Making the links: do we connect climate change with health? A qualitative case study from Canada

BMC Public Health

Susan J Elliott¹  Francesca S Cardwell² 

[1] School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada;Department of Geography and Environmental Management, Faculty of Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada

关键词: Canada;    Qualitative methods;    Risk perceptions;    Climate change;    Health;   

Others  :  1162471
DOI  :  10.1186/1471-2458-13-208

 received in 2012-09-06, accepted in 2013-03-05,  发布年份 2013

【 摘 要 】

Background

Climate change has been described as the biggest global health threat of the 21^st century. Typically framed as an environmental issue, some suggest this view has contributed to public ambivalence and hence a lack of public engagement. The lack of understanding of climate change as a significant environmental health risk on the part of the lay public represents a significant barrier to behaviour change. We therefore need to think about reframing the impact of climate change from an environmental to a health issue. This paper builds on calls for increased understanding of the public’s views of human health risks associated with climate change, focusing on facilitators and barriers to behaviour change.

Methods

Semi-structured in-depth interviews (n = 22) with residents of the Golden Horseshoe region of Southern Ontario were conducted between August 2010 and January 2011. Topics included individual and community health, climate change, and facilitators and barriers to behaviour change.

Results

Few participants recognized the role of the environment in the context of either individual and community health. When asked about health concerns specific to their community, however, environmental issues were mentioned frequently. Health effects as possible impacts of global environmental change were mentioned by 77% of participants when prompted, but this link was not described in great detail or within the context of impacting their communities or themselves. Participants were willing to act in environmentally friendly ways, and possible incentives to undertake behaviour change such as decreasing cost were described. Health co-benefits were not identified as incentives to engaging in mitigative or adaptive behaviours.

Conclusions

The results support recent calls for reframing the impact of climate change from an environmental to a public health issue in order to increase public engagement in adaptive and mitigative behaviour change. While previous research has touched on public awareness of the human health risks of climate change, we have further explored the attitude-action link through the examination of facilitators and barriers to behaviour change.

【 授权许可】

   
2013 Cardwell and Elliott; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]McMichael A, Nyong A, Corvalan C: Global environmental change and health: impacts, inequalities, and the health sector. Brit Med J 2008, 336:191-194.
• [2]Myers S, Patz J: Emerging threats to human health from global environmental change. Annu Rev Env Resour 2009, 34:223-252.
• [3]Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, Friel S, Grace N, Johnson A, Kett M, Lee M, Levy C, Maslin M, McCoy D, McGuire B, Montgomery H, Napier D, Pagel C, Patel J, Antonio J, de Oliveira P, Redclift N, Rees H, Rogger D, Scott J, Stephenson J, Twigg J, Wolff J, Patterson C: Managing the health effects of climate change. Lancet 2009, 373:1693-1733.
• [4]IPCC: Climate Change 2007: Synthesis Report. Contributing of Working Groups I, II and III to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. IPCC, Geneva, Switzerland; [Core Writing Team, Pachauri, R.K. and Reisinger, A. (eds)]
• [5]Maibach E, Nisbet M, Baldwin P, Akerlof K, Diao G: Reframing climate change as a public health issue: an exploratory study of public reactions. BMC Public Health 2010, 10:299. BioMed Central Full Text
• [6]Akerlof K, DeBono R, Berry P, Leiserowitz A, Roser-Renouf C, Clarke K-L, Rogaeva A, Nisbet M, Weathers M, Maibach E: 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.
• [7]Nisbet MC: Communicating climate change: why frames matter for public engagement. Environment 2009, 51:12-23.
• [8]Leiserowitz A: Public Perception, Opinion and Understanding of Climate Change – Current Patterns, Trends and Limitations. 2008. [http://hdr.undp.org/en/reports/global/hdr2007-2008/papers/leiserowitz_anthony.pdf webcite]
• [9]Plotnikoff R, Wright M, Karunamuni N: Knowledge, attitudes and behaviours related to climate change in Alberta, Canada: implications for public health policy and practice. Int J Environ Heal Res 2004, 14(3):223-229.
• [10]Pollara Research: Health Care in Canada Survey 2006: A National Survey of Health Care Providers, Managers, and the Public. http://www.who.int/patientsafety/news/2006_hcic.pdf webcite
• [11]Leiserowitz A: Climate change risk perception and policy preferences: the role of affect, imagery and values. Clim Chang 2006, 77:45-72.
• [12]Bord R, Fisher A, O’Connor R: Public perceptions of global warming: United States and International Perspectives. Clim Res 1998, 11:75-84.
• [13]Maibach EW, Roser-Renouf C, Leiserowitz A: Global warming's Six Americas 2009: an audience segmentation analysis. http://environment.yale.edu/climate/files/climatechange-6americas.pdf webcite
• [14]Leiserowitz A, Maibach EW, Roser-Renouf C: Global warming’s “Six Americas”: An Audience Segmentation. 2008. http://www.c2es.org/docUploads/SixAmericas.pdf webcite
• [15]Statistics Canada: 2006 Census: Portrait of the Canadian Population in 2006: Subprovincial population dynamics. http://www12.statcan.gc.ca/census-recensement/2006/as-sa/97-550/p14-eng.cfm webcite
• [16]Williams A, Kitchen P, DeMiglio L, Eyles J, Newbold B, Streiner D: Sense of place in Hamilton, Ontario: empirical results of a neighbourhood-based survey. Urban Geogr 2010, 31(7):905-931.
• [17]Wilson K, Eyles J, Ellaway A, Macintyre S, Macdonald L: Health status and health behaviours in neighbourhoods: a comparison of Glasgow, Scotland and Hamilton, Canada. Health Place 2010, 16(2):331-338.
• [18]Elliott SJ: The power of perception: health risk attributed to air pollution in an urban industrial neighbourhood. Risk Anal 1999, 19(4):621-634.
• [19]Wakefield SEL, Elliott SJ, Cole DC: Social capital, environmental health and collective action: a Hamilton, Ontario case study. Can Geogr 2007, 51(4):428-443.
• [20]Cruikshank K, Bouchier N: Blighted areas and obnoxious industries: constructing environmental inequality on an industrial Waterfront, Hamilton, Ontario, 1890–1960. Environ Hist 2004, 9(3):464-496.
• [21]Leiserowitz A: American risk perceptions: is climate change dangerous? Risk Anal 2005, 25(6):1433-1442.
• [22]Canada H: Human Health in a. Changing Climate, A Canadian Assessment of Vulnerabilities and Adaptive Capacity - Synthesis Report. Ottawa; 2008.
• [23]Bulkeley H: Common knowledge? Public understanding of climate change in Newcastle, Australia. Public Underst Sci 2000, 9:313-333.
• [24]Ford JD, Smit B: A framework for assessing the vulnerability of communities in the Canadian Arctic to risks associated with climate change. Arctic 2004, 57(4):389-400.
• [25]Statistics Canada: 2006 Community Profiles. http://www12.statcan.gc.ca/census-recensement/2006/dp-pd/prof/92-591/search-recherche/lst/page.cfm?Lang=E&GeoCode=35 webcite