The journal of climate change and health最新文献_第3页

Development and validation of the climate change-related reproductive concerns scale (CCRCS) 气候变化相关生殖问题量表（CCRCS）的编制与验证

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100351

Matteo Innocenti , Gabriele Santarelli , Chiara Comerci , Niccolò Carluccio , Enrico Anzaghi , Chiara Cadeddu

Introduction

As global concerns about climate change intensify, emerging research reveals a link between climate change anxiety and individuals' decisions regarding parenthood. More people are choosing not to have children due to worries about their carbon footprint or the future implications of climate change on their offspring. This trend emphasizes the critical necessity for a nuanced comprehension of how environmental concerns intertwine with reproductive intentions. To address this imperative, our study develops the Climate Change-related Reproductive Concerns Scale (CCRCS) and evaluates its psychometric properties.

Methods

CCRCS was developed and validated in a sample of 206 Italian adults aged 19 to 51. Ten items were created to evaluate climate change-related reproductive attitudes: 5 anti-reproductive items and 5 pro-reproductive, with their responses reversed for consistency in interpretation.

Results

Exploratory factor analysis revealed a single-factor structure, explaining 63.82 % of the variance, with the scale demonstrating good internal consistency (α = 0.85). The factor structure was replicated, and the scale's validity was examined through correlations with measures of eco-paralysis and climate change anxiety, with significant correlations supporting construct validity. Furthermore, the relationship between climate change-related reproductive concerns and adaptation responses was explored, assessing the impact of framing on CCRCS scores.

Conclusion

The CCRCS provides a reliable and valid measure of these concerns, highlighting the psychological impact of climate change anxiety on reproductive decision-making and emphasizing the need for nuanced understanding in this area.

随着全球对气候变化的担忧加剧，新兴研究揭示了气候变化焦虑与个人关于生育的决定之间的联系。越来越多的人选择不要孩子，因为他们担心自己的碳足迹或气候变化对后代的未来影响。这种趋势强调了细致入微地理解环境问题如何与生殖意图交织在一起的关键必要性。为了解决这一问题，本研究开发了气候变化相关生殖关注量表（CCRCS）并评估了其心理测量特性。方法开发sccrcs并在206名19 ~ 51岁的意大利成年人样本中进行验证。我们创建了10个项目来评估与气候变化相关的生殖态度：5个反对生殖的项目和5个支持生殖的项目，为了解释的一致性，他们的回答是相反的。结果探索性因子分析显示单因素结构，解释了63.82%的方差，量表具有良好的内部一致性（α = 0.85）。对因子结构进行了复制，并通过与生态麻痹和气候变化焦虑测度的相关性检验了量表的效度，结果表明量表的结构效度具有显著的相关性。此外，研究了气候变化相关生殖问题与适应响应之间的关系，评估了框架对CCRCS得分的影响。结论CCRCS为这些担忧提供了一个可靠而有效的衡量标准，突出了气候变化焦虑对生殖决策的心理影响，并强调了对这一领域细致理解的必要性。

{"title":"Development and validation of the climate change-related reproductive concerns scale (CCRCS)","authors":"Matteo Innocenti , Gabriele Santarelli , Chiara Comerci , Niccolò Carluccio , Enrico Anzaghi , Chiara Cadeddu","doi":"10.1016/j.joclim.2024.100351","DOIUrl":"10.1016/j.joclim.2024.100351","url":null,"abstract":"<div><h3>Introduction</h3><div>As global concerns about climate change intensify, emerging research reveals a link between climate change anxiety and individuals' decisions regarding parenthood. More people are choosing not to have children due to worries about their carbon footprint or the future implications of climate change on their offspring. This trend emphasizes the critical necessity for a nuanced comprehension of how environmental concerns intertwine with reproductive intentions. To address this imperative, our study develops the Climate Change-related Reproductive Concerns Scale (CCRCS) and evaluates its psychometric properties.</div></div><div><h3>Methods</h3><div>CCRCS was developed and validated in a sample of 206 Italian adults aged 19 to 51. Ten items were created to evaluate climate change-related reproductive attitudes: 5 anti-reproductive items and 5 pro-reproductive, with their responses reversed for consistency in interpretation.</div></div><div><h3>Results</h3><div>Exploratory factor analysis revealed a single-factor structure, explaining 63.82 % of the variance, with the scale demonstrating good internal consistency (α = 0.85). The factor structure was replicated, and the scale's validity was examined through correlations with measures of eco-paralysis and climate change anxiety, with significant correlations supporting construct validity. Furthermore, the relationship between climate change-related reproductive concerns and adaptation responses was explored, assessing the impact of framing on CCRCS scores.</div></div><div><h3>Conclusion</h3><div>The CCRCS provides a reliable and valid measure of these concerns, highlighting the psychological impact of climate change anxiety on reproductive decision-making and emphasizing the need for nuanced understanding in this area.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100351"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748102","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}

引用次数: 0

Climate change, poverty, and health: A scoping review of the Canadian context 气候变化、贫困与健康：加拿大背景范围审查

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100348

Mariya Bezgrebelna , Emil Aliyev , Yaa S.A. Amoah , Donna Atkinson , Susan Bell Chiblow , Mardi Daley , Julie L. Drolet , Amber Fletcher , Sherilee Harper , Glen P. Kenny , Leanne M. Lacap , Kwame McKenzie , Abhay Sachal , Pierre Valois , Gregor Wolbring , Edward C. Xie , Sean A. Kidd

Introduction

The understanding of the role of climate change in worsening health outcomes and social disparities is growing, highlighting poverty as a key factor amplifying exposure to environmental hazards and as a result of such exposure. However, there has been insufficient focus on the unique risks encountered in Canada, highlighting the necessity for targeted understanding to inform and evaluate effective responses. The question guiding the present scoping review is: In the Canadian context, what are the impacts and implications of climate change and weather extremes on the physical and mental health of those experiencing poverty, as evidenced in the peer-reviewed academic literature?

