeps losing his job during the floods.” By contrast, and because flooding in Dhaka is so infrequent, adolescents did not expect climate change to meaningfully threaten their life trajectories.

In terms of anxiety and depression, 86% of those in Barisal reported anxiety symptoms, compared to 71% in Dhaka, while 98% in Barisal and 88% in Dhaka reported depressive symptoms. After adjusting for factors like sex, wealth, and climate change awareness, the odds of being anxious and depressed in Barisal were nearly twice as high and more than 3.5 times as high, respectively. Across both cities, females were more than 1.75 times as likely to experience anxiety. And the odds of being depressed were over 1.85 times as high for those with a greater awareness of climate change.

I used to want to become a teacher myself, but now I believe I will need to get married immediately after school because my father keeps losing his job during the floods.

Girls in the Barisal focus groups revealed that flooding was linked to domestic violence. Fathers facing financial insecurity were reported to engage in violence against their mothers as a consequence of this stress. As one girl put it, “The floods keep getting worse and worse. So, I may experience even more violence than my mother does.” By contrast, few girls in Dhaka expressed worsening family dynamics, and none reported domestic violence owing to flooding. Adolescents in Dhaka believed that floods in their region were simply too fleeting to result in such abuse.

Finally, only 7% and 6% of adolescents in Barisal and Dhaka showed signs of temporal discounting. However, the odds of discounting were twice as high for those with anxiety and almost 2.5 times as high for those with depression. The authors find some evidence of discounting in the focus groups, but no meaningful differences across cities. This absence may be due to discounting behaviors emerging around adulthood, which is older than the adolescent study population. Taken together, the authors’ findings imply that mental health support will be essential for those affected by climate change — especially in impoverished areas — to help them manage stress and to improve their ability to plan for the future.

*Research-in-Brief prepared by Adam Fefer.

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A woman stands on sandbags stacked to protect against flooding in Barisal, Bangladesh.
A woman stands on sandbags stacked to protect against flooding in Barisal, Bangladesh.
Liza Goldberg
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CDDRL Research-in-Brief [4-minute read]

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Chronic exposure to climate stress disproportionately affects low-income households; however, the psychological health and climate distress levels of climate-vulnerable adolescents in low-resource settings has rarely been explored. We investigated the association between increased flood exposure and adolescent psychological health, climate distress, and temporal discounting (long-term planning capacity).

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The Lancet Planetary Health
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Liza Goldberg
Stephen P. Luby
Erik Jensen
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Both Southern California and Israel suffered disastrous wildfires this year.

In January, the Palisades and Eaton fires in Los Angeles killed 29 people and destroyed thousands of buildings, spurring a United Nations report titled “Once-in-a-generation events now happen frequently.”

In late April, a huge wildfire in central Israel threatened Jerusalem, caused nearby towns to evacuate and led to a national emergency.

The fires are just one example of the devastating effects of climate change experienced by California and Israel, said Alon Tal, an environmental scholar, former Knesset member and part of the Visiting Fellows in Israel Studies program at Stanford University’s Center on Democracy, Development and the Rule of Law, which co-hosted the conference.

Read the full story from J. The Jewish News of Northern California.

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The gathering included a tour of the Stanford Central Energy Facility
The gathering included a tour of the Stanford Central Energy Facility.
Rod Searcey
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More than 200 academics and political leaders met last week at Stanford for “Climate Resilience and Local Governmental Policy: Lessons from Los Angeles and Tel Aviv,” a groundbreaking conference organized by CDDRL's Visiting Fellows in Israel Studies program.

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We present results from a randomized controlled trial in Bangladesh that introduced operational practices to improve energy efficiency and reduce emissions in 276 “zigzag” brick kilns. Of all intervention kilns, 65% adopted the improved practices. Treatment assignment reduced energy use by 10.5% (P-value <0.001) and decreased CO2 and PM2.5 emissions by 171 and 0.45 metric tons, respectively, per kiln per year. Valuing the CO2 reductions using a social cost of carbon of 185 USD per metric ton, we find that the social benefits outweigh costs by a factor of 65 to 1. The intervention, which required no new capital investment, also decreased fuel costs and increased brick quality. Our results demonstrate the potential for privately profitable, as well as publicly beneficial, improvements to address environmental problems in informal industries.

