The journal of climate change and health最新文献

{"title":"The global surgical triple goal: Surgery must improve health, be equitable, and environmentally sustainable","authors":"Rhea Liang ,&nbsp;John W. Orchard ,&nbsp;Stephen J. Robson","doi":"10.1016/j.joclim.2025.100458","DOIUrl":"10.1016/j.joclim.2025.100458","url":null,"abstract":"<div><div>If carbon emissions are not substantially reduced, human health will suffer irreparably. At the same time, global healthcare suffers from inequitable distribution which also leads to avoidable suffering. Health practitioners have always assessed treatment through the lens of potential benefits versus potential risks and harms. This lens must be widened to include global equity and carbon emissions if the triple goal of improving health, equitable delivery and environmental sustainability is to be achieved. This perspective looks at the surgery-specific challenges to sustainability through an equity lens, especially the tension between surgery being one of the most carbon-intensive forms of healthcare, and in many cases also being lifesaving or life-altering and hence essential. Carbon footprints should be made more visible, and sustainability should drive surgical innovation and be part of accreditation processes. Environmental impact should be built into research proposals, and the evidence arising from research used to make hard decisions about low value care. Carbon offsets may be a temporary measure. The surgery of the future must have a lower carbon footprint and consist of procedures that have been proven to be essential and/or of great benefit. Additionally, the burdens of achieving sustainable surgery must not exacerbate existing current or future healthcare inequity globally.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100458"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241826","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":"Corrigendum to “Development and validation of a climate change version of the man-made disaster-related distress scale (CC-MMDS)” [J Climate Change Health 20 (2024) 100356]","authors":"Jil Beckord ,&nbsp;Julia Barbara Krakowczyk ,&nbsp;Nadja Gebhardt ,&nbsp;Leonie Sophie Geiser ,&nbsp;Katharina Kamler ,&nbsp;Christoph Nikendei ,&nbsp;Eva-Maria Skoda ,&nbsp;Martin Teufel ,&nbsp;Alexander Bäuerle","doi":"10.1016/j.joclim.2025.100455","DOIUrl":"10.1016/j.joclim.2025.100455","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922241","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":"Voices of hard-to-reach island communities provide inclusive and culturally appropriate climate change responses: A case study from the Torres Strait Islands, Australia","authors":"Vinnitta Mosby ,&nbsp;Bradley J. Moggridge ,&nbsp;Sandra Creamer ,&nbsp;Geoffrey Evans ,&nbsp;Lillian Ireland ,&nbsp;Gretta Pecl ,&nbsp;Nina Lansbury","doi":"10.1016/j.joclim.2025.100450","DOIUrl":"10.1016/j.joclim.2025.100450","url":null,"abstract":"<div><h3>Introduction</h3><div>Many island-based Indigenous communities continue to occupy, manage and live off and from their ancestral lands. For some Indigenous Islander communities, climate change is already causing destruction to fragile ecosystems, affecting traditional food supply, and impacting on the health and livelihoods of communities.</div></div><div><h3>Materials and methods</h3><div>The voices gathered through extended yarns of Torres Strait Islander Peoples was featured as a case study to describe the range of physical and psycho-social impacts from climatic changes to their Country, as well as their priority climate responses.</div></div><div><h3>Results &amp; discussion</h3><div>In describing climate change impacts and priority responses, Torres Strait Islander community members detailed five aspects of concern to them. These were to adequately monitor climatic changes and respond appropriately by drawing on Aboriginal and Torres Strait Islander Knowledges, to consider the human rights inherent in being protected from climate change, and to develop locally led solutions that are implemented soon.</div></div><div><h3>Conclusion</h3><div>The impacts of climate change that are being seen and felt in Australia's Torres Strait Islands hold many similarities with small island nations in the Pacific whose islands are remote, climate-exposed, and their voices unheard on the political stage despite experiencing irreversible damage and gradual disappearance of their ancestral lands.