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Aim <p>To examine the relationship between social determinants of health (SDOH) challenges and perceptions of climate change harm among US adults using nationally representative data.</p> Subject and methods <p>Analysis of the 2022 Health Information National Trends Survey (HINTS 6) data from 5888 US adults. The study assessed three key SDOH challenges experienced in the previous 12&#xa0;months: food insecurity, housing instability, and transportation insufficiency. The primary outcome measure was self-reported perception of climate change’s potential harm to personal health, measured on an ordinal scale from “Don’t know/Not at all” to “A lot.” Multivariate analyses were conducted to examine associations between SDOH challenges and climate change harm perceptions.</p> Results <p>Individuals frequently experiencing food insecurity showed significantly higher odds of perceiving greater climate change-related health risks (OR 2.31, 95% CI 1.28–4.20) compared to those never reporting such challenges. Similarly, frequent housing insecurity was associated with increased odds of perceived harm (OR 2.30, 95% CI 1.12–4.74). A dose–response relationship was observed, with each 6-point increase in cumulative SDOH challenge score corresponding to more than threefold higher odds of perceiving greater climate change harm (OR 3.19, 95% CI 1.67–6.08). These associations remained significant after adjusting for demographic and socioeconomic factors.</p> Conclusion <p>SDOH challenges significantly influence climate change risk perception among US adults. These findings suggest the need for integrated intervention strategies that address both social vulnerabilities and climate resilience, particularly among populations experiencing concurrent SDOH challenges.</p>

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Food, housing, and transportation insecurities in relation to climate change harm perceptions: a US national survey study

  • 期刊论文

  • 发表日期：

    2025年5月6日

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  • Young-Rock Hong,
  • Rachel Liu-Galvin,
  • Mishal Khan,
  • Oliver T. Nguyen,
  • Hyung-Suk Yoon,
  • Jae Jeong Yang,
  • Mattia Prosperi

摘要

Aim

To examine the relationship between social determinants of health (SDOH) challenges and perceptions of climate change harm among US adults using nationally representative data.

Subject and methods

Analysis of the 2022 Health Information National Trends Survey (HINTS 6) data from 5888 US adults. The study assessed three key SDOH challenges experienced in the previous 12 months: food insecurity, housing instability, and transportation insufficiency. The primary outcome measure was self-reported perception of climate change’s potential harm to personal health, measured on an ordinal scale from “Don’t know/Not at all” to “A lot.” Multivariate analyses were conducted to examine associations between SDOH challenges and climate change harm perceptions.

Results

Individuals frequently experiencing food insecurity showed significantly higher odds of perceiving greater climate change-related health risks (OR 2.31, 95% CI 1.28–4.20) compared to those never reporting such challenges. Similarly, frequent housing insecurity was associated with increased odds of perceived harm (OR 2.30, 95% CI 1.12–4.74). A dose–response relationship was observed, with each 6-point increase in cumulative SDOH challenge score corresponding to more than threefold higher odds of perceiving greater climate change harm (OR 3.19, 95% CI 1.67–6.08). These associations remained significant after adjusting for demographic and socioeconomic factors.

Conclusion

SDOH challenges significantly influence climate change risk perception among US adults. These findings suggest the need for integrated intervention strategies that address both social vulnerabilities and climate resilience, particularly among populations experiencing concurrent SDOH challenges.