The journal of climate change and health最新文献

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Comparative study of heat-related symptoms among indoor and outdoor informal workers: A pilot study in Dhaka, Bangladesh 室内和室外非正式工人热相关症状的比较研究:孟加拉国达卡的一项试点研究
IF 3.6
The journal of climate change and health Pub Date : 2025-10-04 DOI: 10.1016/j.joclim.2025.100576
Sheikh Mohiuddin Shahrujjaman, Bivuti Bhushan Sikder, Dilara Zahid, Syed Irfan Uddin
{"title":"Comparative study of heat-related symptoms among indoor and outdoor informal workers: A pilot study in Dhaka, Bangladesh","authors":"Sheikh Mohiuddin Shahrujjaman,&nbsp;Bivuti Bhushan Sikder,&nbsp;Dilara Zahid,&nbsp;Syed Irfan Uddin","doi":"10.1016/j.joclim.2025.100576","DOIUrl":"10.1016/j.joclim.2025.100576","url":null,"abstract":"<div><h3>Introduction</h3><div>Rising temperatures and increasing extreme heat events pose severe health risks to informal workers, particularly those engaged in labor-intensive occupations. This pilot study investigates the comparative prevalence of heat-related symptoms among indoor and outdoor informal workers in Dhaka, Bangladesh, identifies key sociodemographic and occupational risk factors, and examines the association between heat stress and heat stroke.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 416 informal workers using structured interviews. Temperature data were obtained from the Bangladesh Meteorological Department and satellite imagery. Heat-related symptoms were assessed using a validated questionnaire, and statistical analyses included independent <em>t</em>-tests, one-way ANOVA, and binary logistic regression to identify significant predictors of symptom severity and heat stroke risk.</div></div><div><h3>Results</h3><div>Weakness/tiredness (82.45 %), heavy sweating (94.47 %), and headaches (68.75 %) were the most commonly reported symptoms. Outdoor workers exhibited significantly higher symptom scores than indoor workers (<em>p</em> &lt; 0.05), particularly for muscle cramps, weakness, and headaches, reflecting their greater exposure to extreme heat. Age (<em>p</em> = 0.544), education level (<em>p</em> = 0.003), and occupation (<em>p</em> = 0.034) were significantly associated with symptom severity. Older individuals, workers with no formal education, and those in physically demanding or exposed occupations such as day laborers, construction workers, and rickshaw pullers reported the highest symptom scores. A strong association between heat-related symptoms and heat stroke was found, particularly among outdoor workers (Exp(B) = 1.236, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>This pilot study underscores the urgent need for targeted heat adaptation strategies, including workplace cooling measures, rest breaks, and hydration access, to mitigate occupational health risks among informal workers in rapidly urbanizing regions.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100576"},"PeriodicalIF":3.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222370","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}
引用次数: 0
Wildfire disruptions and cancer care: A multi-institutional study of radiotherapy treatment adherence in Northern California 野火破坏和癌症护理:北加州放射治疗依从性的多机构研究
IF 3.6
The journal of climate change and health Pub Date : 2025-10-03 DOI: 10.1016/j.joclim.2025.100530
R.A. Sabol , C.J. Walsh , S. Densley , Y. Medhat , C.C. Baniel , A. Krishna , C.T. Baiyee , D. Meltzer , J. Boscardin , A. Witztum , N. Pitts , A.K. Paulsson , J.Y. Luh , L. Zalavari , S.S. Yom , K. Lichter
{"title":"Wildfire disruptions and cancer care: A multi-institutional study of radiotherapy treatment adherence in Northern California","authors":"R.A. Sabol ,&nbsp;C.J. Walsh ,&nbsp;S. Densley ,&nbsp;Y. Medhat ,&nbsp;C.C. Baniel ,&nbsp;A. Krishna ,&nbsp;C.T. Baiyee ,&nbsp;D. Meltzer ,&nbsp;J. Boscardin ,&nbsp;A. Witztum ,&nbsp;N. Pitts ,&nbsp;A.K. Paulsson ,&nbsp;J.Y. Luh ,&nbsp;L. Zalavari ,&nbsp;S.S. Yom ,&nbsp;K. Lichter","doi":"10.1016/j.joclim.2025.100530","DOIUrl":"10.1016/j.joclim.2025.100530","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate-driven disasters such as wildfires are increasing in both severity and frequency, posing serious threats to healthcare infrastructure, continuity of care, and patient well-being. Individuals undergoing cancer treatment are particularly vulnerable, as care often requires frequent and time-sensitive visits over several weeks to specific treatment centers—especially in the case of radiotherapy. However, the impact of climate-related wildfires on radiotherapy treatment adherence remains largely unexplored.</div></div><div><h3>Methods</h3><div>This multi-institutional retrospective cohort analyzed 539,292 radiotherapy treatment appointments from eight clinics in Northern California between 2017–2021 and compared rates of missed visits during active wildfires. Wildfire data from the California Department of Forestry and Fire Protection (CAL FIRE) were used to correlate the proximity of wildfires (within a 50-kilometer [km] radius) to clinics. Missed visit rates were compared between treatment visits that coincided with active wildfires within 50-km and those that did not.