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100450"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904325","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":"Justice enablers of climate-health adaptation in South America","authors":"Romina Rekers ,&nbsp;María Victoria Gerbaldo ,&nbsp;Carlos Yabar ,&nbsp;Cintia Rodríguez Garat ,&nbsp;Lucas Rekers","doi":"10.1016/j.joclim.2025.100459","DOIUrl":"10.1016/j.joclim.2025.100459","url":null,"abstract":"<div><h3>Background</h3><div>Integrating justice enablers into climate-health adaptation planning reduces failed adaptation, prevents maladaptation, and facilitates transformative change in health systems. This is particularly necessary in South America (SA), where climate adaptation research and policy are financially constrained. By carefully considering differentiated climate-health risks and necessary trade-offs, National Adaptation Plans (NAPs) and Health National Adaptation Plans (HNAPs) provide forums for identifying just adaptation paths. This study assesses the integration of recognitional, procedural, and distributive justice enablers in climate-health planning in SA.</div></div><div><h3>Methods</h3><div>Justice enablers were tracked within the actionable sections of the NAPs, HNAPs, or their Subsidiary Adaptation Strategies (SASs) of the South American countries. The level of integration of justice enablers was measured using keywords from the climate adaptation literature.</div></div><div><h3>Results</h3><div>There is a significant disparity among countries in the level of integration of justice enablers in national adaptation planning. There is also significant variation across countries in the integration of different dimensions of justice (recognitional, procedural, distributive). Most countries score higher on the integration of recognition justice than on procedural and distributive justice.</div></div><div><h3>Conclusion</h3><div>Comprehensive frameworks are required to integrate justice considerations into climate-health adaptation planning in a way that avoids failed adaptation or maladaptation.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100459"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281015","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 drought to displacement: Assessing the impacts of climate change on conflict and forced migration in West Africa's Sahel Region","authors":"Ejemai Eboreime ,&nbsp;Omolayo Anjorin ,&nbsp;Chisom Obi-Jeff ,&nbsp;Tunde M. Ojo ,&nbsp;Attila Hertelendy","doi":"10.1016/j.joclim.2025.100448","DOIUrl":"10.1016/j.joclim.2025.100448","url":null,"abstract":"<div><div>Across Africa's semiarid Sahel region, temperatures have risen faster than the global average, resulting in severe threats to water access, food security, and human health. Key climate factors such as desertification interact with ethnic and economic tensions, exacerbating violence between pastoral and farming groups competing over degraded productive land and water resources. Mounting climate pressures act as threat multipliers for both violent conflict and internal displacement across countries spanning Senegal to Sudan. This perspective examines intersections of climate change, violent clashes, and forced migration using incidents in Nigeria and Burkina Faso—where droughts, floods and agricultural losses continue to worsen. With 8 million internally displaced persons in the region now, urban areas face overburdened infrastructure while attempting to host influxes of traumatized, impoverished migrants facing further risks. This article argues that integrated policy action is urgently needed to mitigate climate change, enhance community resilience, and protect vulnerable groups to ease cascading humanitarian crises and achieve development goals amid spiraling environmental pressures across West Africa.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100448"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898792","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 political landscape of physical activity and climate action in Canada’s social climate","authors":"Eun-Young Lee ,&nbsp;Seiyeong Park ,&nbsp;Leigh M Vanderloo ,&nbsp;Leah J Ferguson ,&nbsp;Amy E. Latimer-Cheung ,&nbsp;Norman O’Reilly ,&nbsp;Ryan E Rhodes ,&nbsp;John C Spence ,&nbsp;Mark S Tremblay ,&nbsp;Guy Faulkner","doi":"10.1016/j.joclim.2025.100453","DOIUrl":"10.1016/j.joclim.2025.100453","url":null,"abstract":"<div><h3>Introduction</h3><div>Political orientation is known to influence health behaviors and policy support. This study examined the implications of political orientation on the social climate of physical activity (PA) and policy support addressing both climate change and PA (i.e., climate–health co-benefits) in Canada.</div></div><div><h3>Materials and Methods</h3><div>Based on the Social Climate Survey 2.0 (18 years+) data, study variables included political orientation (liberal/centrist/conservative), perceived importance of PA, adherence to PA guidelines, causal attributions of physical inactivity, and support for health co-benefits policy actions. Logistic and mediation analyses were performed.