The journal of climate change and health最新文献

{"title":"Comprehensive risk mapping for heatwave-sensitive chronic diseases mortality in Argentina: An approximation based on cardiovascular diseases","authors":"Juan D Pinotti ,&nbsp;Ximena Porcasi ,&nbsp;Sonia A Pou ,&nbsp;Camila Niclis ,&nbsp;María I Stimolo ,&nbsp;Laura R Aballay ,&nbsp;Rubén Actis Danna ,&nbsp;Sonia E Muñoz","doi":"10.1016/j.joclim.2025.100548","DOIUrl":"10.1016/j.joclim.2025.100548","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change poses increasing risks to human health, with heatwaves (HW) being a notable concern. This study pioneers the mapping of mortality risks associated with heat-sensitive Non-Communicable Diseases (NCDs) in Argentina, considering the simultaneous influence of HW and multiple underlying vulnerability factors.</div></div><div><h3>Materials and Methods</h3><div>The study integrates data from the National Statistical System, climate reanalysis, and remote sensing products by following the methodology outlined by Argentina's Climate Change Risk Mapping System. Vulnerability dimensions, including sociodemographic, environmental, pre-existing chronic conditions, and lifestyle-related factors, were analyzed to provide spatially resolved risk assessments. A random-intercept mixed effects model was fitted to assess adherence between the risk map and mortality from a heat-related NCD.</div></div><div><h3>Results</h3><div>Between 2006 and 2010, HW in Argentina displayed varied patterns in both intensity and extent. The vulnerability analyses reveal distinctive spatial patterns, with a notable broad diagonal from southwest to northeast. Maps indicate lower mortality risks in coastal and high-altitude areas of the northwest, with higher risks concentrated in the center-north of the country. Moreover, a positive association (RR 1·68; <em>p</em> &lt; 0·001) was found between age-standardized mortality rates from cardiovascular diseases and the overall risk estimates posed by HW.</div></div><div><h3>Discusion and conclusion</h3><div>The resulting risk map, developed through a protocolized methodology, underscores the intricate connections among contextual conditions, lifestyle attributes, and health outcomes. The study contributes to the empirical evidence base for understanding the relationship between NCDs and HW.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"26 ","pages":"Article 100548"},"PeriodicalIF":3.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of climate 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}

{"title":"Navigating the storm: Ethical consideration to climate justice and sustainable health equity in Africa","authors":"Adetayo Emmanuel Obasa","doi":"10.1016/j.joclim.2025.100465","DOIUrl":"10.1016/j.joclim.2025.100465","url":null,"abstract":"<div><div>Africa bears a disproportionate burden of climate change, despite contributing minimally to global greenhouse gas emissions. This article explores the ethical imperatives of addressing climate-induced health disparities in Africa, particularly through the lens of climate justice and the African philosophy of ubuntu<em>.</em> In Sub-Saharan Africa, approximately 700 million people live on less than $2.15 per day, falling below the extreme poverty line. Low-income communities disproportionately suffer from the negative impacts of climate change. These populations face a multifaceted crisis that requires clear, ethical, and specific solutions tailored to their unique needs. Drawing on theories of distributive, corrective, and participatory justice—as well as Rawlsian and utilitarian ethics—the paper critiques current global mitigation and adaptation strategies for their failure to adequately support African priorities. It further advances the case for integrating grassroots participation, community-based solutions, and inclusive governance. By prioritizing health equity, environmental justice, and ethical policymaking, the article proposes practical recommendations that align short-term needs with long-term sustainability. This article charts a pathway toward just and inclusive climate policies by arguing for a transformative response rooted in justice, solidarity, and African agency—prioritizing the needs of the most affected while fostering resilience and sustainability for future generations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100465"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building capacities in the Andean region: Training health professionals on climate change and health","authors":"Gilma Mantilla ,&nbsp;Bertha Pineda ,&nbsp;Cecilia Sorensen ,&nbsp;Haley Campbell ,&nbsp;Nicola Hamacher ,&nbsp;Karen Glatfelter","doi":"10.1016/j.joclim.2025.100551","DOIUrl":"10.1016/j.joclim.2025.100551","url":null,"abstract":"<div><h3>Introduction</h3><div>As the impacts of climate change increase, health professionals must understand its impact on disease and public health risks. Building capacity across various regions is essential for enhancing decision-making within the health sector and mitigating climate-related risks. In response, the Organismo Andino de Salud (ORAS-CONHU), the Global Consortium on Climate and Health Education (GCCHE) and the Panamerican Health Organization (PAHO) collaborated to launch the first virtual Andean regional course on Climate and Health.