{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T23:33:16Z","timestamp":1791761596745,"version":"4.3.4"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011110","name":"Inter-American Institute For Global Change Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011110","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Climate Change and Health"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.joclim.2026.100669","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T19:16:59Z","timestamp":1776280619000},"page":"100669","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["\"Exploring vulnerabilities: A mixed-method Transdisciplinary Study of Dengue and Diarrhea in Peru\""],"prefix":"10.1016","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5752-9755","authenticated-orcid":false,"given":"Maurizia","family":"Mezza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Doig-Alba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Isabel","family":"Ruiz-Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertha","family":"Luz Pineda Restrepo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.joclim.2026.100669_bib0001","article-title":"Identifying gaps on health impacts, exposures, and vulnerabilities to climate change on human health and wellbeing in South America: a scoping review","author":"Palmeiro-Silva","year":"2023","journal-title":"Lancet Reg Health Am"},{"issue":"1","key":"10.1016\/j.joclim.2026.100669_bib0002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0362-3319(91)90040-B","article-title":"Advancing the social sciences through the interdisciplinary enterprise","volume":"28","author":"Stember","year":"1991","journal-title":"Soc Sci J"},{"key":"10.1016\/j.joclim.2026.100669_bib0003","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.envsci.2020.12.005","article-title":"Conceptualising transdisciplinary integration as a multidimensional interactive process","volume":"118","author":"Pohl","year":"2021","journal-title":"Env Sci Policy"},{"key":"10.1016\/j.joclim.2026.100669_bib0004","article-title":"Transdisciplinary collaborations on climate change and health","volume":"10","author":"Redvers","year":"2023","journal-title":"J Clim Chang Health"},{"issue":"2","key":"10.1016\/j.joclim.2026.100669_bib0005","doi-asserted-by":"crossref","first-page":"123","DOI":"10.18294\/sc.2006.61","article-title":"Complexity and trans-disciplinarity in the Collective Health field: concepts\u2019 Evaluation and applications","volume":"2","author":"Almeida-Filho","year":"2006","journal-title":"Salud Colect"},{"issue":"2","key":"10.1016\/j.joclim.2026.100669_bib0006","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1093\/heapro\/daaa125","article-title":"A new transdisciplinary research model to investigate and improve the health of the public","volume":"36","author":"Pineo","year":"2021","journal-title":"Health Promot Int"},{"key":"10.1016\/j.joclim.2026.100669_bib0007","article-title":"Boundaries as spaces of Knowledge integration: learning from transdisciplinary collaboration on planetary health in Indonesia","volume":"11","author":"Wardani","year":"2023","journal-title":"J Clim Change Health"},{"issue":"1","key":"10.1016\/j.joclim.2026.100669_bib0008","article-title":"Advancing evidence on climate- and health-centred solutions: the role of research in sustainable and climate-resilient development in Latin America","volume":"67","author":"Palmeiro-Silva","year":"2025","journal-title":"Trends Health Sci"},{"issue":"Suppl 7","key":"10.1016\/j.joclim.2026.100669_bib0009","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2021-007842","article-title":"Co-learning during the co-creation of a dengue early warning system for the health sector in Barbados","volume":"7","author":"Stewart-Ibarra","year":"2022","journal-title":"BMJ Glob Health"},{"issue":"s1","key":"10.1016\/j.joclim.2026.100669_bib0010","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1046\/j.1365-2672.94.s1.5.x","article-title":"Climate change and waterborne and vector-borne disease","volume":"94","author":"Hunter","year":"2003","journal-title":"J Appl