The journal of climate change and health最新文献

{"title":"Towards a net-zero healthcare system in Kenya: Stakeholder perspectives on opportunities, challenges and priorities","authors":"Iris Martine Blom ,&nbsp;Melvine Anyango Otieno ,&nbsp;Susannah Mayhew ,&nbsp;Neil Spicer ,&nbsp;Andy Haines ,&nbsp;Sarah Whitmee","doi":"10.1016/j.joclim.2025.100417","DOIUrl":"10.1016/j.joclim.2025.100417","url":null,"abstract":"<div><h3>Introduction</h3><div>Kenya's healthcare system committed to achieving net-zero greenhouse gas emissions by 2030 as part of the UNFCCC COP26 Health Program. To turn these ambitious commitments into outcomes and share learnings with other nations, a comprehensive assessment of the perspectives of key stakeholders likely to be involved in implementing the transition of the healthcare system is needed.</div></div><div><h3>Methods</h3><div>This study employs qualitative methods, including 21 semi-structured interviews with key stakeholders and a Delphi consensus process, to explore stakeholder perspectives on Kenya's journey to a net-zero healthcare system.</div></div><div><h3>Results</h3><div>Stakeholders identified and validated 14 process components crucial for this transformation, ranging from leadership and financing to behavioral change and monitoring. Critical barriers, such as infrastructure limitations, competing health priorities, financial constraints, and gaps in strategy coordination, were highlighted. Stakeholders ranked three interventions as the highest priority: implementing clean energy solutions in healthcare facilities, developing national sustainable healthcare policies that are informed by existing evidence on climate benefits, and generating localized data to guide actionable policies. Ranking interventions based on feasibility, however, produced different results that favored simpler, more immediately actionable measures like hospital vegetable gardens and the creation of guidelines for health facilities.</div></div><div><h3>Conclusion</h3><div>While the transition to net-zero poses challenges, stakeholders expressed optimism about the potential of current strong leadership, strategic partnerships, and the growing momentum for action on climate change and health. This research provides actionable insights and recommendations to guide Kenya's transition to a sustainable, resilient healthcare system, while offering valuable lessons for other countries facing similar challenges.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100417"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143294565","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 psychosocial impacts of slow onset climate change events among youth in LMICs: A rapid evidence review","authors":"Clara Marty ,&nbsp;Samy Amghar ,&nbsp;Andrés Barrera Patlan ,&nbsp;Alayne Adams","doi":"10.1016/j.joclim.2025.100416","DOIUrl":"10.1016/j.joclim.2025.100416","url":null,"abstract":"<div><h3>Introduction</h3><div>Recent research has sought to understand the complex experiences of climate change distress, which are highly prevalent among youth and in low- and middle-income countries (LMICs). However, most studies have focused on acute climate disasters and clinically diagnosable psychological responses, leaving a gap in understanding about how gradual climate change events impact broader psychosocial health.</div></div><div><h3>Methods</h3><div>This review examined how slow-onset events relate to psychosocial distress among youth in climate-vulnerable LMICs using the PRISMA Rapid Review methodology. Four databases were searched, namely Scopus, Web of Science, MEDLINE, and Cochrane.</div></div><div><h3>Results</h3><div>The initial search yielded 853 results, of which 14 articles met the inclusion criteria for data extraction and analysis, which employed a framework synthesis approach. Studies identified direct impacts of slow onset events (e.g., changing precipitation patterns), as well as indirect impacts on communities (e.g., housing instability) and resources (e.g., loss of livestock). These disruptions are often compounded by pre-existing vulnerabilities such as public debt and inadequate basic services. Faced by these challenges, youth employed many coping strategies such as religion and meaning-focused coping, to help minimize psychosocial distress. Psychosocial responses varied from feelings of worry and numbness to severe outcomes like suicidal ideation.</div></div><div><h3>Conclusion</h3><div>This review reveals the diversified experiences of climate change, which are closely tied to social and community contexts. A robust research agenda on the psychosocial effects of slow-onset environmental changes is vital to better understand and mitigate its long-term mental health impact on youth.