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Developing a climate change health literacy scale: A methodological study in Turkish adults
Tufan Nayir1, Ersin Uskun2, Huseyin Ilter3
1Health Science University, Gülhane Medical Faculty, Department of Public health, Türkiye.
The Journal of Climate Change and Health
|February 6, 2026
Summary
A new Climate Change Health Literacy Scale (CCHLS) is a valid and reliable tool for assessing adult attitudes and behaviors regarding climate change health impacts. This scale supports public health awareness and climate change mitigation efforts.
Area of Science:
- Public Health
- Environmental Health
- Psychometrics
Background:
- Growing concern over climate change impacts on human health.
- Need for validated tools to measure public understanding and engagement with climate change health issues.
Purpose of the Study:
- To develop and validate the Climate Change Health Literacy Scale (CCHLS) for adults.
- To assess attitudes and behaviors related to the health impacts of climate change.
Main Methods:
- Methodological study involving item pool creation and expert content validity testing.
- Exploratory and confirmatory factor analyses on data from 318 adults.
- Reliability testing using Cronbach's alpha and assessment of discriminative validity.
Main Results:
- Developed a 24-item, four-factor CCHLS explaining 67.03% of variance.
- Confirmatory factor analysis showed acceptable fit indices (RMSEA=0.06, CFI=0.94).
- High reliability (Cronbach's alpha=0.94) and strong discriminative validity confirmed the scale's quality.
Conclusions:
- The CCHLS is a valid and reliable instrument for assessing adult climate change health literacy in Turkish.
- The scale can be translated and disseminated to enhance public awareness of climate change's health effects globally.
- Supports efforts in climate change mitigation and public health preparedness.
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