TY  - JOUR
AB  - Intimate partner violence (IPV) is a global public health challenge, causing physical and psychological harm to victims. Although studies have explored the impacts of various extreme weather events on IPV, there is still inadequate evidence on the association between flood exposure and IPV on a multi-country or global scale. Therefore, we utilized the Demographic and Health Surveys database to examine this association on a multi-country scale and further explored modification effects of inequality outside and within the household. This study included 340,955 ever-partnered women from 31 low- and middle-income countries across Asia, Africa and Latin America. The results showed that flood exposure was associated with increased prevalence of total IPV (percentage difference 10.78%, 95% confidence interval 8.24-13.38%), physical violence (4.94%, 2.31-7.64%), sexual violence (13.03%, 8.61-17.62%) and emotional violence (17.62%, 14.28-21.06%). We found stronger flood-IPV associations among household with greater inequality. Our findings indicate additional harm associated with flood exposure for women in low- and middle-income countries, emphasizing the role of gender inequality under climate change.
AU  - Guo, Y.*
AU  - Zhu, Y.*
AU  - Fatmi, Z.*
AU  - Zhou, L.*
AU  - He, C.
AU  - Bachwenkizi, J.*
AU  - Kan, H.*
AU  - Chen, R.*
C1  - 73330
C2  - 57012
CY  - Campus, 4 Crinan St, London, N1 9xw, England
SP  - 296–306 
TI  - Flood exposure and intimate partner violence in low- and middle-income countries.
JO  - Nat. Water
VL  - 3
PB  - Springernature
PY  - 2025
SN  - 2731-6084
ER  - 

TY  - JOUR
AB  - Climate change is reshaping the Earth's hydrological cycle. Such changes impact children's health through multiple pathways. Here we show that, in 59 low- and middle-income countries, although sufficient annual rainfall decreases under-five child mortality, anomalies in seasonal rainfall could increase under-five mortality. The risk associated with rainfall scarcity (odds ratio 1.15, 95% confidence interval (CI) 1.11-1.20) was much higher than that associated with rainfall surplus (odds ratio 1.04, 95% CI 1.02-1.06). Extreme rainfall amounts and the number of wet days are positively associated with elevated under-five child mortality. These risks were more pronounced for children from rural areas, families with lower educational attainment and households that depend on natural water sources. From 2000 to 2020, rainfall variations, extreme daily rainfall events and the number of wet days are estimated to cause 290 under-five child deaths per 10,000 persons annually (95% CI 177- 417). This investigation provides important insights into the overlooked health consequences of rainfall pattern changes on vulnerable populations.
AU  - He, C.
AU  - Zhu, Y.*
AU  - Guo, Y.*
AU  - Bell, M.L.*
AU  - Filippi, V.*
AU  - Brimicombe, C.*
AU  - Chen, R.*
AU  - Kan, H.*
C1  - 75418
C2  - 57984
CY  - Campus, 4 Crinan St, London, N1 9xw, England
SP  - 881–889
TI  - Rainfall variability and under-five child mortality in 59 low- and middle-income countries.
JO  - Nat. Water
VL  - 3
IS  - 8
PB  - Springernature
PY  - 2025
SN  - 2731-6084
ER  -