{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T09:33:32Z","timestamp":1787909612081,"version":"build-2784847793"},"reference-count":57,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2015,10,16]],"date-time":"2015-10-16T00:00:00Z","timestamp":1444953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Climate change and non-communicable diseases (NCDs) are arguably the greatest global challenges of the 21st Century. However, the confluence between them remains under-examined and there is little evidence of a comprehensive, systematic approach to identifying research priorities to mitigate their joint impact. Consequently, we: (i) convened a workshop of academics (n = 25) from the Worldwide Universities Network to identify priority areas at the interface between NCDs and climate change; (ii) conducted a Delphi survey of international opinion leaders in public health and relevant other disciplines; and (iii) convened an expert panel to review and advise on final priorities. Three research areas (water security; transport; conceptualising NCD harms to support policy formation) were listed among the top 10 priorities by &gt;90% of Delphi respondents, and ranked among the top 12 priorities by &gt;60% of respondents who ranked the order of priority. A fourth area (reducing the carbon footprint of cities) was ranked highest by the same &gt;60% of respondents. Our results are consistent with existing frameworks on health and climate change, and extends them by focusing specifically on NCDs. Researching these priorities could progress understanding of climate change and NCDs, and inform global and national policy decisions for mitigating associated harms.<\/jats:p>","DOI":"10.3390\/ijerph121012941","type":"journal-article","created":{"date-parts":[[2015,10,16]],"date-time":"2015-10-16T14:46:27Z","timestamp":1445006787000},"page":"12941-12957","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Research Priorities for NCD Prevention and Climate Change: An International Delphi Survey"],"prefix":"10.3390","volume":"12","author":[{"given":"Ruth","family":"Colagiuri","sequence":"first","affiliation":[{"name":"Menzies Centre for Health Policy, School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinead","family":"Boylan","sequence":"additional","affiliation":[{"name":"The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Morrice","sequence":"additional","affiliation":[{"name":"Menzies Centre for Health Policy, School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2015,10,16]]},"reference":[{"key":"ref_1","unstructured":"Ban, K.-M. Ban Ki-Moon\u2019s Speeches: Opening Remarks at 2014 Climate Summit. Available online:http:\/\/www.un.org\/apps\/news\/infocus\/sgspeeches\/statments_full.asp?statID=2355#.VVW XllJBCuJ."},{"key":"ref_2","unstructured":"United Nations (2013). The Future We Want: Outcome Document Adopted at Rio+20, United Nations."},{"key":"ref_3","unstructured":"Intergovernmental Panel on Climate Change (IPCC) Climate Change 2007: Working Group I: The Physical Science Basis. Available online:www.ipcc.ch\/publications_and_data\/ar4\/syr\/en\/mains1.html."},{"key":"ref_4","unstructured":"World Health Organization (2005). Preventing Chronic Diseases: A Vital Investment, WHO."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Stuckler, D., Basu, S., and McKee, M. (2010). Drivers of inequality in millennium development goal progress: A statistical analysis. PLoS Med.","DOI":"10.1371\/journal.pmed.1000241"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0140-6736(13)60100-2","article-title":"Non-communicable diseases: 2015 to 2025","volume":"381","author":"Horton","year":"2013","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/S0140-6736(12)61806-6","article-title":"Embedding non-communicable diseases in the post-2015 development agenda","volume":"381","author":"Alleyne","year":"2013","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1016\/S0140-6736(10)61929-0","article-title":"Chronic diseases: Global action must match global evidence","volume":"376","author":"Beaglehole","year":"2010","journal-title":"Lancet"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1578","DOI":"10.1016\/S0140-6736(05)67341-2","article-title":"Preventing chronic diseases: How many lives can we save?","volume":"366","author":"Strong","year":"2005","journal-title":"Lancet"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s10654-015-0026-5","article-title":"The global impact of non-communicable diseases on macro-economic productivity: A systematic review","volume":"30","author":"Chaker","year":"2015","journal-title":"Eur. J. Epidemiol."},{"key":"ref_11","unstructured":"Bloom, D.E., Cafiero, E.T., Jan\u00e9-Llopis, E., Abrahams-Gessel, S., Bloom, L.R., Fathima, S., Feigl, A.B., Gaziano, T., Mowafi, M., and Pandya, A. (2011). The Global Economic Burden of Non-communicable Diseases, World Economic Forum."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s10393-007-0141-1","article-title":"Climate change and global health: Quantifying a growing ethical crisis","volume":"4","author":"Patz","year":"2007","journal-title":"EcoHealth"},{"key":"ref_13","unstructured":"United Nations General Assembly (2011). Political Declaration of the High-Level Meeting of the General Assembly on the Prevention and Control of Non-Communicable Diseases, United Nations."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1136\/vr.g143","article-title":"The evolution of one health: A decade of progress and challenges for the future","volume":"174","author":"Gibbs","year":"2014","journal-title":"Vet. Rec."