The journal of climate change and health最新文献

{"title":"Impacts of climate change on the global spread and habitat suitability of Coxiella burnetii: Future projections and public health implications","authors":"Abdallah Falah Mohammad Aldwekat ,&nbsp;Niloufar Lorestani ,&nbsp;Farzin Shabani","doi":"10.1016/j.joclim.2025.100442","DOIUrl":"10.1016/j.joclim.2025.100442","url":null,"abstract":"<div><h3>Introduction</h3><div><em>Coxiella burnetii</em>, an intracellular zoonotic bacterium, affectsing various livestock and wildlife species and poses significant risks to human health. This study aims to assess how climate change could impact the global distribution and habitat suitability of <em>Coxiella burnetii</em>, the pathogen responsible for Q fever.</div></div><div><h3>Materials and methods</h3><div>An ensemble species distribution modelling approach, integrating regression-based and machine-learning algorithms (GLM, GBM, RF, MaxEnt), was used to project habitat suitability (Current time and by 2050, 2070, and 2090). Climate variables were obtained from five global circulation models (GCMs) under two climate change scenarios (SSP2-4.5 and SSP5-8.5). The study evaluated the models’ performance using the area under the curve (AUC) and true skill statistics (TSS).</div></div><div><h3>Results</h3><div>Results show that under current climate conditions, <em>C. burnetii</em> is widespread across regions like North and South America, Europe, and parts of Africa, Asia, and Australia. Future projections indicate a northward shift in habitat suitability, especially under the severe SSP5-8.5 scenario, with significant expansions into Russia, northern Europe, and Canada. Conversely, regions in South America, Africa, and Australia may see declines in suitable habitats. By 2090, a 44.56 % (range: 33–57.9 %) across the models, increase in suitable habitat is predicted, accompanied by a 27.66 % (range: 22.4–31.7 %) loss of current habitats.</div></div><div><h3>Discussion</h3><div>Findings indicate that temperature seasonality and precipitation of the driest month are the most influential climatic variables shaping the distribution of <em>C. burnetii</em>. These results underscore the importance of climate variability in influencing the pathogen's global distribution and highlight the critical role of environmental factors in predicting future habitat shifts.</div></div><div><h3>Conclusion</h3><div>The study highlights the profound impact climate change could have on the global distribution of <em>C. burnetii</em>. It underscores the need for proactive public health strategies in emerging high-risk areas and emphasizes the importance of mitigating risks in regions experiencing habitat declines. These findings offer valuable insights for public health planning and livestock management under future climate scenarios. In interpreting these results, it is important to consider modelling uncertainties, including assumptions and data limitations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834856","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":"Commentary on: Wong YL, Wong SW, Ting DSJ, Muralidhar A, Sen S, Schaff O, et al. Impacts of climate change on ocular health: A scoping review. J Clim Chang Heal. 2024 Jan 1;15:100296. doi: 10.1016/j.joclim.2023.100296.","authors":"Seth Dhillon ,&nbsp;Baljean Dhillon","doi":"10.1016/j.joclim.2025.100441","DOIUrl":"10.1016/j.joclim.2025.100441","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642500","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}

{"title":"Impact of climate change on adipose-derived stem cells: A molecular and histological study","authors":"Saeed Motesaddi Zarandi ,&nbsp;Rasoul Yarahmadi ,&nbsp;Rasul Nasiri ,&nbsp;Mohammad Bayat ,&nbsp;Hossein Nasiri ,&nbsp;Abdollah Amini ,&nbsp;Mohammad Esmaeil Motlagh ,&nbsp;Hassan Rasoulzadeh","doi":"10.1016/j.joclim.2024.100367","DOIUrl":"10.1016/j.joclim.2024.100367","url":null,"abstract":"<div><h3>Background</h3><div>Climate change, particularly temperature and humidity fluctuations, can affect biological systems. This study specifically investigates the impact of these two key aspects of climate change on adipose-derived stem cells (ADSCs) as a pilot study and starting point for further examinations into the biological effects of climate change-associated conditions.