The journal of climate change and health最新文献_第9页

Survey of Nepali doctors on the perception of climate change and health effects 尼泊尔医生对气候变化和健康影响看法的调查

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-04-17 DOI: 10.1016/j.joclim.2025.100449

Pragya Rai , Eva Gauchan , Richa Pradhan , Kabindra M. Shakya

Introduction

Physicians are often the first to witness the health effects of climate change and this allows them a unique platform to advocate for patients’ health. Developing countries are disproportionately impacted by climate change but less is known about the health effects related to climate change in these countries. This survey was done to summarize the observations of Nepali physicians on patients' health as affected by climate change, as well as to assess the need for educational opportunities in the medical community.

Methods

An electronic survey on health effects related to climate change and climate change awareness was sent to Nepali physicians by email and social media.

Results

Almost all Nepali physician respondents (99%, n = 177) reported climate change is happening, and 67% of respondents mentioned time and 53% of respondents noted knowledge as the main barriers for communicating about climate change with patients. Nepali physicians mentioned training (87%), continuing professional education (85%), health action alerts (84%), patient education materials (84%) and policy statements by professional associations (79%) would be helpful for climate change communication.

Conclusion

This survey presents a unique case study describing the health effects of climate change witnessed by physicians in Nepal. This survey highlights that Nepali physicians are keenly aware of the harmful effects of climate change on health, duly acknowledge gaps in education in this topic and report interest in future educational activities to enhance education and to improve their ability to communicate effectively regarding the health impacts of climate change with patients.

医生往往是第一个目睹气候变化对健康影响的人，这使他们成为倡导患者健康的独特平台。发展中国家受到气候变化的影响尤为严重，但对这些国家与气候变化有关的健康影响所知甚少。进行这项调查是为了总结尼泊尔医生对受气候变化影响的病人健康的观察，并评估在医学界教育机会的必要性。方法通过电子邮件和社交媒体向尼泊尔医生发送与气候变化和气候变化意识相关的健康影响的电子调查。结果几乎所有尼泊尔医生受访者（99%,n = 177）都表示气候变化正在发生，67%的受访者提到时间，53%的受访者指出知识是与患者沟通气候变化的主要障碍。尼泊尔医生提到培训（87%）、继续专业教育（85%）、卫生行动警报（84%）、患者教育材料（84%）和专业协会的政策声明（79%）将有助于气候变化沟通。这项调查提出了一个独特的案例研究，描述了尼泊尔医生目睹的气候变化对健康的影响。这项调查突出表明，尼泊尔医生敏锐地意识到气候变化对健康的有害影响，充分认识到在这一主题方面的教育差距，并报告有兴趣开展未来的教育活动，以加强教育，提高他们就气候变化对健康的影响与患者进行有效沟通的能力。

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引用次数: 0

The global surgical triple goal: Surgery must improve health, be equitable, and environmentally sustainable 全球外科手术的三重目标：外科手术必须改善健康、公平和环境可持续

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-06-07 DOI: 10.1016/j.joclim.2025.100458

Rhea Liang , John W. Orchard , Stephen J. Robson

If carbon emissions are not substantially reduced, human health will suffer irreparably. At the same time, global healthcare suffers from inequitable distribution which also leads to avoidable suffering. Health practitioners have always assessed treatment through the lens of potential benefits versus potential risks and harms. This lens must be widened to include global equity and carbon emissions if the triple goal of improving health, equitable delivery and environmental sustainability is to be achieved. This perspective looks at the surgery-specific challenges to sustainability through an equity lens, especially the tension between surgery being one of the most carbon-intensive forms of healthcare, and in many cases also being lifesaving or life-altering and hence essential. Carbon footprints should be made more visible, and sustainability should drive surgical innovation and be part of accreditation processes. Environmental impact should be built into research proposals, and the evidence arising from research used to make hard decisions about low value care. Carbon offsets may be a temporary measure. The surgery of the future must have a lower carbon footprint and consist of procedures that have been proven to be essential and/or of great benefit. Additionally, the burdens of achieving sustainable surgery must not exacerbate existing current or future healthcare inequity globally.

