Climate change is taking a toll on human health, and some leaders in the public health community have urged their colleagues to give voice to its health implications. Previous research has shown that Americans are only dimly aware of the health implications of climate change, yet the literature on issue framing suggests that providing a novel frame - such as human health - may be potentially useful in enhancing public engagement. We conducted an exploratory study in the United States of people's reactions to a public health-framed short essay on climate change.

We used data from nationally representative surveys conducted in the United States, Canada and Malta between 2008 and 2009 to answer three questions: Does the public believe that climate change poses human health risks, and if so, are they seen as current or future risks? Whose health does the public think will be harmed? In what specific ways does the public believe climate change will harm human health? When asked directly about the potential impacts of climate change on health and well-being, a majority of people in all three nations said that it poses significant risks; moreover, about one third of Americans, one half of Canadians, and two-thirds of Maltese said that people are already being harmed. About a third or more of people in the United States and Canada saw themselves (United States, 32%; Canada, 67%), their family (United States, 35%; Canada, 46%), and people in their community (United States, 39%; Canada, 76%) as being vulnerable to at least moderate harm from climate change. About one third of Maltese (31%) said they were most concerned about the risk to themselves and their families. Many Canadians said that the elderly (45%) and children (33%) are at heightened risk of harm, while Americans were more likely to see people in developing countries as being at risk than people in their own nation. When prompted, large numbers of Canadians and Maltese said that climate change can cause respiratory problems (78–91%), heat-related problems (75–84%), cancer (61–90%), and infectious diseases (49–62%). Canadians also named sunburn (79%) and injuries from extreme weather events (73%), and Maltese cited allergies (84%). However, climate change appears to lack salience as a health issue in all three countries: relatively few people answered open-ended questions in a manner that indicated clear top-of-mind associations between climate change and human health risks. We recommend mounting public health communication initiatives that increase the salience of the human health consequences associated with climate change.

Climate change is already taking a toll on human health, a toll that is likely to increase in coming decades. The relationship between risk perceptions and vulnerability to climate change’s health threats has received little attention, even though an understanding of the dynamics of adaptation among particularly susceptible populations is becoming increasingly important. We demonstrate that some people whose health will suffer the greatest harms from climate change—due to social vulnerability, health susceptibility, and exposure to hazards—already feel they are at risk. In a 2013 survey we measured Maryland residents’ climate beliefs, health risk perceptions, and household social vulnerability characteristics, including medical conditions (n = 2126). We paired survey responses with secondary data sources for residence in a floodplain and/or urban heat island to predict perceptions of personal and household climate health risk. General health risk perceptions, political ideology, and climate beliefs are the strongest predictors. Yet, people in households with the following characteristics also see themselves at higher risk: members with one or more medical conditions or disabilities; low income; racial/ethnic minorities; and residence in a floodplain. In light of these results, climate health communication among vulnerable populations should emphasize protective actions instead of risk messages.

Co‐production practices are increasingly being adopted in research conducted for the purpose of societal impact. However, the ways in which co‐production is conducted can perpetuate long‐standing inequity and inequality. This study investigates which principles of co‐production design are perceived to advance more equitable processes and outcomes based on the experiences of participants in three projects funded by U.S. federal programs that support decision‐relevant climate science, along with others engaged in co‐production efforts. We found three distinct perspectives: (a) Ways of Knowing and Power; (b) Participants and Interactions; and (c) Science as Capacity Building. Each viewpoint differentially weights the salience of statements associated with five dimensions of co‐production practices: (a) outcomes; (b) power; (c) place‐based, community rights and respect; (d) audiences and participation; and (e) interactions. In the final stage of the study, we hosted a workshop of participants representing various roles in co‐production efforts to vet and discuss each perspective. We found that the perspectives remained distinct after each of the groups selected core statements that reflect their views. The degree of variation across the three perspectives suggests that co‐production processes would benefit from an initial discussion of, and decisions about, rules of engagement to ensure that participants view the process as equitable.

Recent reviews describe academic scholarship on environmental communication as a subdiscipline of communication studies focused on mass media. However, these reviews may not provide a full picture of the field. We searched one of the most comprehensive citation databases (Scopus) for articles published from 1970 to 2019 containing the root terms environment* communicat*. The dataset (n = 474) revealed an increase over time in the number of journals that publish environmental communication studies and the breadth of their National Science Foundation disciplinary categorizations. Climate communication, corporate social responsibility, and public engagement and participation represent the most frequent abstract topics. Through co-citation analysis of journals cited in references, we found that the foundational literatures informing the field have grown into dense, interconnected networks across disparate areas of scholarship that span the social sciences, natural sciences, engineering, and business. This disciplinary convergence is a positive sign for the field’s potential to address problems of societal importance.