Health literacy related to climate change: a communıty-based cross-sectional study


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Ekici E., Sezerol M. A., Özkol O.

FRONTIERS IN PUBLIC HEALTH, cilt.14, sa.2296-2565, ss.1-10, 2026 (SCI-Expanded, SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 2296-2565
  • Basım Tarihi: 2026
  • Doi Numarası: 10.3389/fpubh.2026.1779499
  • Dergi Adı: FRONTIERS IN PUBLIC HEALTH
  • Derginin Tarandığı İndeksler: Scopus, Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), MEDLINE, Psycinfo, Directory of Open Access Journals
  • Sayfa Sayıları: ss.1-10
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Maltepe Üniversitesi Adresli: Evet

Özet

Introduction: Climate change poses health risks to populations, particularly

in socioeconomically disadvantaged urban communities with limited adaptive

capacity. However, evidence on climate change–related health literacy, defined

as individuals’ ability to access, understand, and use information on climaterelated health risks, remains limited. This study aimed to assess climate change–

related health literacy among adults living in a disadvantaged district of Istanbul

and to examine its association with selected demographic characteristics related

to vulnerability and adaptation.

Methods: A community-based cross-sectional study was conducted between July

and September 2025 among adults aged 18–65 years registered with family physicians in Sultanbeyli, Istanbul. Using simple random sampling, 1,182 individuals were

contacted, and data from 441 participants were analyzed. Data were collected using

a demographic information form and the 24-item Climate Change Health Literacy

Scale. Independent samples t-tests and one-way ANOVA were used for analysis.

Results: The mean age of participants was 38.7 ± 12.1 years, and 53.3% were

female. Most participants (94.6%) had not received formal education on climate

change, and social media was the main source of information (65.1%). Only 21.8%

reported sufficient knowledge of climate change–related health impacts. The

mean total health literacy score was 94.4 ± 14.0, indicating a moderate level of

literacy. Higher scores were observed among women, individuals with higher

education, and those who regularly followed climate-related news (p < 0.05). No

significant differences were found by income or occupation.

Discussion: These findings reveal gaps between knowledge and the adoption of

protective behaviors in disadvantaged urban communities. Community-based

health education initiatives are essential to strengthen adaptive capacity.

KEYWORDS

climate change, community-based study, health literacy, public health, vulnerable

populations