</div></div><div><h3>Results</h3><div>Overall, 8.8 % of appointments coincided with wildfires within a 50-km radius, and 4.9 % of these were missed. Wildfire exposure was associated with increased missed appointments (OR = 1.07, 95 % CI [1.02, 1.13], <em>p</em> = 0.007) after adjusting for seasonality, temporal trends, and clinic factors. Demographic analyses revealed no significant patient-specific disparities in missed treatments. The estimated financial impact of missed treatments was $2.14 million, highlighting economic vulnerabilities.</div></div><div><h3>Conclusion</h3><div>This initial investigation demonstrates a statistically significant trend towards higher non-adherence to radiotherapy visits during wildfires. This is the first multi-institutional study to investigate the impact of wildfires exposure on radiotherapy adherence and to quantify the associated financial impact. Our findings highlight the emerging intersection of climate change and cancer care delivery, emphasizing the need for health system resilience in the face of environmental threats.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100530"},"PeriodicalIF":3.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222371","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}
引用次数: 0
Transdisciplinary approach to addressing climate-environment-health nexus: Developing a data platform for informed decision-making 解决气候-环境-健康关系的跨学科方法:为知情决策开发一个数据平台
IF 3.6
The journal of climate change and health Pub Date : 2025-10-03 DOI: 10.1016/j.joclim.2025.100584
Sonia Edith Muñoz , Mariana Butinof , Sonia Alejandra Pou , Giselle Luján Marincovich , Camila Niclis , Luciana Castronuovo , Lorena Ferreira , Yanina Azas , Florencia Cámara , Gabriela Lozano , Manuel Eduardo Miller , Diana Analía Dominguez , Carolina Gisele Cerrudo , Rafael Junqueira-Buralli , García Florencia , Natalia Herrera , Anneris Gomez
{"title":"Transdisciplinary approach to addressing climate-environment-health nexus: Developing a data platform for informed decision-making","authors":"Sonia Edith Muñoz ,&nbsp;Mariana Butinof ,&nbsp;Sonia Alejandra Pou ,&nbsp;Giselle Luján Marincovich ,&nbsp;Camila Niclis ,&nbsp;Luciana Castronuovo ,&nbsp;Lorena Ferreira ,&nbsp;Yanina Azas ,&nbsp;Florencia Cámara ,&nbsp;Gabriela Lozano ,&nbsp;Manuel Eduardo Miller ,&nbsp;Diana Analía Dominguez ,&nbsp;Carolina Gisele Cerrudo ,&nbsp;Rafael Junqueira-Buralli ,&nbsp;García Florencia ,&nbsp;Natalia Herrera ,&nbsp;Anneris Gomez","doi":"10.1016/j.joclim.2025.100584","DOIUrl":"10.1016/j.joclim.2025.100584","url":null,"abstract":"<div><h3>Introduction</h3><div>Argentina's wide range of climates, from arid regions to humid subtropics, makes it particularly vulnerable to climate change. Extreme weather events disproportionately affect marginalized populations, underscoring the need for localized, data-driven interventions. PladCAS (Plataforma de Datos en Clima, Ambiente y Salud, by its acronym in Spanish) is a platform under development by a transdisciplinary team to support decision-making on climate-environment-health (CEH) issues. The platform adopts the FAIR principles (Findable, Accessible, Interoperable, and Reusable) to enable scalability and sustainability for health and environmental policy data management. By integrating these principles, PladCAS would enable stakeholders —including policymakers, health and environmental professionals, organizations, and communities— to address CEH challenges through evidence-based policies at local, regional, and national levels.</div></div><div><h3>Case Presentation</h3><div>The design and development process of a CEH digital platform in Argentina is discussed. Employing a transdisciplinary approach, the team engaged stakeholders to identify indicators, select relevant data sources, and co-design the platform’s structure. The result is a prototype design for interoperability, accessibility, and reusability, supporting evidence-based decision-making across sectors.</div></div><div><h3>Discussion</h3><div>Effective stakeholder communication is crucial for collaboration. Fieldwork requires place-based indicators, underscoring the importance of representative data. Involving stakeholders from the planning stage fosters ownership and strengthens commitment to the platform’s iterative improvement.</div></div><div><h3>Conclusion</h3><div>While the platform is not yet publicly available, it has completed its design phase. Next steps include developing models, agreements with data providers, and funding for implementation. PladCAS will provide a replicable framework to improve CEH data integration, contributing to resilience and equity.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100584"},"PeriodicalIF":3.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222372","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}