</div></div><div><h3>Methods</h3><div>One-month-old male rats were kept for 4 months (equal to a 10-year climatic period) in 4 groups and exposed to conditions based on climatic data from Tehran's synoptic stations. Rats in the control group were exposed to conditions based on climatic data from 1991, and groups 2–4 were exposed to conditions based on climatic data from 1991 to 2000, 2001–2010, and 2011–2020, respectively. Monthly temperature, humidity, and day/night cycle averages were selected for animal exposure. After exposure, fat-derived stem cells were taken from each subject and assays assessing reactive oxygen species (ROS), cell viability and proliferation, and apoptosis were performed.</div></div><div><h3>Results</h3><div>From 1991 to 2020, Tehran experienced an average temperature increase of 1.5 °C and a 15 % decrease in average humidity, conditions which when replicated in rodent models were associated with increased rates of ROS and caspase-3 expression, a reduction in Ki-67 antigen expression and in the duration of the life of cells, and an increase in the rate of apoptosis, such that apoptosis in ADSCs reached 25.51 %.</div></div><div><h3>Conclusion</h3><div>The study demonstrates that environmental conditions similar to those from climate change are associated with significant changes in ADSCs and emphasizes the need for further research to understand their impact on health.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642501","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}

{"title":"The influence of heat exposure on birth and neonatal outcomes in Mombasa, Kenya: A pooled time series analysis","authors":"Chloe Brimicombe ,&nbsp;Debra Jackson ,&nbsp;Aquinius Mungatia ,&nbsp;Zeenat Sulaiman ,&nbsp;Tobias Monthaler ,&nbsp;Katharina Wieser ,&nbsp;Ilona M Otto","doi":"10.1016/j.joclim.2024.100409","DOIUrl":"10.1016/j.joclim.2024.100409","url":null,"abstract":"<div><h3>Introduction</h3><div>The African continent has been identified as an area of high risk to increasing exposure of heat and has higher levels of social vulnerability. Heat exposure can lead to a rise in certain perinatal and maternal adverse health conditions. We explored the association of heat on seven perinatal and maternal health outcomes.</div></div><div><h3>Material and Methods</h3><div>In this study, data is from Aga Khan University Hospital in Mombasa, Kenya. We evaluated the influence of heat exposure metrics on the outcomes of caesarean sections, low birth weight, low apgar score, preterm birth, stillbirth, assisted vaginal deliveries and long duration of stay in hospital. We carried out pooled time series regression using distributed-lag nonlinear models (lag 0–9 months).</div></div><div><h3>Results</h3><div>We observed an increased odds of caesarean sections with heat exposure at lag 0 indicated by maximum daily Universal Thermal Climate Index (UTCI) between the 50th and the 95th percentile (relative risk 1.21 (1.01,1.46, 95 %CI)) and maximum daily temperature (1.25 (1.03,1.53)). There were increased odds of Low-Birth-Weight Births for lag 0 mean and maximum UTCI. We did not find any significant responses for Wet Bulb Globe Temperature (WBGT).</div></div><div><h3>Discussion and Conclusion</h3><div>Our results show different risk responses for different heat exposure metrics for all perinatal and maternal health outcomes, significantly increasing for low-birth-weight births and caesarean sections. Further research is warranted for Kenya regarding maternal mortality and higher blood loss sometimes associated with caesarean deliveries. In addition, more research is needed on socioeconomics and heat exposure, especially in low– and middle income countries.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100409"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628671","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}

{"title":"Pre-service teachers' insights on climate change and health in Kosovo: Exploring knowledge, attitudes, and practices","authors":"Lira Ramadani ,&nbsp;Susanne Lopez Lumbi ,&nbsp;Zeqir Veselaj ,&nbsp;Melanie Boeckmann","doi":"10.1016/j.joclim.2025.100434","DOIUrl":"10.1016/j.joclim.2025.100434","url":null,"abstract":"<div><h3>Introduction</h3><div>As educators play a pivotal role in shaping the perspectives of future agents of change, it is crucial to assess their knowledge, attitudes, and practices regarding climate change, currently considered one of the biggest health emergencies.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional survey with 137 students enrolled in teacher education programs at the Faculty of Education, University of Prishtina, Kosovo. Participants were approached via convenience sampling. Descriptive and inferential statistics were used for data analyses.