Pub Date : 2025-05-01Epub Date: 2025-06-13DOI: 10.1016/j.joclim.2025.100459
Romina Rekers , María Victoria Gerbaldo , Carlos Yabar , Cintia Rodríguez Garat , Lucas Rekers
Background
Integrating justice enablers into climate-health adaptation planning reduces failed adaptation, prevents maladaptation, and facilitates transformative change in health systems. This is particularly necessary in South America (SA), where climate adaptation research and policy are financially constrained. By carefully considering differentiated climate-health risks and necessary trade-offs, National Adaptation Plans (NAPs) and Health National Adaptation Plans (HNAPs) provide forums for identifying just adaptation paths. This study assesses the integration of recognitional, procedural, and distributive justice enablers in climate-health planning in SA.
Methods
Justice enablers were tracked within the actionable sections of the NAPs, HNAPs, or their Subsidiary Adaptation Strategies (SASs) of the South American countries. The level of integration of justice enablers was measured using keywords from the climate adaptation literature.
Results
There is a significant disparity among countries in the level of integration of justice enablers in national adaptation planning. There is also significant variation across countries in the integration of different dimensions of justice (recognitional, procedural, distributive). Most countries score higher on the integration of recognition justice than on procedural and distributive justice.
Conclusion
Comprehensive frameworks are required to integrate justice considerations into climate-health adaptation planning in a way that avoids failed adaptation or maladaptation.
{"title":"Justice enablers of climate-health adaptation in South America","authors":"Romina Rekers , María Victoria Gerbaldo , Carlos Yabar , Cintia Rodríguez Garat , Lucas Rekers","doi":"10.1016/j.joclim.2025.100459","DOIUrl":"10.1016/j.joclim.2025.100459","url":null,"abstract":"<div><h3>Background</h3><div>Integrating justice enablers into climate-health adaptation planning reduces failed adaptation, prevents maladaptation, and facilitates transformative change in health systems. This is particularly necessary in South America (SA), where climate adaptation research and policy are financially constrained. By carefully considering differentiated climate-health risks and necessary trade-offs, National Adaptation Plans (NAPs) and Health National Adaptation Plans (HNAPs) provide forums for identifying just adaptation paths. This study assesses the integration of recognitional, procedural, and distributive justice enablers in climate-health planning in SA.</div></div><div><h3>Methods</h3><div>Justice enablers were tracked within the actionable sections of the NAPs, HNAPs, or their Subsidiary Adaptation Strategies (SASs) of the South American countries. The level of integration of justice enablers was measured using keywords from the climate adaptation literature.</div></div><div><h3>Results</h3><div>There is a significant disparity among countries in the level of integration of justice enablers in national adaptation planning. There is also significant variation across countries in the integration of different dimensions of justice (recognitional, procedural, distributive). Most countries score higher on the integration of recognition justice than on procedural and distributive justice.</div></div><div><h3>Conclusion</h3><div>Comprehensive frameworks are required to integrate justice considerations into climate-health adaptation planning in a way that avoids failed adaptation or maladaptation.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100459"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2025-06-11DOI: 10.1016/j.joclim.2025.100453
Eun-Young Lee , Seiyeong Park , Leigh M Vanderloo , Leah J Ferguson , Amy E. Latimer-Cheung , Norman O’Reilly , Ryan E Rhodes , John C Spence , Mark S Tremblay , Guy Faulkner
Introduction
Political orientation is known to influence health behaviors and policy support. This study examined the implications of political orientation on the social climate of physical activity (PA) and policy support addressing both climate change and PA (i.e., climate–health co-benefits) in Canada.
Materials and Methods
Based on the Social Climate Survey 2.0 (18 years+) data, study variables included political orientation (liberal/centrist/conservative), perceived importance of PA, adherence to PA guidelines, causal attributions of physical inactivity, and support for health co-benefits policy actions. Logistic and mediation analyses were performed.