</div></div><div><h3>Case Presentation</h3><div>This five-week course featured twice-weekly 90-minute live virtual sessions, followed by Q&amp;A. Participants were administered pre- and post-surveys to evaluate the course's effectiveness. Out of 950 registered individuals, 767 attended at least one session, and 418 attended six or more sessions.</div><div>Results indicate increased capacity among health professionals to address climate resilience, including skills in vulnerability assessment, risk management, adaptation strategies<strong>,</strong> and effective communication.</div></div><div><h3>Discussion</h3><div>This program is the first Spanish-language live virtual training targeting regional health officials from the Ministries of Health, National Institutes of Health, and international agencies involved in health promotion, disease surveillance and control, disaster management, health service provision, public health program management, and the evaluation of climate-sensitive diseases. While other institutions offer climate and health courses, these programs are primarily conducted in English and are mostly not tailored to regional challenges.</div></div><div><h3>Conclusion</h3><div>The strong turnout of participants underscores a significant interest in this educational format and highlights the need for broader engagement in climate and health education.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100551"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886831","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":"Medical education competency frameworks for climate and planetary health: A scoping review","authors":"Elizabeth Cerceo ,&nbsp;Hannah N.W. Weinstein ,&nbsp;Stefan Wheat ,&nbsp;James Sullivan ,&nbsp;James Bevan ,&nbsp;Cecilia Sorensen","doi":"10.1016/j.joclim.2025.100488","DOIUrl":"10.1016/j.joclim.2025.100488","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change threatens human health by exacerbating existing health inequities, increasing climate-related illnesses, and disrupting healthcare systems. Preparing future physicians to address these challenges is essential for resilient healthcare systems. While climate health education in medical schools is gaining traction globally, its integration remains inconsistent, with limited consensus on core competencies.</div></div><div><h3>Methods</h3><div>A systematic search of peer-reviewed and gray literature was conducted across databases including PubMed, ERIC, EMBASE, and CINAHL. Inclusion criteria required frameworks to address climate or planetary health in medical education and to reflect consensus-level guidance from national or regional bodies. Each framework was thematically assessed for competencies and domains.</div></div><div><h3>Results</h3><div>12 frameworks met inclusion criteria. Key competencies identified varied among the frameworks and included medical knowledge of climate change’s health impacts, skills in climate-informed clinical practice, advocacy for sustainable healthcare, and addressing health equity. Unique aspects of climate health, such as Indigenous knowledge and environmental justice, appeared in a few frameworks. While foundational knowledge was universally emphasized, domains such as health system sustainability and interprofessional skills were less consistently integrated.</div></div><div><h3>Conclusion</h3><div>Our findings underscore the paucity of globally aligned, evidence-based competency frameworks, especially in the Global South, needed to equip future physicians with the skills to address the health impacts of climate change. Establishing standardized competencies will support consistent education and preparedness among future physicians worldwide. This review reveals a need for standardized frameworks to ensure comprehensive climate-health education across diverse medical education systems. Current frameworks demonstrate progress, yet gaps remain, especially in practical, action-oriented skills and specific competencies for vulnerable populations.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100488"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757582","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":"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}

{"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":"2025-09-01","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}