</div></div><div><h3>Results</h3><div>Our findings revealed misconceptions regarding the causes of climate change, with 64% incorrectly attributing climate change to natural processes or equal combined natural and human causes. Likewise, over 94% of the respondents were not aware of the scientific consensus on anthropogenic climate change. However, 97% reported that they think climate change currently is affecting the health of individuals at least a moderate amount. Most respondents identified illness from reduced air quality (95.6%) as an exacerbated health outcome due to climate change, while mental health conditions were perceived as the least important in connection to climate change (47.4%). A multiple linear regression model with age, gender, education level, mother's education, father's education, place of residence, attitudes and practices explained 44% of climate-health knowledge.</div></div><div><h3>Conclusion</h3><div>The findings from this research could contribute to the development of targeted interventions and educational strategies aimed at enhancing pre-service teachers' knowledge of climate change and health-related challenges, thereby enabling them to effectively impart this knowledge to their future students.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100434"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682271","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}

{"title":"Rural heat health disparities: Evidence from the U.S. National Emergency Medical Services Information System (NEMSIS)","authors":"Minwoo Ahn ,&nbsp;Ladd Keith ,&nbsp;Heidi E. Brown","doi":"10.1016/j.joclim.2025.100432","DOIUrl":"10.1016/j.joclim.2025.100432","url":null,"abstract":"<div><h3>Background</h3><div>Increasing average temperatures and extreme heat events due to climate change have adverse effects on human health. Previous studies focus on the heat impacts in urban areas due to the focus on the greater population and urban heat island effect, but this tendency results in the effect of heat on rural health being overlooked.</div></div><div><h3>Methods</h3><div>Using the National Emergency Medical Services Information System (NEMSIS) data from 2021 to 2023, this study compares heat-related illness (HRI) in urban and rural areas of the U.S.</div></div><div><h3>Results</h3><div>We found the odds of EMS events in an urban area resulting with a positive outcome for the patient was 1.24 times that of EMS events in rural areas. This urban-rural disparity was not equal across regions with the odds of EMS events to rural areas of the Western U.S. resulting with a positive outcome for the patient was 54 % less than that for urban areas.</div></div><div><h3>Conclusion</h3><div>This critical evidence of a rural-urban heat health disparity calls attention to the impact of climate change-fueled heat impacts on health in communities of all sizes, and a need for more rural heat resilience research to inform practice.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100432"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636557","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}

{"title":"Predictors of residence in areas that experience drought and concern about drought in the United States","authors":"Matthew R Boyce ,&nbsp;Christine Crudo Blackburn ,&nbsp;Mayra Rico ,&nbsp;Jason Moats","doi":"10.1016/j.joclim.2025.100445","DOIUrl":"10.1016/j.joclim.2025.100445","url":null,"abstract":"<div><h3>Introduction</h3><div>While some natural hazard events are well studied, drought has been relatively neglected. This is notable given that drought is expected to increase in frequency and intensity in the future. This study investigated the associations between various socioeconomic and demographic factors and living in an area that experiences drought, as well as perspectives related to drought in the United States.</div></div><div><h3>Methods</h3><div>A survey was used to examine drought experiences and perceptions by asking (1) if individuals lived in an area that experiences drought, (2) whether they consider drought to be a natural disaster, and (3) if they worried about drought negatively impacting them. Surveys were administered from April–June 2024.</div></div><div><h3>Results</h3><div>2989 individuals completed the survey. Regression results suggest the odds of living in an area that experiences drought are higher for select older populations, for those with higher levels of education, and for those residing in rural areas. For those who do live in areas that experience drought (<em>n</em> = 1655), most consider drought to be a natural disaster, but the odds of worrying about being negatively impacted by drought are significantly lower for those ages 55–64 and identifying politically as Republican or Independent.