IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i5p2532-d755705.html
   My bibliography  Save this article

Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China

Author

Listed:
  • Yonghong Li

    (China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China)

  • Bo Sun

    (China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China)

  • Changlin Yang

    (Dongtai Center for Disease Control and Prevention, Dongtai 224299, China)

  • Xianghua Zhuang

    (Dongtai Center for Disease Control and Prevention, Dongtai 224299, China)

  • Liancheng Huang

    (Yancheng Center for Disease Control and Prevention, Yancheng 224002, China)

  • Qingqing Wang

    (Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China)

  • Peng Bi

    (School of Public Health, The University of Adelaide, Adelaide, SA 5005, Australia)

  • Yan Wang

    (China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China)

  • Xiaoyuan Yao

    (China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China)

  • Yibin Cheng

    (China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China)

Abstract

Background: Evidence of the effectiveness of intervention against extreme heat remains unclear, especially among children, one of the vulnerable populations. This study aimed to evaluate the effectiveness of a primary school-based intervention program against heatwave and climate change in China to provide evidence for development of policies for adaptation to climate change. Methods: Two primary schools in Dongtai City, Jiangsu Province, China, were randomly selected as intervention and control schools (CTR registration number: ChiCTR2200056005). Health education was conducted at the intervention school to raise students’ awareness and capability to respond to extreme heat during May to September in 2017. Knowledge, attitude, and practice (KAP) of students and their parents at both schools were investigated by questionnaire surveys before and after intervention. The changes in KAP scores after intervention were evaluated using multivariable difference-in-difference (DID) analysis, controlling for age, sex, etc. Results: The scores of knowledge, attitude, and practice of students and their parents increased by 19.9% (95%CI: 16.3%, 23.6%) and 22.5% (95%CI: 17.8%, 27.1%); 9.60% (95%CI: 5.35%, 13.9%) and 7.22% (95%CI: 0.96%, 13.5%); and 9.94% (95%CI: 8.26%, 18.3%) and 5.22% (95%CI: 0.73%, 9.71%), respectively, after intervention. The KAP score changes of boys were slightly higher than those of girls. Older students had higher score changes than younger students. For parents, the higher the education level, the greater the score change, and change in scores was greater in females than in males. All the health education activities in the program were significantly correlated with the changes in KAP scores of primary school students after intervention, especially those curricula with interesting activities and experiential learning approaches. Conclusions: Heat and health education program in primary school was an effective approach to improve cognition and behavior for both students and their parents to better adapt to heatwaves and climate change. The successful experience can be generalized to respond to the increasing extreme weather/climate events in the context of climate change, such as heatwaves, and other emergent occasions or public health education, such as the control and prevention of COVID-19.

