Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101399
Luke T Bayliss , Lennart Reifels , Kairi Kõlves
{"title":"Suicidality in climate change and mental health research","authors":"Luke T Bayliss , Lennart Reifels , Kairi Kõlves","doi":"10.1016/j.lanplh.2025.101399","DOIUrl":"10.1016/j.lanplh.2025.101399","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101399"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101402
Cahal McQuillan
{"title":"Planetary Health Research Digest","authors":"Cahal McQuillan","doi":"10.1016/j.lanplh.2025.101402","DOIUrl":"10.1016/j.lanplh.2025.101402","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101402"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101412
Florien S van Royen MD PhD , Ewoud Schuit PhD
Randomised clinical trials (RCTs) can contribute substantially to carbon dioxide emissions. In this Viewpoint, we explored the extent to which primary publications of RCTs reported environmental sustainability considerations in their study design (eg, resource use and travel movement) and outcomes (eg, the environmental impact of interventions under study). 252 RCTs published between Oct 17, 2022, and Oct 17, 2023, in five prominent medical journals, The Lancet, TheNew England Journal of Medicine, Nature Medicine, TheBritish Medical Journal, and PLOS Medicine, were included. Sustainability-related statements were reported in 29 (12%) of 252 of RCTs, but only four (1·6%) of 252 explicitly referenced sustainability considerations in their study design or outcome. Thus, environmental sustainability aspects of the study design decisions or outcomes collected seem to be rarely reported in primary publications of RCTs. The findings of this Viewpoint highlight the need for strategies for improved awareness of reporting of environmental sustainability considerations in the context of RCTs.
{"title":"Environmental sustainability considerations in the reporting of randomised clinical trials","authors":"Florien S van Royen MD PhD , Ewoud Schuit PhD","doi":"10.1016/j.lanplh.2025.101412","DOIUrl":"10.1016/j.lanplh.2025.101412","url":null,"abstract":"<div><div>Randomised clinical trials (RCTs) can contribute substantially to carbon dioxide emissions. In this Viewpoint, we explored the extent to which primary publications of RCTs reported environmental sustainability considerations in their study design (eg, resource use and travel movement) and outcomes (eg, the environmental impact of interventions under study). 252 RCTs published between Oct 17, 2022, and Oct 17, 2023, in five prominent medical journals, <em>The Lancet</em>, <em>The</em> <em>New England Journal of Medicine</em>, <em>Nature Medicine</em>, <em>The</em> <em>British Medical Journal</em>, and <em>PL</em><em>O</em><em>S Medicine</em>, were included. Sustainability-related statements were reported in 29 (12%) of 252 of RCTs, but only four (1·6%) of 252 explicitly referenced sustainability considerations in their study design or outcome. Thus, environmental sustainability aspects of the study design decisions or outcomes collected seem to be rarely reported in primary publications of RCTs. The findings of this Viewpoint highlight the need for strategies for improved awareness of reporting of environmental sustainability considerations in the context of RCTs.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101412"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101403
Latiffah Hassan , Robyn Alders , Sarah Cleveland , Dirk Pfeiffer , Chris Walzer , Neil M Vora , Raina K Plowright
{"title":"Equitable investment in the veterinary workforce is foundational to One Health and planetary wellbeing","authors":"Latiffah Hassan , Robyn Alders , Sarah Cleveland , Dirk Pfeiffer , Chris Walzer , Neil M Vora , Raina K Plowright","doi":"10.1016/j.lanplh.2025.101403","DOIUrl":"10.1016/j.lanplh.2025.101403","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101403"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101419
Arthur Wyns
{"title":"COP30 agrees on framework to track global climate resilience","authors":"Arthur Wyns","doi":"10.1016/j.lanplh.2025.101419","DOIUrl":"10.1016/j.lanplh.2025.101419","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101419"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101411