如果不大幅减少碳排放，人类健康将受到无法弥补的损害。与此同时，全球医疗保健受到分配不公平的影响，这也导致了一些本可避免的痛苦。卫生从业人员总是通过潜在的利益与潜在的风险和危害来评估治疗。如果要实现改善健康、公平提供服务和环境可持续性的三重目标，就必须扩大这一视角，将全球公平和碳排放纳入其中。这一观点从公平的角度看待手术对可持续性的具体挑战，尤其是手术作为碳排放最密集的医疗保健形式之一，在许多情况下也可以挽救生命或改变生活，因此是必不可少的。碳足迹应该更加明显，可持续性应该推动外科创新，并成为认证过程的一部分。应将环境影响纳入研究提案，并将研究产生的证据用于做出有关低价值护理的艰难决定。碳补偿可能是一种临时措施。未来的外科手术必须具有更低的碳足迹，并且由已被证明是必要的和/或有很大好处的手术组成。此外，实现可持续手术的负担绝不能加剧全球现有的、当前的或未来的医疗不平等。

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引用次数: 0

A “Whole of system approach” to develop environmental sustainability in a Singapore Healthcare System “整体系统方法”在新加坡医疗保健系统中发展环境可持续性

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-01-03 DOI: 10.1016/j.joclim.2024.100410

Brandon X. Lum , Rebecca Y. Lee , Boon Woei Lee , Bee Lok Hoong , Eugene H. Liu

Introduction

While healthcare systems have to prepare for the impact on global health due to climate change, the healthcare sector must reduce carbon emissions and become environmentally sustainable. This paper provides an overview of how a healthcare system in Singapore, the National University Health System (NUHS), is transiting to sustainable healthcare.

Case presentation

NUHS used a “whole of system approach”, developing a system for governance, accountability, and management, and building internal capability to decarbonize healthcare. This was managed by a newly formed Office of Sustainability, to address the system's carbon footprint in clinical care, facilities management, and procurement. Strategies on sustainability focused on emissions and consumption that were material and significant to NUHS were pursued.

Discussion

NUHS encountered several challenges in the implementation of certain initiatives such as limited manpower and funding, managing supplier relationships and changing clinical practices. A key focus was to build internal capabilities and prioritize strategies to drive sustainability within the health system. Ensuring the availability of funding enabled the implementation of sustainability initiatives as well. Additionally, a growing workload with Singapore's aging local population would reduce the impact of sustainability initiatives on NUHS’ carbon footprint.

Conclusion

This paper aims to assist other healthcare systems embarking on their sustainability journeys to formulate a plan to decarbonize.

虽然卫生保健系统必须为气候变化对全球健康的影响做好准备，但卫生保健部门必须减少碳排放并实现环境可持续性。本文提供了如何在新加坡的医疗保健系统，国立大学卫生系统（NUHS）的概述，正在过渡到可持续的医疗保健。nuhs采用了“整体系统方法”，开发了治理、问责和管理系统，并建立了使医疗保健脱碳的内部能力。该项目由新成立的可持续发展办公室负责管理，以解决该系统在临床护理、设施管理和采购方面的碳足迹问题。可持续发展战略侧重于对国家卫生保健具有重大意义的排放和消费。nuhs在实施某些举措时遇到了一些挑战，如有限的人力和资金、管理供应商关系和改变临床实践。一个关键重点是建立内部能力和优先考虑战略，以推动卫生系统内部的可持续性。确保资金的供应也使可持续性倡议得以实施。此外，随着新加坡当地人口老龄化，工作量不断增加，这将减少可持续发展举措对NUHS碳足迹的影响。结论本文旨在帮助其他医疗保健系统在其可持续发展之旅中制定脱碳计划。

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引用次数: 0

Anticipatory solastalgia in the Antipodes: Evidence of future-oriented distress about environmental change in Australia and New Zealand 澳大利亚和新西兰的环境变化带来的未来导向的苦恼的证据

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-01-13 DOI: 10.1016/j.joclim.2025.100415

Samantha K. Stanley , Omid Ghasemi , Robert M. Ross , John R. Kerr , Mathew D. Marques , Niels G. Mede , Sebastian Berger , Mark Alfano , Neil Levy , Marinus Ferreira , Viktoria Cologna

Introduction

Lived experience of negative environmental change can evoke distress called ‘solastalgia’. Worldwide, people are reporting emotional challenges relating to awareness of current and continued environmental decline, even without a direct experience of climate change. Our research examines the measurement of anticipatory solastalgia: the experience of present distress about expected environmental change.

