Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Global and Planetary Health Working Group, Interdisciplinary Center for Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06097, Halle (Saale), Germany.
BMC Public Health. 2024 Jun 6;24(1):1519. doi: 10.1186/s12889-024-18998-6.
In response to climate change (CC), medicine needs to consider new aspects in health counselling of patients. Such climate-sensitive health counselling (CSHC) may include counselling patients on preventing and coping with climate-sensitive diseases or on leading healthy and climate-friendly lifestyles. This study aimed to identify previous participation in and preferences for CSHC as well as associated sociodemographic and attitudinal factors among the general public in Germany.
We conducted a cross-sectional study in a population-based online panel in five German federal states (04-06/2022). We performed descriptive statistics and multivariable regression analysis to assess prior participation in CSHC and content preferences regarding CSHC, as well as associations between sociodemographic variables and general preference for CSHC.
Among 1491 participants (response rate 47.1%), 8.7% explicitly reported having participated in CSHC, while 39.9% had discussed at least one CSHC-related topic with physicians. In the studied sample, 46.7% of participants would like CSHC to be part of the consultation with their physician, while 33.9% rejected this idea. Participants aged 21 to 40 years (versus 51 to 60), individuals alarmed about CC (versus concerned/cautious/disengaged/doubtful/dismissive), and those politically oriented to the left (vs. centre or right) showed greater preference for CSHC in the multivariable regression model. Most participants wanted to talk about links to their personal health (65.1%) as opposed to links to the health of all people (33.2%).
Almost half of the participants in this sample would like to receive CSHC, especially those who are younger, more alarmed about CC and more politically oriented to the left. More research and training on patient-centred implementation of CSHC is needed.
为应对气候变化（CC），医学需要在患者健康咨询中考虑新的方面。这种与气候相关的健康咨询（CSHC）可能包括为患者提供预防和应对与气候相关的疾病的建议，或为患者提供健康和气候友好型生活方式的建议。本研究旨在确定德国普通公众以前参与和偏好 CSHC 的情况，以及相关的社会人口学和态度因素。
我们在德国五个联邦州的基于人群的在线小组中进行了一项横断面研究（2022 年 4 月至 6 月）。我们进行了描述性统计和多变量回归分析，以评估以前参与 CSHC 的情况以及对 CSHC 的内容偏好，以及社会人口学变量与对 CSHC 的总体偏好之间的关联。
在 1491 名参与者中（回应率为 47.1%），8.7%的人明确表示曾参与过 CSHC，而 39.9%的人曾与医生讨论过至少一个与 CSHC 相关的话题。在研究样本中，46.7%的参与者希望 CSHC成为与医生咨询的一部分，而 33.9%的人反对这一想法。21 至 40 岁的参与者（而非 51 至 60 岁）、对 CC 感到担忧的参与者（而非关注/谨慎/不参与/怀疑/不屑一顾的），以及政治上倾向于左派的参与者（而非倾向于中间派或右派），在多变量回归模型中表现出对 CSHC 的更大偏好。大多数参与者希望讨论与个人健康相关的问题（65.1%），而不是与所有人的健康相关的问题（33.2%）。
在这个样本中，近一半的参与者希望接受 CSHC，尤其是那些更年轻、对 CC 更担忧、政治上更倾向于左派的参与者。需要进一步研究和培训，以实现以患者为中心的 CSHC 实施。