Results
Among 1,717 adults, no associations were observed between political orientation and perceived importance of PA or PA guideline adherence. Compared to liberals, both centrists (OR: 1.63, 95 %CI: 1.25–2.08) and conservatives (OR: 1.76, 95 %CI: 1.33–2.32) attributed physical inactivity to individual responsibility. Regarding the endorsement of eight climate–health co-benefits policy actions, centrists (ORs: 0.53–0.66) and conservatives were less likely to support such actions (ORs: 0.27–0.48), compared to liberals, which were partially explained by the attribution of causes for physical inactivity, among conservatives only.
Discussions
Most Canadian adults recognized the importance of PA. Support for climate-health co-benefit policies varied by political orientation, with centrists showing mixed support—favoring cost-effective policy actions. Causal beliefs appear to be associated with lower support for policy actions among conservatives.
Conclusion
Tailoring public health messages, policy advocacy strategies, and investment priorities to align with varying political orientations may be important for addressing climate–health co-benefits and its broader public health implications in Canada.
{"title":"The political landscape of physical activity and climate action in Canada’s social climate","authors":"Eun-Young Lee , Seiyeong Park , Leigh M Vanderloo , Leah J Ferguson , Amy E. Latimer-Cheung , Norman O’Reilly , Ryan E Rhodes , John C Spence , Mark S Tremblay , Guy Faulkner","doi":"10.1016/j.joclim.2025.100453","DOIUrl":"10.1016/j.joclim.2025.100453","url":null,"abstract":"<div><h3>Introduction</h3><div>Political orientation is known to influence health behaviors and policy support. This study examined the implications of political orientation on the social climate of physical activity (PA) and policy support addressing both climate change and PA (i.e., climate–health co-benefits) in Canada.</div></div><div><h3>Materials and Methods</h3><div>Based on the Social Climate Survey 2.0 (18 years+) data, study variables included political orientation (liberal/centrist/conservative), perceived importance of PA, adherence to PA guidelines, causal attributions of physical inactivity, and support for health co-benefits policy actions. Logistic and mediation analyses were performed.</div></div><div><h3>Results</h3><div>Among 1,717 adults, no associations were observed between political orientation and perceived importance of PA or PA guideline adherence. Compared to liberals, both centrists (OR: 1.63, 95 %CI: 1.25–2.08) and conservatives (OR: 1.76, 95 %CI: 1.33–2.32) attributed physical inactivity to individual responsibility. Regarding the endorsement of eight climate–health co-benefits policy actions, centrists (ORs: 0.53–0.66) and conservatives were less likely to support such actions (ORs: 0.27–0.48), compared to liberals, which were partially explained by the attribution of causes for physical inactivity, among conservatives only.</div></div><div><h3>Discussions</h3><div>Most Canadian adults recognized the importance of PA. Support for climate-health co-benefit policies varied by political orientation, with centrists showing mixed support—favoring cost-effective policy actions. Causal beliefs appear to be associated with lower support for policy actions among conservatives.</div></div><div><h3>Conclusion</h3><div>Tailoring public health messages, policy advocacy strategies, and investment priorities to align with varying political orientations may be important for addressing climate–health co-benefits and its broader public health implications in Canada.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2025-05-02DOI: 10.1016/j.joclim.2025.100448
Ejemai Eboreime , Omolayo Anjorin , Chisom Obi-Jeff , Tunde M. Ojo , Attila Hertelendy
Across Africa's semiarid Sahel region, temperatures have risen faster than the global average, resulting in severe threats to water access, food security, and human health. Key climate factors such as desertification interact with ethnic and economic tensions, exacerbating violence between pastoral and farming groups competing over degraded productive land and water resources. Mounting climate pressures act as threat multipliers for both violent conflict and internal displacement across countries spanning Senegal to Sudan. This perspective examines intersections of climate change, violent clashes, and forced migration using incidents in Nigeria and Burkina Faso—where droughts, floods and agricultural losses continue to worsen. With 8 million internally displaced persons in the region now, urban areas face overburdened infrastructure while attempting to host influxes of traumatized, impoverished migrants facing further risks. This article argues that integrated policy action is urgently needed to mitigate climate change, enhance community resilience, and protect vulnerable groups to ease cascading humanitarian crises and achieve development goals amid spiraling environmental pressures across West Africa.
{"title":"From drought to displacement: Assessing the impacts of climate change on conflict and forced migration in West Africa's Sahel Region","authors":"Ejemai Eboreime , Omolayo Anjorin , Chisom Obi-Jeff , Tunde M. Ojo , Attila Hertelendy","doi":"10.1016/j.joclim.2025.100448","DOIUrl":"10.1016/j.joclim.2025.100448","url":null,"abstract":"<div><div>Across Africa's semiarid Sahel region, temperatures have risen faster than the global average, resulting in severe threats to water access, food security, and human health. Key climate factors such as desertification interact with ethnic and economic tensions, exacerbating violence between pastoral and farming groups competing over degraded productive land and water resources. Mounting climate pressures act as threat multipliers for both violent conflict and internal displacement across countries spanning Senegal to Sudan. This perspective examines intersections of climate change, violent clashes, and forced migration using incidents in Nigeria and Burkina Faso—where droughts, floods and agricultural losses continue to worsen. With 8 million internally displaced persons in the region now, urban areas face overburdened infrastructure while attempting to host influxes of traumatized, impoverished migrants facing further risks. This article argues that integrated policy action is urgently needed to mitigate climate change, enhance community resilience, and protect vulnerable groups to ease cascading humanitarian crises and achieve development goals amid spiraling environmental pressures across West Africa.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100448"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In Uganda, climate change poses significant threats to human livelihoods by exacerbating existing health challenges and introducing new health threats. This study focused on the knowledge and perspectives of health workers regarding the intersection of health and climate change, with particular emphasis on malaria, a disease prevalent in the country and notably affected by climate variations, especially in fragile mountainous regions such as Mount Elgon.
Materials and Methods
This study was conducted in the Kween District of Mount Elgon, Uganda. We utilized qualitative approaches, recruiting health service providers from various altitudinal zones using snowball sampling techniques. Health facilities were selected through purposive sampling and 69 health service providers participated. Data collection involved semi-structured interviews that explored health workers' knowledge of climate change and its impacts on health, including malaria.
Results
Health workers perceived an increase in disease occurrences attributed to climate change, affecting their work in terms of load and access to facilities during extreme weather conditions such as heavy rains and heatwaves. Malaria cases were perceived to have increased in the higher altitudes that previously experienced limited case numbers. Despite the difficulties in distinguishing between climate change and climate variability, health workers associated these health-related phenomena with long-term weather alterations.
Conclusions
Health workers perceive that climate change is affecting their work and delivery of health services. By leveraging the knowledge and experience of health workers regarding the relationship between health and climate change, there is an opportunity to enhance the resilience of the health system.
