The journal of climate change and health最新文献

{"title":"Climate change and public health research ethics in low- and middle-income countries: A systematic literature review","authors":"Majid Ali Tahir ,&nbsp;Hafiz Suboor ul Hassan ,&nbsp;Omera Naseer ,&nbsp;Hassan Nawaz Lalee ,&nbsp;Mumtaz Ali Khan ,&nbsp;Nadia Nisar ,&nbsp;Rabyia Zaheer ,&nbsp;Wasay Munir ,&nbsp;Shahbaz Ahmad Zakki ,&nbsp;Ijaz ul Haq ,&nbsp;Mazhar Nisar ,&nbsp;Muhammad Ishaq ,&nbsp;Izza Shuaib ,&nbsp;Muhammad Salman","doi":"10.1016/j.joclim.2026.100653","DOIUrl":"10.1016/j.joclim.2026.100653","url":null,"abstract":"<div><h3>Background</h3><div>Climate change poses significant public health challenges, particularly in low- and middle-income countries (LMICs), where ethical considerations are critical for equitable research. This systematic review synthesizes existing knowledge on climate change, public health, and research ethics in LMICs to identify key themes and research gaps.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed and Medline (2001–2024) identified 643 articles, of which 86 met inclusion criteria. Studies were thematically synthesized, and keyword co-occurrence mapping and cluster analysis were used to explore associations between health and ethical themes. Data visualization, including keyword co-occurrence mapping and hierarchical clustering, was performed to highlight thematic associations and research gaps.</div></div><div><h3>Results</h3><div>Out of 86 studies 53.48 % were were published after the year 2022. Research is predominantly focused on mortality, outbreaks, and epidemics, mostly associated in ethical contextss such as community rights and beneficence. Associations were strongest between “Rights and Liberties” and “Community Rights.” However, ethical considerations were inconsistently integrated, with equity and justice particularly underrepresented in studies on non-communicable diseases and maternal health. Most of the studies relied on secondary data, reflecting gaps in localized, context-specific evidence. Geographically, South Asia and parts of Africa were represented, while Southeast Asia and Latin America were markedly underrepresented despite major climate-related health risks.</div></div><div><h3>Conclusion</h3><div>This review highlights increasing research interests in climate change and health but identifies gaps in ethical frameworks and LMIC representation. Strengthening research agendas with context-specific ethical considerations and prioritizing vulnerable populations is essential for equitable health responses towards climate change in resource-limited settings.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"29 ","pages":"Article 100653"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147799762","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}

{"title":"The health co-benefits and costs of climate adaptation interventions: A rapid scoping review and implications for policy and practice","authors":"Annabelle Workman ,&nbsp;Sophie Cullen ,&nbsp;Hasini Gunasiri ,&nbsp;Elise Moo ,&nbsp;Vanora Mulvenna ,&nbsp;Rohani Savage ,&nbsp;Fran MacDonald ,&nbsp;Kathryn J. Bowen","doi":"10.1016/j.joclim.2026.100666","DOIUrl":"10.1016/j.joclim.2026.100666","url":null,"abstract":"<div><h3>Background</h3><div>Climate change is the biggest health threat of the 21st century, with health outcomes worsening across most climate-sensitive health parameters. The World Health Organization’s 2025 Global Action Plan on Climate Change and Health calls for health and climate issues to be better integrated in policy development as a matter of priority. Recent research indicates that climate adaptation interventions present an opportunity for substantial returns on investment when health and other outcomes are accounted for. This rapid scoping review explores a subset of the broader peer-reviewed literature assessing health co-benefits and costs of climate adaptation interventions.</div></div><div><h3>Methods</h3><div>A search of PubMed, Scopus, and MEDLINE was carried out in August 2024 and 286 papers were screened for eligibility. 25 papers were deemed eligible for inclusion and data were extracted across multiple variables, including geographic location of study, reported cost of intervention, health outcomes and reported indicators.</div></div><div><h3>Results</h3><div>Most of the 25 included papers were review articles and did not quantify or monetize health co-benefits. Only two of the 25 included papers reported the cost of featured climate adaptation interventions. A quarter of the included papers discussed potentially relevant indicators for reporting adaptation health co-benefits. Nature-based solutions and interventions relating to the built environment were the most common sectors covered.</div></div><div><h3>Conclusion</h3><div>Recognizing the limitations of our findings given the subset of papers included in this scoping review, there appears to be an opportunity within the peer-reviewed literature to quantify the health co-benefits of climate adaptation interventions, report on their costs and benefits, and use standardized intervention typologies or measurement frameworks to assess effectiveness. Beyond the need for a more comprehensive and systematic review, future research must better evaluate the effectiveness and health outcomes of climate adaptation interventions and planning through appropriate study designs to enable evidence-based policy decisions that optimize the benefits of adaptation action.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"29 ","pages":"Article 100666"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147850858","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}

