Public Perceptions of Climate Change and Health-A Cross-Sectional Survey Study

Katharina van Baal, Stephanie Stiel, Peter Schulte, Katharina van Baal, Stephanie Stiel, Peter Schulte

Abstract

Climate change is inseparably linked to human health. Although there is growing awareness of the threats to human health caused by climate change, it remains unclear how the German population perceives the relevance of climate change and its health consequences. Between May and September 2022, German residents were invited to participate in a cross-sectional online survey that explored three content areas: (1) the relevance of climate change, (2) health risks in connection with climate change and (3) collective and individual options for action against climate change. A total of 697 full data sets were collected for analysis (72% female, 51% ≥55 years old). The majority of participants agreed that human-induced climate change exists (85%), and that it has an impact on human health (83%). They also perceived the global population to be more strongly impacted by climate change than themselves (89% versus 68%). Most participants (76%) claimed to personally contribute to climate protection and 23% felt that their city or council contributed to climate protection. Although the majority of participants saw climate change as a threat to human health, they perceived other population groups to be most strongly affected. Cognitive dissonance might explain this lack of individual concern and one approach to addressing such distorted perceptions might be the dissemination of appropriate risk communication with health professionals involved in the communication.

Keywords: climate change; planetary health; public health; public perception.

Conflict of interest statement

P.S. declares that the University of Applied Sciences Weserbergland receives funding from the health insurance fund BKK24 to finance the ‘Länger besser leben. Institute’. However, this funding did not influence the design of the study nor the collection, analysis or interpretation of data. K.v.B. and S.S. declare that they have no competing interests.

Figures

Figure 1
Figure 1
Health at risk from climate change, by population group.

