{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T17:05:29Z","timestamp":1774285529630,"version":"3.50.1"},"reference-count":70,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"unspecified","delay-in-days":81,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,3,2]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Climate change is the long-term manifestation of climate variability. The study provides an entry point from a rural area and aims to explore residents\u2019 knowledge, perceptions and lived experiences regarding climate change and its variability, as well as their impact on human health and well-being. The study also explored participants\u2019 understanding of the bidirectional relationship, whereby human activities also impact climate change and the overall Planetary Health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional design with a convergent parallel mixed-methods approach was conducted in the Chiniot district. A non-probability convenience sampling technique was employed to enrol a total of 415 participants. Focus Group Discussions (FGDs) were conducted with 25 participants selected through purposive sampling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of respondents was 36.17\u00b114.237 years. The mean length of stay in the current area is 30.52\u00b110.94 years with a range of 10 to 65 years. Experiencing a hazard was reported by 392 (94.5%) individuals during the last 10 years.<\/jats:p>\n                    <jats:p>A link between climate change and infectious diseases was reported by 155 (37.3%) of the participants. The rise in the incidence of vector-borne diseases was reported by 110 (26.5%), and waterborne diseases by 130 (31.3%), with mentions of eco-anxiety, heat stress and hypertension during FGDs. Participants had a limited understanding of anthropogenic drivers of climate change, primarily attributing it to the divine will. The narratives remained confined to lived experiences centred on material loss and livelihood; their perceptions lacked integrative links with broader dimensions such as Planetary Health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The risk perception of climate change remains low, whereas that of hazards is very high. Although the community understands how seasonal flooding affects human health, livelihoods and local infrastructure, these events are often viewed in isolation rather than as part of a broader trend related to climate change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2024-001374","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T16:20:14Z","timestamp":1774282814000},"page":"e001374","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mixed-method study on the perception of residents of rural flood-prone community towards the impacts of climate change and variability on health and wellbeing: Chiniot, Pakistan"],"prefix":"10.1136","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5338-0002","authenticated-orcid":false,"given":"Iffa","family":"Zahid","sequence":"first","affiliation":[{"name":"Department of Public Health, National University of Medical Sciences, Rawalpindi, Punjab, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Danyal","sequence":"additional","affiliation":[{"name":"Department of Public Health, National University of Medical Sciences, Rawalpindi, Punjab, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eman Fatima","family":"Sahir","sequence":"additional","affiliation":[{"name":"Department of Public Health, National University of Medical Sciences, Rawalpindi, Punjab, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rimsha","family":"Azhar","sequence":"additional","affiliation":[{"name":"Department of Public Health, National University of Medical Sciences, Rawalpindi, Punjab, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Kashif","sequence":"additional","affiliation":[{"name":"NUST CAMP, Islamabad, Islamabad Capital Territory, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hina","family":"Shan","sequence":"additional","affiliation":[{"name":"Public Health, National University of Medical Sciences, Rawalpindi, Punjab, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"2026032309200838000_4.1.e001374.1","doi-asserted-by":"crossref","first-page":"3313","DOI":"10.1111\/gcb.12581","article-title":"Climate variability and vulnerability