引用次数: 0
Heatwave resilience in Buenos Aires: Translational research and co-created strategies for public policy benefiting older adults across diverse urban settings 布宜诺斯艾利斯的热浪抵御能力:转化研究和共同制定的公共政策战略,惠及不同城市环境中的老年人
IF 3.6
The journal of climate change and health Pub Date : 2025-09-24 DOI: 10.1016/j.joclim.2025.100572
Ana Laura Torlaschi , Gabriela Carneglia , Natalia Pereiro
{"title":"Heatwave resilience in Buenos Aires: Translational research and co-created strategies for public policy benefiting older adults across diverse urban settings","authors":"Ana Laura Torlaschi ,&nbsp;Gabriela Carneglia ,&nbsp;Natalia Pereiro","doi":"10.1016/j.joclim.2025.100572","DOIUrl":"10.1016/j.joclim.2025.100572","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change has intensified heatwaves in Buenos Aires (CABA), leading to significant public health impacts, particularly among vulnerable older adults. This study aimed to generate actionable information to enhance older adults' adaptive and response capacities to heatwaves in the city.</div></div><div><h3>Materials and Methods</h3><div>This transdisciplinary translational study (January-June 2024) employed a mixed-methods approach. Data collection involved 634 surveys, 4 focus groups, 4 questionnaires, and policy/actor mapping. Surveys, conducted at randomized CABA sampling points, were weighted by the 2022 Census to ensure representativeness across formal and vulnerable city sectors, considering region, age, and gender. Geographical Information System mapping integrated urban settlement types, green spaces, temperature, power outages, and older adult density. A problem prioritization methodology across three intersectoral management board meetings facilitated strategy development.</div></div><div><h3>Results</h3><div>The identified needs, vulnerabilities, and coping mechanisms, integrated with stakeholder mapping, led to the formulation of 18 feasible initial strategies by an operational interinstitutional working group. These strategies include managing hydration points, expanding the climate shelter network, empowering older adult environmental promoters, increasing field worker engagement, and reinforcing safe water distribution in vulnerable neighborhoods, especially during power outages.The created maps allowed us to pinpoint priority areas for future interventions.</div></div><div><h3>Conclusions</h3><div>This research contributes valuable knowledge by identifying the targeted population's actual needs, thereby supporting evidence-based decision-making. The designed strategies hold potential to enhance older adults' adaptive capacities against heatwaves. The methodology employed in this study, particularly the transdisciplinary approach and integrated knowledge co-creation, offers a valuable model for future climate adaptation research within urban public administrations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100572"},"PeriodicalIF":3.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160043","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}
引用次数: 0
From eco-anxiety to eco-paralysis: A case study on behavioral responses to climate change in healthcare professionals 从生态焦虑到生态瘫痪:医疗保健专业人员对气候变化的行为反应案例研究
IF 3.6
The journal of climate change and health Pub Date : 2025-09-16 DOI: 10.1016/j.joclim.2025.100585
Matteo Innocenti , Chiara Comerci , Giulia Dockerty , Giovanni Grassi , Gabriele Santarelli , Chiara Cadeddu
{"title":"From eco-anxiety to eco-paralysis: A case study on behavioral responses to climate change in healthcare professionals","authors":"Matteo Innocenti ,&nbsp;Chiara Comerci ,&nbsp;Giulia Dockerty ,&nbsp;Giovanni Grassi ,&nbsp;Gabriele Santarelli ,&nbsp;Chiara Cadeddu","doi":"10.1016/j.joclim.2025.100585","DOIUrl":"10.1016/j.joclim.2025.100585","url":null,"abstract":"<div><h3>Introduction</h3><div>This case report explores the psychological effects of climate change on healthcare professionals through the experience of a dermatologist suffering from climate-related distress.</div></div><div><h3>Case report</h3><div>The participant developed severe eco-anxiety that evolved into eco-paralysis, impairing her emotional well-being and professional functioning. Her strong commitment to environmental causes contributed to emotional overload, ecological grief, and feelings of helplessness, exacerbated by limited social support and professional isolation.</div></div><div><h3>Discussion</h3><div>A personalized therapeutic approach was developed, integrating Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and nature-based interventions such as forest bathing. The therapeutic process was focused on grief processing, increasing self-efficacy, and reconnecting with nature, while psychoeducation supported the reframing of environmental concerns and addressed conflicts between personal values and social norms. These strategies reduced eco-paralysis and fostered renewed professional engagement and advocacy.