</div></div><div><h3>Results</h3><div>Among 1,717 adults, no associations were observed between political orientation and perceived importance of PA or PA guideline adherence. Compared to liberals, both centrists (OR: 1.63, 95 %CI: 1.25–2.08) and conservatives (OR: 1.76, 95 %CI: 1.33–2.32) attributed physical inactivity to individual responsibility. Regarding the endorsement of eight climate–health co-benefits policy actions, centrists (ORs: 0.53–0.66) and conservatives were less likely to support such actions (ORs: 0.27–0.48), compared to liberals, which were partially explained by the attribution of causes for physical inactivity, among conservatives only.</div></div><div><h3>Discussions</h3><div>Most Canadian adults recognized the importance of PA. Support for climate-health co-benefit policies varied by political orientation, with centrists showing mixed support—favoring cost-effective policy actions. Causal beliefs appear to be associated with lower support for policy actions among conservatives.</div></div><div><h3>Conclusion</h3><div>Tailoring public health messages, policy advocacy strategies, and investment priorities to align with varying political orientations may be important for addressing climate–health co-benefits and its broader public health implications in Canada.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health workers’ perspectives regarding climate change and health in Kween District, Mount Elgon, Uganda – A qualitative study","authors":"Aggrey Siya ,&nbsp;Akim Tafadzwa Lukwa ,&nbsp;Chemutai Faith ,&nbsp;Noah Mutai ,&nbsp;Plaxcedes Chiwiree","doi":"10.1016/j.joclim.2025.100463","DOIUrl":"10.1016/j.joclim.2025.100463","url":null,"abstract":"<div><h3>Introduction</h3><div>In Uganda, climate change poses significant threats to human livelihoods by exacerbating existing health challenges and introducing new health threats. This study focused on the knowledge and perspectives of health workers regarding the intersection of health and climate change, with particular emphasis on malaria, a disease prevalent in the country and notably affected by climate variations, especially in fragile mountainous regions such as Mount Elgon.</div></div><div><h3>Materials and Methods</h3><div>This study was conducted in the Kween District of Mount Elgon, Uganda. We utilized qualitative approaches, recruiting health service providers from various altitudinal zones using snowball sampling techniques. Health facilities were selected through purposive sampling and 69 health service providers participated. Data collection involved semi-structured interviews that explored health workers' knowledge of climate change and its impacts on health, including malaria.</div></div><div><h3>Results</h3><div>Health workers perceived an increase in disease occurrences attributed to climate change, affecting their work in terms of load and access to facilities during extreme weather conditions such as heavy rains and heatwaves. Malaria cases were perceived to have increased in the higher altitudes that previously experienced limited case numbers. Despite the difficulties in distinguishing between climate change and climate variability, health workers associated these health-related phenomena with long-term weather alterations.</div></div><div><h3>Conclusions</h3><div>Health workers perceive that climate change is affecting their work and delivery of health services. By leveraging the knowledge and experience of health workers regarding the relationship between health and climate change, there is an opportunity to enhance the resilience of the health system.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100463"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241828","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":"Adapting to climate change: Strategies adopted by hypertensive patients − A qualitative study","authors":"Mmusi Salphy Mamoropo ,&nbsp;Bopape Mamare Adelaide ,&nbsp;Mothiba Tebogo Maria","doi":"10.1016/j.joclim.2025.100462","DOIUrl":"10.1016/j.joclim.2025.100462","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change contributes to health issues such as elevated blood pressure due to the body’s response to extreme temperatures. Hypertensive patients require support to adapt to these climate impacts, making it essential to develop mitigation strategies to cope with extreme climate change as well as promoting adaptation to these impacts.</div></div><div><h3>Material and methods</h3><div>A qualitative phenomenological design was used, involving 15 hypertensive patients selected through homogeneous purposive sampling at selected public hospitals. Data were gathered via semi-structured, one-on-one interviews and analysed using Tesch’s method.</div></div><div><h3>Results and discussion</h3><div>The following themes emerged from this study: (i) hypertensive patients’ experiences of living with high blood pressure under changing weather conditions, (ii) their strategies to adapt to hypertensive conditions during extreme hot weather and suggestions to improve strategies to adapt to climate change. Findings highlighted a strong need for emotional and practical support to help manage their condition effectively.