{"title":"Health workers’ perspectives regarding climate change and health in Kween District, Mount Elgon, Uganda – A qualitative study","authors":"Aggrey Siya , Akim Tafadzwa Lukwa , Chemutai Faith , Noah Mutai , Plaxcedes Chiwiree","doi":"10.1016/j.joclim.2025.100463","DOIUrl":"10.1016/j.joclim.2025.100463","url":null,"abstract":"<div><h3>Introduction</h3><div>In Uganda, climate change poses significant threats to human livelihoods by exacerbating existing health challenges and introducing new health threats. This study focused on the knowledge and perspectives of health workers regarding the intersection of health and climate change, with particular emphasis on malaria, a disease prevalent in the country and notably affected by climate variations, especially in fragile mountainous regions such as Mount Elgon.</div></div><div><h3>Materials and Methods</h3><div>This study was conducted in the Kween District of Mount Elgon, Uganda. We utilized qualitative approaches, recruiting health service providers from various altitudinal zones using snowball sampling techniques. Health facilities were selected through purposive sampling and 69 health service providers participated. Data collection involved semi-structured interviews that explored health workers' knowledge of climate change and its impacts on health, including malaria.</div></div><div><h3>Results</h3><div>Health workers perceived an increase in disease occurrences attributed to climate change, affecting their work in terms of load and access to facilities during extreme weather conditions such as heavy rains and heatwaves. Malaria cases were perceived to have increased in the higher altitudes that previously experienced limited case numbers. Despite the difficulties in distinguishing between climate change and climate variability, health workers associated these health-related phenomena with long-term weather alterations.</div></div><div><h3>Conclusions</h3><div>Health workers perceive that climate change is affecting their work and delivery of health services. By leveraging the knowledge and experience of health workers regarding the relationship between health and climate change, there is an opportunity to enhance the resilience of the health system.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100463"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-12-18DOI: 10.1016/j.joclim.2024.100373
Patricia Nayna Schwerdtle , Carol Devine , Astrid Berner-Rodoreda , Shannon A. McMahon , Kate Bärnighausen
Introduction
Climate change is contributing to humanitarian health crises. However, research on the intersection of climate change and health in humanitarian settings often prioritises understanding impacts over identifying solutions. This study adopts a solutions-oriented approach, engaging humanitarians working in medical projects to explore both existing and potential adaptation strategies to mitigate the adverse health effects of climate change.
Materials and Methods
The study involved 49 semi-structured qualitative interviews with humanitarian health workers from Médecins Sans Frontières (MSF) across 30 countries. Conducted in English, French, Spanish, Portuguese, and Arabic, the interviews focused on identifying adaptation solutions to address climate-related health impacts at individual, community, and organizational levels. Data were analysed using a hybrid coding approach, combining deductive and inductive techniques informed by framework analysis.
Results and Discussion
The research highlights a perception of high vulnerability and low readiness to address climate change in the studied countries, exposing an adaptation gap—the disparity between adaptation needs and current efforts. Initially, participants found it challenging to identify adaptation strategies, often focussing on mitigation (emission reduction) rather than adaptation. From the adaptation activities identified, we developed an ‘Adaptation Continuum’ framework, which ranges from maladaptation to resilience-building. Additionally, we created a matrix of climate change adaptation (CCA) examples to illustrate how health risks can be addressed in contexts characterised by high vulnerability and low adaptive capacity.
Conclusion
Health and humanitarian actors are witnessing the profound impacts of climate change on communities and projects worldwide. Despite ongoing efforts to adapt, there remains a lack of consensus on how to effectively operationalize these initiatives. This research introduces the ‘Adaptation Continuum’, a conceptual framework designed to guide the planning, implementation, and evaluation of adaptation activities in four key domains: knowledge and awareness, infrastructure and technological solutions, operational adaptation, and policy and advocacy.
