{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:08:04Z","timestamp":1789027684952,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The climate crisis is among the most pressing public health threats of the 21st century, and the climate\u2010health competencies of primary care nursing personnel serving medically underserved areas are a critical determinant of community resilience. Korean Community Health Practitioners (CHPs), established in 1980 under the Special Measures Act for Public Health and Medical Services in Rural Areas, have provided primary health care (PHC) in medically underserved rural regions for over 40 years; however, their environmental and climate\u2010health competencies have rarely been studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study examined the effects of Environmental Health Literacy (EHL) and Climate Change\u2010Health Perception on Climate Change\u2010Health Nursing Practice among Korean Community Health Practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive cross\u2010sectional correlational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Of 1,899 health practice posts nationwide as of 2023, we recruited Community Health Practitioners working in 567 health practice posts located in two administrative regions (J Special Self\u2010Governing Province and J Province). Data were collected via a structured online survey from September 24 to October 31, 2024, yielding a final analytic sample of 144 participants. We administered the Korean Environmental Health Literacy scale (K\u2010EHL, 38 items), the Korean version of the Climate, Health, and Nursing Tool (K\u2010CHANT) Awareness\/Concern\/Motivation subscales (12 items), and a 32\u2010item Climate Change\u2010Health Nursing Practice checklist developed by Park (2024). Descriptive statistics, independent t\u2010tests, one\u2010way ANOVA with Scheff\u00e9\u2019s post\u2010hoc test, Pearson correlations, and multiple regression were performed using SPSS 28.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean scores (out of 5) were 3.81 \u00b1 0.34 for EHL, 4.23 \u00b1 0.62 for Climate Change\u2010Health Perception, and 3.51 \u00b1 0.61 for Climate Change\u2010Health Nursing Practice. Climate Change\u2010Health Nursing Practice was significantly correlated with both EHL (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.52,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and Climate Change\u2010Health Perception (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.53,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Multiple regression identified Climate Change\u2010Health Perception (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = 0.33,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and EHL (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = 0.30,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001) as significant predictors of Climate Change\u2010Health Nursing Practice, jointly explaining 32% of the variance (\n                      <jats:italic>F<\/jats:italic>\n                      = 34.95,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Climate Change\u2010Health Perception and Environmental Health Literacy are key determinants of climate\u2010health nursing practice among Korean Community Health Practitioners serving medically underserved areas. Educational programs targeting both constructs may strengthen the climate\u2010health practice readiness of primary care nurses and enhance the health resilience of rural and medically underserved populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Public Health Nursing Practice<\/jats:title>\n                    <jats:p>This study provides empirical justification for developing integrated Climate Change\u2010Health Perception + Environmental Health Literacy training programs for primary care nursing personnel in medically underserved areas. Linking such programs with public health centers, civil servant continuing education, and nurse refresher education systems is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70181","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:36:55Z","timestamp":1789025815000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effects of Environmental Health Literacy and Climate Change\u2010Health Perception on Climate Change\u2010Health Nursing Practice Among Korean Community Health Practitioners: A Descriptive Correlational Study"],"prefix":"10.1111","author":[{"given":"Ra\u2010mi","family":"Choi","sequence":"first","affiliation":[{"name":"Master of Science in Nursing, Graduate School of Nursing Honam University, Gwangju  Gwangsan\u2010gu Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9821-7192","authenticated-orcid":false,"given":"YounKyoung","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Nursing Honam University, Gwangju  Gwangsan\u2010gu Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Nurses, climate change, and health","author":"American Nurses Association","year":"2021"},{"key":"e_1_2_12_3_1","volume-title":"Climate Change and Health: An Urgent New Frontier for Nursing","author":"Canadian Nurses Association","year":"2017"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.23062\/2023.06.4"},{"issue":"10","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"2203","DOI":"10.3390\/ijerph15102203","article-title":"Increasing