References

    1. Watts N., Amann M., Arnell N., Ayeb-Karlsson S., Beagley J., Belesova K., Boykoff M., Byass P., Cai W., Campbell-Lendrum D., et al. The 2020 report of The Lancet Countdown on health and climate change: Responding to converging crises. Lancet. 2021;397:129–170. doi: 10.1016/S0140-6736(20)32290-X.
    1. Watts N., Amann M., Arnell N., Ayeb-Karlsson S., Belesova K., Boykoff M., Byass P., Cai W., Campbell-Lendrum D., Capstick S., et al. The 2019 report of The Lancet Countdown on health and climate change: Ensuring that the health of a child born today is not defined by a changing climate. Lancet. 2019;394:1836–1878. doi: 10.1016/S0140-6736(19)32596-6.
    1. Intergovernmental Panel on Climate Change (IPCC) Climate Change 2022: Impacts, Adaption and Vulnerability. Cambridge University Press; Cambridge, UK: 2022.
    1. Steffen W., Richardson K., Rockström J., Cornell S.E., Fetzer I., Bennett E.M., Sörlin S. Planetary boundaries: Guiding human development on a changing planet. Science. 2015;347:1259855. doi: 10.1126/science.1259855.
    1. Ripple W.J., Wolf C., Gregg J.W., Levin K., Rockström J., Newsome T.M., Lenton T.M. World Scientists’ Warning of a Climate Emergency 2022. BioScience. 2022;72:1149–1155. doi: 10.1093/biosci/biac083.
    1. Romanello M., Di Napoli C., Drummond P., Green C., Kennard H., Lampard P., Scamman D., Arnell N., Ayeb-Karlsson S., Ford L.B., et al. The 2022 report of the Lancet Countdown on health and climate change: Health at the mercy of fossil fuels. Lancet. 2022;400:1619–1654. doi: 10.1016/S0140-6736(22)01540-9.
    1. Maibach E.W., Kreslake J.M., Roser-Renouf C., Rosenthal S., Feinberg G., Leiserowitz A.A. Do Americans Understand That Global Warming Is Harmful to Human Health? Evidence From a National Survey. Ann. Glob. Health. 2015;81:396–409. doi: 10.1016/j.aogh.2015.08.010.
    1. Parise I. A brief review of global climate change and the public health consequences. Aust. J. Gen. Pract. 2018;47:451–456. doi: 10.31128/AJGP-11-17-4412.
    1. Parker C.L., Wellbery C.E., Mueller M. The Changing Climate: Managing Health Impacts. Am. Fam. Physician. 2019;100:618–626.
    1. World Health Organization Climate Change and Health. [(accessed on 28 November 2022)]. Available online: .
    1. Karliner J., Slotterback S., Arup Boyd R., Ashby B., Steele K. Health Care Without Harm. Health Care’s Climate Footprint—How the health sector contributes to the global climate crisis and opportunities for action. [(accessed on 28 November 2022)]. Available online: .
    1. Storz M.A. A Practical Guide for Physicians and Health Care Workers to Reduce Their Carbon Footprint in Daily Clinical Work. Perm. J. 2018;22:17–145. doi: 10.7812/TPP/17-145.
    1. Mezger N.C.S., Thöne M., Wellstein I., Schneider F., Litke N., Führer A.G., Clar C., Kantelhardt E.J. Climate protection in practices—Current status, motivation and challenges in outpatient care. Z. Evid. Fortbild. Qual. Gesundhwes. 2021;166:44–54. doi: 10.1016/j.zefq.2021.08.009. (In German)
    1. Minogue V., Wells B. Managing resources and reducing waste in healthcare settings. Nurs. Stand. 2016;30:52–60. doi: 10.7748/ns.30.38.52.s45.
    1. Nicolet J., Mueller Y., Paruta P., Boucher J., Senn N. What is the carbon footprint of primary care practices? A retrospective life-cycle analysis in Switzerland. Environ. Health. 2022;21:3. doi: 10.1186/s12940-021-00814-y.
    1. Berger N., Lindemann A.K., Böl G.F. Public perception of climate change and implications for risk communication. Bundesgesundheitsblatt. 2019;62:612–619. doi: 10.1007/s00103-019-02930-0. (In German)
    1. Akerlof K., Debono R., Berry P., Leiserowitz A., Roser-Renouf C., Clarke K.-L., Rogaeva A., Nisbet M.C., Weathers M.R., Maibach E.W. Public perceptions of climate change as a human health risk: Surveys of the United States, Canada and Malta. Int. J. Environ. Res. Public Health. 2010;7:2559–2606. doi: 10.3390/ijerph7062559.
    1. de Freitas C. Public and patient participation in health policy, care and research. Porto. Biomed. J. 2017;2:31–32. doi: 10.1016/j.pbj.2017.01.001.
    1. Hsieh H.F., Shannon S.E. Three approaches to qualitative content analysis. Qual. Health Res. 2005;15:1277–1288. doi: 10.1177/1049732305276687.
    1. Amuasi J.H., Lucas T., Horton R., Winkler A.S. Reconnecting for our future: The Lancet One Health Commission. Lancet. 2020;395:1469–1471. doi: 10.1016/S0140-6736(20)31027-8.
    1. Moser S.C. Communicating climate change: History, challenges, process and future directions. WIREs Climate Chang. 2010;1:31–53. doi: 10.1002/wcc.11.
    1. Moser S.C. Reflections on climate change communication research and practice in the second decade of the 21st century: What more is there to say? WIREs Climate Chang. 2016;7:345–369. doi: 10.1002/wcc.403.
    1. Michaels D., Monforton C. Manufacturing uncertainty: Contested science and the protection of the public’s health and environment. Am. J. Public Health. 2005;95((Suppl. S1)):S39–S48. doi: 10.2105/AJPH.2004.043059.
    1. Mccright A.M., Dunlap R.E. Challenging Global Warming as a Social Problem: An Analysis of the Conservative Movement’s Counter-claims. Soc. Probl. 2014;47:499–522. doi: 10.2307/3097132.
    1. Visschers V.H.M. Public Perception of Uncertainties Within Climate Change Science. Risk Anal. 2018;38:43–55. doi: 10.1111/risa.12818.
    1. Festinger L. A Theory of Cognitive Dissonance. Standord University Press; Stanford, CA, USA: 1957.
    1. Klein J., McColl G. Cognitive dissonance: How self-protective distortions can undermine clinical judgement. Med. Educ. 2019;53:1178–1186. doi: 10.1111/medu.13938.
    1. Loughnan S., Bastian B., Haslam N. The Psychology of Eating Animals. Curr. Dir. Psychol. Sci. 2014;23:104–108. doi: 10.1177/0963721414525781.
    1. McGrath A. Dealing with dissonance: A review of cognitive dissonance reduction. Soc. Personal. Psychol. Compass. 2017;11:e12362. doi: 10.1111/spc3.12362.
    1. Deutsche Allianz Klimawandel und Gesundheit (KLUG) Gemeinsam Handeln Für KLIMA und Gesundheit: Aufklärung Und Agendasetting. [(accessed on 28 November 2022)]. Available online:
    1. André H., Holguera J.G., Depoux A., Pasquier J., Haller D.M., Rodondi P.-Y., Schwarz J., Senn N. Talking about Climate Change and Environmental Degradation with Patients in Primary Care: A Cross-Sectional Survey on Knowledge, Potential Domains of Action and Points of View of General Practitioners. Int. J. Environ. Res. 2022;19:4901. doi: 10.3390/ijerph19084901.
    1. Boland T.M., Temte J.L. Family Medicine Patient and Physician Attitudes Toward Climate Change and Health in Wisconsin. Wilderness Environ. Med. 2019;30:386–393. doi: 10.1016/j.wem.2019.08.005.
    1. Moniz M.A., Daher D.V., Sabóia V.M., Ribeiro C.R.B. Environmental health: Emancipatory care challenges and possibilities by the nurse. Rev. Bras. Enferm. 2020;73:e20180478. doi: 10.1590/0034-7167-2018-0478.
    1. Crowley R., Daniel H., Cooney T.G., Engel L.S., Health, Public Policy Committee of the American College of Physicians Envisioning a Better U.S. Health Care System for All: Coverage and Cost of Care. Ann. Intern. Med. 2020;172((Suppl. S2)):S7–S32. doi: 10.7326/M19-2415.
    1. Veidis E.M., Myers S.S., Almada A.A., Golden C.D. A call for clinicians to act on planetary health. Lancet. 2019;393:2021. doi: 10.1016/S0140-6736(19)30846-3.

Source: PubMed

3
구독하다