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11 - Conceptual and practical barriers to adaptation: vulnerability and responses to heat waves in the UK

Published online by Cambridge University Press:  31 August 2009

W. Neil Adger
University of East Anglia
Irene Lorenzoni
University of East Anglia
Karen L. O'Brien
Universitetet i Oslo
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The health impacts of global climate change have long been a focus of discussion for researchers and policy-makers. In recent years the number of studies and reports on the theme has risen significantly, as reflected in the extended list of citations in the human health chapter of the latest Intergovernmental Panel on Climate Change (IPCC) assessment report (Confalonieri et al., 2007). Most of the analysis to date has concentrated on the epidemiological dimensions of disease and climate, investigating how climatic trends may alter the distribution, prevalence and health burden of diseases, and assessing how changes in extreme weather events and associated hazards may impact on health (for recent overviews see McMichael et al., 2003; Epstein and Mills, 2005; Watson et al., 2005). Increasingly, however, this work has begun to broaden and stimulate debate in the public health arena, with investigation extending to responses by individuals, communities and health system institutions. Within this mounting body of work, there has been an increasing movement towards a public health agenda for adaptation (for example Grambsch and Menne, 2003; Füssel and Klein, 2004; Ebi et al., 2005; Menne and Ebi, 2006). Yet, despite this progress, there remain surprisingly few empirical studies that concentrate on the intersection between climatic hazards, health, vulnerability and behaviour (Matthies et al., 2003; Few, 2007).

This chapter discusses a novel interdisciplinary approach to understanding the vulnerability of individuals to the effects of climate change and variability.

Adapting to Climate Change
Thresholds, Values, Governance
, pp. 181 - 196
Publisher: Cambridge University Press
Print publication year: 2009