Methods

A systematic search was conducted within the following four databases: Scopus, PubMed, PsycINFO, and Google Scholar, using key terms related to poverty, climate change, and health and well-being in the Canadian context. Primary research and review articles published in English were included (n = 28).

Results

The articles included 23 reports of primary research and five reviews, spanning 2000 to 2022. Six theme areas emerged at the climate change, poverty, and health intersection in Canada: heat, air pollution, food security, pollen, wildfire evacuation, and health systems.

Discussion

Addressing poverty reduction is identified as a critical lever for reducing environmental risks and enhancing resilience, although challenges remain in implementing evidence-based interventions due to significant gaps in knowledge. Future research should consider exploring outcomes disaggregated by sociodemographic factors, interconnections between heat and air pollution, and interventions targeting vulnerable groups.

导言：人们对气候变化在恶化健康结果和社会差距方面所起作用的认识日益加深，这突出表明贫困是扩大环境危害风险的一个关键因素，也是这种风险的结果。然而，人们对加拿大遇到的独特风险关注不够，这突出表明有必要进行有针对性的了解，以便为有效应对措施提供信息并对其进行评估。指导本次范围界定审查的问题是在加拿大，气候变化和极端天气对贫困人口的身心健康有哪些影响和意义？Scopus、PubMed、PsycINFO 和 Google Scholar，使用与加拿大背景下的贫困、气候变化、健康和幸福相关的关键术语。结果文章包括 23 篇主要研究报告和 5 篇综述，时间跨度为 2000 年至 2022 年。在加拿大，气候变化、贫困和健康的交叉点上出现了六个主题领域：高温、空气污染、食品安全、花粉、野火疏散和卫生系统。讨论尽管由于知识上的巨大差距，在实施循证干预措施方面仍存在挑战，但解决减贫问题被认为是降低环境风险和提高抗灾能力的关键杠杆。未来的研究应考虑探索按社会人口因素分类的结果、高温与空气污染之间的相互联系以及针对弱势群体的干预措施。

{"title":"Climate change, poverty, and health: A scoping review of the Canadian context","authors":"Mariya Bezgrebelna , Emil Aliyev , Yaa S.A. Amoah , Donna Atkinson , Susan Bell Chiblow , Mardi Daley , Julie L. Drolet , Amber Fletcher , Sherilee Harper , Glen P. Kenny , Leanne M. Lacap , Kwame McKenzie , Abhay Sachal , Pierre Valois , Gregor Wolbring , Edward C. Xie , Sean A. Kidd","doi":"10.1016/j.joclim.2024.100348","DOIUrl":"10.1016/j.joclim.2024.100348","url":null,"abstract":"<div><h3>Introduction</h3><div>The understanding of the role of climate change in worsening health outcomes and social disparities is growing, highlighting poverty as a key factor amplifying exposure to environmental hazards and as a result of such exposure. However, there has been insufficient focus on the unique risks encountered in Canada, highlighting the necessity for targeted understanding to inform and evaluate effective responses. The question guiding the present scoping review is: In the Canadian context, what are the impacts and implications of climate change and weather extremes on the physical and mental health of those experiencing poverty, as evidenced in the peer-reviewed academic literature?</div></div><div><h3>Methods</h3><div>A systematic search was conducted within the following four databases: Scopus, PubMed, PsycINFO, and Google Scholar, using key terms related to poverty, climate change, and health and well-being in the Canadian context. Primary research and review articles published in English were included (<em>n</em> = 28).</div></div><div><h3>Results</h3><div>The articles included 23 reports of primary research and five reviews, spanning 2000 to 2022. Six theme areas emerged at the climate change, poverty, and health intersection in Canada: heat, air pollution, food security, pollen, wildfire evacuation, and health systems.</div></div><div><h3>Discussion</h3><div>Addressing poverty reduction is identified as a critical lever for reducing environmental risks and enhancing resilience, although challenges remain in implementing evidence-based interventions due to significant gaps in knowledge. Future research should consider exploring outcomes disaggregated by sociodemographic factors, interconnections between heat and air pollution, and interventions targeting vulnerable groups.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100348"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722904","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}

引用次数: 0

Analyzing telehealth emissions and variations in primary care settings - A scoping review

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100340

Rachel de Sain , Amanda Irwin

Introduction

In facing the dual challenge of climate change's health impacts and healthcare's greenhouse gas emissions, telehealth emerges as a promising, low-carbon alternative. While existing literature emphasizes its implications in secondary and acute care, a significant gap exists regarding its impact on primary care emissions.

Methods

This scoping review analyzes 45 studies examining telehealth's impact on emissions, focusing on five studies in primary care settings. Using the Arksey and O'Malley Framework, it aims to understand the calculation methods and average emissions avoided per telehealth consultation in primary care, comparing them to secondary and acute settings.