</div></div><div><h3>Discussion</h3><div>Certain populations reported higher odds of living in an area that experiences drought, but lower odds of reporting concern about the negative health impacts. Similar phenomena have been observed with other natural hazards, such as hurricanes.</div></div><div><h3>Conclusion</h3><div>Results can aid public health researchers and practitioners in focusing drought preparedness and educational efforts.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808314","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 change and health through the lens of physical medicine and rehabilitation: A scoping review","authors":"Maya Newman ,&nbsp;Kelli A. Kokame ,&nbsp;Carl Froilan D. Leochico ,&nbsp;Alexandra E. Fogarty ,&nbsp;Jason Burton ,&nbsp;Adam S. Tenforde ,&nbsp;Marcalee Alexander","doi":"10.1016/j.joclim.2024.100362","DOIUrl":"10.1016/j.joclim.2024.100362","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical Medicine and Rehabilitation (PM&amp;R) physicians (physiatrists) care for patients with a variety of neurologic, musculoskeletal, chronic pain, and sports-related conditions. These conditions can cause physical disabilities, cognitive, sensory, or other functional impairments, which make these patients susceptible to the impacts of climate change. The purpose of this scoping review is to describe the existing literature at the intersection of climate change and PM&amp;R practice, and to identify publication trends.</div></div><div><h3>Methods</h3><div>The search used electronic databases PubMed, CINAHL, Embase, Cochrane Library, and Web of Science to identify studies related to PM&amp;R and climate change search terms published or in press between January 2008 to July 2023. Articles were reviewed for relevance to PM&amp;R and climate change and were categorized into three groups: (1) Health effects of climate change, (2) PM&amp;R interventions that address health impacts of climate change, and (3) Other relevant points of interest.</div></div><div><h3>Results</h3><div>A total of 38 articles met the inclusion criteria. Twenty-one articles discussed the health effects of climate change on patients encountered in PM&amp;R practice, with most describing the negative health impacts of air pollution and increased heat. There were 13 articles regarding PM&amp;R interventions that address health impacts of climate change, largely related to disaster preparedness or management, but also including methods for addressing heat illness, telemedicine, and a waste audit. There were four articles about other points of interest, including PM&amp;R providers’ perceptions of climate change. Of all the included articles, there was one randomized controlled trial and the rest were observational in design. The number of studies published in the past 15 years has generally trended upwards, with the majority coming from North America.</div></div><div><h3>Discussion</h3><div>Climate change threatens to negatively affect the health and wellbeing of patients requiring PM&amp;R service, and most physiatrists are concerned about this. While the number of studies has increased over the past 15 years, substantial research gaps remain in the nexus between PM&amp;R and climate change, and several regions around the world are poorly represented in the literature. Further studies are needed to help patients with disabilities adapt to and mitigate the climate crisis.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512654","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}

{"title":"Learning from practice - A rapid review of climate resilient and low carbon health systems - Case studies in six western pacific countries","authors":"Patricia Nayna Schwerdtle ,&nbsp;Elise Moo ,&nbsp;Crystal Pae ,&nbsp;Enkhtsetseg Shinee ,&nbsp;Johannah Wegerdt ,&nbsp;Akeem Ali ,&nbsp;Meelan Thondoo ,&nbsp;Kathryn Bowen","doi":"10.1016/j.joclim.2024.100376","DOIUrl":"10.1016/j.joclim.2024.100376","url":null,"abstract":"<div><h3>Background</h3><div>As climate change impacts intensify, health systems have the double responsibility of building resilience while reducing their carbon footprint. This rapid review assessed case studies of interventions implemented towards climate resilient and low carbon health systems in six Western-Pacific countries (Australia, Fiji, South Korea, Laos, Mongolia, and Viet Nam).</div></div><div><h3>Methods</h3><div>We conducted a rapid review of academic and grey literature. Framework analysis was applied to map case study interventions against the World Health Organization's Operational Framework for Climate Resilient (CR) and Low Carbon (LC) Health Systems.