Microbiol"},{"issue":"2","key":"10.1016\/j.joclim.2026.100669_bib0011","doi-asserted-by":"crossref","first-page":"e1483","DOI":"10.1371\/journal.pntd.0001483","article-title":"Global distribution of outbreaks of water-associated infectious diseases","volume":"6","author":"Yang","year":"2012","journal-title":"PLoS Negl Trop Dis"},{"issue":"10","key":"10.1016\/j.joclim.2026.100669_bib0012","first-page":"385","article-title":"Climate change and water-related infectious diseases","volume":"9","author":"Nichols","year":"2018","journal-title":"Atmos (Basel)"},{"key":"10.1016\/j.joclim.2026.100669_bib0013","unstructured":"Infobae. Sequ\u00eda \u201csin precedentes\u201d afecta a 420,000 ni\u00f1os en la Amazon\u00eda: loreto enfrenta cierre de centros de salud, alerta Unicef [\u201cUnprecedented drought\u201d affects 420,000 children in the Amazon: loreto faces closure of health centers, warns UNICEF]. https:\/\/www.infobae.com\/peru\/2024\/11\/07\/sequia-sin-precedentes-afecta-a-420000-ninos-en-la-amazonia-loreto-enfrenta-cierre-de-centros-de-salud-alerta-unicef\/; 2024. [accessed 21\/11\/2025]."},{"issue":"1","key":"10.1016\/j.joclim.2026.100669_bib0014","article-title":"Epidemiological characteristics of dengue disease in Latin America and in the Caribbean: a systematic review of the literature","volume":"2017","author":"Torres","year":"2017","journal-title":"J Trop Med"},{"key":"10.1016\/j.joclim.2026.100669_bib0015","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s10393-005-8388-x","article-title":"Barriers and bridges to prevention and control of dengue: the need for a social\u2013ecological approach","volume":"2","author":"Spiegel","year":"2005","journal-title":"EcoHealth"},{"issue":"3","key":"10.1016\/j.joclim.2026.100669_bib0016","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1093\/aje\/kwt279","article-title":"Heavy rainfall events and diarrhea incidence: the role of social and environmental factors","volume":"179","author":"Carlton","year":"2014","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.joclim.2026.100669_bib0017","series-title":"Agua, saneamiento e higiene, salud y equidad: elementos clave para el cumplimiento de la agenda 2030 [Water, sanitation and hygiene, health and equity: key elements for achieving the 2030 agenda]","article-title":"Inter-American Association of Sanitary and Environmental Engineering","year":"2024"},{"key":"10.1016\/j.joclim.2026.100669_bib0018","unstructured":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica (INEI). Resultados definitivos de los censos nacionales 2017 [Final results of the 2017 national census]. [Internet]. Lima: INEI; 2018 [cited 2025 Nov 11]. Available from: https:\/\/censo2017.inei.gob.pe\/resultados-definitivos-de-los-censos-nacionales-2017\/."},{"key":"#cr-split#-10.1016\/j.joclim.2026.100669_bib0019.1","unstructured":"Gerencia Regional de Salud de Loreto. Situaci\u00f3n del dengue en Loreto SE 1-7 2023 [Dengue situation in Loreto, epidemiological weeks 1-7, 2023]. [Internet]. Iquitos: GERESA"},{"key":"#cr-split#-10.1016\/j.joclim.2026.100669_bib0019.2","unstructured":"2023 [cited 2025 Nov 11]. Available from: http:\/\/www.dge.gob.pe\/portal\/docs\/tools\/teleconferencia\/2023\/SE082023\/03.pdf."},{"key":"10.1016\/j.joclim.2026.100669_bib0020","series-title":"Cartilla de loreto 2019 [Loreto information booklet 2019]. [Internet]","year":"2019"},{"key":"10.1016\/j.joclim.2026.100669_bib0021","series-title":"Per\u00fa: formas de acceso al agua y saneamiento [Peru: forms of access to water and sanitation]. [Internet]","year":"2020"},{"key":"10.1016\/j.joclim.2026.100669_bib0022","series-title":"Comunidades ind\u00edgenas de loreto [Indigenous communities of loreto]. [Internet]","year":"2025"},{"key":"10.1016\/j.joclim.2026.100669_bib0023","series-title":"Metodolog\u00eda de los di\u00e1logos de saberes [Methodology of the dialogues of knowledge]","year":"2022"},{"key":"10.1016\/j.joclim.2026.100669_bib0024","series-title":"Plan nacional de adaptaci\u00f3n al cambio clim\u00e1tico del per\u00fa [National plan for climate change adaptation of peru]. [Internet]","year":"2021"},{"key":"10.1016\/j.joclim.2026.100669_bib0025","series-title":"Climate change and the