Results

Results reveal that primary care telehealth emissions savings align with those in secondary and acute settings, mainly stemming from avoided transport emissions (ATE). However, variables to calculate ATE, including distance traveled, public transport, and non-emitting vehicle use, exhibit broader influences, and a model for their calculation will be developed for future studies. The findings of this review draw upon data from over 87 million primary care telehealth consultations across five studies, reporting an average avoided carbon emission of 7.7kg CO₂e per consultation. These findings underscore the potential for substantial emissions reduction by transitioning appropriate primary care consultations to virtual delivery platforms.

{"title":"Analyzing telehealth emissions and variations in primary care settings - A scoping review","authors":"Rachel de Sain , Amanda Irwin","doi":"10.1016/j.joclim.2024.100340","DOIUrl":"10.1016/j.joclim.2024.100340","url":null,"abstract":"<div><h3>Introduction</h3><div>In facing the dual challenge of climate change's health impacts and healthcare's greenhouse gas emissions, telehealth emerges as a promising, low-carbon alternative. While existing literature emphasizes its implications in secondary and acute care, a significant gap exists regarding its impact on primary care emissions.</div></div><div><h3>Methods</h3><div>This scoping review analyzes 45 studies examining telehealth's impact on emissions, focusing on five studies in primary care settings. Using the Arksey and O'Malley Framework, it aims to understand the calculation methods and average emissions avoided per telehealth consultation in primary care, comparing them to secondary and acute settings.</div></div><div><h3>Results</h3><div>Results reveal that primary care telehealth emissions savings align with those in secondary and acute settings, mainly stemming from avoided transport emissions (ATE). However, variables to calculate ATE, including distance traveled, public transport, and non-emitting vehicle use, exhibit broader influences, and a model for their calculation will be developed for future studies. The findings of this review draw upon data from over 87 million primary care telehealth consultations across five studies, reporting an average avoided carbon emission of 7.7kg CO<sub>2</sub>e per consultation. These findings underscore the potential for substantial emissions reduction by transitioning appropriate primary care consultations to virtual delivery platforms.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100340"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137700","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}

引用次数: 0

A qualitative study of what motivates, facilitates, and hinders climate-engaged healthcare trainees to advance healthcare sustainability 关于推动、促进和阻碍参与气候活动的医疗保健受训人员促进医疗保健可持续发展的因素的定性研究

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100352

Owen Dan Luo , Sumara Stroshein , Yasmeen Razvi , Alanna Jane , Zahra Taboun , Laurence Robert , Omar Taboun , Nicole Simms

Introduction

There is a critical need for low-carbon, environmentally-sustainable health systems in the climate crisis. Healthcare trainees can play a vital role in this process, and we have aimed to explore how they can be motivated and supported by faculties of medicine and health systems to pursue this ambition by conducting an exploratory, qualitative descriptive study of Canadian healthcare trainees engaged in healthcare sustainability initiatives.

Materials and methods

Transcripts from individual in-depth interviews were analyzed to identify themes related to the actions that healthcare trainees can take to promote sustainable healthcare, as well as the motivators, barriers and facilitators of healthcare trainee engagement in sustainable healthcare.

Results

Participants (N = 17) engaged in a spectrum of healthcare sustainability initiatives, including education, quality improvement and advocacy. They were motivated to advance healthcare sustainability through positive role models, the health impacts of climate change, observation of unsustainable healthcare practices, and a sense of social responsibility. Participants articulated that supportive networks, access to resources and funding, and having a growth mindset were facilitators to their engagement. In contrast, the lack of institutional prioritization of healthcare sustainability, limitations of the trainee role, challenges finding allies, and the perceived futility of their individual actions were characterized as barriers.

Discussion

Healthcare trainees could support healthcare decarbonization efforts if they are adequately supported by their learning environments. The study's findings can guide educational innovations and health systems transformations to motivate and empower healthcare trainees to reduce the climate impact of healthcare throughout their careers.

导言：在气候危机中，亟需建立低碳、环境可持续的医疗系统。医疗保健受训人员可以在这一过程中发挥重要作用，我们旨在通过对参与医疗保健可持续发展倡议的加拿大医疗保健受训人员进行探索性、定性描述研究，探讨医学院和医疗保健系统如何激励和支持他们实现这一雄心壮志。材料与方法对个人深度访谈的记录进行分析，以确定与医疗保健受训人员可采取的促进可持续医疗保健的行动相关的主题，以及医疗保健受训人员参与可持续医疗保健的动机、障碍和促进因素。结果受训人员（N = 17）参与了一系列医疗保健可持续发展计划，包括教育、质量改进和宣传。积极的榜样、气候变化对健康的影响、对不可持续的医疗保健实践的观察以及社会责任感是他们推动医疗保健可持续发展的动力。参与者明确表示，支持性网络、获得资源和资金的途径以及拥有成长型思维是他们参与其中的促进因素。与此相反，缺乏机构对医疗保健可持续性的优先考虑、学员角色的局限性、寻找盟友的挑战以及认为个人行动徒劳无益则成为他们参与的障碍。讨论如果学习环境能够为医疗保健学员提供足够的支持，他们就可以支持医疗保健去碳化的努力。本研究的发现可以指导教育创新和医疗系统改革，以激励和授权医疗保健受训人员在其职业生涯中减少医疗保健对气候的影响。

