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Climate change health communication and its association with awareness and behaviors in South Korea 韩国的气候变化健康传播及其与意识和行为的关系
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100583
Hyeyun Kim, Sumi Chae

Introduction

In a climate crisis where climate change poses serious risks, there is still a lack of awareness of climate change and its health impacts, and the awareness does not translate into health adaptation behaviors. Communication for health adaptation to climate change is not just about conveying information or changing awareness, but requires a strategy that considers the factors that drive individual behavioral change. This study aimed to confirm whether communication experiences are associated with awareness and behaviors related to climate change and health.

Methods

The online survey was conducted among a nationally representative sample of 2,000 adults aged 19-64. Climate change communication was measured in terms of information seeking experience and climate communication experience. Mean differences in climate change health awareness and behavior between subgroups were identified and regression analyses were conducted to determine associations.

Results

The experiences of climate communication were associated with lower perceived likelihood of susceptibility to health risks. However, experiences of information seeking and climate communication had a positive association with pro-environmental and health adaptive behavior.

Conclusions

Current communication approaches have not been effective enough in combining information and communication experiences about climate change and health to build accurate awareness. Protecting and promoting health in the context of the climate crisis requires a public demand-driven approach and a systematic communication strategy that leads to the right awareness and action.
在气候变化带来严重风险的气候危机中,人们仍然缺乏对气候变化及其健康影响的认识,而且这种认识没有转化为健康适应行为。健康适应气候变化的沟通不仅仅是传达信息或改变认识,还需要一种考虑到推动个人行为改变的因素的战略。本研究旨在确认沟通经历是否与气候变化和健康相关的意识和行为有关。方法在线调查是在全国范围内具有代表性的2000名19-64岁的成年人中进行的。从信息寻求经验和气候传播经验两个方面衡量气候变化传播。确定亚组之间气候变化健康意识和行为的平均差异,并进行回归分析以确定相关性。结果气候沟通的经历与较低的健康风险易感性相关。然而,信息寻求和气候沟通经历与亲环境和健康适应行为呈正相关。结论目前的传播方式在将气候变化与健康的信息和传播经验结合起来建立准确的认知方面还不够有效。在气候危机的背景下保护和促进健康,需要采取以公众需求为导向的方法和系统的沟通战略,从而提高认识并采取正确的行动。
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引用次数: 0
The intersections of climate change, gender, migration, and sexual and reproductive health in Sub-Saharan Africa: A scoping review 撒哈拉以南非洲气候变化、性别、移徙以及性健康和生殖健康的交叉点:范围审查
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100604
Tariku Shimels , Zewdneh Shewamene , Dagim Habteyesus , Abraham Fessehaye Sium , Getachew Teshome

Background

Climate change drives socio-environmental shifts in Sub-Saharan Africa, disproportionately impacting marginalized groups. This scoping review aims to document the impacts of climate change, explore its effects on gender, migration, and sexual and reproductive health (SRH), while also mapping adaptation strategies.

Methods

A systematic approach was employed to review peer-reviewed articles, gray literature, and relevant policy documents sourced from major academic databases and authoritative international organizations. The inclusion criteria focused on studies published between 2000 and 2025 that addressed climate change and its associated impacts in Sub-Saharan Africa and explored intersections with gender, migration, or SRH. Data were extracted using a standardized form and synthesized thematically to identify patterns, disparities, and interconnections in climate-related vulnerabilities across affected populations.

Results

Findings from the 22 included studies revealed that climate change disproportionately affects women, girls, and adolescents in Sub-Saharan Africa. These impacts are reflected in the deepening of existing gender inequalities, significant disruptions to SRH service availability and accessibility, and heightened vulnerability during migration and displacement events. Though limited in scale and depth of implementation, studies have also documented gender-responsive adaptation strategies, such as community-led resilience initiatives, local coping mechanisms, and targeted policy interventions, highlighting emerging models of localized adaptation and response.