to climate change: a review","volume":"20","author":"Thornton","year":"2014","journal-title":"Glob Chang Biol"},{"key":"2026032309200838000_4.1.e001374.2","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1007\/s11356-019-06878-1","article-title":"Climate change, vulnerability, and its impacts in rural Pakistan: a review","volume":"27","author":"Fahad","year":"2020","journal-title":"Environ Sci Pollut Res"},{"key":"2026032309200838000_4.1.e001374.3","doi-asserted-by":"crossref","first-page":"100064","DOI":"10.1016\/j.wds.2023.100064","article-title":"Multidimensional poverty vis-\u00e0-vis climate change vulnerability: Empirical evidence from flood-prone rural communities of Charsadda and Nowshera districts in Pakistan","volume":"2","author":"Rana","year":"2023","journal-title":"World Development Sustainability"},{"key":"2026032309200838000_4.1.e001374.4","doi-asserted-by":"crossref","unstructured":"Lee H , Calvin K , Dasgupta D , et al . Climate change 2023: synthesis report. contribution of working groups i, ii and iii to the sixth assessment report of the intergovernmental panel on climate change. 2023. doi:10.59327\/IPCC\/AR6-9789291691647","DOI":"10.59327\/IPCC\/AR6-9789291691647"},{"key":"2026032309200838000_4.1.e001374.5","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1108\/IJCCSM-04-2022-0049","article-title":"Critical findings of the sixth assessment report (AR6) of working Group I of the intergovernmental panel on climate change (IPCC) for global climate change policymaking a summary for policymakers (SPM) analysis","volume":"15","author":"Asadnabizadeh","year":"2023","journal-title":"IJCCSM"},{"key":"2026032309200838000_4.1.e001374.6","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1023\/A:1006357800521","article-title":"Climate Change and Climate Variability: Adaptations to Reduce Adverse Health Impacts","volume":"61","author":"McMichael","year":"2000","journal-title":"Environ Monit Assess"},{"key":"2026032309200838000_4.1.e001374.7","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-023-02438-w"},{"key":"2026032309200838000_4.1.e001374.8","doi-asserted-by":"crossref","first-page":"103724","DOI":"10.1016\/j.envsci.2024.103724","article-title":"Projecting a food insecure world: Equity implications of land-based mitigation in IPCC mitigation pathways","volume":"155","author":"Jaiswal","year":"2024","journal-title":"Environmental Science & Policy"},{"key":"2026032309200838000_4.1.e001374.9","doi-asserted-by":"crossref","first-page":"3589","DOI":"10.1002\/joc.8540","article-title":"Exploring trends and variability of climate change indices in the agro\u2010ecological zones of Pakistan and their driving mechanisms","volume":"44","author":"Hina","year":"2024","journal-title":"Intl Journal of Climatology"},{"key":"2026032309200838000_4.1.e001374.10","doi-asserted-by":"crossref","first-page":"100671","DOI":"10.1016\/j.wace.2024.100671","article-title":"Representing natural climate variability in an event attribution context: Indo-Pakistani heatwave of 2022","volume":"44","author":"Nath","year":"2024","journal-title":"Weather Clim Extrem"},{"key":"2026032309200838000_4.1.e001374.11","doi-asserted-by":"crossref","first-page":"2533","DOI":"10.1007\/s11069-020-04095-5","article-title":"Analyzing the occurrence of floods and droughts in connection with climate change in Punjab province, Pakistan","volume":"103","author":"Ali","year":"2020","journal-title":"Nat Hazards"},{"key":"2026032309200838000_4.1.e001374.12","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1038\/s43247-020-00065-8","article-title":"Connections of climate change and variability to large and extreme forest fires in southeast Australia","volume":"2","author":"Abram","year":"2021","journal-title":"Commun Earth Environ"},{"key":"2026032309200838000_4.1.e001374.13","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1002\/wcc.116","article-title":"Evaluating regional vulnerability to climate change: purposes and methods","volume":"2","author":"Malone","year":"2011","journal-title":"WIREs Climate Change"},{"key":"2026032309200838000_4.1.e001374.14","doi-asserted-by":"crossref","first-page":"16","DOI":"10.59298\/INOSRSR\/2024\/1.1.21622","article-title":"Climate Variability and Malaria Transmission: Unraveling the Complex Relationship","volume":"11","author":"Alum","year":"2024","journal-title":"INOSR