{"title":"A qualitative study of what motivates, facilitates, and hinders climate-engaged healthcare trainees to advance healthcare sustainability","authors":"Owen Dan Luo , Sumara Stroshein , Yasmeen Razvi , Alanna Jane , Zahra Taboun , Laurence Robert , Omar Taboun , Nicole Simms","doi":"10.1016/j.joclim.2024.100352","DOIUrl":"10.1016/j.joclim.2024.100352","url":null,"abstract":"<div><h3>Introduction</h3><div>There is a critical need for low-carbon, environmentally-sustainable health systems in the climate crisis. Healthcare trainees can play a vital role in this process, and we have aimed to explore how they can be motivated and supported by faculties of medicine and health systems to pursue this ambition by conducting an exploratory, qualitative descriptive study of Canadian healthcare trainees engaged in healthcare sustainability initiatives.</div></div><div><h3>Materials and methods</h3><div>Transcripts from individual in-depth interviews were analyzed to identify themes related to the actions that healthcare trainees can take to promote sustainable healthcare, as well as the motivators, barriers and facilitators of healthcare trainee engagement in sustainable healthcare.</div></div><div><h3>Results</h3><div>Participants (<em>N</em> = 17) engaged in a spectrum of healthcare sustainability initiatives, including education, quality improvement and advocacy. They were motivated to advance healthcare sustainability through positive role models, the health impacts of climate change, observation of unsustainable healthcare practices, and a sense of social responsibility. Participants articulated that supportive networks, access to resources and funding, and having a growth mindset were facilitators to their engagement. In contrast, the lack of institutional prioritization of healthcare sustainability, limitations of the trainee role, challenges finding allies, and the perceived futility of their individual actions were characterized as barriers.</div></div><div><h3>Discussion</h3><div>Healthcare trainees could support healthcare decarbonization efforts if they are adequately supported by their learning environments. The study's findings can guide educational innovations and health systems transformations to motivate and empower healthcare trainees to reduce the climate impact of healthcare throughout their careers.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100352"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722903","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}

引用次数: 0

Psychometric properties of the French version of the climate change worry scale 法国版气候变化担忧量表的心理测量特性

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100361

Sarah Shepherd, Patrick Raynal, Myriam Guedj

Introduction

As concern over climate change keeps growing, there is a need for reliable tools to assess the psychological impact of this global issue across different languages. This study presents the first French adaptation of the Climate Change Worry Scale (CCWS) and evaluates its psychometric properties. The CCWS, originally developed in English, is a 10-item self-report measure assessing personal worry about climate change.

Methods

A total of 442 participants (82.1% female, mean age = 32.45, SD = 12.50) completed the CCWS along with the Climate Change Anxiety Scale (CCAS), the Penn State Worry Questionnaire (PSWQ), and the Depression Anxiety Stress Scales (DASS).

Results

The CCWS showed robust internal consistency, with Cronbach's alpha and McDonald's omega values of 0.91. Convergent validity was supported by a strong correlation between the CCWS and CCAS (r = 0.79). Divergent validity was shown by weaker correlations with general worry assessed with PSWQ (r = 0.31) and symptoms of depression, anxiety, and stress measured with DASS (r = 0.24–0.30). An exploratory factor analysis supported a one-factor solution for the CCWS, explaining 51% of the variance. Factor loadings of the ten items ranged from 0.61 to 0.82. A subsequent confirmatory factor analysis confirmed an adequate fit for a reduced six-item version of the scale.

Conclusions

These findings suggest that the French version of the CCWS is a reliable and valid tool for measuring climate change worry. Its strong psychometric properties make it suitable for use in French-speaking populations, enabling future cross-cultural research on climate-related psychological impacts.

随着人们对气候变化的关注不断增加，我们需要一种可靠的工具来评估这一全球问题对不同语言的心理影响。本研究首次提出法国版的气候变化忧虑量表（CCWS），并评估其心理测量特性。CCWS最初是用英语开发的，是一项包含10个项目的自我报告，评估个人对气候变化的担忧。方法共442名参与者（女性82.1%，平均年龄32.45岁，SD = 12.50）完成了CCWS、气候变化焦虑量表（CCAS）、宾夕法尼亚州立大学焦虑问卷（PSWQ）和抑郁焦虑压力量表（DASS）。结果CCWS具有较强的内部一致性，Cronbach’s alpha和McDonald’s omega值均为0.91。CCWS和CCAS之间的强相关性支持了收敛效度（r = 0.79）。发散效度与PSWQ评估的一般忧虑（r = 0.31）和DASS测量的抑郁、焦虑和压力症状（r = 0.24-0.30）的相关性较弱。探索性因素分析支持CCWS的单因素解决方案，解释了51%的方差。十个项目的因子负荷在0.61 ~ 0.82之间。随后的验证性因素分析证实，该量表的六项精简版本是适当的。结论法语版CCWS是一种可靠有效的气候变化担忧度测量工具。其强大的心理测量特性使其适合在法语人群中使用，从而使未来有关气候相关心理影响的跨文化研究成为可能。