{"title":"Adapting to climate change: strategies and perspectives from humanitarian health workers – A qualitative study","authors":"Patricia Nayna Schwerdtle , Carol Devine , Astrid Berner-Rodoreda , Shannon A. McMahon , Kate Bärnighausen","doi":"10.1016/j.joclim.2024.100373","DOIUrl":"10.1016/j.joclim.2024.100373","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change is contributing to humanitarian health crises. However, research on the intersection of climate change and health in humanitarian settings often prioritises understanding impacts over identifying solutions. This study adopts a solutions-oriented approach, engaging humanitarians working in medical projects to explore both existing and potential adaptation strategies to mitigate the adverse health effects of climate change.</div></div><div><h3>Materials and Methods</h3><div>The study involved 49 semi-structured qualitative interviews with humanitarian health workers from Médecins Sans Frontières (MSF) across 30 countries. Conducted in English, French, Spanish, Portuguese, and Arabic, the interviews focused on identifying adaptation solutions to address climate-related health impacts at individual, community, and organizational levels. Data were analysed using a hybrid coding approach, combining deductive and inductive techniques informed by framework analysis.</div></div><div><h3>Results and Discussion</h3><div>The research highlights a perception of high vulnerability and low readiness to address climate change in the studied countries, exposing an adaptation gap—the disparity between adaptation needs and current efforts. Initially, participants found it challenging to identify adaptation strategies, often focussing on mitigation (emission reduction) rather than adaptation. From the adaptation activities identified, we developed an ‘Adaptation Continuum’ framework, which ranges from maladaptation to resilience-building. Additionally, we created a matrix of climate change adaptation (CCA) examples to illustrate how health risks can be addressed in contexts characterised by high vulnerability and low adaptive capacity.</div></div><div><h3>Conclusion</h3><div>Health and humanitarian actors are witnessing the profound impacts of climate change on communities and projects worldwide. Despite ongoing efforts to adapt, there remains a lack of consensus on how to effectively operationalize these initiatives. This research introduces the ‘Adaptation Continuum’, a conceptual framework designed to guide the planning, implementation, and evaluation of adaptation activities in four key domains: knowledge and awareness, infrastructure and technological solutions, operational adaptation, and policy and advocacy.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2024-12-17DOI: 10.1016/j.joclim.2024.100403
Agnes Jung , Richard Kopnyicky , Katya Brooks , Emily Loud , Sharif Ismail , Agostinho Moreira de Sousa , Daniel Blake
Background
The increasing frequency of adverse weather events due to climate change poses challenges for emergency planning, response and recovery. While many countries have national plans for preparedness and response to specific hazards, the extent to which these plans influence local health risk management strategies is unclear.
Methods
An assessment of Community Risk Registers (CRRs) published by Local Resilience Forums (LRFs) in England was conducted in 2023. The assessment criteria applied spanned recognition of disaggregated adverse weather risks, through to incorporation of guidance from national agencies within the CRRs.
Results
Of the 33 (out of 38) CRRs reviewed, only half referenced adverse weather risks, and around half referenced relevant national and local guidance to support preparedness and response to minimise potential health impacts. Only two CRRs met all assessment criteria (i.e., the referencing of adverse weather risks, as well as national, local and UK Health Security Agency (UKHSA) specific public health guidance on adverse weather risks).
Conclusions
There is a need to support strengthened inclusion of national evidence and guidance into local risk assessments and the translation of these into relevant documents to raise public awareness of the health impacts from adverse weather.
{"title":"Local level health preparedness for adverse weather: A review of Community Risk Registers in England","authors":"Agnes Jung , Richard Kopnyicky , Katya Brooks , Emily Loud , Sharif Ismail , Agostinho Moreira de Sousa , Daniel Blake","doi":"10.1016/j.joclim.2024.100403","DOIUrl":"10.1016/j.joclim.2024.100403","url":null,"abstract":"<div><h3>Background</h3><div>The increasing frequency of adverse weather events due to climate change poses challenges for emergency planning, response and recovery. While many countries have national plans for preparedness and response to specific hazards, the extent to which these plans influence local health risk management strategies is unclear.</div></div><div><h3>Methods</h3><div>An assessment of Community Risk Registers (CRRs) published by Local Resilience Forums (LRFs) in England was conducted in 2023. The assessment criteria applied spanned recognition of disaggregated adverse weather risks, through to incorporation of guidance from national agencies within the CRRs.</div></div><div><h3>Results</h3><div>Of the 33 (out of 38) CRRs reviewed, only half referenced adverse weather risks, and around half referenced relevant national and local guidance to support preparedness and response to minimise potential health impacts. Only two CRRs met all assessment criteria (i.e., the referencing of adverse weather risks, as well as national, local and UK Health Security Agency (UKHSA) specific public health guidance on adverse weather risks).</div></div><div><h3>Conclusions</h3><div>There is a need to support strengthened inclusion of national evidence and guidance into local risk assessments and the translation of these into relevant documents to raise public awareness of the health impacts from adverse weather.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Climate change contributes to health issues such as elevated blood pressure due to the body’s response to extreme temperatures. Hypertensive patients require support to adapt to these climate impacts, making it essential to develop mitigation strategies to cope with extreme climate change as well as promoting adaptation to these impacts.