Zhengyu Yang PhD , Wenzhong Huang PhD , Prof Joanne E McKenzie PhD , Prof Rongbin Xu PhD , Pei Yu PhD , Gongbo Chen PhD , Wenhua Yu PhD , Yao Wu PhD , Yanming Liu PhD , Bo Wen PhD , Prof Simon Hales PhD , Eric Lavigne PhD , Tingting Ye PhD , Yiwen Zhang MSc , Prof Micheline de Sousa Zanotti Stagliorio Coelho PhD , Patricia Matus PhD , Kraichat Tantrakarnapa PhD , Wissanupong Kliengchuay PhD , Prof Paulo Hilario Nascimento Saldiva PhD , Shuang Zhou PhD , Prof Shanshan Li PhD
<div><h3>Background</h3><div>Infectious disease outbreak is one of the most concerning issues in the aftermath of floods. However, knowledge gaps exist in the risk, burden, and trend of infectious disease hospitalisation associated with floods. Therefore, we aimed to quantify the risks, burden, and temporal changes of infectious disease hospitalisations associated with flood exposure during 2000–19.</div></div><div><h3>Methods</h3><div>In this multicountry, time-series study, hospitalisation data for all communities in Australia, Brazil, Canada, Chile, New Zealand, and Thailand from Jan 1, 2000, to Dec 31, 2019, were collected from local authorities of each country. We retrieved flood events data from the Dartmouth Flood Observatory. Meteorological, population, and gross domestic product data were collected from the European Centre for Medium-Range Weather Forecasts Reanalysis version 5, Landscan, and a previous study. Associations between flood exposure and weekly hospitalisation risks were estimated using a two-stage analytical approach. To examine temporal changes in the associations and the corresponding burden, we estimated relative risks (RRs) and excess rates of hospitalisations from infectious diseases that were attributable to floods for the communities in each country in two periods (2000–09 and 2010–19) using the two-stage analytical approach.</div></div><div><h3>Findings</h3><div>27 million infectious disease hospitalisation records from 709 communities were included in the analysis. Hospitalisation risks of all-cause infectious, foodborne and waterborne diseases, airborne diseases, skin and mucous-membrane infections, and sexually transmitted infections increased for up to 26 weeks following flood exposure. For each 1-week flood exposure, the associated RR (mean across 26 weeks) after flood exposure was 1·006 (95% CI 1·002–1·009) for all-cause infectious diseases, 1·008 (1·003–1·012) for foodborne and waterborne diseases, 1·004 (1·001–1·008) for airborne diseases, 1·010 (1·005–1·015) for skin and mucous-membrane infections, and 1·032 (1·025–1·039) for sexually transmitted infections. Changes in RRs were observed between 2000–09 and 2010–19 across countries. In 2010–19, the excess rate of all-cause infectious disease hospitalisations was the highest in Australia, which was 150·0 (95% empirical CI 115·8–183·2) admissions per million person-years.</div></div><div><h3>Interpretation</h3><div>Flood exposure was associated with increased hospitalisation risks for foodborne and waterborne diseases, airborne diseases, skin and mucous-membrane infections, and sexually transmitted infections, lasting for up to 26 weeks after flooding. With the projected increases in severity, duration, and frequency of floods under climate change, greater efforts are warranted to review and improve the current adaptation strategies, disaster response protocols, health system resilience, and disease surveillance systems.</div></div><div><h3>Funding</h3><div>Aus
{"title":"Risk, burden, and trend of infectious disease hospitalisations associated with floods: a multicountry, time-series study","authors":"Zhengyu Yang PhD , Wenzhong Huang PhD , Prof Joanne E McKenzie PhD , Prof Rongbin Xu PhD , Pei Yu PhD , Gongbo Chen PhD , Wenhua Yu PhD , Yao Wu PhD , Yanming Liu PhD , Bo Wen PhD , Prof Simon Hales PhD , Eric Lavigne PhD , Tingting Ye PhD , Yiwen Zhang MSc , Prof Micheline de Sousa Zanotti Stagliorio Coelho PhD , Patricia Matus PhD , Kraichat Tantrakarnapa PhD , Wissanupong Kliengchuay PhD , Prof Paulo Hilario Nascimento Saldiva PhD , Shuang Zhou PhD , Prof Shanshan Li PhD","doi":"10.1016/j.lanplh.2025.101411","DOIUrl":"10.1016/j.lanplh.2025.101411","url":null,"abstract":"<div><h3>Background</h3><div>Infectious disease outbreak is one of the most concerning issues in the aftermath of floods. However, knowledge gaps exist in the risk, burden, and trend of infectious disease hospitalisation associated with floods. Therefore, we aimed to quantify the risks, burden, and temporal changes of infectious disease hospitalisations associated with flood exposure during 2000–19.