{"title":"Psychometric properties of the French version of the climate change worry scale","authors":"Sarah Shepherd, Patrick Raynal, Myriam Guedj","doi":"10.1016/j.joclim.2024.100361","DOIUrl":"10.1016/j.joclim.2024.100361","url":null,"abstract":"<div><h3>Introduction</h3><div>As concern over climate change keeps growing, there is a need for reliable tools to assess the psychological impact of this global issue across different languages. This study presents the first French adaptation of the Climate Change Worry Scale (CCWS) and evaluates its psychometric properties. The CCWS, originally developed in English, is a 10-item self-report measure assessing personal worry about climate change.</div></div><div><h3>Methods</h3><div>A total of 442 participants (82.1% female, mean age = 32.45, SD = 12.50) completed the CCWS along with the Climate Change Anxiety Scale (CCAS), the Penn State Worry Questionnaire (PSWQ), and the Depression Anxiety Stress Scales (DASS).</div></div><div><h3>Results</h3><div>The CCWS showed robust internal consistency, with Cronbach's alpha and McDonald's omega values of 0.91. Convergent validity was supported by a strong correlation between the CCWS and CCAS (<em>r</em> = 0.79). Divergent validity was shown by weaker correlations with general worry assessed with PSWQ (<em>r</em> = 0.31) and symptoms of depression, anxiety, and stress measured with DASS (<em>r</em> = 0.24–0.30). An exploratory factor analysis supported a one-factor solution for the CCWS, explaining 51% of the variance. Factor loadings of the ten items ranged from 0.61 to 0.82. A subsequent confirmatory factor analysis confirmed an adequate fit for a reduced six-item version of the scale.</div></div><div><h3>Conclusions</h3><div>These findings suggest that the French version of the CCWS is a reliable and valid tool for measuring climate change worry. Its strong psychometric properties make it suitable for use in French-speaking populations, enabling future cross-cultural research on climate-related psychological impacts.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748090","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}

引用次数: 0

Serving Up Climate Education: An innovative resident curriculum addressing climate change through plant-based solutions 服务气候教育：一个创新的驻地课程，通过基于植物的解决方案解决气候变化问题

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100330

Elizabeth Cerceo , Karen Cohen , Krystal Hunter , Margaret Hofstedt , Shirley Kalwaney

Background

Future physicians will increasingly face the consequences of the climate crisis. Few medical training programs educate sufficiently on nutrition and even fewer have robust climate health education. Plant-based diets address climate change mitigation as well as individual health.

Objective

We sought to understand whether a brief educational session would improve knowledge and attitudes of climate health and plant-based diets.

Methods

A cohort study was conducted from June to September 2023 with PGY1 internal and family medicine interns at three sites who participated in a faculty-led session on climate health and plant-based diets. The authors designed a pre- and post-survey assessing knowledge and attitudes on climate health and plant-based diets.

Results

Among the 37 intern participants, 76% and 73% reported they received <2 hours of education on climate change and air pollution in medical school, respectively. 43% of interns reported 2-6 hours of education on heat-related illness but only 13.5% reported >25 hours of nutrition education as recommended by the National Academy of Sciences. After the presentation, interns demonstrated significant improvement in knowledge and attitudes regarding the health impacts of air pollution and the environmental effects of meat consumption. They recognized the health impacts on their patients (p<0.001) and felt more comfortable counseling on climate change (p<0.001) and plant-based diets (p<0.007). 19 interns (51%) provided free text responses, expressing considerations of environmental and dietary factors on clinical disease.

Conclusion

Basic knowledge of and attitudes toward climate health and plant-based diets were successfully improved among first-year residents at the end of a one-hour educational session.

未来的医生将越来越多地面临气候危机的后果。很少有医学培训项目对营养进行充分的教育，更少有强有力的气候健康教育。植物性饮食既能缓解气候变化，也能促进个人健康。目的：我们试图了解一个简短的教育会议是否会提高气候健康和植物性饮食的知识和态度。方法于2023年6月至9月在三个地点的PGY1内科和家庭医学实习生中进行了一项队列研究，这些实习生参加了由教师主导的气候健康和植物性饮食会议。作者设计了一项调查前和调查后评估气候健康和植物性饮食的知识和态度。结果在37名实习参与者中，76%和73%的人分别在医学院接受了2小时的气候变化和空气污染教育。43%的实习生表示接受了2-6小时的热相关疾病教育，但只有13.5%的实习生接受了美国国家科学院推荐的25小时营养教育。在介绍之后，实习生对空气污染对健康的影响和肉类消费对环境的影响的知识和态度有了显著改善。他们认识到对患者健康的影响（p<0.001），并对气候变化（p<0.001）和植物性饮食（p<0.007）方面的咨询感到更舒服。19名实习生（51%）提供了自由文本回复，表达了环境和饮食因素对临床疾病的影响。结论在一小时的教育课程结束后，一年级住院医师对气候健康和植物性饮食的基本知识和态度得到了成功的改善。