Conclusion

Climate change presents a significant and multifaceted threat to adolescents, youth, and women, particularly in relation to SRH, gender inequality, and migration. Effectively addressing these challenges requires integrated, multidisciplinary approaches and inclusive policies that prioritize vulnerable populations.
气候变化推动撒哈拉以南非洲地区的社会环境变化,对边缘群体的影响尤为严重。本次范围审查旨在记录气候变化的影响,探讨其对性别、移徙以及性健康和生殖健康的影响,同时绘制适应战略。方法采用系统的方法,对来自主要学术数据库和国际权威组织的同行评议文章、灰色文献和相关政策文件进行综述。纳入标准侧重于2000年至2025年间发表的研究,这些研究涉及撒哈拉以南非洲地区的气候变化及其相关影响,并探讨了性别、移民或SRH的交叉点。采用标准化形式提取数据,并进行主题合成,以确定受影响人群中气候相关脆弱性的模式、差异和相互联系。纳入的22项研究的结果显示,气候变化对撒哈拉以南非洲地区的妇女、女孩和青少年的影响尤为严重。这些影响反映在现有性别不平等的加深,性健康和生殖健康服务的可用性和可及性受到严重干扰,以及移民和流离失所事件期间脆弱性的加剧。尽管实施的规模和深度有限,但研究也记录了促进性别平等的适应战略,如社区主导的复原力倡议、地方应对机制和有针对性的政策干预,突出了本地化适应和应对的新兴模式。气候变化对青少年、青年和妇女构成了重大的、多方面的威胁,特别是在性健康和生殖健康、性别不平等和移民方面。有效应对这些挑战需要综合的多学科方法和优先考虑弱势群体的包容性政策。
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引用次数: 0
Risk for renal injury from heat-related stress among outdoor workers and the imperative for climate-responsive health policies 户外工作者因热相关应激造成肾损伤的风险以及气候响应型卫生政策的必要性
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100600
Leah Werner , Daniel Carrion , Nathalie Huguet
Exposed to prolonged and extreme heat, outdoor workers face significant risks of acute and chronic kidney damage, including acute kidney injury and chronic interstitial nephritis in agricultural communities. Growing concerns over heat-related health issues in temperate, continental, and dry climates call for adaptive public health strategies that span diverse geographic areas. This communication reviews the policies in the United States addressing heat-related stress, identifies barriers to implementing effective health policies, and provides recommendations underscoring the need for comprehensive policy development to safeguard this high-risk population against climate-induced health threats.
暴露在长时间的极端高温下,户外工人面临急性和慢性肾损伤的重大风险,包括急性肾损伤和慢性间质性肾炎。对温带、大陆性和干燥气候中与热有关的健康问题的日益关注,要求制定跨越不同地理区域的适应性公共卫生战略。本信息通报审查了美国应对与热有关的压力的政策,确定了实施有效卫生政策的障碍,并提出建议,强调需要制定全面的政策,以保护这一高风险人群免受气候引起的健康威胁。
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引用次数: 0
Temporal and spatial dynamics of urban heat in the City of Córdoba, Argentina 阿根廷Córdoba市城市热量的时空动态
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100599
Florencia Sangermano , María Lila Asar , Andrés M. Visintin , Elisabet Benítez , Francisco F. Ludueña-Almeida , Elizabet L. Estallo

Introduction

Climate change is expected to exacerbate the Urban Heat Island (UHI) effect in the coming decades by altering the structure and function of urban ecosystems and impacting human health.

Methods

This research assesses the dynamics of the UHI effect in the city of Córdoba, Argentina, by analyzing temperature trends over the past 19 years. Urban areas were classified into five classes using satellite imagery. Monthly average daytime and nighttime MODIS Land Surface Temperature (LST) were used to assess thermal differences across urban classes and temporal trends.

Results

Daytime urban cooling occurred during the winter and heating during the summer, while at nighttime, the city experienced heating year-round. Over 19 years, urban areas presented the highest significant increase in temperature during nighttime, with some areas also experiencing increases during both day and night. Shrublands and crops also showed an increase in LST, particularly during nighttime. Increasing trends in LST during the night overlap with 89.2 % of the population, 90.5 % of households, and 87 % of households with unsatisfied basic needs.

Discussion

The population of the city of Córdoba is highly exposed to the UHI, and the exposure is intensifying, potentially leading to heat-related diseases, spreading disease vectors such as mosquitoes, increasing energy and water consumption, and decreasing the overall quality of life for city dwellers.
未来几十年,气候变化将通过改变城市生态系统的结构和功能以及影响人类健康,加剧城市热岛效应。方法本研究通过分析过去19年的温度趋势,评估了阿根廷Córdoba市热岛效应的动态。利用卫星图像将城市地区分为五类。月平均日夜MODIS地表温度(LST)用于评估城市类别之间的热差异和时间趋势。结果城市冬季白天降温,夏季供暖,夜间全年供暖。19年来,城市地区夜间气温升高幅度最大,部分地区白天和夜间气温均升高。灌丛地和农作物的地表温度也有所增加,尤其是在夜间。夜间地表温度的上升趋势与89.2%的人口、90.5%的家庭和87%的基本需求未得到满足的家庭重叠。Córdoba城市的人口高度暴露于热岛,并且这种暴露正在加剧,可能导致与热有关的疾病,传播疾病媒介,如蚊子,增加能源和水的消耗,并降低城市居民的整体生活质量。
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引用次数: 0
Research on climate change and mental health in immigrants is urgently needed: A systematic scoping review 气候变化与移民心理健康的研究迫在眉睫:一项系统的范围审查
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100605
Sasha Houlden , Angela Dawson , Fiona Charlson , Andrew Hayen , Ying Zhang