Methods

Our preregistered research uses survey samples from Australia (n = 1450) and New Zealand (n = 1022) to validate a recently developed five-item Anticipatory Solastalgia Scale (the ANSOS). We also measured participants’ experiences of climate emotions, expectations of the increased severity of climate-related weather disasters, and support for climate policy.

Results

The ANSOS fits the data well, is invariant across these two countries, and shows good internal consistency. Supporting convergent validity, the more that participants reported experiencing anticipatory solastalgia, the more intensely they reported feeling negative emotions about climate change. ANSOS scores were higher among those who expected more severe future impacts from climate-related weather disasters, and positively related to support for policies that aim to address climate change.

Conclusion

The study adds further evidence for the validity of the anticipatory solastalgia scale; a measure that is designed to facilitate understanding of people's distress responses to the expectations of, and emotional engagement with, environmental threats as the climate changes.

负面环境变化的生活经历会引起被称为“太阳痛”的痛苦。在世界范围内，即使没有直接经历过气候变化，人们也在报告与意识到当前和持续的环境退化有关的情感挑战。我们的研究检验了预期性太阳痛的测量：对预期环境变化的当前痛苦的体验。方法采用澳大利亚（n = 1450）和新西兰（n = 1022）的调查样本进行预注册研究，验证最近开发的五项预见性Solastalgia量表（ANSOS）。我们还测量了参与者对气候情绪的体验、对气候相关天气灾害日益严重的预期以及对气候政策的支持。结果ANSOS数据拟合良好，在两国间具有不变性，且具有良好的内部一致性。为了支持趋同效度，参与者报告的预期性太阳痛越多，他们报告的对气候变化的负面情绪就越强烈。在那些预计未来与气候有关的天气灾害会造成更严重影响的人群中，ANSOS得分较高，并且与支持旨在应对气候变化的政策呈正相关。结论：本研究进一步证明了预见性太阳骨痛量表的有效性；一种旨在促进理解人们对气候变化等环境威胁的预期和情感参与的痛苦反应的措施。

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引用次数: 0

Environmental impact, cost, and acceptability of a laboratory sustainability certification program for biomedical research in an academic medical center 学术医学中心生物医学研究实验室可持续性认证项目的环境影响、成本和可接受性

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2024-12-12 DOI: 10.1016/j.joclim.2024.100401

Michael Padget , Pernilla Sörme , Michael Spezia , Susan A. Slaugenhaupt , James McKowen , Emily Kirchner , Natalie Ameral , Surya A. Reis , Damien Slater , Stephen J. Haggarty , Benjamin P. Kleinstiver , Erin C. Dunn , Regina Larocque , Christiano R.R. Alves , Max Stern , Alida Pelli , Ann-Christine Duhaime

Introduction

The healthcare sector contributes considerably to greenhouse gas emissions in the U.S. Biomedical research within academic medical centers (AMCs) is particularly energy- and resource-intensive. This study sought to assess the feasibility, acceptability, and impact of a formal laboratory sustainability certification process within a large AMC research institute.

Methods

Five labs with diverse research profiles participated in an external certification process consisting of the collection of baseline questionnaire data, a customized intervention plan to reduce environmental impacts, and a follow-up questionnaire to assess changes made and their effects. Investigators also directly measured solid waste, audited benchtop and cold storage plug loads, measured selected energy and potential cost savings, and assessed researcher attitudes.

Results

All labs successfully achieved sustainability certification. Relevant and feasible interventions were identified for all participating labs. The main opportunities for improvements at the workplace that could be measured and are under the direct control of researchers included energy use and waste handling at the benchtop. Researchers generally were positive about the program and most expressed an interest in doing more to improve workplace sustainability. Financial estimates showed that intervention-related cost savings offset the cost of the certification process.