Environmental Health Literacy Through Contextual Learning in Communities at Risk","volume":"15","author":"Davis L. F.","year":"2018","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"10301","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1016\/S0140-6736(21)01208-3","article-title":"Hot Weather and Heat Extremes: Health Risks","volume":"398","author":"Ebi K. L.","year":"2021","journal-title":"Lancet"},{"issue":"4","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1289\/ehp.1409337","article-title":"The Emergence of Environmental Health Literacy\u2014From Its Roots to Its Future Potential","volume":"125","author":"Finn S.","year":"2017","journal-title":"Environmental Health Perspectives"},{"issue":"4","key":"e_1_2_12_8_1","article-title":"Nurses' Perceptions and Competencies in Climate Change and Environmental Sustainability: a Qualitative Study","volume":"28","author":"Iira M.","year":"2021","journal-title":"Nursing Inquiry"},{"key":"e_1_2_12_9_1","volume-title":"Position Statement: Nurses, Climate Change, and Health","author":"International Council of Nurses","year":"2023"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.21211"},{"key":"e_1_2_12_11_1","unstructured":"Kwak J.\u2010M.2022.Validity and reliability of the Korean version of the Environmental Health Literacy ScaleMaster's thesis Kyung Hee University."},{"key":"e_1_2_12_12_1","first-page":"12","article-title":"The First Climate Change Health Impact Assessment in the Republic of Korea","volume":"15","author":"Kwon H.","year":"2022","journal-title":"Public Health Weekly Report"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.17965\/kjee.2021.34.3.288"},{"issue":"21","key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"4157","DOI":"10.3390\/ijerph16214157","article-title":"Advancing Environmental Health Literacy: Validated Scales of General Environmental Health and Environmental Media\u2010Specific Knowledge, Attitudes and Behaviors","volume":"16","author":"Lichtveld M. Y.","year":"2019","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"e_1_2_12_15_1","article-title":"Embedding Planetary Health in Nursing Education: Exploring the Barriers and Enablers to Implementing Changes in Undergraduate Bachelor of Nursing Curriculum","volume":"75","author":"Lokmic\u2010Tomkins Z.","year":"2024","journal-title":"Nurse Education in Practice"},{"key":"e_1_2_12_16_1","unstructured":"Park M.\u2010K.2024. \u201cDevelopment and Effect Evaluation of an Online Educational Program for Improving Nurses' Climate Change Response Competency.\u201dDoctoral dissertation Yonsei University."},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.7475\/kjan.2023.35.1.71"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/08445621251341646"},{"issue":"10363","key":"e_1_2_12_19_1","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1016\/S0140-6736(22)01540-9","article-title":"The 2022 Report of the Lancet Countdown on Health and Climate Change: Health at the Mercy of Fossil Fuels","volume":"400","author":"Romanello M.","year":"2022","journal-title":"Lancet"},{"issue":"1","key":"e_1_2_12_20_1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1891\/0739-6686.38.97","article-title":"CHANT: Climate, Health, and Nursing Tool: Item Development and Exploratory Factor Analysis","volume":"38","author":"Schenk E. C.","year":"2019","journal-title":"Annual Review of Nursing Research"},{"issue":"5","key":"e_1_2_12_21_1","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.amepre.2008.08.020","article-title":"Public Perception of Climate Change: Voluntary Mitigation and Barriers to Behavior Change","volume":"35","author":"Semenza J. C.","year":"2008","journal-title":"American Journal of Preventive Medicine"},{"key":"e_1_2_12_22_1","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jenvp.2014.11.012","article-title":"Determinants of Climate Change Risk Perception: towards a Comprehensive Model","volume":"41","author":"Linden S.","year":"2017","journal-title":"Journal of Environmental Psychology"},{"issue":"10007","key":"e_1_2_12_23_1","doi-asserted-by":"crossref","first-page":"1973","DOI":"10.1016\/S0140-6736(15)60901-1","article-title":"Safeguarding Human Health in the Anthropocene Epoch: Report of The Rockefeller Foundation\u2013Lancet Commission on Planetary Health","volume":"386","author":"Whitmee S.","year":"2015","journal-title":"Lancet"},{"key":"e_1_2_12_24_1","volume-title":"Declaration of Astana: Global Conference on Primary Health Care","author":"World Health Organization","year":"2018"},{"key":"e_1_2_12_25_1","volume-title":"COP26 special report on climate change and health: The health argument for climate action","author":"World Health Organization","year":"2021"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.70181","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:37:00Z","timestamp":1789025820000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.70181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,10]]},"references-count":24,"alternative-id":["10.1111\/phn.70181"],"URL":"https:\/\/doi.org\/10.1111\/phn.70181","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,10]]},"assertion":[{"value":"2026-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"phn.70181"}}