{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:15:37Z","timestamp":1791900937200,"version":"4.3.4"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To understand how climate change vulnerability is associated with women and children's health (WCH) at the district level in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The district\u2010specific climate change vulnerability index was mapped to the district level NFHS\u20105 data (<jats:italic>N<\/jats:italic>\u00a0=\u2009674). Fractional regression and spatial analyses were performed to examine the strength of association and the presence of geographic clustering.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Bivariate analysis revealed that the levels of WCH indicators were lower in districts with a high vulnerability index than in those with a low vulnerability index. Multivariable analyses suggested that with a 1% increase in the vulnerability index, the proportion of modern contraceptive use was reduced by 0.22, four or more prenatal care visits by 0.14, postnatal care by 0.11, and full immunization by 0.12; whereas wasting and underweight proportions increased by 0.07 and 0.10, respectively. The spatial analysis found that in about 70\u2013118 districts, mostly in eastern India, where climate vulnerability was high the WCH outcomes were also poor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a macro\u2010level association between climate change vulnerability and WCH, as districts that had high levels of climate change vulnerability also performed poorly in WCH. There is a need for an integrated approach that considers geography\u2010specific climate change threats to develop health programs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14515","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T09:29:00Z","timestamp":1666085340000},"page":"437-446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Climate change vulnerability, and health of women and children: Evidence from India using district level data"],"prefix":"10.1002","volume":"160","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0240-7026","authenticated-orcid":false,"given":"Bidhubhusan","family":"Mahapatra","sequence":"first","affiliation":[{"name":"Norwegian Refugee Council  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha","family":"Chaudhuri","sequence":"additional","affiliation":[{"name":"Population Council  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niranjan","family":"Saggurti","sequence":"additional","affiliation":[{"name":"Population Council  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nwh.2016.06.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/cli3010078"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2021.757153"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10911359.2018.1527739"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781107415379"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.matpr.2021.09.418"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40572-022-00345-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m3811"},{"issue":"1","key":"e_1_2_8_10_1","first-page":"24","article-title":"Impacts of climate changes on pregnancy and birth outcomes: a review","volume":"9","author":"Dehdashti B","year":"2020","journal-title":"Int J Environ Health Eng"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19042412"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16234594"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1363\/46e9620"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054720"},{"key":"e_1_2_8_15_1","volume-title":"Hope Dries Up? 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