</div></div><div><h3>Conclusion</h3><div>This case highlights how integrated, evidence-based psychological interventions can address eco-anxiety and its behavioral consequences in healthcare professionals. Enhancing self-efficacy and cultivating emotional resilience through nature and meaning-centered practices can transform climate-related distress into adaptive engagement. This model may inform future clinical practice and case studies; its effectiveness could be investigated in future research.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100585"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108978","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}
引用次数: 0
Extreme weather events, climate change attitudes, and preparedness on self-rated health and depressive symptoms 极端天气事件、气候变化态度和对自评健康和抑郁症状的准备
IF 3.6
The journal of climate change and health Pub Date : 2025-09-16 DOI: 10.1016/j.joclim.2025.100582
Michael Niño , Ben Amick , Mark Williams , Kathryn Norton-Smith , Sidney Bingham
{"title":"Extreme weather events, climate change attitudes, and preparedness on self-rated health and depressive symptoms","authors":"Michael Niño ,&nbsp;Ben Amick ,&nbsp;Mark Williams ,&nbsp;Kathryn Norton-Smith ,&nbsp;Sidney Bingham","doi":"10.1016/j.joclim.2025.100582","DOIUrl":"10.1016/j.joclim.2025.100582","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examined the potential health consequences associated with exposure to extreme weather events, climate change attitudes, and extreme weather preparedness. Specifically, drawing from a statewide sample of adults residing in Arkansas, we investigate whether and how climate attitudes, exposure, and preparedness shape depressive symptoms and self-rated health.</div></div><div><h3>Methods</h3><div>To examine relationships between climate change attitudes, exposure, and preparedness on self-rated health and depressive symptoms, we utilized a series of multivariable regression models. For self-rated health, we used logistic regression, while for depressive symptoms, we used Ordinary Least Squares (OLS) regression.</div></div><div><h3>Results</h3><div>Results from our regression models demonstrate that when accounting for all three climate change-related mechanisms, exposure and preparedness play a significant role in both self-rated health and depressive symptoms. Specifically, when accounting for all three mechanisms, we find respondents who were exposed to more extreme weather events in the last five years and those who perceived themselves to be less prepared to deal with weather disasters and extreme weather events reported more depressive symptoms and worse self-rated health.</div></div><div><h3>Conclusions</h3><div>These findings suggest that exposure to extreme weather and perceived preparedness, rather than general attitudes toward climate change, may be key contributors to disparities in health.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100582"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108979","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}
引用次数: 0
Impacts of climate change on cancer risk, clinical outcomes, and care delivery: A scoping review 气候变化对癌症风险、临床结果和医疗服务的影响:范围综述
IF 3.6
The journal of climate change and health Pub Date : 2025-09-01 DOI: 10.1016/j.joclim.2025.100573
D Larios , T Jayakrishnan , M Ioakeim Ioannidou , J Lewy , E Woodworth , E Gallagher , C Mita , A Ivanov , AC Duhaime , A Hantel
{"title":"Impacts of climate change on cancer risk, clinical outcomes, and care delivery: A scoping review","authors":"D Larios ,&nbsp;T Jayakrishnan ,&nbsp;M Ioakeim Ioannidou ,&nbsp;J Lewy ,&nbsp;E Woodworth ,&nbsp;E Gallagher ,&nbsp;C Mita ,&nbsp;A Ivanov ,&nbsp;AC Duhaime ,&nbsp;A Hantel","doi":"10.1016/j.joclim.2025.100573","DOIUrl":"10.1016/j.joclim.2025.100573","url":null,"abstract":"<div><h3>Background</h3><div>While some interactions between climate change and health have been well documented, the complex relationship between climate change, its proximate causes, and cancer is less clear. This scoping review was conducted to survey specific elements within existing peer-reviewed and grey literature addressing the impacts of climate change-related exposures on 1) cancer risks, 2) outcomes, and 3) care delivery.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, peer-reviewed and selected grey literature on these topics were identified using pre-specified eligibility criteria. Structured searches by independent reviewers and data extraction from multiple electronic databases were performed, from which syntheses were generated and research gaps identified.