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100416"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156357","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":"Planetary Health Rounds: A novel educational model for integrating healthcare sustainability education into postgraduate medical curricula","authors":"Tajdeep Brar ,&nbsp;Jordana Compagnone ,&nbsp;Sanjana Sudershan ,&nbsp;Maryam Yunus ,&nbsp;Loukman Ghouti ,&nbsp;Allen Tran ,&nbsp;Joffre Munro ,&nbsp;Babar Haroon ,&nbsp;Nabha Shetty","doi":"10.1016/j.joclim.2025.100412","DOIUrl":"10.1016/j.joclim.2025.100412","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change poses a major threat to public health, necessitating significant reductions in greenhouse gas (GHG) emissions to limit its effects. The healthcare sector itself is a significant contributor to GHG emissions, particularly in high-income countries such as Canada and the United States. Providing medical learners with education on this topic has been identified as an important component of efforts to reduce GHG emissions; however, there is a lack of tools available both for providing education on healthcare sustainability, and for integrating this topic into postgraduate medical curricula.</div></div><div><h3>Case Presentation</h3><div>The Planetary Health Rounds are an educational initiative aimed at integrating climate change concepts and healthcare sustainability into the Internal Medicine residency curriculum, using a case-analysis format in conjunction with the open-source HealthcareLCA Database (<span><span>https://healthcarelca.com/database</span><svg><path></path></svg></span>), a living repository of data on healthcare-associated GHG emissions.</div></div><div><h3>Methods</h3><div>Learners conduct a case analysis of an internal medicine patient and estimate the total emissions associated with their admission, which they then present at an end-of-rotation teaching session, with discussions centering on the link between climate change and health as well as reducing emissions.</div></div><div><h3>Discussion</h3><div>The Planetary Health Rounds, implemented in 2023, have been well-received by trainee physicians despite some challenges having been encountered. These include service demands impacting participation, a lack of emissions data for internal medicine-related care, issues with the generalizability of said data, and consistent access to a planetary health expertise during rounds.</div></div><div><h3>Conclusion</h3><div>This initiative provides a novel way of incorporating teaching on climate change and health into postgraduate training curriculums.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100412"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156358","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":"Anticipatory solastalgia in the Antipodes: Evidence of future-oriented distress about environmental change in Australia and New Zealand","authors":"Samantha K. Stanley ,&nbsp;Omid Ghasemi ,&nbsp;Robert M. Ross ,&nbsp;John R. Kerr ,&nbsp;Mathew D. Marques ,&nbsp;Niels G. Mede ,&nbsp;Sebastian Berger ,&nbsp;Mark Alfano ,&nbsp;Neil Levy ,&nbsp;Marinus Ferreira ,&nbsp;Viktoria Cologna","doi":"10.1016/j.joclim.2025.100415","DOIUrl":"10.1016/j.joclim.2025.100415","url":null,"abstract":"<div><h3>Introduction</h3><div>Lived experience of negative environmental change can evoke distress called ‘solastalgia’. Worldwide, people are reporting emotional challenges relating to awareness of current and continued environmental decline, even without a direct experience of climate change. Our research examines the measurement of <em>anticipatory</em> solastalgia: the experience of present distress about expected environmental change.</div></div><div><h3>Methods</h3><div>Our preregistered research uses survey samples from Australia (<em>n</em> = 1450) and New Zealand (<em>n</em> = 1022) to validate a recently developed five-item Anticipatory Solastalgia Scale (the ANSOS). We also measured participants’ experiences of climate emotions, expectations of the increased severity of climate-related weather disasters, and support for climate policy.</div></div><div><h3>Results</h3><div>The ANSOS fits the data well, is invariant across these two countries, and shows good internal consistency. Supporting convergent validity, the more that participants reported experiencing anticipatory solastalgia, the more intensely they reported feeling negative emotions about climate change. ANSOS scores were higher among those who expected more severe future impacts from climate-related weather disasters, and positively related to support for policies that aim to address climate change.