</div></div><div><h3>Methods</h3><div>In this multicountry, time-series study, hospitalisation data for all communities in Australia, Brazil, Canada, Chile, New Zealand, and Thailand from Jan 1, 2000, to Dec 31, 2019, were collected from local authorities of each country. We retrieved flood events data from the Dartmouth Flood Observatory. Meteorological, population, and gross domestic product data were collected from the European Centre for Medium-Range Weather Forecasts Reanalysis version 5, Landscan, and a previous study. Associations between flood exposure and weekly hospitalisation risks were estimated using a two-stage analytical approach. To examine temporal changes in the associations and the corresponding burden, we estimated relative risks (RRs) and excess rates of hospitalisations from infectious diseases that were attributable to floods for the communities in each country in two periods (2000–09 and 2010–19) using the two-stage analytical approach.</div></div><div><h3>Findings</h3><div>27 million infectious disease hospitalisation records from 709 communities were included in the analysis. Hospitalisation risks of all-cause infectious, foodborne and waterborne diseases, airborne diseases, skin and mucous-membrane infections, and sexually transmitted infections increased for up to 26 weeks following flood exposure. For each 1-week flood exposure, the associated RR (mean across 26 weeks) after flood exposure was 1·006 (95% CI 1·002–1·009) for all-cause infectious diseases, 1·008 (1·003–1·012) for foodborne and waterborne diseases, 1·004 (1·001–1·008) for airborne diseases, 1·010 (1·005–1·015) for skin and mucous-membrane infections, and 1·032 (1·025–1·039) for sexually transmitted infections. Changes in RRs were observed between 2000–09 and 2010–19 across countries. In 2010–19, the excess rate of all-cause infectious disease hospitalisations was the highest in Australia, which was 150·0 (95% empirical CI 115·8–183·2) admissions per million person-years.</div></div><div><h3>Interpretation</h3><div>Flood exposure was associated with increased hospitalisation risks for foodborne and waterborne diseases, airborne diseases, skin and mucous-membrane infections, and sexually transmitted infections, lasting for up to 26 weeks after flooding. With the projected increases in severity, duration, and frequency of floods under climate change, greater efforts are warranted to review and improve the current adaptation strategies, disaster response protocols, health system resilience, and disease surveillance systems.</div></div><div><h3>Funding</h3><div>Aus","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101411"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101409
Annemieke van den Dool , S L P Evin , Jaemin Kim , Xiaohang Lyu , Lana Abusalem , Yijin Niu , Khanh Tuong Tran , L Gayani Tillekeratne
{"title":"Bridging the policy gap between climate change and antimicrobial resistance","authors":"Annemieke van den Dool , S L P Evin , Jaemin Kim , Xiaohang Lyu , Lana Abusalem , Yijin Niu , Khanh Tuong Tran , L Gayani Tillekeratne","doi":"10.1016/j.lanplh.2025.101409","DOIUrl":"10.1016/j.lanplh.2025.101409","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101409"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.lanplh.2025.101379
Sandrah P Eckel PhD , Futu Chen PhD , Sam J Silva PhD , Daniel L Goldberg PhD , Jill Johnston PhD , Lawrence A Palinkas PhD , Alberto Campos MSW , Wilma Franco EdD , Erika Garcia PhD
Background
Electrifying the transportation sector is a key climate-change mitigation strategy. Reductions in exhaust emissions have anticipated air quality co-benefits; yet, evidence is primarily based on projections. Using observed data in California, USA, we aimed to investigate whether reductions in exhaust emissions from the transition to zero-emissions vehicles (ZEVs: battery electric, plug-in hybrid, and hydrogen fuel cell) were detectable using Tropospheric Monitoring Instrument (TROPOMI) satellite measurements of nitrogen dioxide (NO2) air pollution.