{"title":"Building climate-resilient, low-carbon health systems: A knowledge, attitudes and practices study with the primary healthcare workforce in Lebanon","authors":"Patricia Nayna Schwerdtle ,&nbsp;Adelle Mansour ,&nbsp;Kathryn Bowen ,&nbsp;Farah Jradi ,&nbsp;James Awad ,&nbsp;Myriam Mrad ,&nbsp;Kelly Carpenter ,&nbsp;Sadath Sayeed","doi":"10.1016/j.joclim.2026.100658","DOIUrl":"10.1016/j.joclim.2026.100658","url":null,"abstract":"<div><h3>Background</h3><div>Climate change poses increasing threats to human health and health systems, particularly in low- and middle-income countries where exposure and vulnerability tend to be high and readiness to adapt tends to be low. A climate-smart health workforce - equipped to address climate-related health risks and reduce the environmental footprint of healthcare - is a core pillar of resilient health systems. This study explored the knowledge, attitudes, and practices of Lebanon’s primary healthcare workforce concerning climate change and health, to inform capacity-building efforts.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study using a knowledge, attitudes and practices framework, comprising three focus group discussions (n = 24) with primary healthcare professionals. Data were collected in March 2025, using a semi-structured discussion guide. Thematic analysis was conducted using the Framework Method.</div></div><div><h3>Findings</h3><div>Participants expressed general awareness of climate-related health risks - particularly respiratory illness and waterborne disease - but demonstrated limited understanding of underlying drivers or systemic impacts. While climate change and health issues were often discussed informally in personal settings, they were rarely integrated into professional practice. Existing sustainability efforts varied across facilities. Nearly all participants reported no prior climate change and health training but expressed strong interest in flexible, practice-oriented learning opportunities.</div></div><div><h3>Interpretation</h3><div>Despite growing awareness, Lebanon’s primary healthcare workforce lacks structured education and institutional support to respond effectively to climate-related health challenges. Embedding climate change and health competencies into health workforce development - through locally adapted, scalable training programs – is needed to build climate-resilient and low-carbon health systems in Lebanon and similar settings.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100658"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175451","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}

{"title":"Climate and health governance: Opportunities and challenges addressing extreme heat in the United States","authors":"Noah L. Ring ,&nbsp;Dorothy M. Daley ,&nbsp;Nathaniel A. Brunsell","doi":"10.1016/j.joclim.2025.100635","DOIUrl":"10.1016/j.joclim.2025.100635","url":null,"abstract":"<div><div>The increasing frequency and severity of extreme heat events is an intersectional issue that poses significant risk to human health and livelihood. This article examines the challenges and opportunities of addressing the health consequences of extreme heat events in the United States. American federalism and political polarization constrain innovation and hamper the development and implementation of solutions to mitigate negative health consequences of extreme heat. The United States is unprepared for the health consequences of extreme heat events. Fragmentation of the medicolegal death investigation system contributes to an underreporting of heat-related mortality in federal repositories. Without reliable data, the scope of heat-related mortality cannot be fully understood and this limits the ability to effectively intervene. Despite this gap in our knowledge, it is clear that there are profound socioeconomic and racial disparities in health, and extreme heat events will amplify these disparities. We consider opportunities for local government action in this area, yet, federal leadership is required to bolster national efforts in addressing extreme heat.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100635"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147449719","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}