Introduction

Globally, climate change is an imminent threat to physical and mental health. Climate-related disasters are predicted to increase in frequency, impacting the stability of and access to social systems and public infrastructure, adversely affecting health and well-being. Immigrant populations may be particularly vulnerable to climate change-related mental health impacts. The bidirectional relationship between climate change and migration infers that climate change-related health threats will further influence increasing migration rates. However, there is limited research that explores mental health risk factors and adaptation and mitigation strategies associated with climate change for immigrants.

Methods

A scoping review was conducted based on a systematic searching strategy. The study aimed to identify and synthesise existing evidence to better understand the impact of climate change on the mental health of immigrant populations, and provide recommendations for future research and practice.

Results

Findings are limited by the quality and depth of existing literature on the topic, as only eight original publications were identified for inclusion in the scoping review, all of which were either qualitative by design or perspective pieces. There is a paucity of evidence on the mental health outcomes of immigrant populations, limiting the recommendations for improving climate-related disaster preparedness and response efforts for immigrants.

Conclusion

Future research and the development of data collection systems that capture health indicators of immigrants are needed to assess immigrant vulnerability to climate-related mental health outcomes.
在全球范围内,气候变化是对身心健康的迫在眉睫的威胁。预计与气候有关的灾害频率将增加,影响社会系统和公共基础设施的稳定性和使用,对健康和福祉产生不利影响。移民人口可能特别容易受到与气候变化有关的心理健康影响。气候变化与移徙之间的双向关系推断,与气候变化有关的健康威胁将进一步影响不断增加的移徙率。然而,探讨移民心理健康风险因素以及与气候变化相关的适应和减缓战略的研究有限。方法采用系统检索策略进行范围综述。该研究旨在识别和综合现有证据,以更好地了解气候变化对移民人口心理健康的影响,并为未来的研究和实践提供建议。研究结果受到现有文献的质量和深度的限制,因为只有8份原始出版物被确定纳入范围审查,所有这些出版物要么是定性的设计,要么是透视片。关于移民人口心理健康结果的证据不足,限制了有关改善移民气候相关备灾和应对工作的建议。结论未来的研究和数据收集系统的开发需要捕捉移民的健康指标,以评估移民对气候相关心理健康结果的脆弱性。
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引用次数: 0
Corrigendum to “Hypotheses on environmental impacts of AI use in healthcare” [J Cli Change Health 16 (2004) 100299] “人工智能在医疗保健中使用对环境影响的假设”的勘误表[J] Cli Change Health 16 (2004) 100299]
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2024.100344
Tanja Bratan, Nils B. Heyen, Bärbel Hüsing, Frank Marscheider-Weidemann, Jana Thomann
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引用次数: 0
Unused medication: mapping the impact across the Dutch healthcare system 未使用的药物:绘制整个荷兰医疗保健系统的影响
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100608
Rou Qing Chen , Elisabeth M. Smale , Patricia M.L.A. van den Bemt , Eleonora L. Swart , Dinemarie M. Kweekel , Nicole G.M. Hunfeld , Mieke J. Gijzels , Jennifer A. Korporaal-Heijman , Henk Vermaat , Bart J.F. van den Bemt , Charlotte L. Bekker

Introduction

Unused medications negatively impact the environment and healthcare budgets. To meet Green Deal goals, a healthcare system-wide assessment of unused medications could yield a comprehensive basis for promoting sustainable medication practices. This study aimed to quantify unused medications across the Dutch healthcare system, including its carbon footprint and economic impact.

Methods

This cross-sectional study was conducted in eleven community pharmacies, three outpatient pharmacies, 22 hospital departments, and 17 tertiary care departments in the Netherlands. Unused medications were collected during two weeks. Primary outcome was quantity of unused medication in Defined Daily Doses (DDDs). Secondary outcomes included waste-based carbon emissions, based on weight of unused medications, and economic value, determined using Dutch retail prices.