</div></div><div><h3>Conclusion</h3><div>The study adds further evidence for the validity of the anticipatory solastalgia scale; a measure that is designed to facilitate understanding of people's distress responses to the expectations of, and emotional engagement with, environmental threats as the climate changes.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100415"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715448","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":"Developing a guide for sustainable healthcare practice: A case study from the Swedish Society of Medicine","authors":"Andreas Vilhelmsson ,&nbsp;Ida Persson Cofina ,&nbsp;Maria Wolodarski ,&nbsp;Tobias Alfvén","doi":"10.1016/j.joclim.2025.100413","DOIUrl":"10.1016/j.joclim.2025.100413","url":null,"abstract":"<div><h3>Introduction</h3><div>Although climate change has been consistently identified as one of the greatest threats to humans, many clinicians do not feel prepared to address climate change with patients and medical school curricula still have very little coverage of its health consequences. At the same time, health care providers have been shown to be trusted voices and are therefore well suited to help build the public and political necessary to enact policies that effectively address climate change and protect human health in equitable ways. Nevertheless, teaching climate, health and sustainable healthcare to medical colleagues, students and healthcare leaders can be challenging for various reasons. It is therefore essential to provide health care providers and leaders with the appropriate tools and communication skills to facilitate a more sustainable and greener healthcare.</div></div><div><h3>Case presentation</h3><div>In this case report, we describe how we developed a sustainability guide for clinicians with examples of how to reduce unnecessary environmental and climate impact, without compromising patient safety, highlighting potential co-benefits for public health, healthcare efficiency, financial aspects and to the occupational environment.</div></div><div><h3>Discussion</h3><div>The sustainability guide has been appreciated by medical specialties as a tool to illustrate concrete ways of working with sustainable healthcare in Sweden. It has also been used to introduce the field into the medical curriculum at Swedish universities and teach students in sustainability.</div></div><div><h3>Conclusion</h3><div>Our sustainability guide highlights the potential value of providing health care personnel and leaders with the appropriate tools and communication skills to facilitate a more sustainable and green healthcare.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100413"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156359","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":"A “Whole of system approach” to develop environmental sustainability in a Singapore Healthcare System","authors":"Brandon X. Lum ,&nbsp;Rebecca Y. Lee ,&nbsp;Boon Woei Lee ,&nbsp;Bee Lok Hoong ,&nbsp;Eugene H. Liu","doi":"10.1016/j.joclim.2024.100410","DOIUrl":"10.1016/j.joclim.2024.100410","url":null,"abstract":"<div><h3>Introduction</h3><div>While healthcare systems have to prepare for the impact on global health due to climate change, the healthcare sector must reduce carbon emissions and become environmentally sustainable. This paper provides an overview of how a healthcare system in Singapore, the National University Health System (NUHS), is transiting to sustainable healthcare.</div></div><div><h3>Case presentation</h3><div>NUHS used a “whole of system approach”, developing a system for governance, accountability, and management, and building internal capability to decarbonize healthcare. This was managed by a newly formed Office of Sustainability, to address the system's carbon footprint in clinical care, facilities management, and procurement. Strategies on sustainability focused on emissions and consumption that were material and significant to NUHS were pursued.</div></div><div><h3>Discussion</h3><div>NUHS encountered several challenges in the implementation of certain initiatives such as limited manpower and funding, managing supplier relationships and changing clinical practices. A key focus was to build internal capabilities and prioritize strategies to drive sustainability within the health system. Ensuring the availability of funding enabled the implementation of sustainability initiatives as well. Additionally, a growing workload with Singapore's aging local population would reduce the impact of sustainability initiatives on NUHS’ carbon footprint.</div></div><div><h3>Conclusion</h3><div>This paper aims to assist other healthcare systems embarking on their sustainability journeys to formulate a plan to decarbonize.