Evidence map›Paper›PMID 39819834›Full record

ArticleBMJ mental health2025

Eco-anxiety, climate change and the 'bottom billion': a plea for better understanding.

Colin David Butler

Abstract read
In one paragraph

Article in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Colin David ButlerNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia colin.butler@anu.edu.au.ORCID 0000-0002-2942-5294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate change poses enormous, rapidly increasing risks to human well-being that remain poorly appreciated. The growing understanding of this threat has generated a phenomenon often called 'eco-anxiety'. Eco-anxiety (and its synonyms) is best documented in the Global North, mostly among people who are better educated and whose reasons for concern are both altruistic and self-interested. However, the populations who are most vulnerable to climate change are disproportionately poor and live in the Global South, where evidence for eco-anxiety (or climate) anxiety is limited, especially among those who have been called the 'bottom billion', approximately the global population's poorest decile. Here, I postulate reasons for this research gap as both ethical and practical. Additionally, the bottom billion experience many disadvantages, some of which plausibly lower their recognition of anthropogenic climate change. These disadvantages include nutritional and health factors that can reduce learning capacity, even if access to formal education exists. Many in this population have limited or no electronic access to information. Furthermore, the relationship between the stresses faced by such populations and climate change is often indirect, potentially also disguising recognition of the role of climate change. The world is characterised by many distressing forms of inequality, one of which is the effective 'invisibilisation' of the bottom billion. This group faces many challenges; some of these may exceed climate change as rational causes for anxiety. However, it is here argued that policy makers should act on their behalf, irrespective of evidence that they experience eco-anxiety.

Indexed as

AnxietyClimate ChangePovertyHumansAnxiety disordersDepression

Identifiers

PMID39819834
PMCPMC11751867

What OpenQuestion holds

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Registered trials

None linked

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.