Results

In community and outpatient pharmacies, respectively, 148 and 47 DDDs per 100 dispensed orders remained unused. In hospital and tertiary care departments, respectively, 243 and 245 DDDs per 100 occupied beds per day remained unused. Waste-based carbon emissions in community and outpatient pharmacies were, respectively, 0.32 and 0.24 kgCO2-equivalent per 100 dispensed orders. In hospital and tertiary care departments, respectively, 3.58 and 0.69 kgCO2-equivalent per 100 occupied beds per day was emitted. The economic loss was €89 and €249 per 100 dispensed orders in community and outpatient pharmacies, respectively, and €359 and €121 per 100 occupied beds in hospital and tertiary care departments.

Conclusion

Medications remain unused across all healthcare settings, resulting in carbon emissions and economic losses. Implementing strategies to reduce unused medication could mitigate environmental contamination that threatens human health, while enhancing economic sustainability of healthcare systems.
未使用的药物会对环境和医疗预算产生负面影响。为了实现“绿色交易”的目标,医疗保健系统范围内未使用药物的评估可以为促进可持续用药实践提供一个全面的基础。这项研究旨在量化荷兰医疗保健系统中未使用的药物,包括其碳足迹和经济影响。方法横断面研究在荷兰的11个社区药房、3个门诊药房、22个医院部门和17个三级保健部门进行。在两周内收集未使用的药物。主要结局指标为规定日剂量(DDDs)下未使用药物的数量。次要结果包括基于未使用药物重量的废物碳排放,以及使用荷兰零售价格确定的经济价值。结果社区药房和门诊药房每100张处方中未使用DDDs的比例分别为148和47。在医院和三级保健部门,每天每100张占用的病床中分别有243和245名DDDs未使用。社区和门诊药房的废物碳排放量分别为0.32和0.24千克二氧化碳当量/ 100个分配订单。在医院和三级保健部门,每天每100张占用的床位分别排放3.58和0.69千克二氧化碳当量。社区药房和门诊药房每100张处方的经济损失分别为89欧元和249欧元,医院和三级保健部门每100张床位的经济损失分别为359欧元和121欧元。结论在所有医疗机构中,药物仍然未被使用,导致碳排放和经济损失。实施减少未使用药物的战略可以减轻威胁人类健康的环境污染,同时增强医疗保健系统的经济可持续性。
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引用次数: 0
Climate-related stressors, community healthcare systems, and adaptation strategies: A scoping review 气候相关压力源、社区卫生保健系统和适应策略:范围综述
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100574
Sonyta Saad , Chrisgone Adede , David Citrin , Beatrice Wasunna , Mourice Barasa , Krishna Jafa , Kristie L. Ebi

Introduction

Climate-related stressors are a global challenge with effects extending far beyond the environment, significantly impacting the provision of healthcare services, especially in the African and Asian countries selected for examination in this scoping review. Climate-related stressors are expected to significantly increase health risks in these countries, continuing to disproportionately affect vulnerable groups.

Methods

We conducted a scoping review to identify, select, and synthesize relevant literature on climate-related vulnerability factors, exposure pathways and interventions in the geographic regions where the nonprofit organization Medic (www.medic.org) operates. We also reviewed published literature that explored the use of Artificial Intelligence (AI) as a potential tool for community health systems to adapt to and mitigate climate-sensitive health outcomes.
We searched PubMed, Google Scholar, Scopus, and Web of Science.

Results

The search generated 3184 studies available in English since 2000. Overall, 96 studies were screened for inclusion, resulting in 30 studies selected for the review, including 4 reports and articles from gray literature. Overall, the review identified critical gaps in the literature on community-level health interventions to reduce climate-sensitive health risks.