{"title":"Serving Up Climate Education: An innovative resident curriculum addressing climate change through plant-based solutions","authors":"Elizabeth Cerceo , Karen Cohen , Krystal Hunter , Margaret Hofstedt , Shirley Kalwaney","doi":"10.1016/j.joclim.2024.100330","DOIUrl":"10.1016/j.joclim.2024.100330","url":null,"abstract":"<div><h3>Background</h3><div>Future physicians will increasingly face the consequences of the climate crisis. Few medical training programs educate sufficiently on nutrition and even fewer have robust climate health education. Plant-based diets address climate change mitigation as well as individual health.</div></div><div><h3>Objective</h3><div>We sought to understand whether a brief educational session would improve knowledge and attitudes of climate health and plant-based diets.</div></div><div><h3>Methods</h3><div>A cohort study was conducted from June to September 2023 with PGY1 internal and family medicine interns at three sites who participated in a faculty-led session on climate health and plant-based diets. The authors designed a pre- and post-survey assessing knowledge and attitudes on climate health and plant-based diets.</div></div><div><h3>Results</h3><div>Among the 37 intern participants, 76% and 73% reported they received <2 hours of education on climate change and air pollution in medical school, respectively. 43% of interns reported 2-6 hours of education on heat-related illness but only 13.5% reported >25 hours of nutrition education as recommended by the National Academy of Sciences. After the presentation, interns demonstrated significant improvement in knowledge and attitudes regarding the health impacts of air pollution and the environmental effects of meat consumption. They recognized the health impacts on their patients (p<0.001) and felt more comfortable counseling on climate change (p<0.001) and plant-based diets (p<0.007). 19 interns (51%) provided free text responses, expressing considerations of environmental and dietary factors on clinical disease.</div></div><div><h3>Conclusion</h3><div>Basic knowledge of and attitudes toward climate health and plant-based diets were successfully improved among first-year residents at the end of a one-hour educational session.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100330"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748313","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}

引用次数: 0

Corrigendum to “Climate change and women's health in the United States: Impacts and opportunities” [J Clim Change Health 8C (2022) 100169] 美国气候变化与妇女健康：影响与机遇》[J Clim Change Health 8C (2022) 100169] 更正

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100331

Emily Sbiroli , Julia Geynisman-Tan , Natasha Sood , Ben Allan Maines , Justin Hyuck-Jin Junn , Cecilia Sorensen

引用次数: 0

Exploring Portuguese physicians' perceptions of climate change impacts on health: A qualitative study 探讨葡萄牙医生对气候变化对健康影响的看法：定性研究

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100333

Nidia Ponte , Fátima Alves , Diogo Guedes Vidal

Introduction

Health professionals, as primary responders to climate change health impacts, must be well-informed to effectively communicate adaptation risks and benefits to influence both patients and organizations. This study was undertaken in order to survey how physicians in Portugal understand, explain, and experience the impacts of climate change on health in their clinical practice. Understanding physicians' knowledge level on this subject also can help determine whether training is needed, and through what educational mechanisms.

Material and methods

Using a semi-structured interview script, this study applied a qualitative methodology with interviews of 13 physicians from various medical specialties in Portugal, aged 28 to 73.

Results

All participants recognized that human action is the main contributor to climate change, indicating that fossil fuels and overproduction are the main factors responsible for greenhouse gas emissions. They also agreed that climate change affects human health. However, they reported that they find connecting diseases to climate change challenging in their clinical practice, and expressed the need for training on the effects of climate change on health.

Conclusion

This study demonstrated that physicians recognized the importance of understanding and communicating the connection between climate change and health in their daily practice, and that failure to recognize these impacts may affect appropriate diagnosis and preparedness for extreme climate events. These results highlight the urgency of addressing the health impacts of climate change and underscore the role of education and awareness.

卫生专业人员作为气候变化对健康影响的主要应对者，必须充分了解情况，才能有效地沟通适应风险和利益，以影响患者和组织。本研究旨在调查葡萄牙医生在临床实践中如何理解、解释和体验气候变化对健康的影响。了解医生在这方面的知识水平也有助于确定是否需要培训，以及通过何种教育机制进行培训。材料和方法本研究采用半结构化访谈脚本，采用定性方法采访了13名来自葡萄牙不同医学专业的医生，年龄在28岁至73岁之间。结果所有与会者都认识到人类活动是气候变化的主要因素，表明化石燃料和生产过剩是造成温室气体排放的主要因素。他们还同意气候变化影响人类健康。然而，他们报告说，他们发现在临床实践中将疾病与气候变化联系起来具有挑战性，并表示需要就气候变化对健康的影响进行培训。本研究表明，医生在日常实践中认识到理解和沟通气候变化与健康之间联系的重要性，未能认识到这些影响可能会影响对极端气候事件的适当诊断和准备。这些结果突出了解决气候变化对健康影响的紧迫性，并强调了教育和认识的作用。

{"title":"Exploring Portuguese physicians' perceptions of climate change impacts on health: A qualitative study","authors":"Nidia Ponte , Fátima Alves , Diogo Guedes Vidal","doi":"10.1016/j.joclim.2024.100333","DOIUrl":"10.1016/j.joclim.2024.100333","url":null,"abstract":"<div><h3>Introduction</h3><div>Health professionals, as primary responders to climate change health impacts, must be well-informed to effectively communicate adaptation risks and benefits to influence both patients and organizations. This study was undertaken in order to survey how physicians in Portugal understand, explain, and experience the impacts of climate change on health in their clinical practice. Understanding physicians' knowledge level on this subject also can help determine whether training is needed, and through what educational mechanisms.</div></div><div><h3>Material and methods</h3><div>Using a semi-structured interview script, this study applied a qualitative methodology with interviews of 13 physicians from various medical specialties in Portugal, aged 28 to 73.</div></div><div><h3>Results</h3><div>All participants recognized that human action is the main contributor to climate change, indicating that fossil fuels and overproduction are the main factors responsible for greenhouse gas emissions. They also agreed that climate change affects human health. However, they reported that they find connecting diseases to climate change challenging in their clinical practice, and expressed the need for training on the effects of climate change on health.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that physicians recognized the importance of understanding and communicating the connection between climate change and health in their daily practice, and that failure to recognize these impacts may affect appropriate diagnosis and preparedness for extreme climate events. These results highlight the urgency of addressing the health impacts of climate change and underscore the role of education and awareness.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100333"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715703","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}