</div></div><div><h3>Results</h3><div>Of 542 studies identified by title/abstract for full-text review, 182 studies were eligible for data extraction. Of these, 127 examined fossil fuel-related pollutant levels and excess cancer risks, 29 investigated the impact of climate change on cancer outcomes, and 31 examined the impact of climate change-related events on cancer care delivery. Overall, the effects of climate change-related exposures, or climate change’s proximate causes, lead to increases in cancer risk. Climate change effects such as extreme weather events disrupt care and impact survival outcomes. Across these subject areas, climate change-related events’ exacerbation of existing healthcare disparities was an emergent theme.</div></div><div><h3>Conclusions</h3><div>Climate change has impacts across the cancer care continuum. Research gaps include limited data on the direct effect of climate change on cancer outcomes and care delivery, population health research, and mitigation efficacy. More work is needed in education, adaptation, and climate preparedness for cancer patients and healthcare systems.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100573"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026502","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}
引用次数: 0
Racial and ethnic health inequities caused by extreme U.S. weather events: A nationally representative study 美国极端天气事件造成的种族和民族健康不平等:一项具有全国代表性的研究
IF 3.6
The journal of climate change and health Pub Date : 2025-09-01 DOI: 10.1016/j.joclim.2025.100475
Carl A. Latkin , Kelsie Parker , Melissa L. Walls , Lauren Dayton
{"title":"Racial and ethnic health inequities caused by extreme U.S. weather events: A nationally representative study","authors":"Carl A. Latkin ,&nbsp;Kelsie Parker ,&nbsp;Melissa L. Walls ,&nbsp;Lauren Dayton","doi":"10.1016/j.joclim.2025.100475","DOIUrl":"10.1016/j.joclim.2025.100475","url":null,"abstract":"<div><h3>Introduction</h3><div>As extreme weather events are increasing in frequency and magnitude due to climate change, racially and ethnically marginalized communities are likely to experience inequities in health burdens from these extreme weather events. This study examined physical and mental health disparities due to the impacts of extreme weather events.</div></div><div><h3>Methods</h3><div>A representative survey of 2646 U.S. adults from March 31 to May 8, 2022, assessed extreme weather exposure and its impact on self-reported household physical and mental health in the prior five years. Multivariable logistic models evaluated related health inequities based on racial/ethnic categories of Non-Hispanic White, Hispanic, Non-Hispanic Black, Asian, and Indigenous, adjusting for regional and individual factors<strong>.</strong></div></div><div><h3>Results</h3><div>All racial/ethnic groups were more likely to experience serious household physical health problems due to extreme weather events than non-Hispanic Whites. The effect was strongest for Indigenous people (AOR:4.95, 95 % CI:2.86–8.55). This group was also significantly more likely (AOR:2.65, 95 % CI:1.48–4.75) to report serious household problems with mental health related to an extreme weather event.</div></div><div><h3>Conclusions</h3><div>Findings suggest that climate change mitigation and adaptation policy should consider the health of marginalized communities. Regional and national efforts should address the underlying systemic challenges contributing to marginalized communities’ vulnerability.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100475"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019136","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}
引用次数: 0
Advancing and integrating climate and health policy in the United States: Insights from national policy stakeholders 推进和整合美国的气候和卫生政策:来自国家政策利益相关者的见解
IF 3.6
The journal of climate change and health Pub Date : 2025-09-01 DOI: 10.1016/j.joclim.2025.100485
Julia Fine , Joshua Ettinger , John Kotcher , Matto Mildenberger , Anthony Leiserowitz , Edward Maibach
{"title":"Advancing and integrating climate and health policy in the United States: Insights from national policy stakeholders","authors":"Julia Fine ,&nbsp;Joshua Ettinger ,&nbsp;John Kotcher ,&nbsp;Matto Mildenberger ,&nbsp;Anthony Leiserowitz ,&nbsp;Edward Maibach","doi":"10.1016/j.joclim.2025.100485","DOIUrl":"10.1016/j.joclim.2025.100485","url":null,"abstract":"<div><h3>Introduction</h3><div>Many experts have called for integrating climate policy with health policy. We investigated U.S. federal policy stakeholders’ views on these goals and strategies for achieving them.</div></div><div><h3>Materials and methods</h3><div>We conducted 65 semi-structured interviews from January 2024 to April 2024 with stakeholders working on climate policy, health policy, the climate-health intersection, and related areas. We performed a qualitative content analysis of these interviews.