Discussion

The current literature is skewed toward community perception of climate-sensitive health outcomes and adaptation challenges faced by the health system. Results similarly revealed gaps in published literature on adaptation interventions in community health, and healthcare delivery more broadly, that employ AI.
There remains a need for more evidence on the potential use of AI for future interventions to address the growing threat of climate variability to community healthcare and climate-sensitive health outcomes.
与气候相关的压力源是一项全球性挑战,其影响远远超出了环境,严重影响医疗保健服务的提供,特别是在本范围审查中选择审查的非洲和亚洲国家。预计与气候有关的压力因素将大大增加这些国家的健康风险,继续不成比例地影响弱势群体。方法我们对非营利组织Medic (www.medic.org)所在地理区域的气候相关脆弱性因素、暴露途径和干预措施进行了范围审查,以确定、选择和综合相关文献。我们还回顾了已发表的文献,这些文献探讨了将人工智能(AI)作为社区卫生系统适应和减轻气候敏感健康结果的潜在工具的使用。我们搜索了PubMed, b谷歌Scholar, Scopus和Web of Science。结果自2000年以来,搜索产生了3184项可用的英文研究。总的来说,96项研究被筛选纳入,最终有30项研究入选,其中包括4篇灰色文献的报告和文章。总体而言,审查确定了关于社区一级卫生干预措施以减少气候敏感健康风险的文献中的重大差距。目前的文献倾向于社区对气候敏感的健康结果和卫生系统面临的适应挑战的看法。结果同样显示,关于采用人工智能的社区卫生适应干预措施和更广泛的医疗保健服务的已发表文献存在差距。关于人工智能在未来干预措施中的潜在用途,仍需要更多证据,以应对气候变化对社区医疗保健和气候敏感健康结果日益严重的威胁。
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引用次数: 0
Eco-anxiety: prevalence and association with well-being and environmentally responsible consumption in Lithuania 生态焦虑:流行和与福祉和对环境负责的消费在立陶宛的关联
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100601
Rita Žukauskienė , Aistė Bakaitytė-Bagdonė , Audra Balundė

Background

Since eco-anxiety has been linked to various mental health, well-being, and environmental conservation indicators, this study aims to further explore the prevalence of eco-anxiety and its links to mental health indicators, overall well-being, and environmentally responsible consumption

Methods

A nationally representative sample of 2,136 Lithuanians provided self-reported data on symptoms of eco-anxiety, depression, and general anxiety as well as on life satisfaction and environmentally responsible consumption. The prevalence of eco-anxiety symptoms was estimated based on mean score: no eco-anxiety symptoms group (M = 1), mild/medium eco-anxiety symptoms group (1.25 ≤ M ≥ 3), and high eco-anxiety symptoms group (3.25 ≤ M ≥ 5)

Results

In the general sample, 1.4% of respondents scored in the high range on eco-anxiety symptoms. We found no significant differences in the prevalence of eco-anxiety symptoms by gender, age, education, income, or relationship status. Higher eco-anxiety scores were associated with higher scores on depression and general anxiety symptoms. However, eco-anxiety symptoms were not related to life satisfaction. We found no significant relationship between eco-anxiety symptoms and regular consumption, whereas eco-anxiety symptoms were positively related to activism-oriented consumption

Conclusion

This study helps to address the underrepresentation of the Baltic region in eco-anxiety research. It adds to the growing evidence that eco-anxiety symptoms are prevalent among adult population and are negatively associated with mental health symptoms and positively associated with activism-oriented consumption.
由于生态焦虑与各种心理健康、福祉和环境保护指标有关,本研究旨在进一步探讨生态焦虑的患病率及其与心理健康指标、整体福祉和环境责任消费的联系。方法:2136名立陶宛人提供了具有全国代表性的生态焦虑、抑郁、总体焦虑以及生活满意度和环保消费。根据生态焦虑症状的平均得分估计生态焦虑症状的患病率:无生态焦虑症状组(M = 1),轻度/中度生态焦虑症状组(1.25≤M≥3),高度生态焦虑症状组(3.25≤M≥5)。结果在一般样本中,1.4%的受访者生态焦虑症状得分在高范围。我们发现生态焦虑症状的患病率在性别、年龄、教育程度、收入或关系状况方面没有显著差异。较高的生态焦虑得分与较高的抑郁和一般焦虑症状得分相关。然而,生态焦虑症状与生活满意度无关。我们发现生态焦虑症状与经常消费之间无显著关系,而生态焦虑症状与行动导向消费呈正相关。结论本研究有助于解决波罗的海地区生态焦虑研究中代表性不足的问题。越来越多的证据表明,生态焦虑症状在成年人中普遍存在,并与心理健康症状呈负相关,与以行动主义为导向的消费呈正相关。
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引用次数: 0
Better, balanced adaptation, resilience and solidarity 更好的、平衡的适应、复原力和团结
IF 3.6 Pub Date : 2025-11-01 DOI: 10.1016/j.joclim.2025.100626
Marcalee Alexander
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引用次数: 0
期刊
The journal of climate change and health
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