coast: building resilient communities","first-page":"357","article-title":"A risk-based and participatory approach to assessing climate vulnerability and improving governance in coastal Uruguay","author":"Nagy","year":"2015"},{"issue":"5","key":"10.1016\/j.joclim.2026.100669_bib0026","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0063584","article-title":"Developing a vulnerability mapping methodology: applying the water-associated disease index to dengue in Malaysia","volume":"8","author":"Dickin","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.joclim.2026.100669_bib0027","series-title":". Guidance note: application of the sustainable livelihoods framework in development projects. regional centre for latin america and the caribbean","year":"2017"},{"key":"10.1016\/j.joclim.2026.100669_bib0028","series-title":"U.S.Global change research program, editor. the impacts of climate change on human health in the united states: a scientific assessment","first-page":"25","article-title":"Introduction: climate change and human health","author":"Balbus","year":"2016"},{"key":"10.1016\/j.joclim.2026.100669_bib0029","article-title":"R: a language and environment for statistical computing","author":"Team","year":"2020","journal-title":"Vienna: R Found Stat Comput;"},{"key":"10.1016\/j.joclim.2026.100669_bib0030","unstructured":"Bates, D., 2014. Fitting linear mixed-effects models using lme4. arXiv preprint arXiv:1406.5823."},{"issue":"11","key":"10.1016\/j.joclim.2026.100669_bib0031","doi-asserted-by":"crossref","first-page":"340","DOI":"10.3390\/educsci10110340","article-title":"Gateway to outdoors: partnership and programming of outdoor education centers in urban areas","volume":"10","author":"O\u2019farrell","year":"2020","journal-title":"Educ Sci"},{"key":"10.1016\/j.joclim.2026.100669_bib0032","article-title":"Social vulnerability indices: a pragmatic tool for COVID-19 policy and beyond","volume":"14","author":"Mah","year":"2022","journal-title":"Lancet Reg Health Eur"},{"key":"10.1016\/j.joclim.2026.100669_bib0033","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.gloenvcha.2014.09.007","article-title":"Assessing changing vulnerability to dengue in northeastern Brazil using a water-associated disease index approach","volume":"29","author":"Dickin","year":"2014","journal-title":"Glob Env Change"},{"issue":"2","key":"10.1016\/j.joclim.2026.100669_bib0034","doi-asserted-by":"crossref","first-page":"141","DOI":"10.15381\/anales.v76i2.11140","article-title":"Evaluaci\u00f3n de un instrumento para cuantificar la estigmatizaci\u00f3n de la adolescente embarazada en el Per\u00fa [Evaluation of an instrument to quantify the stigmatization of pregnant adolescents in Peru]","volume":"76","author":"Mori Quispe","year":"2015","journal-title":"Fac Med"},{"issue":"6","key":"10.1016\/j.joclim.2026.100669_bib0035","doi-asserted-by":"crossref","DOI":"10.1002\/wat2.1666","article-title":"The effects of household water insecurity on child health and well-being","volume":"10","author":"Rhue","year":"2023","journal-title":"WIREs Water"},{"key":"10.1016\/j.joclim.2026.100669_bib0036","unstructured":"World Health Organization, United Nations Children\u2019s Fund. Progress on household drinking water, sanitation and hygiene 2000\u20132022: special focus on gender. Geneva: WHO and UNICEF, Joint Monitoring Programme for Water Supply, Sanitation and Hygiene; 2023 Jul. Available from: https:\/\/data.unicef.org\/resources\/jmp-report-2023\/."},{"issue":"2","key":"10.1016\/j.joclim.2026.100669_bib0037","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3390\/socsci14020076","article-title":"Analysis of the location and spatial distribution of violence against women in Peru","volume":"14","author":"Ibarra-Cabrera","year":"2025","journal-title":"Soc Sci"},{"issue":"3","key":"10.1016\/j.joclim.2026.100669_bib0038","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-071236","article-title":"Sociodemographic factors associated to knowledge and attitudes towards dengue prevention among the Peruvian population: findings from a national survey","volume":"13","author":"Fernandez-Guzman","year":"2023","journal-title":"BMJ Open"},{"issue":"7","key":"10.1016\/j.joclim.2026.100669_bib0039","doi-asserted-by":"crossref","first-page":"e404","DOI":"10.1016\/S2542-5196(21)00132-7","article-title":"Projecting the risk of mosquito-borne diseases in a warmer and more populated world: a multi-model, multi-scenario intercomparison modelling study","volume":"5","author":"Col\u00f3n-Gonz\u00e1lez","year":"2021","journal-title":"Lancet Planet Health"},{"issue":"10269","key":"10.1016\/j.joclim.2026.100669_bib0040","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0140-6736(20)32290-X","article-title":"The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises","volume":"397","author":"Watts","year":"2021","journal-title":"Lancet"},{"key":"10.1016\/j.joclim.2026.100669_bib0041","series-title":"Eco-epidemiology of dengue and ross river viruses across rural and urban environments [Dissertation]","author":"Murphy","year":"2020"},{"key":"10.1016\/j.joclim.2026.100669_bib0042","doi-asserted-by":"crossref","DOI":"10.1016\/j.envres.2020.110303","article-title":"COVID-19 pandemic, dengue epidemic, and climate change vulnerability in Bangladesh: scenario assessment for strategic management and policy implications","volume":"192","author":"Rahman","year":"2021","journal-title":"Env Res"},{"issue":"7","key":"10.1016\/j.joclim.2026.100669_bib0043","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1111\/j.1751-9020.2010.00290.x","article-title":"Borderlands studies and border theory: linking activism and scholarship for social justice","volume":"4","author":"Naples","year":"2010","journal-title":"Sociol Compass"},{"issue":"1665","key":"10.1016\/j.joclim.2026.100669_bib0044","doi-asserted-by":"crossref","DOI":"10.1098\/rstb.2013.0552","article-title":"Climate change and vector-borne diseases: what are the implications for public health research and policy?","volume":"370","author":"Campbell-Lendrum","year":"2015","journal-title":"Philos Trans R Soc B: Biol Sci"},{"issue":"12","key":"10.1016\/j.joclim.2026.100669_bib0045","first-page":"953","article-title":"A presen\u00e7a dos agricultores israelitas do Novo Pacto Universal na regi\u00e3o Peruana de Loreto [The presence of Israelite farmers of the New Universal Covenant in the Peruvian region of Loreto]","volume":"4","author":"Machado","year":"2013","journal-title":"Rev Geonorte"},{"issue":"2","key":"10.1016\/j.joclim.2026.100669_bib0046","article-title":"Borders and borderlands: (Re)negotiating biomedicine, belonging, and nation","volume":"18","author":"Meher","year":"2021","journal-title":"Sites J Soc Anthr Cult Stud"},{"issue":"8","key":"10.1016\/j.joclim.2026.100669_bib0047","doi-asserted-by":"crossref","first-page":"7265","DOI":"10.1007\/s11069-023-06378-z","article-title":"A systematic scoping review of the Social Vulnerability Index as applied to natural hazards","volume":"120","author":"Painter","year":"2024","journal-title":"Nat Hazards"},{"key":"10.1016\/j.joclim.2026.100669_bib0048","article-title":"Characterizing vulnerabilities to climate change across the United States","volume":"172","author":"Lewis","year":"2023","journal-title":"Env Int"}],"container-title":["The Journal of Climate Change and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2667278226000246?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2667278226000246?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:59:53Z","timestamp":1780329593000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2667278226000246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":49,"alternative-id":["S2667278226000246"],"URL":"https:\/\/doi.org\/10.1016\/j.joclim.2026.100669","relation":{},"ISSN":["2667-2782"],"issn-type":[{"value":"2667-2782","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"\"Exploring vulnerabilities: A mixed-method Transdisciplinary Study of Dengue and Diarrhea in Peru\"","name":"articletitle","label":"Article Title"},{"value":"The Journal of Climate Change and Health","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.joclim.2026.100669","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Masson SAS.","name":"copyright","label":"Copyright"}],"article-number":"100669"}}