PMID- 36497723
OWN - NLM
STAT- MEDLINE
DCOM- 20221216
LR  - 20230119
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 19
IP  - 23
DP  - 2022 Nov 25
TI  - Knowledge, Attitude, Risk Perception, and Health-Related Adaptive Behavior of 
      Primary School Children towards Climate Change: A Cross-Sectional Study in China.
LID - 10.3390/ijerph192315648 [doi]
LID - 15648
AB  - BACKGROUND: Children are disproportionately affected by climate change while 
      evidence regarding their adaptive behavior and relevant influencing factors is 
      limited. OBJECTIVES: We attempted to investigate health-related adaptive behavior 
      towards climate change for primary school children in China and explore potential 
      influencing factors. METHODS: We conducted a survey of 8322 primary school 
      children in 12 cities across China. Knowledge, attitude, risk perception, and 
      adaptive behavior scores for children were collected using a designed 
      questionnaire. Weather exposures of cities were collected from 2014 to 2018. We 
      applied a multiple linear regression and mixed-effect regression to assess the 
      influencing factors of adaptive behavior. We also used the structural equation 
      model (SEM) to validate the theoretical framework of adaptive behavior. RESULTS: 
      Most children (76.1%) were aware of climate change. They mainly get information 
      from television, smartphones, and the Internet. A 1 score increase in knowledge, 
      attitude, and risk perception was associated with 0.210, 0.386, and 0.160 
      increase in adaptive behavior scores, respectively. Females and children having 
      air conditioners or heating systems at home were positively associated with 
      adaptive behavior. Exposure to cold and rainstorms increased the adaptive 
      behavior scores, while heat exposure had the opposite effects. The SEM showed 
      that knowledge was positively associated with attitude and risk perception. 
      Knowledge, attitude, and risk perception corresponded to 31.6%, 22.8%, and 26.1% 
      changes of adaptive behavior, respectively. CONCLUSION: Most primary school 
      children in China were aware of climate change. Knowledge, attitude, risk 
      perception, cold, and rainstorm exposure were positively associated with 
      health-related adaptive behavior towards climate change.
FAU - Wang, Yu
AU  - Wang Y
AUID- ORCID: 0000-0002-9603-6950
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Zhang, Xinhang
AU  - Zhang X
AD  - Tongzhou Center for Disease Control and Prevention, Beijing 101199, China.
FAU - Li, Yonghong
AU  - Li Y
AUID- ORCID: 0000-0001-5534-1644
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Liu, Yanxiang
AU  - Liu Y
AD  - Public Meteorological Service Center of China Meteorological Administration, 
      Beijing 100081, China.
FAU - Sun, Bo
AU  - Sun B
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Wang, Yan
AU  - Wang Y
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Zhou, Zhirong
AU  - Zhou Z
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Zheng, Lei
AU  - Zheng L
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Zhang, Linxin
AU  - Zhang L
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Yao, Xiaoyuan
AU  - Yao X
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
FAU - Cheng, Yibin
AU  - Cheng Y
AD  - China CDC Key Laboratory of Environment and Population Health, National Institute 
      of Environmental Health, Chinese Center for Disease Control and Prevention, 
      Beijing 100021, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221125
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Female
MH  - Child
MH  - Humans
MH  - *Climate Change
MH  - Cross-Sectional Studies
MH  - *Attitude
MH  - China
MH  - Surveys and Questionnaires
MH  - Adaptation, Psychological
MH  - Perception
MH  - Schools
PMC - PMC9740326
OTO - NOTNLM
OT  - adaptation
OT  - behavior
OT  - children
OT  - climate change
OT  - structural equation model (SEM)
COIS- The authors declare no conflict of interest.
EDAT- 2022/12/12 06:00
MHDA- 2022/12/15 06:00
PMCR- 2022/11/25
CRDT- 2022/12/11 01:07
PHST- 2022/09/18 00:00 [received]
PHST- 2022/10/17 00:00 [revised]
PHST- 2022/10/24 00:00 [accepted]
PHST- 2022/12/11 01:07 [entrez]
PHST- 2022/12/12 06:00 [pubmed]
PHST- 2022/12/15 06:00 [medline]
PHST- 2022/11/25 00:00 [pmc-release]
AID - ijerph192315648 [pii]
AID - ijerph-19-15648 [pii]
AID - 10.3390/ijerph192315648 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2022 Nov 25;19(23):15648. doi: 
      10.3390/ijerph192315648.