Climate change and health risks: Perceptions of risk types, vulnerable groups, and the role of health workers at primary health centers

Gaisha HA. Muchsin, Ighra Khalisa, Darma Satria, Antonios Giannakos, Hendra Kurniawan, Rovy Pratama

Abstract


Global climate change poses significant health risks by altering environmental conditions, weather patterns and disease dynamics that directly affect human health. Health workers serve as critical agents in recognizing, managing, and mitigating health risks associated with climate change. Their perception and awareness are therefore pivotal in shaping effective health responses. The aim of this study was to determine health workers' perceptions of climate change as a threat to human health. The study was conducted in 11 primary healthcare centers (Pusat Kesehatan Masyarakat, Puskesmas) in Banda Aceh and involved 84 health workers. Data were collected using a questionnaire instrument that had been tested for validity (mean content validity ratio, CVR, and content validity index, CVI=0.83) and reliability (Cronbach's Alpha=0.865). Data were analyzed using index value calculations. The results indicate that most health workers had moderate perceptions of climate change (82%) and its associated health risks (85%). However, only 44% demonstrated moderate awareness regarding vulnerable community groups, and 58% showed moderate awareness regarding the role of health workers in mitigating climate-related health impacts. This study is expected to provide theoretical insights for understanding and evaluating health workers' perceptions of climate-related health risks. Practically, the findings may support government efforts in evaluating and formulating health service strategies, improving the perception of health workers to face the health risks of climate change, and providing education to the public.

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References


Alizamar, et al. Psikologi persepsi dan desain informasi: Sebuah kajian psikologi persepsi dan prinsip kognitif untuk kependidikan dan desain komunikasi visual. Yogyakarta: Media Akademi.

Austin SE, et al. Public health adaptation to climate change in Canadian jurisdictions. Int J Environ Res Public Health 2015;12(1):623-651.

Berry HL, et al. Climate change and mental health. Int J Public Health 2010;55(2):123-132.

BMKG. Anomali suhu udara rata-rata tahun 2023. Available from: https://www.bmkg.go.id/iklim/anomali-suhu-udara/anomali-suhu-udara-rata-rata-tahun-2023. Accessed: 4 March 2025.

BNPB. Data informasi bencana indonesia (DIBI). https://dibi.bnpb.go.id/. Accessed: 4 March 2025

Corvalan, et al. Towards climate resilient and environmentally sustainable health care facilities. Int J Environ Res Public Health 2020;17(23):8849.

Dinkes Aceh. Profil kesehatan Aceh tahun 2021. Available from: https://dinkes.acehprov.go.id/l-content/uploads/profile_dinkes_2021_Rev.pdf. Accessed: 11 April 2025.

Ebi KL, et al. Community-based adaptation to the health impacts of climate change. Am J Prev Med 2008;35(5):501-507.

Frumkin H, et al. Climate change: The public health response. Am J Public Health 2008;98(3):435-445.

Hathaway, et al. Health implications of climate change: A review of the literature about the perception of the public and health professionals. Curr Environ Health rep 2018;5(1):197-204.

IPCC. Impacts, adaptation, and vulnerability. Contribution of working group II to the sixth assessment report of the intergovernmental panel on climate change. Cambridge: Cambridge University Press; 2022.

IPCC. AR6 climate change 2021: The physical science basis. Chapter 3: Human influence on the climate system. Available from: https://www.ipcc.ch/report/ar6/wg1/chapter/chapter-3/. Accessed: 5 May 2025.

IPCC. Climate change 2022: Impacts, adaptation and vulnerability. intergovernmental panel on climate change. Available from: https://www.ipcc.ch/report/ar6/wg2/. Accessed: 5 May 2025.

Jack A, et al. Soaring seas, forest fires and deadly drought: Climate change conspiracies and mental health. BJPsych Bull 2021;45(4):210-215.