Material and methods
A qualitative phenomenological design was used, involving 15 hypertensive patients selected through homogeneous purposive sampling at selected public hospitals. Data were gathered via semi-structured, one-on-one interviews and analysed using Tesch’s method.
Results and discussion
The following themes emerged from this study: (i) hypertensive patients’ experiences of living with high blood pressure under changing weather conditions, (ii) their strategies to adapt to hypertensive conditions during extreme hot weather and suggestions to improve strategies to adapt to climate change. Findings highlighted a strong need for emotional and practical support to help manage their condition effectively.
Conclusions
Unpredictable climate changes complicate hypertensive patients’ ability to adapt. The study recommends raising awareness, providing education on climate-health links, and building community capacity to support adaptation.
{"title":"Adapting to climate change: Strategies adopted by hypertensive patients − A qualitative study","authors":"Mmusi Salphy Mamoropo , Bopape Mamare Adelaide , Mothiba Tebogo Maria","doi":"10.1016/j.joclim.2025.100462","DOIUrl":"10.1016/j.joclim.2025.100462","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change contributes to health issues such as elevated blood pressure due to the body’s response to extreme temperatures. Hypertensive patients require support to adapt to these climate impacts, making it essential to develop mitigation strategies to cope with extreme climate change as well as promoting adaptation to these impacts.</div></div><div><h3>Material and methods</h3><div>A qualitative phenomenological design was used, involving 15 hypertensive patients selected through homogeneous purposive sampling at selected public hospitals. Data were gathered via semi-structured, one-on-one interviews and analysed using Tesch’s method.</div></div><div><h3>Results and discussion</h3><div>The following themes emerged from this study: (i) hypertensive patients’ experiences of living with high blood pressure under changing weather conditions, (ii) their strategies to adapt to hypertensive conditions during extreme hot weather and suggestions to improve strategies to adapt to climate change. Findings highlighted a strong need for emotional and practical support to help manage their condition effectively.</div></div><div><h3>Conclusions</h3><div>Unpredictable climate changes complicate hypertensive patients’ ability to adapt. The study recommends raising awareness, providing education on climate-health links, and building community capacity to support adaptation.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2025-06-10DOI: 10.1016/j.joclim.2025.100461
Marina F. Jiao , Saadatu Abdul-Rahaman , Michelle Leonetti , Lizzy Pope , Kelsey Rose , Emily H. Belarmino
Introduction
Reducing meat consumption and eating a “plant-based diet” is recommended to improve health and environmental outcomes including reducing climate change. One understudied aspect of this dietary recommendation is how it may intersect with diet culture, which equates thinness to health. The purpose of this study is to explore the relationship between diet culture beliefs and meat limitation, and the potential mediating role of dietary motivation.
Methods
This mixed methods study involved a national U.S. survey of 2,750 rural adults and interviews with 28 adults in Vermont, U.S.A. who limit meat intake. Survey respondents were asked about their dietary pattern, dietary motivations, and beliefs about “good” vs. “bad” foods and fatness. Responses were analyzed using mediation models. Interviews focused on perceptions of and experiences with plant-based eating. Transcripts were thematically coded and analyzed for diet culture beliefs.
Results
Moralizing food and meat limitation were closely related. Health motivations fully mediated the relationship, while weight motivations partially mediated the relationship. Anti-fat beliefs were not related to meat limitation. Over half of interview participants imparted a moralization of “good” vs “bad” onto foods and nearly half discussed the healthfulness of plant-based diets and meat limitation.
Conclusion
These results suggest that food moralization and meat limitation are related, and that individuals’ motivations to lose weight and be healthy may mediate the relationship. Although plant-based diets have potential health and environmental benefits, framing these dietary patterns around restriction may adversely affect eaters’ relationships with food. Further research with more diverse samples is needed.