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Adger, W. N. 2000. ‘Social and ecological resilience: are they related?’, Progress in Human Geography 24: 347–364.CrossRefGoogle Scholar
Adger, W. N. 2003. ‘Social capital, collective action and adaptation to climate change’, Economic Geography 79: 387–404.CrossRefGoogle Scholar
Adger, W. N. 2006. ‘Vulnerability’, Global Environmental Change 16: 268–281.CrossRefGoogle Scholar
Adger, W. N., Kelly, P. M. and Huu Ninh, N. (eds.) 2001. Living with Environmental Change: Social Vulnerability, Adaptation and Resilience in Vietnam. London: Routledge.
Ajzen, I. 1991. ‘The theory of planned behaviour’, Organizational Behavior and Human Decision Processes 50: 179–211.CrossRefGoogle Scholar
Armitage, C. J. and Conner, M. 2001. ‘Efficacy of the theory of planned behaviour: a meta analytic review’, British Journal of Social Psychology 40: 471–499.CrossRefGoogle ScholarPubMed
Bandura, A. 1997. Self-Efficacy: The Exercise of Control. New York: W. H. Freeman.Google Scholar
Berkes, F. and Jolly, D. 2001. ‘Adapting to climate change: social–ecological resilience in a Canadian western Arctic community’, Conservation Ecology 5: 18.CrossRefGoogle Scholar
Bord, R. J., Fisher, A. and O'Connor, R. E. 1998. ‘Public perceptions of global warming: United States and international perspectives’, Climate Research 11: 75–84.CrossRefGoogle Scholar
Bosscher, R. J. and Smit, J. H. 1998. ‘Confirmatory factor analysis of the General Self-Efficacy Scale’, Behaviour Research and Therapy 36: 339–343.CrossRefGoogle ScholarPubMed
Braun, B. L. 1998. ‘Knowledge and perception of fall-related risk factors and fall-reduction techniques among community-dwelling elderly individuals’, Physical Therapy 78: 1262–1276.CrossRefGoogle ScholarPubMed
Burton, I., Kates, R. W. and White, G. F. 1993. Environment as Hazard. London: Guilford.Google Scholar
Christensen, J. H., Hewitson, B., Busuioc, A., Chen, A., Gao, X., Held, I., Jones, R., Kolli, R. K., Kwon, W.-T., Laprise, R., Magaña Rueda, V., Mearns, L., Menéndez, C. G., Räisänen, J., Rinke, A. Sarr, A. and Whetton, P. 2007. ‘Regional climate projections’, in Solomon, S., Qin, D., Manning, M., Chen, Z., Marquis, M., Averyt, K. B., Tignor, M. and Miller, H. L. (eds.) Climate Change 2007: The Physical Science Basis. Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: Cambridge University Press, pp. 847–940.
Confalonieri, U., Menne, B., Akhtar, R., Ebi, K. L., Hauengue, M., Kovats, R. S., Revich, B. and Woodward, A. 2007. ‘Human health’, in Parry, M. L., Canziani, O. F., Palutikof, J. P., Linden, P. J. and Hanson, C. E. (eds.) Climate Change 2007: Impacts, Adaptation and Vulnerability. Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: Cambridge University Press, pp. 391–431.Google Scholar
Ebi, K. L., Smith, J. B. and Burton, I. (eds.) 2005 Integration of Public Health with Adaptation to Climate Change: Lessons Learned and New Directions. London: Taylor and Francis.CrossRef
Epstein, P. R. and Mills, E. (eds.) 2005. Climate Change Futures: Health, Ecological and Economic Dimensions. Boston: Center for Health and the Global Environment, Harvard Medical School.
Ezzy, D. 2002. Qualitative Analysis: Practice and Innovation. London: Routledge.Google Scholar
Few, R. 2007. ‘Health and climatic hazards: framing social research on vulnerability, response and adaptation’, Global Environmental Change 17: 281–295.CrossRefGoogle Scholar
Füssel, H.-M. and Klein, R. J. T. 2004. Conceptual Frameworks of Adaptation to Climate Change and their Applicability to Human Health, PIK Report No. 91. Potsdam: Institute for Climate Impact Research.
Glaser, B. G. and Strauss, A. 1967. The Discovery of Grounded Theory: Strategies for Qualitative Research. London: Weidenfeld and Nicholson.Google Scholar
Grambsch, A. and Menne, B. 2003. ‘Adaptation and adaptive capacity in the public health context’, in McMichael, A., Campbell-Lendrum, D., Corvalan, C., Ebi, K., Githeko, A., Scheraga, J. and Woodward, A. (eds.) Climate Change and Human Health: Risks and Responses. Geneva: World Health Organization, pp. 220–236.Google Scholar
Hines, J. M., Hungerford, H. R. and Tomera, A. N. 1987. ‘Analysis and synthesis of research on responsible environmental behaviour: a meta-analysis’, Journal of Environmental Education 18: 1–18.CrossRefGoogle Scholar
Hughes, K., Beurden, E., Eakin, E. G., Barnett, L. M., Patterson, E., Backhouse, J., Jones, S., Hauser, D., Beard, J. R. and Newman, B. 2008. ‘Older persons’ perception of risk of falling: implications for fall-prevention campaigns', American Journal of Public Health 98: 351–357.CrossRefGoogle ScholarPubMed
Kollmuss, A. and Agyeman, J. 2002. ‘Mind the gap: why do people act environmentally and what are the barriers to pro-environmental behaviour?’, Environmental Education Research 8: 239–260.CrossRefGoogle Scholar
Koppe, C., Kovats, S., Jendritzky, G. and Menne, B. 2004. Heat-Waves: Risks and Responses, Health and Global Environmental Change Series. Copenhagen: World Health Organization.Google Scholar
Kovats, S. and Jendritzky, G. 2006. ‘Heat-waves and human health’, in Menne, B. and Ebi, K. L. (eds.) Climate Change and Adaptation Strategies for Human Health. Darmstadt: Steinkopff, pp. 63–97.Google Scholar