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Science
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Stephen P. Luby
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No. 6747
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Food adulteration with toxic chemicals is a global public health threat. Lead chromate adulterated spices have been linked with lead poisoning in many countries, from Bangladesh to the United States. This study systematically assessed lead chromate adulteration in turmeric, a spice that is consumed daily across South Asia. Our study focused on four understudied countries that produce >80 % of the world's turmeric and collectively include 1.7 billion people, 22 % of the world's population. Turmeric samples were collected from wholesale and retail bazaars from 23 major cities across India, Pakistan, Sri Lanka, and Nepal between December 2020 and March 2021. Turmeric samples were analyzed for lead and chromium concentrations and maximum child blood lead levels were modeled in regions where samples had detectable lead. A total of 356 turmeric samples were collected, including 180 samples of dried turmeric roots and 176 samples of turmeric powder. In total, 14 % of the samples (n = 51) had detectable lead above 2 μg/g. Turmeric samples with lead levels greater than or equal to 18 μg/g had molar ratios of lead to chromium near 1:1, suggestive of lead chromate adulteration. Turmeric lead levels exceeded 1000 μg/g in Patna (Bihar, India) as well as Karachi and Peshawar (Pakistan), resulting in projected child blood lead levels up to 10 times higher than the CDC's threshold of concern. Given the overwhelmingly elevated lead levels in turmeric from these locations, urgent action is needed to halt the practice of lead chromate addition in the turmeric supply chain.

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Science of The Total Environment
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Dinsha Mistree
Stephen P. Luby
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2024, 175003
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When you think of the climate crisis and the major impact it will have upon all corners of the world, one nation stands out as the epicenter of the unfolding cataclysmic changes: Bangladesh.

When Stephen Luby, MD, began working there two decades ago, the South Asian country was facing tremendous climate stress brought on by intermittent floods, extreme heat, cyclones and drought that threatened human life.

 

Continue reading in Stanford Magazine

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Beyond Climate Dread cover image Anuj Shrestha
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Stephen Luby is among a growing number of Stanford Medicine community members dedicated to finding solutions to urgent problems of planetary and human health.

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Methane emitted and flared from industrial sources across the United States is a major contributor to global climate change. Methanotrophic bacteria can transform this methane into useful protein-rich biomass, already approved for inclusion into animal feed. In the rapidly growing aquaculture industry, methanotrophic additives have a favourable amino acid profile and can offset ocean-caught fishmeal, reducing demands on over-harvested fisheries. Here we analyse the economic potential of producing methanotrophic microbial protein from stranded methane produced at wastewater treatment plants, landfills, and oil and gas facilities. Our results show that current technology can enable production, in the United States alone, equivalent to 14% of the global fishmeal market at prices at or below the current cost of fishmeal (roughly US$1,600 per metric ton). A sensitivity analysis highlights technically and economically feasible cost reductions (such as reduced cooling or labour requirements), which could allow stranded methane from the United States alone to satisfy global fishmeal demand.

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Stanford researchers reveal how to turn a global warming liability into a profitable food security solution

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Nature Sustainability
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Stephen P. Luby
Number
47–56 (2022)
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CDDRL Postdoctoral Scholar, 2017-2019
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Dr. Monica Teran has experience in the analysis focus on the domains of disparities in health services and response to population health needs of the health system governance using spatial statistical methodology and Geography of health approach that takes into account spatial variation in socioeconomic factors and accessibility to services. Since September 2017 she is a member of Sistema Nacional de Investigadores, SNI (National System of Researcher) in Mexico, CONACYT.

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