ArticleInternational journal of environmental research and public health2022
Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Systematic review of climate change interventions for improving child health.BMJ paediatrics open · 2026Pooled it
- Effectiveness of a Knowledge-Oriented Educational Intervention on Air Pollution Health Protection Among Primary School Students: A Pilot Pre-Post Study.Risk management and healthcare policy · 2026Article
- Developing health education to connect subject learning to real life: A pilot study for junior high school students.Journal of family medicine and primary care · 2025Article
- Interventions to reduce the effects of air pollution and of extreme heat on maternal, newborn, and child health outcomes: a mapping of the literature.Journal of global health · 2025Review
- Evaluation of community-based heat adaptation interventions: a systematic review.BMJ public health · 2025Article
- The temporal change of heat exposure and adaptation capacity in Chinese adults from 1994 to 2023.Frontiers in public health · 2024Article
- Knowledge, Attitude, Risk Perception, and Health-Related Adaptive Behavior of Primary School Children towards Climate Change: A Cross-Sectional Study in China.International journal of environmental research and public health · 2022Article
- Impact of extreme heat and heatwaves on children's health: A scoping review.The journal of climate change and healthReview
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundEvidence 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.
methodsTwo 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.
conclusionsHeat 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.
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