Conclusions

In the context of AMC research, where lab-specific autonomy, sizes, and age make a uniform “top-down” institutional approach to sustainability less applicable, customized sustainability certification programs can be effective and may help achieve environmental goals without significant cost or unduly burdensome behavioral changes.

医疗保健部门对美国温室气体排放的贡献相当大，学术医疗中心（amc）内的生物医学研究尤其需要能源和资源密集型。本研究旨在评估大型AMC研究机构正式实验室可持续性认证过程的可行性、可接受性和影响。方法5个具有不同研究背景的实验室参与了外部认证过程，包括收集基线问卷数据，定制干预计划以减少环境影响，以及评估所做改变及其效果的后续问卷。调查人员还直接测量了固体废物，审计了工作台和冷库插头负载，测量了选定的能源和潜在的成本节约，并评估了研究人员的态度。结果所有实验室均顺利通过可持续发展认证。为所有参与的实验室确定了相关和可行的干预措施。工作场所的主要改进机会是可以衡量的，并在研究人员的直接控制下，包括能源使用和桌面上的废物处理。研究人员普遍对该项目持积极态度，大多数人表示有兴趣采取更多措施提高工作场所的可持续性。财务估计显示，与干预有关的费用节省抵消了核证过程的费用。在AMC研究的背景下，实验室特定的自主权、规模和年龄使得统一的“自上而下”的可持续性制度方法不太适用，定制的可持续性认证计划可以有效地帮助实现环境目标，而无需付出巨大的成本或过度负担的行为改变。

{"title":"Environmental impact, cost, and acceptability of a laboratory sustainability certification program for biomedical research in an academic medical center","authors":"Michael Padget , Pernilla Sörme , Michael Spezia , Susan A. Slaugenhaupt , James McKowen , Emily Kirchner , Natalie Ameral , Surya A. Reis , Damien Slater , Stephen J. Haggarty , Benjamin P. Kleinstiver , Erin C. Dunn , Regina Larocque , Christiano R.R. Alves , Max Stern , Alida Pelli , Ann-Christine Duhaime","doi":"10.1016/j.joclim.2024.100401","DOIUrl":"10.1016/j.joclim.2024.100401","url":null,"abstract":"<div><h3>Introduction</h3><div>The healthcare sector contributes considerably to greenhouse gas emissions in the U.S. Biomedical research within academic medical centers (AMCs) is particularly energy- and resource-intensive. This study sought to assess the feasibility, acceptability, and impact of a formal laboratory sustainability certification process within a large AMC research institute.</div></div><div><h3>Methods</h3><div>Five labs with diverse research profiles participated in an external certification process consisting of the collection of baseline questionnaire data, a customized intervention plan to reduce environmental impacts, and a follow-up questionnaire to assess changes made and their effects. Investigators also directly measured solid waste, audited benchtop and cold storage plug loads, measured selected energy and potential cost savings, and assessed researcher attitudes.</div></div><div><h3>Results</h3><div>All labs successfully achieved sustainability certification. Relevant and feasible interventions were identified for all participating labs. The main opportunities for improvements at the workplace that could be measured and are under the direct control of researchers included energy use and waste handling at the benchtop. Researchers generally were positive about the program and most expressed an interest in doing more to improve workplace sustainability. Financial estimates showed that intervention-related cost savings offset the cost of the certification process.</div></div><div><h3>Conclusions</h3><div>In the context of AMC research, where lab-specific autonomy, sizes, and age make a uniform “top-down” institutional approach to sustainability less applicable, customized sustainability certification programs can be effective and may help achieve environmental goals without significant cost or unduly burdensome behavioral changes.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100401"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715449","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 “Development and validation of a climate change version of the man-made disaster-related distress scale (CC-MMDS)” [J Climate Change Health 20 (2024) 100356] “气候变化版人为灾害相关痛苦量表（CC-MMDS）的开发与验证”的勘误表[J] .气候变化与健康20(2024)100356。

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-05-09 DOI: 10.1016/j.joclim.2025.100455

Jil Beckord , Julia Barbara Krakowczyk , Nadja Gebhardt , Leonie Sophie Geiser , Katharina Kamler , Christoph Nikendei , Eva-Maria Skoda , Martin Teufel , Alexander Bäuerle

引用次数: 0

The interplay of factors influencing the carbon footprint of hospital care—A causal mapping analysis of scientific reports 影响医院护理碳足迹因素的相互作用——科学报告的因果映射分析

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-03-12 DOI: 10.1016/j.joclim.2025.100427

L.H.J.A. Kouwenberg , D.S. Kringos , W.J.K. Hehenkamp , E.S. Cohen , N.H. Sperna Weiland

Introduction

Climate change threatens human well-being and planetary health, necessitating sector-wide transitions. Recent research has highlighted the carbon footprint of hospital care by identifying hotspots and mitigation areas, but key factors influencing these outcomes remain underexplored.