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1016\/S0140-6736(12)61450-0","article-title":"One world, one health: Beyond the Millennium Development Goals","volume":"380","author":"Marais","year":"2012","journal-title":"Lancet"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2104","DOI":"10.1016\/S0140-6736(09)61759-1","article-title":"Public health benefits of strategies to reduce greenhouse-gas emissions: Overview and implications for policy makers","volume":"374","author":"Haines","year":"2009","journal-title":"Lancet"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Watts, N., Adger, W.N., Agnolucci, P., Blackstock, J., Byass, P., Cai, W., Chaytor, S., Colbourn, T., Collins, M., and Cooper, A. (2015). Health and climate change: Policy responses to protect public health. Lancet.","DOI":"10.1016\/S0140-6736(15)60854-6"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/S1473-3099(13)70015-X","article-title":"Tuberculosis comorbidity with communicable and non-communicable diseases: Integrating health services and control efforts","volume":"13","author":"Marais","year":"2013","journal-title":"Lancet Infect. Dis."},{"key":"ref_19","unstructured":"World Health Organization (2014). Quantitative Risk Assessment of the Effects of Climate Change on Selected Causes of Death, 2030s and 2050s, WHO."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1093\/ije\/dyp172","article-title":"Population adiposity and climate change","volume":"38","author":"Edwards","year":"2009","journal-title":"Int. J. Epidemiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1093\/pubmed\/fdr032","article-title":"Are cars the new tobacco?","volume":"33","author":"Douglas","year":"2011","journal-title":"J. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1001\/archinternmed.2011.2174","article-title":"Sitting time and all-cause mortality risk in 222,497 Australian adults","volume":"172","author":"Chey","year":"2012","journal-title":"Arch. Intern. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"15","DOI":"10.21273\/HORTSCI.44.1.15","article-title":"Declining fruit and vegetable nutrient composition: What is the evidence?","volume":"44","author":"Davis","year":"2009","journal-title":"HortScience"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.jtemb.2008.07.002","article-title":"Evidence of decreasing mineral density in wheat grain over the last 160 years","volume":"22","author":"Fan","year":"2008","journal-title":"J. Trace Elem. Med. Biol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.jtemb.2005.03.001","article-title":"Agriculture: The real nexus for enhancing bioavailable micronutrients in food crops","volume":"18","author":"Welch","year":"2005","journal-title":"J. Trace Elem. Med. Biol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s00038-009-0090-2","article-title":"Public health impact of global heating due to climate change: Potential effects on chronic non-communicable diseases","volume":"55","author":"Kjellstrom","year":"2010","journal-title":"Int. J. Public Health"},{"key":"ref_27","unstructured":"World Health Organization (2009). Protecting Health from Climate Change: Global Research Priorities, WHO."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1111\/j.1753-6405.1995.tb00455.x","article-title":"Climate change in the south pacific region: Priorities for public health research","volume":"19","author":"Hales","year":"1995","journal-title":"Aust. J. Public Health"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Glass, R., Rosenthal, J., Jessup, C.M., Birnbaum, L., and Portier, C. (2009). Tackling the research challenges of health and climate change. Environ. Health Perspect.","DOI":"10.1289\/ehp.0901171"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1007\/s11524-011-9607-0","article-title":"Urban health inequities and the added pressure of climate change: An action-oriented research agenda","volume":"88","author":"Friel","year":"2011","journal-title":"J. Urban Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"6096","DOI":"10.3390\/ijerph10116096","article-title":"Impediments to comprehensive research on climate change and health","volume":"10","author":"McMichael","year":"2013","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"3298","DOI":"10.3390\/ijerph9093298","article-title":"Climate change and children\u2019s health\u2014A call for research on what works to protect children","volume":"9","author":"Xu","year":"2012","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_33","first-page":"6","article-title":"Climate change: A public health framework","volume":"25","author":"Frumkin","year":"2008","journal-title":"Northwest Public Health"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"6433","DOI":"10.3390\/ijerph110606433","article-title":"Building resilience against climate effects\u2014A novel framework to facilitate climate readiness in public health agencies","volume":"11","author":"Marinucci","year":"2014","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1038\/450494a","article-title":"Grand challenges in chronic non-communicable diseases","volume":"450","author":"Daar","year":"2007","journal-title":"Nature"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1016\/S0140-6736(11)60393-0","article-title":"Priority actions for the non-communicable disease crisis","volume":"377","author":"Beaglehole","year":"2011","journal-title":"Lancet"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.puhe.2013.01.022","article-title":"Role of law at the non-communicable diseases-climate change interface: Considerations for planetary and population health policy","volume":"127","author":"Boylan","year":"2013","journal-title":"Public Health"},{"key":"ref_38","unstructured":"World Health Organization (2013). Health in all Policies: Helskini Statement, Framework for Country Action, WHO."