</div></div><div><h3>Results</h3><div>Most stakeholders perceived that federal climate policy and health policy were mostly separate, but were becoming more integrated. They believed further integration could increase support for climate policy and maximize its health benefits. Barriers included lack of funding; competing priorities; conservative opposition; low public awareness; lack of data; and silos in federal agencies and professional communities. Opportunities included growing awareness and policy support; new funding sources, data, and technologies; the president’s ability to take executive actions; policy windows in diverse sectors, including agriculture, transportation, and housing; and potential healthcare cost savings. Proposed strategies included enhancing communication, education, and research; strengthening intra- and interagency initiatives; participatory policymaking; mobilizing existing funding; focusing first on politically feasible policies; and persistent advocacy.</div></div><div><h3>Discussion</h3><div>These results extend previous observations of separations between climate policy and health policy and suggest ways to address these separations.</div></div><div><h3>Conclusion</h3><div>There is potential to integrate U.S. federal climate policy and health policy, and doing so is perceived as advantageous by most. While there are barriers to climate-health policy integration and advancement, there are also promising opportunities, which may be more relevant under future presidential administrations or at the sub-federal level.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100485"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988167","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}
引用次数: 0
Aedes aegypti in the city of Córdoba: spatial distribution and habitat suitability drivers Córdoba市埃及伊蚊空间分布及生境适宜性驱动因素
IF 3.6
The journal of climate change and health Pub Date : 2025-08-23 DOI: 10.1016/j.joclim.2025.100550
Elisabet M. Benitez , Florencia Sangermano , Francisco F. Ludueña-Almeida , Walter R. Almirón , Elizabet L. Estallo
{"title":"Aedes aegypti in the city of Córdoba: spatial distribution and habitat suitability drivers","authors":"Elisabet M. Benitez ,&nbsp;Florencia Sangermano ,&nbsp;Francisco F. Ludueña-Almeida ,&nbsp;Walter R. Almirón ,&nbsp;Elizabet L. Estallo","doi":"10.1016/j.joclim.2025.100550","DOIUrl":"10.1016/j.joclim.2025.100550","url":null,"abstract":"<div><h3>Background</h3><div>According to the World Health Organization, dengue is among the top ten global health threats. The invasion of new sites by <em>Aedes aegypti</em> and their permanence depends on environmental characteristics of the site. Therefore, the objective was to understand the environmental characteristics that affect <em>Ae. aegypti</em> distribution in Córdoba city, Argentina.</div></div><div><h3>Methods</h3><div>This evaluation was carried out through species distribution models, using maximum entropy modeling technique, incorporating a set of environmental variables known to influence the presence and suitability of <em>Ae. aegypti</em> habitats. The factors evaluated included both meteorological variables, such as minimum and maximum temperature and average precipitation, land cover characteristics like vegetation index and built-up index, and population count. Temperature and precipitation conditions constrain the development and survival of the vector. Vegetation can act as a temperature regulator and provide resting sites, while populated and built-up areas relate to the availability of breeding sites and blood sources.</div></div><div><h3>Results</h3><div>The results indicate that <em>Ae. aegypti</em> habitat suitability is determined by human population count (permutation importance: 89 in 2015, 80.9 in 2017), the amount of built-up areas (61.7, 80.8), vegetation greenness (70.7, 55.9), and minimum temperature (42.2, 92.6). Human population manifested a positive effect on the habitat suitability as well as minimum temperature, while vegetation and the amount of built-up areas showed a quadratic relationship.</div></div><div><h3>Discussion</h3><div>In this study, we incorporate temperature and precipitation as spatial variables, which were not considered in similar studies in Córdoba City. Our study's results highlight that although demographic and land cover variables prevailed in importance, meteorological variables are also good predictors of spatial distribution of <em>Ae. aegypti</em> at the local scale.</div></div><div><h3>Conclusions</h3><div>The importance of generating maps and/or models to identify the distribution of mosquito habitats lies in the fact that they can show vulnerable areas and guide stakeholders efforts on public health prevention. Also, they can direct actions to vector control and, consequently, the pathogens they transmit.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100550"},"PeriodicalIF":3.6,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889879","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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