{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:03:13Z","timestamp":1789844593645,"version":"4.0.1"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Climate change is increasingly an urgent concern because of the catastrophic and irreversible impacts on the planet and society as a whole. In recent years, there have also been more frequent and extreme weather events such as heatwaves, droughts, floods and wildfires across the globe. Although families of children with medical complexity may be particularly vulnerable to the impacts of extreme weather events, few studies exist that address this topic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Drawing upon a subset of data from two qualitative studies, we explored the experiences of families during climate\u2010related weather events in British Columbia, Canada. During the summer and fall of 2021, this area experienced a series of extreme weather events (e.g., heat dome, wildfires and atmospheric rivers causing flooding) in rapid succession. Semistructured interviews were conducted with 30 parents between July 2021 and April 2022. Descriptive content analysis was used for data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants described their lived experiences during the heat dome, wildfires and flooding of 2021. Across all of the weather events, children with medical complexity experienced social isolation and, for some, increased anxiety. Participants also shared adaptive measures, or strategies, they used during these events. In the absence of government supports, families drew upon their informal peer networks in some situations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The unique needs of children with medical complexity are not accounted for in existing government policies and supports related to climate\u2010related weather events. Families are self\u2010reliant and draw upon their informal peer network for supports. There is an urgent need for inclusive programs and supports across emergency management, health, education and social care to address the needs of this group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.70068","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T21:59:36Z","timestamp":1742335176000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Weathering the Storm: Climate\u2010Related Weather Event Experiences of Families of Children With Medical Complexity"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3915-6881","authenticated-orcid":false,"given":"Jennifer","family":"Baumbusch","sequence":"first","affiliation":[{"name":"School of Nursing The University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Fong","sequence":"additional","affiliation":[{"name":"School of Nursing The University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Lee","sequence":"additional","affiliation":[{"name":"Complex Care, Division of Pediatric Hospital Medicine, Department of Pediatrics, Faculty of Medicine The University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilanga\u00a0Aki","family":"Bandara","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koushambhi\u00a0Basu","family":"Khan","sequence":"additional","affiliation":[{"name":"School of Nursing The University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/dmp.2010.28"},{"key":"e_1_2_11_3_1","unstructured":"Baker R.2021. \u201cTrucking Industry Working to Get Around Catastrophic BC Highway Closures.\u201d CBC News.https:\/\/www.cbc.ca\/news\/canada\/british\u2010columbia\/bc\u2010landslides\u2010trucking\u2010alternative\u2010routes\u20101.6251759."},{"key":"e_1_2_11_4_1","unstructured":"Batara L. andJ.Gallardo.2019. \u201cOverwhelmed by Eco\u2010Anxiety: The Mental Health Effects of Climate Change.\u201dCatalysts.https:\/\/cusjc.ca\/catalyst\/project\/eco\u2010anxiety\/."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12968"},{"key":"e_1_2_11_6_1","unstructured":"BC Coroners Service.2022. \u201cExtreme Heat and Human Mortality: A Review of Heat\u2010Related Deaths in B.C. in Summer 2022.\u201dhttps:\/\/www2.gov.bc.ca\/assets\/gov\/birth\u2010adoption\u2010death\u2010marriage\u2010and\u2010divorce\/deaths\/coroners\u2010service\/death\u2010review\u2010panel\/extreme_heat_death_review_panel_report.pdf."},{"key":"e_1_2_11_7_1","unstructured":"BC Hydro.2022. \u201cExtreme Weather Home Makeover: How Climate Change Is Changing Home Improvements.\u201d Bchydro.com.https:\/\/www.bchydro.com\/content\/dam\/BCHydro\/customer\u2010portal\/documents\/news\u2010and\u2010features\/extreme\u2010makeover\u2010home\u2010renovation.pdf."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10911359.2018.1527739"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40572\u2010022\u201000360\u2010w"},{"key":"e_1_2_11_10_1","unstructured":"Canadian Climate Institute.2023. \u201cHeat Waves in Canada\u2014Extreme Heat in Canada.\u201d Canadian Climate Institute; Institut climatique du Canada.https:\/\/climateinstitute.ca\/reports\/extreme\u2010heat\u2010in\u2010canada\/."},{"key":"e_1_2_11_11_1","unstructured":"Canadian Institute for Health Information.2020. \u201cChildren and Youth With Medical Complexity in Canada.\u201dhttps:\/\/www.cihi.ca\/sites\/default\/files\/document\/children\u2010youth\u2010with\u2010medical\u2010complexity\u2010report\u2010en.pdf."},{"key":"e_1_2_11_12_1","unstructured":"Centre for Research on the Epidemiology of Disasters.2020. \u201cThe Human Cost of Disasters: An Overview of the Last 20 Years (2000\u20132019).\u201dhttps:\/\/www.undrr.org\/publication\/human\u2010cost\u2010disasters\u2010overview\u2010last\u201020\u2010years\u20102000\u20132019."},{"key":"e_1_2_11_13_1","article-title":"\u2018A Very Different Place From When the Pandemic Started\u2019: Lessons Learned for Improving Systems of Care for Families of Children With Medical Complexity","author":"Fong V. 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