Abstract
Background: Limited research has examined climate anxiety among older adults. Existing studies on climate anxiety and quality of life primarily address younger populations. These populations demonstrate greater adaptation and coping skills in response to environmental change. In contrast, older adults with chronic conditions experience increased vulnerability to climate-related stressors. They frequently display patterns of helplessness, anxiety, and avoidance. Methods: This cross-sectional study recruited 424 older adults (mean age, 67.47; SD, 10.12; range, 60–92) with chronic conditions (hypertension, diabetes, chronic obstructive pulmonary disease, cardiovascular disease) from the community in Hangzhou, China, using convenience sampling. The study used validated instruments, including the Climate Anxiety Scale, the Coping with Climate Change Scale, and the Older Adults’ Quality of Life–Brief Scale. All instruments underwent translation and back-translation. They were also reviewed by experts and pilot-tested. Results: Quality of Life was 2.33 (± 0.58), Coping with Climate Change was 2.66 (± 0.37), and Climate Anxiety was 3.25 (± 0.46). The study confirmed an association between climate anxiety and quality of life. Coping with climate change mediated this relationship. Climate anxiety significantly influenced coping with climate change (B = 0.26, p
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Chen, Y., Zhou, Q., Chen, Y., Liyi, F., Huang, Z., & Li, X. (2025). Climate anxiety and quality of life among older adults: the mediating role of coping with climate change. BMC Geriatrics, 25(1). https://doi.org/10.1186/s12877-025-06687-x
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