引用次数: 0

Pediatric climate distress: A scoping review and clinical resource 儿科气候困扰：范围综述和临床资源

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100349

Jeremy D. Wortzel , Ver-Se Denga , Jeshtha Angrish , Larissa Dooley , Iliana Manjón , Sherwin Shabdar , Amy D. Lykins , Suzie Cosh , Paul A. Bain , Andrew Toyin Olagunju , James McKowen

Introduction

Climate change is the public health crisis of our time, with young people particularly at risk. Climate change has been associated with increased prevalence of psychiatric disorders. Psychological concerns pertaining to the Earth's future have also been cited as contributing to negative emotions now termed ‘climate distress’. While previous reviews have addressed the various ways climate change affects pediatric mental health, this scoping review aims to specifically explore pediatric climate distress and its implications for clinical practice.

Methods

2548 articles were extracted from multiple databases, titles, abstracts, and full texts were screened blinded and in duplicate using the web-based platform Covidence. Quantitative and qualitative original research papers published in English between January 1, 2000 and April 29, 2024 that studied pediatric climate distress were included.

Results

Forty-two articles met the inclusion criteria, along with 10 additional grey literature sources. Among quantitative studies, 81 % found that 50 % or more of respondents reported negative climate emotions and 86 % of qualitative studies reported that “all” or “most” respondents expressed negative climate emotions. Additionally, 63 % of studies measuring distress severity reported high distress levels. Therapeutic interventions addressing climate distress were found to be effective and were categorized thematically into three groups: Education-Emotion Focused, Nature-Engagement Based, and Activism-Civic Related.

Conclusions

This review shows that while there is a growing body of literature that illustrates how young people have negative emotions pertaining to climate change, there is need for increased diagnostic and therapeutic approaches to clinically address these growing challenges.

导言气候变化是我们这个时代的公共健康危机，年轻人尤其面临风险。气候变化与精神疾病发病率的增加有关。对地球未来的心理担忧也被认为是造成负面情绪的原因，现在被称为 "气候困扰"。虽然之前的综述已经探讨了气候变化影响儿科心理健康的各种方式，但本范围综述旨在专门探讨儿科气候困扰及其对临床实践的影响。方法从多个数据库中提取2548篇文章，使用基于网络的平台Covidence对标题、摘要和全文进行盲法筛选，并一式两份。结果42篇文章符合纳入标准，另外还有10篇灰色文献来源。在定量研究中，81% 的研究发现 50% 或以上的受访者报告了负面情绪，86% 的定性研究报告了 "所有 "或 "大多数 "受访者表达了负面情绪。此外，63% 的测量困扰严重程度的研究报告称困扰程度较高。研究发现，针对气候困扰的治疗干预是有效的，并按主题分为三类：结论本综述表明，虽然有越来越多的文献说明了年轻人如何对气候变化产生负面情绪，但仍需要更多的诊断和治疗方法来临床应对这些日益严峻的挑战。

{"title":"Pediatric climate distress: A scoping review and clinical resource","authors":"Jeremy D. Wortzel , Ver-Se Denga , Jeshtha Angrish , Larissa Dooley , Iliana Manjón , Sherwin Shabdar , Amy D. Lykins , Suzie Cosh , Paul A. Bain , Andrew Toyin Olagunju , James McKowen","doi":"10.1016/j.joclim.2024.100349","DOIUrl":"10.1016/j.joclim.2024.100349","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change is the public health crisis of our time, with young people particularly at risk. Climate change has been associated with increased prevalence of psychiatric disorders. Psychological concerns pertaining to the Earth's future have also been cited as contributing to negative emotions now termed ‘climate distress’. While previous reviews have addressed the various ways climate change affects pediatric mental health, this scoping review aims to specifically explore pediatric climate distress and its implications for clinical practice.</div></div><div><h3>Methods</h3><div>2548 articles were extracted from multiple databases, titles, abstracts, and full texts were screened blinded and in duplicate using the web-based platform Covidence. Quantitative and qualitative original research papers published in English between January 1, 2000 and April 29, 2024 that studied pediatric climate distress were included.</div></div><div><h3>Results</h3><div>Forty-two articles met the inclusion criteria, along with 10 additional grey literature sources. Among quantitative studies, 81 % found that 50 % or more of respondents reported negative climate emotions and 86 % of qualitative studies reported that “all” or “most” respondents expressed negative climate emotions. Additionally, 63 % of studies measuring distress severity reported high distress levels. Therapeutic interventions addressing climate distress were found to be effective and were categorized thematically into three groups: Education-Emotion Focused, Nature-Engagement Based, and Activism-Civic Related.</div></div><div><h3>Conclusions</h3><div>This review shows that while there is a growing body of literature that illustrates how young people have negative emotions pertaining to climate change, there is need for increased diagnostic and therapeutic approaches to clinically address these growing challenges.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100349"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553007","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}

引用次数: 0

Health risks of climate change in Australia: An umbrella review 澳大利亚气候变化的健康风险：概括性审查

The journal of climate change and health

Pub Date : 2024-11-01 DOI: 10.1016/j.joclim.2024.100347

Michael Tong , Enembe Okokon , Sotiris Vardoulakis

Introduction

The impact of climate change on population health has been extensively studied in Australia, but no comprehensive review of the impact of climate change on health in Australia has been performed. This review summarizes the most up-to-date, high-level evidence exploring the health risks of climate change in Australia, identifies evidence gaps in the scientific literature, and lays the groundwork for an in-depth national climate change and health risk assessment in Australia.