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715383","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":"A work and off-work evaluation of female workers’ heat and particulate matter exposures and kidney health in Guatemala","authors":"Jaime Butler-Dawson ,&nbsp;Diana Jaramillo ,&nbsp;Lyndsay Krisher ,&nbsp;Karely Villarreal Hernandez ,&nbsp;Laura Calvimontes ,&nbsp;Miranda Dally ,&nbsp;Yaqiang Li ,&nbsp;Katherine A. James ,&nbsp;Richard J. Johnson ,&nbsp;Daniel Pilloni ,&nbsp;Alex Cruz ,&nbsp;Joshua Schaeffer ,&nbsp;John Adgate ,&nbsp;Lee S. Newman","doi":"10.1016/j.joclim.2024.100408","DOIUrl":"10.1016/j.joclim.2024.100408","url":null,"abstract":"<div><h3>Background</h3><div>An increasing number of women are performing farm labor in agrarian societies due to the out-migration of men impacted by the effects of climate change. Thus, it is important to understand how changing climatic conditions affect women's risk of occupational heat stress and other health issues.</div></div><div><h3>Methods</h3><div>For this longitudinal pilot study, we characterized repeat individual-level particulate matter (PM₅, aerodynamic diameter of ≤ 5 micrometers) and heat exposures and measured kidney function markers during workdays and rest days among female sugarcane workers in Guatemala. We used logistic mixed models with repeated measures to evaluate associations between kidney function and exposures.</div></div><div><h3>Results</h3><div>We observed that 45 % of the workers had reduced kidney function (estimated glomerular filtration rate [eGFR] &lt; 90 mL/min/1.73 m²) during the study. Levels of dehydration based on a urinary specific gravity &gt;1.020 (28 %), acidic urine (30 %), and low potassium levels (31 %) were common. Environmental exposures (PM₅ and heat index) were significantly higher on workdays compared to rest days. Reduced kidney function was associated with increasing median heat index (odds ratio [OR]: 1.63, 95 % confidence interval [CI]: 1.29–2.08), low urine pH (OR: 4.21, 95 % CI: 1.08–16.40), and municipal drinking water source (OR: 6.52, 95 % CI: 1.23–34.57).</div></div><div><h3>Discussion</h3><div>The results from this study suggest that repeated occupational exposure to high levels of heat contributes to a reduction in renal function among these workers.</div></div><div><h3>Conclusions</h3><div>These findings can inform preventive strategies to better address women's health in the workplace, such as reducing heat stress and dehydration.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"22 ","pages":"Article 100408"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155955","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":"Measuring Chinese negative emotion towards climate change: Psychometric properties of the Chinese version of Climate Change Anxiety Scale","authors":"Sam SS Lau ,&nbsp;Kubi Appiah ,&nbsp;Cherry CY Ho ,&nbsp;Marco CH Cheng ,&nbsp;Bo-Yi Yang","doi":"10.1016/j.joclim.2024.100364","DOIUrl":"10.1016/j.joclim.2024.100364","url":null,"abstract":"<div><h3>Introduction</h3><div>In response to growing concerns over negative emotions towards climate change worldwide, it is essential that a validated and reliable scale is available for the generalizability of the constructs being measured, and it is not just applicable to Western context, but also the East.</div></div><div><h3>Method</h3><div>The present study aims to conduct a psychometric investigation of the 13-item Climate Change Anxiety Scale (CCAS) of Clayton and Karazsia in Traditional Chinese using a large sample (N = 1,567) of Chinese individuals in Hong Kong, China. The CCAS was translated, back-translated, cross-culturally adapted and pilot-tested. We performed descriptive, scale reliability, exploratory factor and confirmatory factor analyses.</div></div><div><h3>Results</h3><div>Unlike the two-factor structure of the original scale, our results revealed a three-factor structure of the 13-item CCAS version that captured three dimensions of climate change anxiety: intrusive symptoms, reflections on climate anxiety, and functional impairment<em>.</em> The scale showed good goodness-of-fit indices, internal consistency and reliability. The Chinese CCAS version demonstrated high levels of reliability estimates and significant, albeit weak, correlations with the relevant constructs of well-being, anxiety and depression, environmental orientation, self-efficacy and belief denial.</div></div><div><h3>Conclusion</h3><div>Overall, the Chinese CCAS version has good reliability and validity, and it can be used as a valid assessment tool for climate change anxiety screening with Chinese individuals, thus providing a foundation for better understanding various climate change–related emotions through an anxiety lens in the Chinese context.