ArticlePLOS global public health2023
Pathways from climate change to emotional wellbeing: A qualitative study of Kenyan smallholder farmers living with HIV.
Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- A systematic review on the impact of climate change on occupational mental health: a focus on vulnerable industries.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Pathways between climate change and HIV health in rural Kenya: a qualitative analysis.Scientific reports · 2026Trial
- Extreme weather events and pathways to mental health outcomes in sub-Saharan Africa: A systematic review.Climate risk management · 2026Article
- Article
- Climate Change and Mental Health in Africa: A Scoping Review.Annals of global health · 2026Article
- Wearable device monitoring of HIV health in the face of climate change and weather exposures: protocol for a mixed-methods study.BMJ open · 2025Article
- Climate change and extreme weather events and linkages with HIV outcomes: recent advances and ways forward.Current opinion in infectious diseases · 2025Review
- Assessing Sub-Saharan Africa's readiness to address the impact of climate change and health: A scoping review.PloS one · 2025Article
- The mental health impact of the climate and ecological crisis on vulnerable populations in Africa.Cogent mental health · 2025Review
- HIV in Eswatini: Climate Change Impacts and Adaptation Strategies.Current tropical medicine reports · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
Abstract
Climate change is associated with adverse mental and emotional health outcomes. Social and economic factors are well-known drivers of mental health, yet comparatively few studies examine the social and economic pathways through which climate change affects mental health. There is additionally a lack of research on climate change and mental health in sub-Saharan Africa. This qualitative study aimed to identify potential social and economic pathways through which climate change impacts mental and emotional wellbeing, focusing on a vulnerable population of Kenyan smallholder farmers living with HIV. We conducted in-depth, semi-structured interviews with forty participants to explore their experience of climate change. We used a thematic analytical approach. We find that among our study population of Kenyan smallholder farmers living with HIV, climate change is significantly affecting mental and emotional wellbeing. Respondents universally report some level of climate impact on emotional health including high degrees of stress; fear and concern about the future; and sadness, worry, and anxiety from losing one's home, farm, occupation, or ability to support their family. Climate-related economic insecurity is a main driver of emotional distress. Widespread economic insecurity disrupts systems of communal and family support, which is an additional driver of worsening mental and emotional health. Our study finds that individual adaptive strategies used by farmers in the face of economic and social volatility can deepen economic insecurity and are likely insufficient to protect mental health. Finally, we find that agricultural policies can worsen economic insecurity and other mental health risk factors. Our proposed conceptual model of economic and social pathways relevant for mental health can inform future studies of vulnerable populations and inform health system and policy responses to protect health in a changing climate.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.