{"title":"Too hot and too humid in the Caribbean: Impacts of extreme heat events and non-accidental mortality in the tropical island of Puerto Rico (2015-2020)","authors":"Pablo A. Méndez-Lázaro ,&nbsp;Claudia Di Napoli ,&nbsp;Sona Rivas-Tumanyan ,&nbsp;Naydi Pérez-Ríos ,&nbsp;Lorena González Sepúlveda ,&nbsp;Ernesto Rodríguez ,&nbsp;Ernesto Morales ,&nbsp;Odalys Martínez ,&nbsp;Laura T. Cabrera-Rivera ,&nbsp;Mónica V. Sánchez-Sepúlveda ,&nbsp;Liza Milán","doi":"10.1016/j.joclim.2025.100484","DOIUrl":"10.1016/j.joclim.2025.100484","url":null,"abstract":"<div><h3>Background</h3><div>The complex interactions between heat and public health in tropical environments are not well understood, limiting the integrated understanding of heat-related impacts on the sustainability and resilience of the affected populations.</div></div><div><h3>Objectives</h3><div>To provide evidence on the impact of heat stress on mortality in Puerto Rico by means of indices that are based on physiologically relevant environmental factors.</div></div><div><h3>Methods</h3><div>Daily data on non-accidental mortality for the period of 2015-2020 were obtained from the Puerto Rico Department of Health. We obtained 2 meter ambient air temperature data across the whole geographical extent of Puerto Rico and for the 2015-2020 period at an hourly step from the ERA5 climate reanalysis dataset. We employed two indices derived from thermo-physiological models: the Universal Thermal Climate Index (UTCI) and the Heat Index (HI). Poisson regression models were fitted to explain the total number of deaths as a function of UTCI and HI while adjusting for sex and age.</div></div><div><h3>Results</h3><div>We observed an increase in overall non-accidental mortality in the days categorized as the highest tertile of both HI (IRR: 1.23, 95% CI: 1.21; 1.25) and UTCI (IRR:1.47, 95% CI: 1.44; 1.49) in the adjusted model. Myocardial infarction, ischemic heart disease, heart failure, and cerebrovascular disease were some of the primary causes of death.</div></div><div><h3>Conclusion</h3><div>Results will provide local decision-makers with sufficient evidence on heat stress impacts and valuable information on vulnerability that can be translated into heat adaptation strategies in Puerto Rico.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100484"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772085","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":"Association of early pregnancy warm season exposure and neighborhood heat vulnerability with adverse maternal outcomes: A retrospective cohort study","authors":"Melissa Blum ,&nbsp;Donato DeIngeniis ,&nbsp;Daniela K. Shill ,&nbsp;Joanne Stone ,&nbsp;Perry Sheffield ,&nbsp;Yoko Nomura","doi":"10.1016/j.joclim.2025.100524","DOIUrl":"10.1016/j.joclim.2025.100524","url":null,"abstract":"<div><h3>Introduction</h3><div>Rising ambient temperatures threaten vulnerable populations such as pregnant women, with urban populations bearing a greater risk due to the urban heat island effect. Here, we assessed the independent effects of trimester-specific warm season exposure during pregnancy and neighborhood heat vulnerability on maternal outcomes, including gestational diabetes, hypertensive disorders of pregnancy, genitourinary infections, and operative delivery.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed 819 participants from the Stress in Pregnancy Study (2009–2014), a longitudinal birth cohort study in New York City. Generalized linear models examined associations between trimester-specific warm season exposure, New York City Heat Vulnerability Index (ranging 1-5), and adverse maternal outcomes, adjusting for demographics, parity, and substance use.</div></div><div><h3>Results</h3><div>First trimester warm season exposure was associated with increased odds of gestational hypertension (adjusted odds ratio [AOR] 4.50, 95%CI 1.17-17.27), preeclampsia (AOR 4.38, 95%CI 1.51-12.75), and genitourinary infection (AOR 2.27, 95%CI 1.14-4.51). Each unit increase in heat vulnerability index was associated with increased odds of preeclampsia (AOR 1.38, 95%CI 1.05-1.81) and genitourinary infection (AOR 1.32, 95%CI 1.11-1.57).</div></div><div><h3>Conclusions</h3><div>Both early pregnancy warm weather exposure and neighborhood vulnerability independently increased the risk of adverse maternal complications. Our findings provide evidence in support of targeted heat mitigation strategies to limit heat exposure in at-risk communities as climate change progresses.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"25 ","pages":"Article 100524"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866354","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":"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}