},{"key":"ref_39","unstructured":"World Health Organization (WHO) Health Impact Assessment. Available online:http:\/\/www.who.int\/hia\/en\/."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"298","DOI":"10.2471\/BLT.12.112318","article-title":"Untapped potential of health impact assessment","volume":"91","author":"Winkler","year":"2013","journal-title":"Bull. World Health Organ."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1136\/bmj.315.7112.870","article-title":"Climate change and health: Implications for research, monitoring, and policy","volume":"315","author":"Haines","year":"1997","journal-title":"BMJ"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s12199-008-0031-3","article-title":"Environmental change, climate and population health: A challenge for inter-disciplinary research","volume":"13","author":"McMichael","year":"2008","journal-title":"Environ. Health Prev. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"36","DOI":"10.12927\/hcpap.2008.20184","article-title":"Getting from analysis to action: Framing obesity research, policy and practice with a solution-oriented complex systems lens","volume":"9","author":"Finegood","year":"2008","journal-title":"Healthc. Pap."},{"key":"ref_44","unstructured":"OxHA (2008). The Sydney Resolution, Oxford Health Alliance. Available online:http:\/\/archive.oxha.org\/meetings\/08-summit\/sydney-resolution."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.im.2003.11.002","article-title":"The delphi method as a research tool: An example, design considerations and applications","volume":"42","author":"Okoli","year":"2004","journal-title":"Inf. Manag."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1108\/09654280310459112","article-title":"The delphi method and health research","volume":"103","year":"2003","journal-title":"Health Educ."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"35","DOI":"10.7748\/nr.22.3.35.e1297","article-title":"Research methods for formal consensus development","volume":"22","author":"James","year":"2015","journal-title":"Nurse Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"979","DOI":"10.2105\/AJPH.74.9.979","article-title":"Consensus methods: Characteristics and guidelines for use","volume":"74","author":"Fink","year":"1984","journal-title":"Am. J. Public Health"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1046\/j.1365-2648.2000.t01-1-01567.x","article-title":"Research guidelines for the delphi survey technique","volume":"32","author":"Hasson","year":"2000","journal-title":"J. Adv. Nurs."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1002\/ieam.1559","article-title":"Out-of-sample validation for structured expert judgment of asian carp establishment in lake erie","volume":"10","author":"Cooke","year":"2014","journal-title":"Integr. Environ. Assess. Manag."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Akins, R.B., Tolson, H., and Cole, B.R. (2005). Stability of response characteristics of a delphi panel: Application of bootstrap data expansion. BMC Med. Res. Methodol.","DOI":"10.1186\/1471-2288-5-37"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"814","DOI":"10.2105\/AJPH.2010.300105","article-title":"Canadian federal support for climate change and health research compared with the risks posed","volume":"101","author":"Ford","year":"2011","journal-title":"Am. J. Public Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1146\/annurev-publhealth-071910-140612","article-title":"Climate change, noncommunicable diseases, and development: The relationships and common policy opportunities","volume":"32","author":"Friel","year":"2011","journal-title":"Ann. Rev. Public Health"},{"key":"ref_54","unstructured":"World Health Organization Framework Convention on Tobacco Control (WHO FCTC) (2003). Who Framework Convention on Tobacco Control, WHO."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1016\/S0140-6736(09)60926-0","article-title":"Health and climate change: A roadmap for applied research","volume":"373","author":"Bertollini","year":"2009","journal-title":"Lancet"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1111\/j.1445-5994.2008.01688.x","article-title":"Global climate change: Time to mainstream health risks and their prevention on the medical research and policy agenda","volume":"38","author":"Tong","year":"2008","journal-title":"Intern. Med. J."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s10393-009-0262-9","article-title":"Climate change, human health, and integrative research: A transformative imperative","volume":"6","author":"McMichael","year":"2009","journal-title":"EcoHealth"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/12\/10\/12941\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T20:50:14Z","timestamp":1760215814000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/12\/10\/12941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,16]]},"references-count":57,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2015,10]]}},"alternative-id":["ijerph121012941"],"URL":"https:\/\/doi.org\/10.3390\/ijerph121012941","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,16]]}}}