Methods
In this longitudinal observational study, we combined data from 2019 to 2023 on annual light-duty ZEV registrations in 1692 California ZIP code tabulation areas (ZCTAs; cross-walked from ZIP codes) with annual mean TROPOMI-measured NO2. We used longitudinal linear mixed-effects models to assess the association between within-ZCTA ZEV changes and within-ZCTA NO2 changes, adjusting for temporal trends and time-varying potential confounding, or excluding 2020. In positive control analyses, we related internal combustion engine vehicle registrations to NO2. In ground-truth analyses, we related ZEVs to NO2 concentrations using 123 Environmental Protection Agency monitors from 2012 to 2023.
Findings
The median within-ZCTA increase in ZEVs from 2019 to 2023 was 272 (IQR 18 to 839). A within-ZCTA increase of 200 ZEVs was associated with a 1·10% (95% CI −1·19 to −1·00) decrease in annual average NO2. The main findings were supported by sensitivity analyses (–1·32% [–1·43 to –1·21] when excluding the year 2020), ground-truth analysis (–0·87% [–1·76 to 0·03] using NO2 from ground-level monitors), and positive control analysis (0·80% [0·63 to 0·97] increase in annual average NO2 per 800 increase in number of internal combustion engine vehicles).
Interpretation
Using a natural experiment, we found that within-ZCTA increases in ZEV registrations were associated with reductions in NO2 air pollution measured by satellite and replicated with ground-level monitors. This work in California serves as a proof-of-principle for future work using satellite-measured NO2 to quantify effects of climate-change mitigation efforts on combustion-related air pollution within the USA and internationally.
Funding
National Institutes of Health, National Institute of Environmental Health Sciences, National Aeronautics and Space Administration Health and Air Quality Applied Sciences Team, and the National Aeronautics and Space Administration Atmospheric Composition Modeling and Analysis Program.
{"title":"Zero-emissions vehicle adoption and satellite-measured NO2 air pollution in California, USA, from 2019 to 2023: a longitudinal observational study","authors":"Sandrah P Eckel PhD , Futu Chen PhD , Sam J Silva PhD , Daniel L Goldberg PhD , Jill Johnston PhD , Lawrence A Palinkas PhD , Alberto Campos MSW , Wilma Franco EdD , Erika Garcia PhD","doi":"10.1016/j.lanplh.2025.101379","DOIUrl":"10.1016/j.lanplh.2025.101379","url":null,"abstract":"<div><h3>Background</h3><div>Electrifying the transportation sector is a key climate-change mitigation strategy. Reductions in exhaust emissions have anticipated air quality co-benefits; yet, evidence is primarily based on projections. Using observed data in California, USA, we aimed to investigate whether reductions in exhaust emissions from the transition to zero-emissions vehicles (ZEVs: battery electric, plug-in hybrid, and hydrogen fuel cell) were detectable using Tropospheric Monitoring Instrument (TROPOMI) satellite measurements of nitrogen dioxide (NO<sub>2</sub>) air pollution.</div></div><div><h3>Methods</h3><div>In this longitudinal observational study, we combined data from 2019 to 2023 on annual light-duty ZEV registrations in 1692 California ZIP code tabulation areas (ZCTAs; cross-walked from ZIP codes) with annual mean TROPOMI-measured NO<sub>2</sub>. We used longitudinal linear mixed-effects models to assess the association between within-ZCTA ZEV changes and within-ZCTA NO<sub>2</sub> changes, adjusting for temporal trends and time-varying potential confounding, or excluding 2020. In positive control analyses, we related internal combustion engine vehicle registrations to NO<sub>2</sub>. In ground-truth analyses, we related ZEVs to NO<sub>2</sub> concentrations using 123 Environmental Protection Agency monitors from 2012 to 2023.</div></div><div><h3>Findings</h3><div>The median within-ZCTA increase in ZEVs from 2019 to 2023 was 272 (IQR 18 to 839). A within-ZCTA increase of 200 ZEVs was associated with a 1·10% (95% CI −1·19 to −1·00) decrease in annual average NO<sub>2</sub>. The main findings were supported by sensitivity analyses (–1·32% [–1·43 to –1·21] when excluding the year 2020), ground-truth analysis (–0·87% [–1·76 to 0·03] using NO<sub>2</sub> from ground-level monitors), and positive control analysis (0·80% [0·63 to 0·97] increase in annual average NO<sub>2</sub> per 800 increase in number of internal combustion engine vehicles).