SR"},{"key":"2026032309200838000_4.1.e001374.15","doi-asserted-by":"crossref","first-page":"123447","DOI":"10.1016\/j.jenvman.2024.123447","article-title":"Farmers\u2019 adaptation to climate change in Pakistan: Can their climate risk management strategies lead to sustainable agriculture?","volume":"373","author":"Saqib","year":"2025","journal-title":"J Environ Manage"},{"key":"2026032309200838000_4.1.e001374.16","doi-asserted-by":"crossref","first-page":"134075","DOI":"10.1016\/j.energy.2024.134075","article-title":"Pakistan road towards Paris Agreement: Potential decarbonization pathways and future emissions reduction by A developing country","volume":"314","author":"Ahmad","year":"2025","journal-title":"Energy (Oxf)"},{"key":"2026032309200838000_4.1.e001374.17","unstructured":"ESCAPUN . The future of Asian and Pacific cities 2023: crisis resilient urban futures, 2023. Available: https:\/\/hdl.handle.net\/20.500.12870\/6370"},{"key":"2026032309200838000_4.1.e001374.18","doi-asserted-by":"crossref","unstructured":"Zarzycki R , Burch L , Sheikh M . War, Economic Strife, Climate Change: Understanding Intersectional Threats to Inclusion and Security. SI 2024;12. doi:10.17645\/si.9619","DOI":"10.17645\/si.9619"},{"key":"2026032309200838000_4.1.e001374.19","doi-asserted-by":"crossref","unstructured":"Wisner B , Alc\u00e1ntara-Ayala I , Gaillard JC , et al . Understanding and Addressing Disaster Risk: Who Speaks? Who Suffers. Taylor & Francis, 2025.","DOI":"10.4324\/9781003292814"},{"key":"2026032309200838000_4.1.e001374.20","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1146\/annurev-environ-111523-102309","article-title":"Planetary Health: Focusing on the Intersection of Human Health and the Earth System","volume":"50","author":"Faerron Guzm\u00e1n","year":"2025","journal-title":"Annu Rev Environ Resour"},{"key":"2026032309200838000_4.1.e001374.21","first-page":"1","article-title":"An introduction to planetary health","volume":"20","author":"Myers","year":"2020","journal-title":"Planetary Health: Protecting Nature to Protect Ourselves"},{"key":"2026032309200838000_4.1.e001374.22","doi-asserted-by":"crossref","first-page":"126994","DOI":"10.1016\/j.jhydrol.2021.126994","article-title":"Evidence of shorter more extreme rainfalls and increased flood variability under climate change","volume":"603","author":"Wasko","year":"2021","journal-title":"J Hydrol (Amst)"},{"key":"2026032309200838000_4.1.e001374.23","doi-asserted-by":"crossref","DOI":"10.1186\/s12913-022-07702-2","article-title":"Concepts of health in different contexts: a scoping review","volume":"22","author":"van Druten","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"2026032309200838000_4.1.e001374.24","unstructured":"Howard C , Marks R , Principal Consultant LM , et al . Roadmap for Planetary Health and Sustainable Health Systems for Canadian Medical Professionals (Version 2), 2024. Available: https:\/\/www.afmc.ca\/strategic-priorities\/socialaccountability\/planetary-health\/"},{"key":"2026032309200838000_4.1.e001374.25","doi-asserted-by":"publisher","DOI":"10.4103\/indianjpsychiatry.indianjpsychiatry_707_23"},{"key":"2026032309200838000_4.1.e001374.26","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1218656110"},{"key":"2026032309200838000_4.1.e001374.27","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.jped.2024.11.002","article-title":"Climate change and children\u2019s health: resilience challenges for Brazil","volume":"101","author":"Bustamante","year":"2025","journal-title":"J Pediatr (Rio J)"},{"key":"2026032309200838000_4.1.e001374.28","doi-asserted-by":"crossref","unstructured":"Bilal A , K\u00e4nzig DR . The macroeconomic impact of climate change: Global vs. local temperature. National Bureau of Economic Research 2024. doi:10.3386\/w32450","DOI":"10.3386\/w32450"},{"key":"2026032309200838000_4.1.e001374.29","doi-asserted-by":"crossref","first-page":"4225","DOI":"10.1038\/s41598-025-88916-2","article-title":"Climate variability, population growth, and globalization impacting food security in Pakistan","volume":"15","author":"Abbas","year":"2025","journal-title":"Sci Rep"},{"key":"2026032309200838000_4.1.e001374.30","doi-asserted-by":"crossref","first-page":"100516","DOI":"10.1016\/j.gfs.2021.100516","article-title":"Increased climate variability and sedentarization in Tanzania: Health and