</div></div><div><h3>Results</h3><div>We identified 43 case studies from a yield of 605 documents. The majority of interventions were classified as LC (<em>n</em> = 25), followed by those integrating CR and LC (<em>n</em> = 10), and CR only (<em>n</em> = 8). Geographically, the majority of case studies were from Australia (<em>n</em> = 28), followed by Viet Nam (<em>n</em> = 5), Fiji (<em>n</em> = 4), Laos (<em>n</em> = 3), South Korea (<em>n</em> = 2) and Mongolia (<em>n</em> = 1). Additional implementation characteristics included co-benefits (<em>n</em> = 30), evaluation criteria (<em>n</em> = 23), barriers (<em>n</em> = 23) and enablers (<em>n</em> = 20). No studies reported implementation costs.</div></div><div><h3>Conclusion</h3><div>This review highlights a significant gap in published evidence on the practical application of the WHO Operational Framework for Climate-Resilient and Low-Carbon (CR and LC) Health Systems, underscoring the urgent need for further research, documentation, and dissemination of real-world implementation experiences. While we identified numerous co-benefits and emerging considerations for community engagement, the scarcity of cost-benefit analyses limits the ability to determine the most cost-effective investments. A rapid transition from fragmented mitigation efforts to comprehensive, system-wide strategies for resilience and decarbonization is essential to drive transformative change in the health sector.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642502","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}

{"title":"Eco-anxiety, climate concern, and fatalistic outlooks: Insights from U.S. crisis text conversations on climate distress","authors":"Jennifer D. Runkle ,&nbsp;Kelsey Herbst ,&nbsp;Sophie Ryan ,&nbsp;Kelly Sewell ,&nbsp;Ashley Mallare ,&nbsp;Ian Berry ,&nbsp;Emma Getz ,&nbsp;Arden McKee ,&nbsp;Martie P. Thompson ,&nbsp;Margaret M. Sugg","doi":"10.1016/j.joclim.2025.100419","DOIUrl":"10.1016/j.joclim.2025.100419","url":null,"abstract":"<div><h3>Introduction</h3><div>Ecologic anxiety and climate distress describe psychological and emotional responses to the uncertain future of our planet amid climate change. Crisis hotlines and text-based counseling services may address mental health concerns linked to climate anxiety, yet limited research explores these responses through digital crisis text lines. This study presents results from a qualitative thematic analysis of U.S. crisis text conversations mentioning climate change by exploring emotional responses and coping resources commonly discussed.</div></div><div><h3>Methods</h3><div>We analyzed anonymized text data from Crisis Text Line (CTL), a free, U.S.-based digital crisis platform with over nine million conversations since 2017, focusing on a sample of texts mentioning \"climate change.” A comprehensive codebook was developed, incorporating predetermined and emergent codes for climate change exposures, crisis flags, emotional responses, and special topics. Using a structured, iterative thematic analysis approach that combined deductive and inductive methods, the study identified and categorized emerging themes.</div></div><div><h3>Results</h3><div>A total of 337 text transcripts were analyzed. Texters displayed significant emotional responses to climate change, grouped into three categories: Eco-anxious, General Climate Concern, and Fatalistic Future Outlook. Findings reveal the tangible impacts of extreme weather, the exacerbating role of media coverage, and the interaction between climate change and other life stressors. Texters used various coping strategies for climate-related distress, including social support, creative and nature-based activities, positive information, and professional resources like CTL. Counselor-recommended techniques, such as grounding exercises and journaling, also helped manage emotional well-being.</div></div><div><h3>Conclusions</h3><div>Themes underscore the complex nature of texters' emotional and psychological responses, varied coping mechanisms, and how climate concerns can inspire proactive environmental actions. The analysis highlights the urgent need for targeted support interventions, particularly for those with a fatalistic outlook, to address mental health challenges related intensifying climate events.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100419"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643170","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}