</div></div><div><h3>Interpretation</h3><div>Using a natural experiment, we found that within-ZCTA increases in ZEV registrations were associated with reductions in NO<sub>2</sub> air pollution measured by satellite and replicated with ground-level monitors. This work in California serves as a proof-of-principle for future work using satellite-measured NO<sub>2</sub> to quantify effects of climate-change mitigation efforts on combustion-related air pollution within the USA and internationally.</div></div><div><h3>Funding</h3><div>National Institutes of Health, National Institute of Environmental Health Sciences, National Aeronautics and Space Administration Health and Air Quality Applied Sciences Team, and the National Aeronautics and Space Administration Atmospheric Composition Modeling and Analysis Program.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 1","pages":"Article 101379"},"PeriodicalIF":21.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23DOI: 10.1016/j.lanplh.2025.101421
Cahal McQuillan
{"title":"Planetary Health Research Digest.","authors":"Cahal McQuillan","doi":"10.1016/j.lanplh.2025.101421","DOIUrl":"https://doi.org/10.1016/j.lanplh.2025.101421","url":null,"abstract":"","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":" ","pages":"101421"},"PeriodicalIF":21.6,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.lanplh.2025.101375
Inge Schrijver MA , Prof Paul Behrens PhD , Rutger Hoekstra PhD , Prof René Kleijn PhD
Climate change has broad and deep impacts on people’s wellbeing; yet, these dynamics are largely excluded from integrated environment–society–economy (ESE) models. In this Review, we provide an overview of climate change–wellbeing impact pathways and explore which of these pathways have been quantified or modelled, or both. We assessed literature reviews and meta-analyses to describe how climate change affects specific wellbeing outcomes and which of these relationships are robust and amenable to parametrisation. We also conducted a review of 18 models that include one or more wellbeing impacts of climate change. Generally, more quantified pathways are available in the literature than those currently incorporated in ESE models. Temperature-related mortality, food security, and GDP are well represented in quantitative literature and to some extent in ESE models, whereas the impacts of climate change on infectious diseases; respiratory, cardiovascular, and neurological outcomes; mental health; adverse birth outcomes; occupational health and labour productivity; conflict; migration; poverty; air quality; and biodiversity loss have been quantified in the literature but are largely absent in ESE models. These relationships present promising steps towards a next generation of ESE models that could include more sophisticated interactions between environmental impacts and wellbeing.
{"title":"Inclusion of wellbeing impacts of climate change: a review of literature and integrated environment–society–economy models","authors":"Inge Schrijver MA , Prof Paul Behrens PhD , Rutger Hoekstra PhD , Prof René Kleijn PhD","doi":"10.1016/j.lanplh.2025.101375","DOIUrl":"10.1016/j.lanplh.2025.101375","url":null,"abstract":"<div><div>Climate change has broad and deep impacts on people’s wellbeing; yet, these dynamics are largely excluded from integrated environment–society–economy (ESE) models. In this Review, we provide an overview of climate change–wellbeing impact pathways and explore which of these pathways have been quantified or modelled, or both. We assessed literature reviews and meta-analyses to describe how climate change affects specific wellbeing outcomes and which of these relationships are robust and amenable to parametrisation. We also conducted a review of 18 models that include one or more wellbeing impacts of climate change. Generally, more quantified pathways are available in the literature than those currently incorporated in ESE models. Temperature-related mortality, food security, and GDP are well represented in quantitative literature and to some extent in ESE models, whereas the impacts of climate change on infectious diseases; respiratory, cardiovascular, and neurological outcomes; mental health; adverse birth outcomes; occupational health and labour productivity; conflict; migration; poverty; air quality; and biodiversity loss have been quantified in the literature but are largely absent in ESE models. These relationships present promising steps towards a next generation of ESE models that could include more sophisticated interactions between environmental impacts and wellbeing.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"9 12","pages":"Article 101375"},"PeriodicalIF":21.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}