{"title":"Diet culture mindset and meat restriction: A mixed methods mediation analysis","authors":"Marina F. Jiao , Saadatu Abdul-Rahaman , Michelle Leonetti , Lizzy Pope , Kelsey Rose , Emily H. Belarmino","doi":"10.1016/j.joclim.2025.100461","DOIUrl":"10.1016/j.joclim.2025.100461","url":null,"abstract":"<div><h3>Introduction</h3><div>Reducing meat consumption and eating a “plant-based diet” is recommended to improve health and environmental outcomes including reducing climate change. One understudied aspect of this dietary recommendation is how it may intersect with diet culture, which equates thinness to health. The purpose of this study is to explore the relationship between diet culture beliefs and meat limitation, and the potential mediating role of dietary motivation.</div></div><div><h3>Methods</h3><div>This mixed methods study involved a national U.S. survey of 2,750 rural adults and interviews with 28 adults in Vermont, U.S.A. who limit meat intake. Survey respondents were asked about their dietary pattern, dietary motivations, and beliefs about “good” vs. “bad” foods and fatness. Responses were analyzed using mediation models. Interviews focused on perceptions of and experiences with plant-based eating. Transcripts were thematically coded and analyzed for diet culture beliefs.</div></div><div><h3>Results</h3><div>Moralizing food and meat limitation were closely related. Health motivations fully mediated the relationship, while weight motivations partially mediated the relationship. Anti-fat beliefs were not related to meat limitation. Over half of interview participants imparted a moralization of “good” vs “bad” onto foods and nearly half discussed the healthfulness of plant-based diets and meat limitation.</div></div><div><h3>Conclusion</h3><div>These results suggest that food moralization and meat limitation are related, and that individuals’ motivations to lose weight and be healthy may mediate the relationship. Although plant-based diets have potential health and environmental benefits, framing these dietary patterns around restriction may adversely affect eaters’ relationships with food. Further research with more diverse samples is needed.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-01Epub Date: 2025-02-03DOI: 10.1016/j.joclim.2025.100420
Vijay S Limaye , Sameeha Hossain , Ritika Kapoor , Dhilsha Jubair , Charu Lata
Introduction
India faces severe health impacts from climate change. While urban-focused initiatives like the National Clean Air Programme and heat action plans aim to address dangerous exposures, rural regions, home to over 60% of India's population, remain underprioritized in mitigation and adaptation measures. To address this gap, the Self Employed Women's Association (SEWA) and Natural Resources Defense Council (NRDC) implemented the Hariyali Gram (Green Village) initiative, deploying climate-friendly technologies to support improved lighting, cooling, irrigation, and clean cooking in pilot villages beginning in 2019.
Methods
In March 2024, 90 household surveys were conducted in Nagano Math, a village of 256 households in the state of Gujarat, assessing air quality effects, indoor thermal comfort, and health impacts following the implementation of climate-friendly renewable energy solutions.
Results
Survey responses (n-86) indicated substantial awareness of indoor air pollution from traditional cooking methods, with 88% of respondents acknowledging its impact. Nine households received biogas installations and 78% noted improved indoor air quality, while 66 % observed enhanced outdoor air quality and 56% respondents reported health benefits from adopting cleaner cooking for themselves or other members of the household. Of 19 households that installed cool roofs as part of the program, 37% reported improved thermal comfort indoors.
Discussion
Climate actions in this village are delivering health and environmental gains to this community with benefits are reported in about half of households. Findings of our preliminary survey in a single village suggest scaling up climate interventions across rural India could deliver substantial improvements in living conditions.
