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In recent years, nature-based solutions are receiving increasing attention in the field of disaster risk reduction and climate change adaptation as inclusive, no regret approaches. Ecosystem-based adaptation (EbA) can mitigate the impacts of climate change, build resilience and tackle environmental degradation thereby supporting the targets set by the 2030 Agenda, the Paris Agreement and the Sendai Framework. Despite these benefits, EbA is still rarely implemented in practice. To better understand the barriers to implementation, this research examines policy-makers' perceptions of EbA, using an extended version of Protection Motivation Theory as an analytical framework. Through semi-structured interviews with policy-makers at regional and provincial level in Central Vietnam, it was found that EbA is generally considered a promising response option, mainly due to its multiple ecosystem-service benefits. The demand for EbA measures was largely driven by the perceived consequences of natural hazards and climate change. Insufficient perceived response efficacy and time-lags in effectiveness for disaster risk reduction were identified as key impediments for implementation. Pilot projects and capacity building on EbA are important means to overcome these perceptual barriers. This paper contributes to bridging the knowledge-gap on political decision-making regarding EbA and can, thereby, promote its mainstreaming into policy plans.
Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies
(2019)
Background Prospective cohorts have suggested that physical activity (PA) can decrease the risk of incident anxiety. However, no meta-analysis has been conducted. Aims To examine the prospective relationship between PA and incident anxiety and explore potential moderators. Methods Searches were conducted on major databases from inception to October 10, 2018 for prospective studies (at least 1 year of follow-up) that calculated the odds ratio (OR) of incident anxiety in people with high PA against people with low PA. Methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). A random-effects meta-analysis was conducted and heterogeneity was explored using subgroup and meta-regression analysis. Results Across 14 cohorts of 13 unique prospective studies (N = 75,831, median males = 50.1%) followed for 357,424 person-years, people with high self-reported PA (versus low PA) were at reduced odds of developing anxiety (adjusted odds ratio [AOR] = 0.74; 95% confidence level [95% CI] = 0.62, 0.88; crude OR = 0.80; 95% CI = 0.69, 0.92). High self-reported PA was protective against the emergence of agoraphobia (AOR = 0.42; 95% CI = 0.18, 0.98) and posttraumatic stress disorder (AOR = 0.57; 95% CI = 0.39, 0.85). The protective effects for anxiety were evident in Asia (AOR = 0.31; 95% CI = 0.10, 0.96) and Europe (AOR = 0.82; 95% CI = 0.69, 0.97); for children/adolescents (AOR = 0.52; 95% CI = 0.29, 0.90) and adults (AOR = 0.81; 95% CI = 0.69, 0.95). Results remained robust when adjusting for confounding factors. Overall study quality was moderate to high (mean NOS = 6.7 out of 9). Conclusion Evidence supports the notion that self-reported PA can confer protection against the emergence of anxiety regardless of demographic factors. In particular, higher PA levels protects from agoraphobia and posttraumatic disorder.