Kemenkes RI. 2014. Peraturan Menteri Kesehatan RI nomer 75 Tahun 2014 Tentang Pusat Kesehatan Masyarakat. Available from: https://peraturan.bpk.go.id/details/139202/permenkes-no-75-tahun-2014. Accessed: 5 May 2025.

KEMENKES. 2021. Profil Kesehatan Indonesia Tahun 2021. Kementrian Kesehatan Republik Indonesia. Available from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2021. Accessed: 5 May 2025.

KEMENKES. 2022. Direktorat Pencegahan dan Pengendalian Penyakit Menular. Situasi Dengue dan Malaria di Indonesia pada Tahun 2022 https://p2pm.kemkes.go.id/publikasi/infografis/informasi-malaria-tahun-2022. Accessed: 5 May 2025.

KEMENKES. 2023. Direktorat Pencegahan dan Pengendalian Penyakit Menular. Informasi Singkat DBD 2023. https://p2pm.kemkes.go.id/publikasi/infografis/informasi-singkat-dbd-2023. Accessed: 5 May 2025.

Knowlton K, et al. Preparing for climate change. Health Aff 2011;30(5):931-938.

Kotcher J, et al. Views of health professionals on climate change and health: a multinational survey study. Lancet Planet Health 2021;5(5):e316-e323.

Liu DH, et al. Health information seeking behavior in the mobile internet age. Mod Commun 2022;42(11):141-147.

Li W, et al. Gender differences on perceptions of health risks and adaptation of climate change among primary healthcare workers in Guangdong Province. J Environ Occup Med 2022;39(6):645-651.

Maibach EW, et al. Limiting global warming to 1.5 to 2.0°C — A role for health professionals. PLoS Med 2019;16(5):e1002804.

Moediarta, et al. Sisi lain perubahan iklim: Mengapa Indonesia harus beradaptasi untuk melindungi rakyat miskinnya. Jakarta: UNDP Indonesia; 2007.

McMichael AJ. Globalization, climate change, and human health. N Engl J Med 2013;368(14):1335-1343.

Patel V, et al. Climate change and mental health: A call for action. Lancet Psychiatr 2019;6(9):726-727.

Public Health Agency of Canada. The chief public health officer's report on the State of Public Health in Canada. Ottawa: Chief Public Health Officer; 2010.

Ravera F, et al. Gender perspectives in adaptation to global environmental change. Ambio 2016;45(S3):235-247.

Sarfaty M, et al. Key findings of a national medical association physician survey. Virginia: George Mason University; 2014.

Sayre L, et al. Climate change and human health: The role of nurses in confronting the issue. Nurs Adm Q 2010;34(4):334-342.

Sulistiadi W, et al. Building health systems resilience: understanding the social, economic, and cultural impacts of climate change from stakeholders’ perspectives in Indonesia. Arch Public Health 2024;82(1):168.

Susilawati Susilawati. Dampak perubahan iklim terhadap kesehatan. Electr J Sci Environ Health Dis 2021;2(1):25-31.

Watts N, et al. The 2020 report of the Lancet Countdown on health and climate change. Lancet 2021;397(10269):129-170.

World Health Organization. Building climate-resilience health systems. Available from: https://www.who.int/teams/environment-climate-change-and-health/climate-change-and-health/country-support/building-climate-resilient-health-systems. Accessed: 3 March 2025.

World Health Organization. Gender, climate change and health. Geneva: World Health Organization. Available from: https://www.who.int/globalchange/GenderClimateChangeHealthfinal.pdf. Accessed: 3 March 2025.

World Health Organization. Climate change and health. Available from: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health. Accessed: 3 March 2025.

Xie E, et al. Challenges and opportunities in planetary health for primary care providers. Lancet Planetary Health 2018;2(5):e185-e187.

Ziska LH, et al. Climate change, carbon dioxide, and health. N Engl J Med 2019;381(8):774-784.




DOI: https://doi.org/10.24815/tigh.v5i1.48135

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