nutrition implications on pastoral communities of Mvomero and Handeni districts, Tanzania","volume":"29","author":"Ripkey","year":"2021","journal-title":"Glob Food Sec"},{"key":"2026032309200838000_4.1.e001374.31","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0003540","article-title":"Impact of climate change on maternal health outcomes: An evidence gap map review","volume":"4","author":"Meherali","year":"2024","journal-title":"PLOS Glob Public Health"},{"key":"2026032309200838000_4.1.e001374.32","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/17441692.2020.1860247","article-title":"A systematic review and meta-analysis assessing the impact of droughts, flooding, and climate variability on malnutrition","volume":"17","author":"Lieber","year":"2022","journal-title":"Glob Public Health"},{"key":"2026032309200838000_4.1.e001374.33","first-page":"2","article-title":"The Multifaceted Consequences of Climate Change on Human Health","volume":"4","author":"Alamgir","year":"2023","journal-title":"L&S"},{"key":"2026032309200838000_4.1.e001374.34","doi-asserted-by":"crossref","first-page":"9691","DOI":"10.1007\/s11069-024-06582-5","article-title":"Causes and dynamic change characteristics of the 2022 devastating floods in Pakistan","volume":"120","author":"Chen","year":"2024","journal-title":"Nat Hazards"},{"key":"2026032309200838000_4.1.e001374.35","doi-asserted-by":"crossref","first-page":"162973","DOI":"10.1016\/j.scitotenv.2023.162973","article-title":"Extreme flood in Pakistan: Is Pakistan paying the cost of climate change? A short communication","volume":"880","author":"Shehzad","year":"2023","journal-title":"Sci Total Environ"},{"key":"2026032309200838000_4.1.e001374.36","unstructured":"World Health Organization EMJ . WHO, Pakistan and partners prepare health emergency response for 1.3 million people ahead of monsoon floods, Available: https:\/\/www.emro.who.int\/pak\/pakistan-news\/who-pakistan-and-partners-prepare-health-emergency-response-for-13-million-people-ahead-of-monsoon-floods.html [Accessed 28 Aug 2025]."},{"key":"2026032309200838000_4.1.e001374.37","doi-asserted-by":"crossref","first-page":"100433","DOI":"10.1016\/j.envc.2021.100433","article-title":"Climate Impacts on the agricultural sector of Pakistan: Risks and solutions","volume":"6","author":"Syed","year":"2022","journal-title":"Environmental Challenges"},{"key":"2026032309200838000_4.1.e001374.38","unstructured":"Pakistan Meteorological Department Government of Pakistan . SIGNIFICANT FLOOD WARNING for River Chenab, 2025. Available: http:\/\/pmd.gov.pk\/en\/latest-weather-alerts.php"},{"key":"2026032309200838000_4.1.e001374.39","doi-asserted-by":"crossref","first-page":"15789","DOI":"10.1007\/s11069-025-07429-3","article-title":"Channel morphology of the Indus, and the growing risk of floods related damages in the Indus River basin","volume":"121","author":"Fatima","year":"2025","journal-title":"Nat Hazards"},{"key":"2026032309200838000_4.1.e001374.40","doi-asserted-by":"crossref","first-page":"4229","DOI":"10.1007\/s11356-020-10758-4","article-title":"Mapping farmers\u2019 vulnerability to climate change and its induced hazards: evidence from the rice-growing zones of Punjab, Pakistan","volume":"28","author":"Khan","year":"2021","journal-title":"Environ Sci Pollut Res"},{"key":"2026032309200838000_4.1.e001374.41","first-page":"2405","article-title":"USE OF GIS TECHNOLOGY FOR REDUCING FLOOD HAZARD RISKS ALONG THE RIVER CHENAB IN THE AREA OF MANDI BHAUDDIN","volume":"8","author":"Mukhtar","year":"2025","journal-title":"Journal of Applied Linguistics and TESOL (JALT)"},{"key":"2026032309200838000_4.1.e001374.42","doi-asserted-by":"crossref","first-page":"107390","DOI":"10.1016\/j.eiar.2023.107390","article-title":"Exploring the role of social capital in flood risk reduction: Insights from a systematic review","volume":"105","author":"Waseem","year":"2024","journal-title":"Environ Impact Assess Rev"},{"key":"2026032309200838000_4.1.e001374.43","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.nhres.2023.06.005","article-title":"Floods in Pakistan: A state-of-the-art review","volume":"3","author":"Waseem","year":"2023","journal-title":"Natural Hazards Research"},{"key":"2026032309200838000_4.1.e001374.44","first-page":"183","article-title":"Socioeconomic conditions of rural women and their participation in