</div></div><div><h3>Conclusions</h3><div>Unpredictable climate changes complicate hypertensive patients’ ability to adapt. The study recommends raising awareness, providing education on climate-health links, and building community capacity to support adaptation.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116921","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":"Diet culture mindset and meat restriction: A mixed methods mediation analysis","authors":"Marina F. Jiao ,&nbsp;Saadatu Abdul-Rahaman ,&nbsp;Michelle Leonetti ,&nbsp;Lizzy Pope ,&nbsp;Kelsey Rose ,&nbsp;Emily H. Belarmino","doi":"10.1016/j.joclim.2025.100461","DOIUrl":"10.1016/j.joclim.2025.100461","url":null,"abstract":"<div><h3>Introduction</h3><div>Reducing meat consumption and eating a “plant-based diet” is recommended to improve health and environmental outcomes including reducing climate change. One understudied aspect of this dietary recommendation is how it may intersect with diet culture, which equates thinness to health. The purpose of this study is to explore the relationship between diet culture beliefs and meat limitation, and the potential mediating role of dietary motivation.</div></div><div><h3>Methods</h3><div>This mixed methods study involved a national U.S. survey of 2,750 rural adults and interviews with 28 adults in Vermont, U.S.A. who limit meat intake. Survey respondents were asked about their dietary pattern, dietary motivations, and beliefs about “good” vs. “bad” foods and fatness. Responses were analyzed using mediation models. Interviews focused on perceptions of and experiences with plant-based eating. Transcripts were thematically coded and analyzed for diet culture beliefs.</div></div><div><h3>Results</h3><div>Moralizing food and meat limitation were closely related. Health motivations fully mediated the relationship, while weight motivations partially mediated the relationship. Anti-fat beliefs were not related to meat limitation. Over half of interview participants imparted a moralization of “good” vs “bad” onto foods and nearly half discussed the healthfulness of plant-based diets and meat limitation.</div></div><div><h3>Conclusion</h3><div>These results suggest that food moralization and meat limitation are related, and that individuals’ motivations to lose weight and be healthy may mediate the relationship. Although plant-based diets have potential health and environmental benefits, framing these dietary patterns around restriction may adversely affect eaters’ relationships with food. Further research with more diverse samples is needed.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241825","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":"Early insight on how climate action can benefit health in rural India","authors":"Vijay S Limaye ,&nbsp;Sameeha Hossain ,&nbsp;Ritika Kapoor ,&nbsp;Dhilsha Jubair ,&nbsp;Charu Lata","doi":"10.1016/j.joclim.2025.100420","DOIUrl":"10.1016/j.joclim.2025.100420","url":null,"abstract":"<div><h3>Introduction</h3><div>India faces severe health impacts from climate change. While urban-focused initiatives like the National Clean Air Programme and heat action plans aim to address dangerous exposures, rural regions, home to over 60% of India's population, remain underprioritized in mitigation and adaptation measures. To address this gap, the Self Employed Women's Association (SEWA) and Natural Resources Defense Council (NRDC) implemented the <em>Hariyali Gram</em> (Green Village) initiative, deploying climate-friendly technologies to support improved lighting, cooling, irrigation, and clean cooking in pilot villages beginning in 2019.</div></div><div><h3>Methods</h3><div>In March 2024, 90 household surveys were conducted in Nagano Math, a village of 256 households in the state of Gujarat, assessing air quality effects, indoor thermal comfort, and health impacts following the implementation of climate-friendly renewable energy solutions.</div></div><div><h3>Results</h3><div>Survey responses (n-86) indicated substantial awareness of indoor air pollution from traditional cooking methods, with 88% of respondents acknowledging its impact. Nine households received biogas installations and 78% noted improved indoor air quality, while 66 % observed enhanced outdoor air quality and 56% respondents reported health benefits from adopting cleaner cooking for themselves or other members of the household. Of 19 households that installed cool roofs as part of the program, 37% reported improved thermal comfort indoors.</div></div><div><h3>Discussion</h3><div>Climate actions in this village are delivering health and environmental gains to this community with benefits are reported in about half of households. Findings of our preliminary survey in a single village suggest scaling up climate interventions across rural India could deliver substantial improvements in living conditions.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"23 ","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936070","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}