Leiserowitz, A. 2005. ‘American risk perceptions: is climate change dangerous?’, Risk Analysis 25: 1433–1442.CrossRefGoogle ScholarPubMed
Luszczynska, A., Scholz, U. and Schwarzer, R. 2005. ‘The general self-efficacy scale: multicultural validation studies’, Journal of Psychology: Interdisciplinary and Applied 139: 439–457.CrossRefGoogle ScholarPubMed
Matthies, F., Few, R. and Kovats, S. 2003. ‘Social science and adaptation to climate change’, IHDP Update issue 03/2003: 15.Google Scholar
McMichael, A. J., Campbell-Lendrum, D. H., Corvalan, C. F., Ebi, K. L., Githeko, A., Scheraga, J. D. and Woodward, A. (eds.) 2003. Climate Change and Human Health: Risks and Responses. Geneva: World Health Organization.
Menne, B. and Ebi, K. (eds.) 2006. Climate Change and Adaptation Strategies for Human Health. Darmstadt: Steinkopff.
Naughton, M. P., Henderson, A., Mirabelli, M. C., Kaiser, R., Wilhelm, J. L., Kieszak, S. M., Rubin, C. H. and McGeehin, M. A. 2002. ‘Heat-related mortality during a 1999 heat wave in Chicago’, American Journal of Preventive Medicine 22: 221–227.CrossRefGoogle ScholarPubMed
O'Brien, K., Sygna, L. and Haugen, J. E. 2004. ‘Vulnerable or resilient? A multi-scale assessment of climate impacts and vulnerability in Norway’, Climatic Change 64: 193–225.CrossRefGoogle Scholar
O'Connor, R. E., Bord, R. J. and Fisher, A. 1999. ‘Risk perceptions, general environmental beliefs, and willingness to address climate change’, Risk Analysis 19: 461–471.CrossRefGoogle Scholar
O'Reilly, D., Connolly, S., Rosato, M. and Patterson, C. 2008. ‘Is caring associated with an increased risk of mortality? A longitudinal study’, Social Science and Medicine 67: 1282–1290.CrossRefGoogle ScholarPubMed
Pelling, M. 2003. The Vulnerability of Cities: Natural Disasters and Social Resilience. London: Earthscan.Google Scholar
Pelling, M. and High, C. 2005. ‘Understanding adaptation: what can social capital offer assessments of adaptive capacity?’, Global Environmental Change 15: 308–319.CrossRefGoogle Scholar
Rydman, R. J., Rumoro, D. P., Silva, J. C., Hogan, T. M. and Kampe, L. M. 1999. ‘The rate and risk of heat-related illness in hospital emergency departments during the 1995 Chicago heat disaster’, Journal of Medical Systems 23: 41–56.CrossRefGoogle ScholarPubMed
Semenza, J. C., Rubin, C. H., Falter, K. H., Selanikio, J. D., Flanders, W. D., Howe, H. L. and Wilhelm, J. L. 1996Heat-related deaths during the July 1995 heat wave in Chicago’, New England Journal of Medicine 335: 84–90.CrossRefGoogle ScholarPubMed
Sheridan, S. C. 2007. ‘A survey of public perception and response to heat warnings across four North American cities: an evaluation of municipal effectiveness’, Journal of Biometeorology 52: 3–15.CrossRefGoogle ScholarPubMed
Sjöberg, L. 2000. ‘Factors in risk perception’, Risk Analysis 20: 1–11.CrossRefGoogle ScholarPubMed
Slovic, P. 2000. The Perception of Risk. London: Earthscan.Google Scholar
Slovic, P., Fischhoff, C. and Lichtenstein, S. 1981. ‘Perceived risk: psychological factors and social implications’, Proceedings of the Royal Society of London A 376: 17–34.CrossRefGoogle Scholar
Slovic, P., MacGregor, D. G. and Peters, E. 1998. Imagery, Affect, and Decision-Making. Eugene: Decision Research.Google Scholar
Slovic, P., Finucane, M. L., Peters, E. and MacGregor, D. G. 2004. ‘Risk as analysis and risk as feelings: some thoughts about affect, reason, risk and rationality’, Risk Analysis 24: 311–322.CrossRefGoogle ScholarPubMed
Smit, B. and Pilifosova, O. 2001. ‘Adaptation to climate change in the context of sustainable development and equity’, in McCarthy, J. J., Canziani, O. F., Leary, N. A., Dokken, D. J. and White, K. S. (eds.) Climate Change 2001: Impacts, Adaptation and Vulnerability. Contribution of Working Group II to the Third Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge: Cambridge University Press, pp. 879–912.Google Scholar
Stamm, K. R., Clark, F. and Eblacas, P. R. 2000. ‘Mass communication and public understanding of environmental problems: the case of global warming’, Public Understanding of Science 9: 219–237.CrossRefGoogle Scholar
Strauss, A. and Corbin, J. 1990. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. London: Sage.Google Scholar
Ungar, S. 2000. ‘Knowledge, ignorance and the popular culture: climate change versus the ozone hole’, Public Understanding of Science 9: 297–312.CrossRefGoogle Scholar
Watson, R. T., Patz, J., Gubler, D. J., Parson, E. A. and Vincent, J. H. 2005. ‘Environmental health implications of global climate change’, Journal of Environmental Monitoring 7: 834–843.CrossRefGoogle ScholarPubMed
Wisner, B., Blaikie, P., Cannon, T. and Davis, I. 2004. At Risk: Natural Hazards, People, Vulnerability and Disasters. London: Routledge.Google Scholar
Woolcock, M. and Narayan, D. 2000. ‘Social capital: implications for development theory, research and policy’, World Bank Research Observer 15: 225–249.CrossRefGoogle Scholar
Zwick, M. M. and Renn, O. (eds.) 2002. Perception and Evaluation of Risk: Findings of the Baden-Württemberg Risk Survey 2001. Stuttgart: Centre of Technology Assessment in Baden-Württemberg and the University of Stuttgart, Sociology of Technologies and Environment.
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