livestock management activities in Chiniot District of the Punjab, Pakistan","volume":"2","author":"Khan","year":"2020","journal-title":"Journal of Geography and Social Sciences"},{"key":"2026032309200838000_4.1.e001374.45","unstructured":"NAEEM M , ALI T . ANALYTICAL STUDY OF LAND-USE CHANGE AND EXPANSION OF BUILT-UP AREA IN DISTRICT. CHINIOT, PAKISTAN: USING MULTI-TEMPORAL LANDSAT DATA,"},{"key":"2026032309200838000_4.1.e001374.46","doi-asserted-by":"crossref","first-page":"101796","DOI":"10.1016\/j.jenvp.2022.101796","article-title":"Information sources, perceived personal experience, and climate change beliefs","volume":"81","author":"Rosenthal","year":"2022","journal-title":"J Environ Psychol"},{"key":"2026032309200838000_4.1.e001374.47","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1007\/s42438-020-00163-y","article-title":"Trust and the Media: Perceptions of Climate Change News Sources Among US College Students","volume":"3","author":"Cheng","year":"2021","journal-title":"Postdigit Sci Educ"},{"key":"2026032309200838000_4.1.e001374.48","doi-asserted-by":"crossref","first-page":"2963","DOI":"10.1007\/s10668-018-0173-4","article-title":"Farmers\u2019 awareness and perception of climate change impacts: case study of Aguie district in Niger","volume":"21","author":"Ado","year":"2019","journal-title":"Environ Dev Sustain"},{"key":"2026032309200838000_4.1.e001374.49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1134\/S101933162201004X","article-title":"Climate Change: Causes, Risks, Consequences, and Problems of Adaptation and Regulation","volume":"92","author":"Mokhov","year":"2022","journal-title":"Her Russ Acad Sci"},{"key":"2026032309200838000_4.1.e001374.50","doi-asserted-by":"crossref","first-page":"120138","DOI":"10.1016\/j.jclepro.2020.120138","article-title":"(Micro)plastic crisis: Un-ignorable contribution to global greenhouse gas emissions and climate change","volume":"254","author":"Shen","year":"2020","journal-title":"J Clean Prod"},{"key":"2026032309200838000_4.1.e001374.51","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1038\/s44304-025-00109-z","article-title":"Anthropogenic and climatic drivers of the 2022 mega-flood in Pakistan","volume":"2","author":"Arshad","year":"2025","journal-title":"npj Nat Hazards"},{"key":"2026032309200838000_4.1.e001374.52","doi-asserted-by":"crossref","first-page":"100079","DOI":"10.1016\/j.pdisas.2020.100079","article-title":"Climate change induced extreme flood disaster in Bangladesh: Implications on people\u2019s livelihoods in the Char Village and their coping mechanisms","volume":"6","author":"Hossain","year":"2020","journal-title":"Progress in Disaster Science"},{"key":"2026032309200838000_4.1.e001374.53","doi-asserted-by":"crossref","first-page":"212","DOI":"10.3390\/hydrology9120212","article-title":"Farmers\u2019 Perception of Climate Change and Its Impacts on Agriculture","volume":"9","author":"Shrestha","year":"2022","journal-title":"Hydrology"},{"key":"2026032309200838000_4.1.e001374.54","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3390\/environments6060071","article-title":"Changing Climatic Factors Favor Dengue Transmission in Lahore, Pakistan","volume":"6","author":"Naqvi","year":"2019","journal-title":"Environments"},{"key":"2026032309200838000_4.1.e001374.55","doi-asserted-by":"crossref","first-page":"100015","DOI":"10.1016\/j.joclim.2021.100015","article-title":"Effect of climate change and deforestation on vector borne diseases in the North-Eastern Indian State of Mizoram bordering Myanmar","volume":"2","author":"Karuppusamy","year":"2021","journal-title":"The Journal of Climate Change and Health"},{"key":"2026032309200838000_4.1.e001374.56","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2019.03.012"},{"key":"2026032309200838000_4.1.e001374.57","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph16183256","article-title":"Flood- and Weather-Damaged Homes and Mental Health: An Analysis Using England\u2019s Mental Health Survey","volume":"16","author":"Graham","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"2026032309200838000_4.1.e001374.58","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17228581","article-title":"Effect of Extreme Weather Events on Mental Health: A Narrative Synthesis and Meta-Analysis for the