Suggested Citation

  • Yonghong Li & Bo Sun & Changlin Yang & Xianghua Zhuang & Liancheng Huang & Qingqing Wang & Peng Bi & Yan Wang & Xiaoyuan Yao & Yibin Cheng, 2022. "Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China," IJERPH, MDPI, vol. 19(5), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2532-:d:755705
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/5/2532/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/5/2532/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Joris Adriaan Frank Van Loenhout & Jose Manuel Rodriguez-Llanes & Debarati Guha-Sapir, 2016. "Stakeholders’ Perception on National Heatwave Plans and Their Local Implementation in Belgium and The Netherlands," IJERPH, MDPI, vol. 13(11), pages 1-14, November.
    2. Ana Casanueva & Annkatrin Burgstall & Sven Kotlarski & Alessandro Messeri & Marco Morabito & Andreas D. Flouris & Lars Nybo & Christoph Spirig & Cornelia Schwierz, 2019. "Overview of Existing Heat-Health Warning Systems in Europe," IJERPH, MDPI, vol. 16(15), pages 1-22, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yu Wang & Xinhang Zhang & Yonghong Li & Yanxiang Liu & Bo Sun & Yan Wang & Zhirong Zhou & Lei Zheng & Linxin Zhang & Xiaoyuan Yao & Yibin Cheng, 2022. "Knowledge, Attitude, Risk Perception, and Health-Related Adaptive Behavior of Primary School Children towards Climate Change: A Cross-Sectional Study in China," IJERPH, MDPI, vol. 19(23), pages 1-11, November.
    2. Walter Leal Filho & Muniyandi Balasubramanian & Roberto Ariel Abeldaño Zuñiga & Javier Sierra, 2023. "The Effects of Climate Change on Children’s Education Attainment," Sustainability, MDPI, vol. 15(7), pages 1-12, April.
    3. Lira Ramadani & Sudeepa Khanal & Melanie Boeckmann, 2023. "Content Focus and Effectiveness of Climate Change and Human Health Education in Schools: A Scoping Review," Sustainability, MDPI, vol. 15(13), pages 1-19, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tjaša Pogačar & Zala Žnidaršič & Lučka Kajfež Bogataj & Zalika Črepinšek, 2020. "Steps Towards Comprehensive Heat Communication in the Frame of a Heat Health Warning System in Slovenia," IJERPH, MDPI, vol. 17(16), pages 1-16, August.
    2. Toshiki Kamiya & Ryo Onishi & Sachiko Kodera & Akimasa Hirata, 2019. "Estimation of Time-Course Core Temperature and Water Loss in Realistic Adult and Child Models with Urban Micrometeorology Prediction," IJERPH, MDPI, vol. 16(24), pages 1-15, December.
    3. Zoé A Hamstead, 2024. "Thermal insecurity: Violence of heat and cold in the urban climate refuge," Urban Studies, Urban Studies Journal Limited, vol. 61(3), pages 531-548, February.
    4. Marco Morabito & Alessandro Messeri & Pascal Noti & Ana Casanueva & Alfonso Crisci & Sven Kotlarski & Simone Orlandini & Cornelia Schwierz & Christoph Spirig & Boris R.M. Kingma & Andreas D. Flouris &, 2019. "An Occupational Heat–Health Warning System for Europe: The HEAT-SHIELD Platform," IJERPH, MDPI, vol. 16(16), pages 1-21, August.
    5. Hasan Sohail & Virpi Kollanus & Pekka Tiittanen & Alexandra Schneider & Timo Lanki, 2020. "Heat, Heatwaves and Cardiorespiratory Hospital Admissions in Helsinki, Finland," IJERPH, MDPI, vol. 17(21), pages 1-11, October.
    6. B. R. M. Kingma & H. Steenhoff & J. Toftum & H. A. M. Daanen & M. A. Folkerts & N. Gerrett & C. Gao & K. Kuklane & J. Petersson & A. Halder & M. Zuurbier & S. W. Garland & L. Nybo, 2021. "ClimApp—Integrating Personal Factors with Weather Forecasts for Individualised Warning and Guidance on Thermal Stress," IJERPH, MDPI, vol. 18(21), pages 1-26, October.
    7. Hans-Guido Mücke & Jutta Maria Litvinovitch, 2020. "Heat Extremes, Public Health Impacts, and Adaptation Policy in Germany," IJERPH, MDPI, vol. 17(21), pages 1-14, October.
    8. An Vu & Shannon Rutherford & Dung Phung, 2019. "Heat Health Prevention Measures and Adaptation in Older Populations—A Systematic Review," IJERPH, MDPI, vol. 16(22), pages 1-22, November.
    9. Gabriele Lobaccaro & Juan Angel Acero & Gerardo Sanchez Martinez & Ales Padro & Txomin Laburu & German Fernandez, 2019. "Effects of Orientations, Aspect Ratios, Pavement Materials and Vegetation Elements on Thermal Stress inside Typical Urban Canyons," IJERPH, MDPI, vol. 16(19), pages 1-29, September.
    10. Nguyen Duc Kien & Nguyen H. D. My & Dang Thi Anh Thu & Ton That Canh Tri & Nghiem Hong Son & Thai Khanh Phong & Hoang Cong Tin & Nguyen Hoang Lan & Tran Binh Thang & Bui Dung The & Phung Tri Dung, 2023. "Valuation of a Heatwave Early Warning System for Mitigating Risks Associated with Heat-Related Illness in Central Vietnam," Sustainability, MDPI, vol. 15(21), pages 1-21, October.
    11. Samuel Lüthi & Christopher Fairless & Erich M. Fischer & Noah Scovronick & Armstrong & Micheline De Sousa Zanotti Stagliorio Coelho & Yue Leon Guo & Yuming Guo & Yasushi Honda & Veronika Huber & Jan K, 2023. "Rapid increase in the risk of heat-related mortality," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
    12. Jakob Petersson & Kalev Kuklane & Chuansi Gao, 2019. "Is There a Need to Integrate Human Thermal Models with Weather Forecasts to Predict Thermal Stress?," IJERPH, MDPI, vol. 16(22), pages 1-18, November.
    13. Shih-Chun Candice Lung & Jou-Chen Joy Yeh & Jing-Shiang Hwang, 2021. "Selecting Thresholds of Heat-Warning Systems with Substantial Enhancement of Essential Population Health Outcomes for Facilitating Implementation," IJERPH, MDPI, vol. 18(18), pages 1-21, September.
    14. Daniele Grifoni & Alessandro Messeri & Alfonso Crisci & Michela Bonafede & Francesco Pasi & Bernardo Gozzini & Simone Orlandini & Alessandro Marinaccio & Riccardo Mari & Marco Morabito & on behalf of , 2021. "Performances of Limited Area Models for the WORKLIMATE Heat–Health Warning System to Protect Worker’s Health and Productivity in Italy," IJERPH, MDPI, vol. 18(18), pages 1-20, September.
    15. Yeora Chae & Jongchul Park, 2021. "Analysis on Effectiveness of Impact Based Heatwave Warning Considering Severity and Likelihood of Health Impacts in Seoul, Korea," IJERPH, MDPI, vol. 18(5), pages 1-13, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2532-:d:755705. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.