{"title":"Impacts of climate-induced hydro-meteorological hazards on women’s reproductive and maternal health in India: An assessment of gender-based violence across stages of women's lives","authors":"Saif Nihal ,&nbsp;Anjali Sharma ,&nbsp;Amit Mitra ,&nbsp;Soumya Swaminathan ,&nbsp;Nitya Rao","doi":"10.1016/j.joclim.2025.100630","DOIUrl":"10.1016/j.joclim.2025.100630","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change, a global challenge with diverse manifestations, is often studied as a homogeneous phenomenon. Yet, different climate-change-induced hazards have differentiated implications for health system disruptions, social vulnerabilities, and reduced access to care. Understanding these links from a gendered perspective remains an urgent need. This study assesses the impacts of different hydro-meteorological hazards on gender-based violence (GBV) in India, identifying spatial hotspots where exposure converges with different forms of GBV. Our conceptualisation of GBV goes beyond traditional notions that focus on Intimate Partner Violence (IPV) to include the violation of rights in terms of early marriage or reduced access to reproductive health services.</div></div><div><h3>Materials and Methods</h3><div>Data on exposure to extreme hydro-meteorological hazards and women’s wellbeing are obtained from India's Council on Energy, Environment, and Water (CEEW) and the fourth and fifth rounds of the National Family Health Survey (NFHS), respectively. Hotspots with high climate exposure and GBV were identified through geospatial analysis. The association between different hydro-meteorological hazards and GBV was determined through pooled logistic regression analysis.</div></div><div><h3>Results</h3><div>Exposure to cyclones, a sudden-onset hazard, is associated with a higher likelihood of dropout from the minimum recommended Antenatal Care (60 %), while exposure to drought, a slow-onset hazard, is likely to increase dropouts by 38 % compared to non-exposure. The likely increase in intimate partner violence (IPV) is similar for drought (26 %) and cyclones (27 %). The impacts of floods are found to be lower on all indicators of GBV, with further in-depth studies of flood-affected areas needed to identify the causes. Districts in northern India are vulnerable to all types of GBV; however, some southern Indian districts are hotspots for girl child marriage and IPV.</div></div><div><h3>Discussion</h3><div>This study shows that the association of hydro-meteorological hazards with GBV varies according to the type of hazard and its potential impacts on economic and livelihood disruptions, displacement, stress, and gender norms.</div></div><div><h3>Conclusion</h3><div>This study indicates the need for hazard-specific targeted interventions from a gendered perspective, particularly in spatial hotspots.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100630"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147797968","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}

{"title":"\"Exploring vulnerabilities: A mixed-method Transdisciplinary Study of Dengue and Diarrhea in Peru\"","authors":"Maurizia Mezza ,&nbsp;Leonardo Doig-Alba ,&nbsp;M. Isabel Ruiz-Ruiz ,&nbsp;Bertha Luz Pineda Restrepo","doi":"10.1016/j.joclim.2026.100669","DOIUrl":"10.1016/j.joclim.2026.100669","url":null,"abstract":"<div><h3>Introduction</h3><div>This study explores the multifactorial vulnerabilities to dengue and diarrhea in Peru, particularly within the municipality of Caballococha, in the Loreto department (region). It elucidates the complex interactions between climate change, socio-economic inequalities, and public health, while emphasizing the importance of combining collaborative knowledge strategies with both macro-level data analysis and micro-level experiential insights.</div></div><div><h3>Methods</h3><div>We employed a transdisciplinary-inspired methodology, integrating mixed method approaches with active participant engagement across multiple research stages. Utilizing literature and publicly available datasets, we developed a statistical model, the National Vulnerability Index (NVI), to identify risk factors for dengue and diarrhea at the national level. Through the Dialogue of Knowledge (DoK) methodology—a participatory framework that melds local and scientific knowledge—we explored perspectives and the lived experiences related to dengue and diarrhea in one single municipality, Caballococha. This approach facilitated a deeper understanding of vulnerability processes and enabled joint planning of mitigation strategies with the community.</div></div><div><h3>Results</h3><div>The NVI indicated that dengue and diarrhea exhibit contrasting spatial patterns of vulnerablity, with the jungle more vulnerable for diarrhea than for dengue. This pattern may be more associated with gender-based vulnerabilities and self identification from an Amazonic population, rather than by water access and sanitation.</div></div><div><h3>Infrastructure</h3><div>The DoK sessions identified critical local factors contributing to increased disease incidence, including inadequate water and sanitation infrastructure, unplanned urbanization, occupational exposure, and geographic isolation. These factors not only corroborate themes discussed in the literature but also reveal some gaps. Additionally, we co-created mitigation strategies that centered on strengthening municipal infrastructure, expanding preventive education, and fostering cross-sector collaboration.</div></div><div><h3>Conclusions</h3><div>This study underscores the critical importance of integrating scientific data with local knowledge to devise effective public health interventions. Despite challenges such as data granularity and model fit, our findings provide actionable insights for context-specific strategies, especially in under-resourced, climate-sensitive areas. Our research emphasizes the value of transdisciplinary frameworks in addressing the complex challenges posed by climate-sensitive diseases and highlights the role of borderland regions like Caballococha as crucial epistemic sites for boosting public health resilience.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100669"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147703174","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}