{"title":"Early insight on how climate action can benefit health in rural India","authors":"Vijay S Limaye , Sameeha Hossain , Ritika Kapoor , Dhilsha Jubair , Charu Lata","doi":"10.1016/j.joclim.2025.100420","DOIUrl":"10.1016/j.joclim.2025.100420","url":null,"abstract":"<div><h3>Introduction</h3><div>India faces severe health impacts from climate change. While urban-focused initiatives like the National Clean Air Programme and heat action plans aim to address dangerous exposures, rural regions, home to over 60% of India's population, remain underprioritized in mitigation and adaptation measures. To address this gap, the Self Employed Women's Association (SEWA) and Natural Resources Defense Council (NRDC) implemented the <em>Hariyali Gram</em> (Green Village) initiative, deploying climate-friendly technologies to support improved lighting, cooling, irrigation, and clean cooking in pilot villages beginning in 2019.</div></div><div><h3>Methods</h3><div>In March 2024, 90 household surveys were conducted in Nagano Math, a village of 256 households in the state of Gujarat, assessing air quality effects, indoor thermal comfort, and health impacts following the implementation of climate-friendly renewable energy solutions.</div></div><div><h3>Results</h3><div>Survey responses (n-86) indicated substantial awareness of indoor air pollution from traditional cooking methods, with 88% of respondents acknowledging its impact. Nine households received biogas installations and 78% noted improved indoor air quality, while 66 % observed enhanced outdoor air quality and 56% respondents reported health benefits from adopting cleaner cooking for themselves or other members of the household. Of 19 households that installed cool roofs as part of the program, 37% reported improved thermal comfort indoors.</div></div><div><h3>Discussion</h3><div>Climate actions in this village are delivering health and environmental gains to this community with benefits are reported in about half of households. Findings of our preliminary survey in a single village suggest scaling up climate interventions across rural India could deliver substantial improvements in living conditions.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Climate change threatens children's and adolescents' health worldwide, but there is limited evidence of its effects on mental health in the low- and middle-income countries which are most affected. We focus on southern Madagascar to elucidate pathways through which climate change impacts mental health.
Materials and Methods
In this preliminary study, we collected survey (n = 83; 49 female) and focus group (n = 48; 28 female) data from 10 to 24-year-olds (M = 15.3).
Results
Adolescents were extremely anxious and depressed, with high climate anxiety. Adolescents indicated that climate changes influenced mental health through loss of household resources, uncertainty about the future, and disruption of coping mechanisms.
Discussion
Climate changes exacerbated the existential threats faced by the adolescents. In Madagascar, our results tentatively suggest that interventions and policies should address food and water security, promote adaptive farming practices, and build resources for coping.
Conclusion
Climate changes are having a profound impact on adolescent mental health in southern Madagascar. The mechanistic links through which these impacts occur may be different than in other, more frequently studied contexts. Research examining these pathways in more depth in Madagascar is urgently needed.
{"title":"“There is no hope; only strong wind”: How climate change impacts adolescent mental health in southern Madagascar","authors":"Kristin Hadfield , Matylda Sulowska , Nambinina Rasolomalala , Samuel Solomon , Satry Ramaroson , Isabelle Mareschal","doi":"10.1016/j.joclim.2025.100438","DOIUrl":"10.1016/j.joclim.2025.100438","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change threatens children's and adolescents' health worldwide, but there is limited evidence of its effects on mental health in the low- and middle-income countries which are most affected. We focus on southern Madagascar to elucidate pathways through which climate change impacts mental health.</div></div><div><h3>Materials and Methods</h3><div>In this preliminary study, we collected survey (<em>n</em> = 83; 49 female) and focus group (<em>n</em> = 48; 28 female) data from 10 to 24-year-olds (M = 15.3).</div></div><div><h3>Results</h3><div>Adolescents were extremely anxious and depressed, with high climate anxiety. Adolescents indicated that climate changes influenced mental health through loss of household resources, uncertainty about the future, and disruption of coping mechanisms.</div></div><div><h3>Discussion</h3><div>Climate changes exacerbated the existential threats faced by the adolescents. In Madagascar, our results tentatively suggest that interventions and policies should address food and water security, promote adaptive farming practices, and build resources for coping.</div></div><div><h3>Conclusion</h3><div>Climate changes are having a profound impact on adolescent mental health in southern Madagascar. The mechanistic links through which these impacts occur may be different than in other, more frequently studied contexts. Research examining these pathways in more depth in Madagascar is urgently needed.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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