Methods

Electronic database PubMed was searched for systematic reviews of the impact of climate change on health outcomes in Australia. Narrative synthesis was conducted to summarize findings.

Results

The most frequently reported climate change related risks in Australia were heat and bushfires, followed by floods and droughts, with a limited number of studies on cyclones and rising sea levels. The impacts on health included all-cause mortality and morbidity, heat-related illnesses, vector-, food- and water-borne diseases, negative mental health effects, cardiovascular, respiratory, and renal diseases, injuries and adverse birth outcomes. These impacts were unevenly distributed across Australia's geographical regions and population groups, particularly affecting young children, people with health conditions or disabilities, the elderly, and pregnant women. There were notable gaps concerning First Nations, culturally and linguistically diverse groups, ethnic minorities, and refugees in the context of climate change and health in Australia.

Conclusions

Further research is needed to deepen our understanding of the associations between climate change and health outcomes in Australia, especially among disadvantaged communities and sensitive population groups. Future risk assessments using standardized methodologies to estimate exposure-response functions for specific health outcomes are warranted. At-risk populations need to be adequately supported by a national adaptation plan that will reduce their vulnerability to climate extremes and prevent adverse health impacts of climate change in Australia.

澳大利亚对气候变化对人口健康的影响进行了广泛的研究，但尚未对气候变化对澳大利亚健康的影响进行全面审查。本综述总结了探讨澳大利亚气候变化健康风险的最新高水平证据，确定了科学文献中的证据空白，并为深入开展澳大利亚全国气候变化和健康风险评估奠定了基础。方法在PubMed电子数据库中检索气候变化对澳大利亚健康结果影响的系统综述。通过叙事综合来总结研究结果。结果在澳大利亚，最常被报道的与气候变化相关的风险是高温和森林大火，其次是洪水和干旱，关于飓风和海平面上升的研究数量有限。对健康的影响包括全因死亡率和发病率、与热有关的疾病、媒介、食物和水传播的疾病、负面的精神健康影响、心血管、呼吸和肾脏疾病、伤害和不良的出生结果。这些影响在澳大利亚各地理区域和人口群体中分布不均，对幼儿、有健康问题或残疾人、老年人和孕妇的影响尤其严重。在澳大利亚，在气候变化和健康方面，土著、文化和语言多样化群体、少数民族和难民方面存在显著差距。结论需要进一步的研究来加深我们对澳大利亚气候变化与健康结果之间关系的理解，特别是在弱势社区和敏感人群中。未来有必要进行风险评估，使用标准化方法来估计特定健康结果的暴露-反应函数。需要通过一项国家适应计划为高危人群提供充分支持，以减少他们对极端气候的脆弱性，并防止气候变化对澳大利亚健康的不利影响。

{"title":"Health risks of climate change in Australia: An umbrella review","authors":"Michael Tong , Enembe Okokon , Sotiris Vardoulakis","doi":"10.1016/j.joclim.2024.100347","DOIUrl":"10.1016/j.joclim.2024.100347","url":null,"abstract":"<div><h3>Introduction</h3><div>The impact of climate change on population health has been extensively studied in Australia, but no comprehensive review of the impact of climate change on health in Australia has been performed. This review summarizes the most up-to-date, high-level evidence exploring the health risks of climate change in Australia, identifies evidence gaps in the scientific literature, and lays the groundwork for an in-depth national climate change and health risk assessment in Australia.</div></div><div><h3>Methods</h3><div>Electronic database PubMed was searched for systematic reviews of the impact of climate change on health outcomes in Australia. Narrative synthesis was conducted to summarize findings.</div></div><div><h3>Results</h3><div>The most frequently reported climate change related risks in Australia were heat and bushfires, followed by floods and droughts, with a limited number of studies on cyclones and rising sea levels. The impacts on health included all-cause mortality and morbidity, heat-related illnesses, vector-, food- and water-borne diseases, negative mental health effects, cardiovascular, respiratory, and renal diseases, injuries and adverse birth outcomes. These impacts were unevenly distributed across Australia's geographical regions and population groups, particularly affecting young children, people with health conditions or disabilities, the elderly, and pregnant women. There were notable gaps concerning First Nations, culturally and linguistically diverse groups, ethnic minorities, and refugees in the context of climate change and health in Australia.</div></div><div><h3>Conclusions</h3><div>Further research is needed to deepen our understanding of the associations between climate change and health outcomes in Australia, especially among disadvantaged communities and sensitive population groups. Future risk assessments using standardized methodologies to estimate exposure-response functions for specific health outcomes are warranted. At-risk populations need to be adequately supported by a national adaptation plan that will reduce their vulnerability to climate extremes and prevent adverse health impacts of climate change in Australia.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100347"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748101","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}

引用次数: 0