{"title":"From inaction to integration? Media coverage of climate-health policy approaches and solution target in global north-south countries","authors":"Rabia Qusien","doi":"10.1016/j.joclim.2025.100619","DOIUrl":"10.1016/j.joclim.2025.100619","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change has become a major health concern worldwide, while the policy response to these challenges exists in silos. In democracies, the media have the power to influence the policy agenda by highlighting certain issues and they act as a key platform for debating the political, social, and health implications of climate change. This research reveals how policy discourse is communicated to the public, directly influencing the political feasibility and social acceptance of climate-health policy actions.</div></div><div><h3>Method</h3><div>This research presents an analysis of media coverage of government approaches and solutions across the Global North (the United States and the United Kingdom) and the South (Pakistan and India). A quantitative content analysis of two newspapers from each country, from 2015 to 2024, was conducted to analyze the government's approach.</div></div><div><h3>Result</h3><div>Media coverage of climate and health reveals that inaction prevails across all selected countries, while sustainable policy responses are less emphasized. Denial of the climate-health connection is more prevalent in the Global North, particularly in the United States. After 2019, media coverage showed a reactive response to the issue. Media in all countries focused on government-led initiatives to manage health issues caused by climate change (47.4 %). Even the media in the Global South missed the opportunity to highlight global cooperation for climate-health action.</div></div><div><h3>Conclusion</h3><div>These findings suggest that a country-specific anticipatory approach for integrating climate and health considerations into policy and communication across regions is needed to mitigate the health impacts of climate change.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100619"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147539741","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}

{"title":"Patients weigh in: The value of healthcare environmental stewardship to patient experience","authors":"Shira R. Abeles ,&nbsp;Jennifer Woods ,&nbsp;Nicole Poletto ,&nbsp;Lesley Wilson ,&nbsp;Monica Nakielski","doi":"10.1016/j.joclim.2026.100647","DOIUrl":"10.1016/j.joclim.2026.100647","url":null,"abstract":"<div><h3>Introduction</h3><div>Human health relies on a healthy planet, yet the healthcare sector has a substantial negative impact on the environment, and ranks among the major greenhouse gas–emitting, plastic consuming, and waste generating sectors in the U.S. To better understand patient perspectives on this issue, University of California (UC) San Diego Health surveyed patients about the role of sustainability in healthcare.</div></div><div><h3>Methods</h3><div>In March 2025, the UC San Diego Health Sustainability and Patient Experience teams conducted a brief patient opinion survey on the topic of environmental sustainability in healthcare. The survey was sent to patients who had previously volunteered to receive occasional surveys from UC San Diego Health.</div></div><div><h3>Results</h3><div>Over 5,000 respondents (14.5 % response rate) reported overwhelming support for environmentally responsible practices in healthcare. The vast majority of respondents (94 %) viewed environmental health as either very or extremely important to their personal health, and 85 % agreed they would prefer to receive care from an organization committed to sustainability. Patients prioritized practices such as reducing waste and single-use plastics, transitioning to clean energy, and offering healthy, local food.</div></div><div><h3>Conclusion</h3><div>These findings affirm that patients value alignment between healthcare delivery and environmental responsibility—an insight that offers additional motivation for healthcare systems to adopt and accelerate sustainable practices.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100647"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147539841","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}