Methods

This study used causal mapping of textual data to systematically evaluate scientific reports on the carbon footprint of hospital services and care pathways. The sample was drawn from a State-of-the-science literature review, focusing on quantitative reports on hospital services’ carbon footprint. Text fragments discussing factors influencing the carbon footprint were recorded, and variables and relationships were identified and visually mapped through iterative open, axial, and selective coding.

Results

Twelve main factors influence four major domains of the carbon footprint of hospital services and care pathways. These factors are related to the volume of travel, facilities and equipment, consumables, waste disposal, and pharmaceuticals, and their carbon intensity. Over eighty subfactors were identified, including ten cross-cutting factors that affect multiple domains of the hospital care footprint.

Conclusions

The carbon footprint of hospital care is a multifaceted and complex issue driven by multiple factors. Insight into these factors can inform targeted actions to reduce emissions. This study also improves the understanding of the causes of variability in carbon footprint outcomes of hospital care, which is important for the interpretation and transferability of results and conclusions in this rapidly growing field of research.

气候变化威胁到人类福祉和地球健康，需要全部门转型。最近的研究通过确定热点和缓解区域强调了医院护理的碳足迹，但影响这些结果的关键因素仍未得到充分探索。方法本研究采用文本数据的因果映射，系统评估有关医院服务和护理途径碳足迹的科学报告。该样本取自一篇关于医院服务碳足迹的定量报告的科学文献综述。记录讨论影响碳足迹因素的文本片段，并通过迭代的开放编码、轴向编码和选择性编码识别变量和关系，并进行可视化映射。结果12个主要因素影响医院服务和护理途径碳足迹的4个主要领域。这些因素与旅行、设施和设备、消耗品、废物处理和药品的数量及其碳强度有关。确定了80多个子因素，包括影响医院护理足迹多个领域的10个交叉因素。结论医院护理碳足迹是一个多方面的复杂问题，受多种因素的影响。对这些因素的深入了解可以为有针对性的减排行动提供信息。本研究还提高了对医院护理碳足迹结果变异性原因的理解，这对于在这一快速发展的研究领域中解释和转移结果和结论非常重要。

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引用次数: 0

Voices of hard-to-reach island communities provide inclusive and culturally appropriate climate change responses: A case study from the Torres Strait Islands, Australia 难以接触的岛屿社区的声音提供包容性和文化上适当的气候变化应对措施：来自澳大利亚托雷斯海峡群岛的案例研究

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-05-05 DOI: 10.1016/j.joclim.2025.100450

Vinnitta Mosby , Bradley J. Moggridge , Sandra Creamer , Geoffrey Evans , Lillian Ireland , Gretta Pecl , Nina Lansbury

Introduction

Many island-based Indigenous communities continue to occupy, manage and live off and from their ancestral lands. For some Indigenous Islander communities, climate change is already causing destruction to fragile ecosystems, affecting traditional food supply, and impacting on the health and livelihoods of communities.

Materials and methods

The voices gathered through extended yarns of Torres Strait Islander Peoples was featured as a case study to describe the range of physical and psycho-social impacts from climatic changes to their Country, as well as their priority climate responses.

Results & discussion

In describing climate change impacts and priority responses, Torres Strait Islander community members detailed five aspects of concern to them. These were to adequately monitor climatic changes and respond appropriately by drawing on Aboriginal and Torres Strait Islander Knowledges, to consider the human rights inherent in being protected from climate change, and to develop locally led solutions that are implemented soon.

