Evidence map›Paper›PMID 42021047›Full record

ArticleEnvironmental health and preventive medicine2026

Current status and challenges of planetary health education: a scoping review.

Yayoi Shoji, Kana Suzuki, Masushi Kohta, Nao Tamai

Abstract readScoping Review
In one paragraph

Article in Environmental health and preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yayoi ShojiPublic Health Unit, Global Cooperation Institute for Sustainable Cities, Yokohama City University.ORCID http://orcid.org/0009-0002-8806-0608
Kana SuzukiDepartment of Nursing, Graduate School of Medicine, Yokohama City University.
Masushi KohtaResearch Center for Implementation Nursing Science Initiative, Fujita Health University.
Nao TamaiPublic Health Unit, Global Cooperation Institute for Sustainable Cities, Yokohama City University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClimate change poses significant threats to human health, necessitating the integration of environmental protection into public health efforts. Planetary health education (PHE) represents an emerging paradigm connecting human well-being with natural systems; however, its global implementation remains inadequately documented, particularly in environmentally vulnerable regions. This scoping review aimed to investigate how PHE is implemented across educational settings and to identify current challenges and best practices to inform future educational program development for university students, educators, and healthcare professionals.

methodsFollowing Arksey and O'Malley's framework and the PRISMA-ScR guidelines, we systematically searched the following databases for English and Japanese literature published up to September 30, 2025: Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, Scopus, EMBASE, PubMed, OpenGrey, and Ichushi-Web. Using the Patient-Concept-Context framework, we extracted data on educational programs, implementation methods, challenges, outcomes, and curriculum integration.

resultsForty-one studies met the inclusion criteria. These studies were predominantly from high-income countries with varying Climate Change Performance Index rankings. Implementation was concentrated in higher education institutions, particularly medical and nursing schools. Educational approaches included lecture-based teaching, group work, practical training, online learning, and simulations. Key content areas were most frequently climate change and health/climate-sensitive care and sustainability/SDG-related topics, whereas pollution/waste and environmental toxins, food systems, and equity/justice-related content were reported less frequently. Primary challenges included difficulties with curriculum integration, time constraints, and insufficient awareness among educators. Reported outcomes demonstrated improvements in knowledge, critical thinking, and motivation for sustainable practices; however, longitudinal impact studies were notably absent.

conclusionsPHE requires expansion beyond medicine into diverse disciplines and geographical contexts, particularly in low-income countries. Longitudinal studies and randomized controlled trials are needed to assess the long-term educational impact. Successful implementation depends on interdisciplinary approaches, strategic curriculum integration, and educator development programs. These efforts will help address global health challenges through education that connects human health with environmental sustainability.

Indexed as

Climate ChangeEnvironmental HealthGlobal HealthHealth EducationPublic HealthCurriculumHumansClimate changeCurriculum integrationEducational programsPlanetary healthScoping review

Identifiers

PMID42021047
PMCPMC13132659

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.