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100364"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171956","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":"Post-disaster food insecurity: Hurricane Maria as a case study","authors":"Jill Mark ,&nbsp;David de Angel Sola ,&nbsp;Nicolas Rosario-Matos ,&nbsp;Leyao Wang","doi":"10.1016/j.joclim.2024.100363","DOIUrl":"10.1016/j.joclim.2024.100363","url":null,"abstract":"<div><h3>Background</h3><div>Food insecurity is traditionally defined as a chronic condition linked to insufficient income, but in post-disaster contexts the condition may differ significantly, often with sudden onset and temporary nature. There is no specific definition for post-disaster food insecurity, making accurate data collection and development of effective interventions difficult.</div></div><div><h3>Methods</h3><div>To explore this issue, we performed a pilot survey study (<em>n</em> = 22) in Puerto Rico after Hurricane Maria to evaluate food insecurity status, duration, and causes.</div></div><div><h3>Results</h3><div>Over half of respondents self-reported experiencing food insecurity following Hurricane Maria. In general, food insecure respondents experienced more specific food group shortages that lasted longer than food secure respondents. The duration of food shortages significantly influenced participants' perceptions of food insecurity. The primary causes of food insecurity were identified as grocery store closures, a lack of food in stores, or other reasons not listed in the survey. These findings support what is known about the post-disaster setting with supply chain issues being a prominent mechanism of food insecurity as well as there being multiple mechanisms difficult to describe due to the complexity of the situation.</div></div><div><h3>Conclusions</h3><div>Results highlight the need for refined definitions and assessments of post-disaster food insecurity that account for the temporal aspects of food shortages and the complexity of post-disaster settings. As climate change exacerbates the frequency and severity of natural disasters, addressing the nuances of post-disaster food insecurity is increasingly urgent to mitigate associated health risks.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100363"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171982","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":"Understanding sociodemographic differences in climate behavior, climate policy acceptance, and political participation","authors":"Lena Lehrer ,&nbsp;Lennart Hellmann ,&nbsp;Cornelia Betsch","doi":"10.1016/j.joclim.2024.100353","DOIUrl":"10.1016/j.joclim.2024.100353","url":null,"abstract":"<div><h3>Introduction</h3><div>To mitigate the global health threat posed by climate change, multifaceted responses are required. In previous work, older, male, and highly educated individuals were shown to exhibit greater general readiness to act against climate change; the same is true for people living in larger communities. Yet, the sociodemographic effects may vary for the single facets of the readiness to act against climate change—namely individual climate-friendly behavior, acceptance of climate-protection policies, and political participation.</div></div><div><h3>Methods</h3><div>Data from four waves (2022–2023) of the Planetary Health Action Survey (PACE) were analyzed (<em>N</em> = 3,830, nonprobabilistic representative German sample). Sociodemographic variables (gender, age, community size, education and others) and the three abovementioned facets of the readiness to act against climate change were assessed to examine their relationships.</div></div><div><h3>Results</h3><div>Patterns varied between the indicators. Women and older individuals exhibited more climate-friendly behavior and policy acceptance. In contrast, levels of political participation were higher for men and younger individuals. Higher education was linked to less sustainable behavior, greater policy acceptance, and higher participation, while municipality size was only linked to the latter two. Additional analyses explore the relations between age and the constructs at item level.</div></div><div><h3>Conclusions</h3><div>Findings underscore the importance of a nuanced understanding of people's readiness to act against climate change. Depending on communication objectives, different target groups may be relevant, e.g., do campaigners want to increase political participation vs. change individual behaviors. While older individuals exhibit greater readiness to act via individual behavior and policy acceptance, it is important to include young people in climate-communication efforts.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"21 ","pages":"Article 100353"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171981","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}