{"title":"Associations between extreme weather events, resource insecurities, and HIV vulnerabilities with self-reported urinary tract infection symptoms among adolescent girls and young women in Kenya","authors":"Carmen H. Logie ,&nbsp;Zerihun Admassu ,&nbsp;Andie MacNeil ,&nbsp;Aryssa Hasham ,&nbsp;Lawrence Mbuagbaw ,&nbsp;Humphres Evelia ,&nbsp;Julia Kagunda ,&nbsp;Beldine Omondi ,&nbsp;Clara Gachoki ,&nbsp;Mercy Chege ,&nbsp;Mumbi Mwangi ,&nbsp;Lesley Gittings ,&nbsp;Caetano Dorea ,&nbsp;Perry Hystad ,&nbsp;Janet M. Turan ,&nbsp;Manjulaa Narasimhan","doi":"10.1016/j.joclim.2026.100654","DOIUrl":"10.1016/j.joclim.2026.100654","url":null,"abstract":"<div><h3>Introduction</h3><div>Extreme weather events (EWEs) and resource insecurities are linked to genitourinary infections, yet this is understudied in adolescent girls and young women (AGYW). We examined associations between resource insecurities, EWE exposure, HIV vulnerability factors, and self-reported urinary tract infection (UTI) symptoms among AGYW in Nairobi and Kisumu, Kenya.</div></div><div><h3>Material and methods</h3><div>We conducted cross-sectional analyses of survey data collected with a purposive sample of AGYW (16–24 years) in Nairobi (Mathare and Majengo informal settlements) and Kisumu (Ogal and Rota beaches) (October-November 2024). We conducted adjusted and unadjusted logistic regression analyses to examine associations between resource insecurities (food, water, sanitation, menstruation), EWEs, and HIV vulnerabilities (past 6-month transactional sex, past year multiple sex partners [MSP], past 6-month mobility), with self-reported UTI symptoms.</div></div><div><h3>Results</h3><div>Among n=589 participants (mean age: 20.6 years; SD=2.6), 41.6% self-reported UTI symptoms. Regarding past 6-month EWEs, 11.5% (n=68) experienced one, 64.5% (n=380) experienced 2–4, and 24.0% (n=141) experienced ≥5. Most (81.3%, n=478) experienced multiple EWE types, with ≥1 occurring more than once. In multivariable analyses, odds of self-reporting UTI symptoms were highest among participants reporting: ≥5 (vs. 1) past-year EWE; water insecurity; food insecurity; sanitation insecurity; menstruation insecurity; and exposure to one, two, and ≥3 resource insecurities (vs. none). Transactional sex, multiple sexual partners, and mobility were also significantly associated with self-reported UTI symptoms.</div></div><div><h3>Conclusions</h3><div>EWEs, resource insecurity, and HIV vulnerabilities were associated with UTI symptoms. Extreme weather and poverty-informed approaches are needed to reduce UTI risks and advance the sexual and reproductive health of AGYW in Kenya.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100654"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147600076","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}

{"title":"Impacts of a changing climate and adverse weather events on individuals with spinal cord injury: a narrative review","authors":"Imaan Shah,&nbsp;Michelle McLean,&nbsp;Kazi Rahman","doi":"10.1016/j.joclim.2026.100678","DOIUrl":"10.1016/j.joclim.2026.100678","url":null,"abstract":"<div><h3>Background</h3><div>Our climate is changing, with heatwaves, wildfires and hurricanes posing increased risks for individuals with a disability such as spinal cord injury (SCI). Despite growing recognition of disability-related climate risk, the specific challenges for individuals with SCI have not been well-documented.</div></div><div><h3>Objective</h3><div>This narrative review aimed to broadly explore the literature describing the impacts of a changing climate (e.g., rising temperatures, adverse weather, etc.) on individuals with SCI.</div></div><div><h3>Methods</h3><div>A structured search was conducted across five databases (PubMed, EMBASE, Scopus, Web of Science, CINAHL) and was supplemented by citation tracking to identify additional relevant studies. Twelve articles were analyzed thematically.</div></div><div><h3>Results</h3><div>Three themes were identified. In terms of adverse weather events, individuals with SCI are <em>physiologically</em> (e.g., due to autonomic dysregulation) <em>and physically</em> (e.g., unable to evacuate or seek healthcare due to mobility issues) at risk, experiencing <em>psychological impacts</em> (e.g., anxiety). There was a <em>mismatch between their perceived and actual preparedness for these events,</em> placing themselves further at risk, due in part to climate skepticism and fatalism. The third theme was i<em>nequity and disability discrimination.</em> As the research originates largely from the Global North, those living with SCI globally are generally underrepresented or excluded from climate adaptation policy development. SCI is also often considered with other ‘disabilities’ such as blindness and impaired mental capacity, masking climate impacts.</div></div><div><h3>Conclusion</h3><div>Individuals with SCI experience several physiological, physical and psychological challenges in the face of increasing climate-related events. Addressing these challenges will require targeted, SCI-specific and inclusive strategies in clinical practice, education, and policy development.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"28 ","pages":"Article 100678"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849445","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}