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Prioritizing health equity in climate action requires more than reducing disparities; it means empowering communities. Many community-based climate actions (CBCAs) build agency but few increase community power.

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Area of Science:

  • Public Health
  • Environmental Science
  • Community Engagement

Background:

  • Health equity is crucial for addressing climate change impacts.
  • Advancing health equity involves empowering marginalized communities, not just reducing disparities.
  • Clarity on practical implementation of health equity in climate action is lacking.

Purpose of the Study:

  • To propose a typology of health equity processes focused on community agency and power.
  • To apply this typology to community-based climate actions (CBCAs) in the United States.
  • To assess the extent to which CBCAs engage marginalized populations and build community power.

Main Methods:

  • A typology of health equity processes was developed.
  • A purposive sample of 48 US-based CBCAs with stated health equity aims was analyzed.
  • Project reports were reviewed to assess community engagement, agency-building, and power transformation.

Main Results:

  • 33 out of 48 CBCAs reported efforts to build community agency.
  • Only 19 out of 48 CBCAs reported efforts to increase community power.
  • City-led CBCAs demonstrated less focus on agency-building and power transformation compared to others.

Conclusions:

  • A typology of health equity processes can diagnose gaps and track progress in climate actions.
  • CBCAs need to move beyond agency-building to actively increase community power for true health equity.
  • Further research and practical tools are needed to support health equity in climate change initiatives.