Conclusion

The impacts of climate change that are being seen and felt in Australia's Torres Strait Islands hold many similarities with small island nations in the Pacific whose islands are remote, climate-exposed, and their voices unheard on the political stage despite experiencing irreversible damage and gradual disappearance of their ancestral lands.

许多以岛屿为基础的土著社区继续占领、管理和依靠其祖先的土地生活。对一些土著岛民社区来说，气候变化已经对脆弱的生态系统造成破坏，影响到传统的粮食供应，并影响到社区的健康和生计。材料和方法通过托雷斯海峡岛民的长篇故事收集的声音被作为一个案例研究，描述了气候变化对他们国家的身体和心理社会影响的范围，以及他们优先考虑的气候应对措施。结果,在描述气候变化的影响和优先应对措施时，托雷斯海峡岛民社区成员详细介绍了他们关注的五个方面。这些目标是充分监测气候变化并利用土著和托雷斯海峡岛民的知识作出适当反应，考虑保护不受气候变化影响所固有的人权，并制定由当地主导并很快实施的解决办法。澳大利亚托雷斯海峡群岛所看到和感受到的气候变化的影响与太平洋上的小岛屿国家有许多相似之处，这些国家的岛屿偏远，受气候影响，尽管经历了不可逆转的破坏，他们的祖传土地逐渐消失，但他们在政治舞台上的声音却被忽视了。

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引用次数: 0

Justice enablers of climate-health adaptation in South America 促进南美洲气候健康适应的司法因素

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-06-13 DOI: 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.

将促进司法的因素纳入气候健康适应规划，减少适应失败，防止适应不良，并促进卫生系统的变革。这在气候适应研究和政策受到资金限制的南美洲尤其必要。通过仔细考虑不同的气候健康风险和必要的权衡，国家适应计划（nap）和卫生国家适应计划（HNAPs）为确定正确的适应路径提供了论坛。本研究评估了南非气候健康规划中认知、程序和分配正义因素的整合。方法在南美国家的nap、HNAPs或其附属适应战略（SASs）的可操作部分中跟踪正义促进因素。使用气候适应文献中的关键词来测量司法促进因素的整合水平。结果各国在国家适应规划中司法促进因素的整合水平存在显著差异。各国在整合司法的不同层面（承认、程序、分配）方面也存在显著差异。大多数国家在承认公正一体化方面的得分高于程序和分配公正。结论需要综合框架将司法考虑纳入气候健康适应规划，以避免适应失败或适应不良。

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引用次数: 0

The political landscape of physical activity and climate action in Canada’s social climate 体育活动和气候行动在加拿大社会气候中的政治格局

The journal of climate change and health

Pub Date : 2025-05-01 Epub Date: 2025-06-11 DOI: 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.

众所周知，政治倾向会影响健康行为和政策支持。本研究考察了政治倾向对体育活动（PA）的社会气候的影响，以及加拿大应对气候变化和PA（即气候-健康协同效益）的政策支持。材料和方法基于社会气候调查2.0（18年以上）数据，研究变量包括政治取向（自由派/中间派/保守派）、对体育锻炼重要性的感知、对体育锻炼指南的遵守、缺乏体育锻炼的因果归因以及对健康共同利益政策行动的支持。进行了逻辑分析和中介分析。结果在1717名成年人中，没有观察到政治倾向与感知到的PA重要性或PA指南依从性之间的关联。与自由主义者相比，中间派（OR: 1.63, 95% CI: 1.25-2.08）和保守派（OR: 1.76, 95% CI: 1.33-2.32）都将缺乏运动归因于个人责任。关于八项气候健康共同利益政策行动的认可，与自由派相比，中间派（or: 0.53-0.66）和保守派不太可能支持这些行动（or: 0.27-0.48），这部分可以通过将缺乏运动的原因归因到保守派中来解释。大多数加拿大成年人认识到PA的重要性。对气候健康共同利益政策的支持因政治取向而异，中间派对具有成本效益的政策行动表现出混合支持。因果信念似乎与保守派对政策行动的较低支持有关。结论：调整公共卫生信息、政策倡导战略和投资重点，使其与不同的政治取向相一致，对于解决加拿大气候-健康共同利益及其更广泛的公共卫生影响可能很重要。

{"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}

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