UK","volume":"17","author":"Cruz","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2026032309200838000_4.1.e001374.59","doi-asserted-by":"crossref","first-page":"101948","DOI":"10.1016\/j.scs.2019.101948","article-title":"Climate change impacts on critical urban infrastructure and urban resiliency strategies for the Middle East","volume":"54","author":"Salimi","year":"2020","journal-title":"Sustainable Cities and Society"},{"key":"2026032309200838000_4.1.e001374.60","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-020-60762-4","article-title":"Sea-Level Rise Induced Multi-Mechanism Flooding and Contribution to Urban Infrastructure Failure","volume":"10","author":"Habel","year":"2020","journal-title":"Sci Rep"},{"key":"2026032309200838000_4.1.e001374.61","doi-asserted-by":"crossref","first-page":"8864","DOI":"10.3390\/su14148864","article-title":"Climate Change Impacts on the Road Transport Infrastructure: A Systematic Review on Adaptation Measures","volume":"14","author":"de Abreu","year":"2022","journal-title":"Sustainability"},{"key":"2026032309200838000_4.1.e001374.62","doi-asserted-by":"crossref","first-page":"102883","DOI":"10.1016\/j.ijdrr.2022.102883","article-title":"Climate change impacts on infrastructure: Flood risk perceptions and evaluations of water systems in coastal urban areas","volume":"73","author":"Ridha","year":"2022","journal-title":"Int J Disaster Risk Reduct"},{"key":"2026032309200838000_4.1.e001374.63","doi-asserted-by":"crossref","first-page":"120282","DOI":"10.1016\/j.watres.2023.120282","article-title":"Climate change impacts on wastewater infrastructure: A systematic review and typological adaptation strategy","volume":"242","author":"Li","year":"2023","journal-title":"Water Res"},{"key":"2026032309200838000_4.1.e001374.64","first-page":"3016","article-title":"Here Comes the Flood, but Not Failure? Lessons to Learn after the Heavy Rain and Pluvial Floods in Germany 2021","volume":"13","author":"Fekete","year":"2021","journal-title":"Water (Basel)"},{"key":"2026032309200838000_4.1.e001374.65","unstructured":"Eckstein D , K\u00fcnzel V , Sch\u00e4fer L . Bonn: Germanwatch; The global climate risk index 2021, 2021. Available: https:\/\/bvearmb.do\/handle\/123456789\/1306"},{"key":"2026032309200838000_4.1.e001374.66","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1080\/23251042.2020.1855884","article-title":"How Believing Climate Change is a \u201cHoax\u201d Shapes Climate Skepticism in the United States","volume":"7","author":"Sarathchandra","year":"2021","journal-title":"Environ Sociol"},{"key":"2026032309200838000_4.1.e001374.67","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.copsyc.2020.09.013","article-title":"Towards a psychology of religion and the environment","volume":"40","author":"Preston","year":"2021","journal-title":"Curr Opin Psychol"},{"key":"2026032309200838000_4.1.e001374.68","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1111\/ruso.12371","article-title":"The Nature and Nuance of Climate Change Skepticism in the United States*","volume":"86","author":"Haltinner","year":"2021","journal-title":"Rural Sociol"},{"key":"2026032309200838000_4.1.e001374.69","doi-asserted-by":"crossref","unstructured":"Bone A , Nona F , Lo SN , et al . Planetary health: increasingly embraced but not yet fully realised. Public Health Res Pract 2025;35. doi:10.1071\/PU24002","DOI":"10.1071\/PU24002"},{"key":"2026032309200838000_4.1.e001374.70","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.cosust.2021.02.004","article-title":"Vulnerabilities associated with slow-onset events (SoEs) of climate change: multi-level analysis in the context of Pakistan","volume":"50","author":"Anjum","year":"2021","journal-title":"Curr Opin Environ Sustain"}],"container-title":["BMJ Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjph-2024-001374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T16:20:24Z","timestamp":1774282824000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjpublichealth.bmj.com\/lookup\/doi\/10.1136\/bmjph-2024-001374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":70,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,3,23]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bmjph-2024-001374"],"URL":"https:\/\/doi.org\/10.1136\/bmjph-2024-001374","relation":{},"ISSN":["2753-4294"],"issn-type":[{"value":"2753-4294","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}