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Impact of heat risk perception on adaptive behavior of older adults: an analysis based on chain mediation effect
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Duo CHEN, Lushi KONG, Jindan ZHANG, Chun FAN, Bei LI
Chinese Journal of Public Health | 2026, 42(4) : 429 - 434
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Chinese Journal of Public Health | 2026, 42(4): 429-434
• Survey and Report •
Impact of heat risk perception on adaptive behavior of older adults: an analysis based on chain mediation effect
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Duo CHEN, Lushi KONG, Jindan ZHANG, Chun FAN, Bei LI
Affiliations
  • School of Health Management, Southern Medical University, Guangzhou 510515, China
Published: 2026-04-10 doi: 10.11847/zgggws1148369
Outline
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Objective

To explore the influencing factors of the heat adaptive behavior of the elderly based on the model of private proactive adaptation to climate change.

Methods

A survey of heat adaptive behavior was conducted among 650 older adults in Guangzhou from June to September 2024. AMOS 26.0 was used to establish a model of the influence on heat adaptive behavior in older adults for analysis of the factors affecting heat adaptive behavior.

Results

A total of 608 valid questionnaires were collected. The fitting index of the model of the influence on heat adaptive behavior of older adults was better than the qualified standard, indicating a good degree of fitting. The results of structural equation modeling test showed that risk experience (β = 0.136, P < 0.001) and social discourse (β = 0.309, P < 0.001) had positive effects on risk perception. Risk perception had a negative effect on maladaptation (β = −0.234, P < 0.01) and a positive effect on adaptive behavior (β = 0.327, P < 0.001). Maladaptation had a negative effect on adaptive behavior (β = −0.103, P < 0.001). Risk perception mediates the effects of risk experience and social discourse on adaptive behavior, with the mediation effect values of 0.045 and 0.101, respectively. The chain mediation between risk perception and maladaptation mediates the effects of risk experience and social discourse on adaptive behavior, with the mediation effect values of 0.003 and 0.007, respectively.

Conclusions

Improving older adults′ awareness of heat risks can lead to more active adoption of heat adaptive behavior, which can thus effectively reduce their vulnerability to the adverse effects of heat and ultimately reduce the heat-related health burden.

older adults  /  heat  /  risk perception  /  adaptive behavior  /  model of private proactive adaptation to climate change  /  Guangzhou city
陈朵, 孔露诗, 张锦丹, 范纯, 李贝. 高温风险感知对老年人适应性行为的影响:基于链式中介效应分析. 中国公共卫生, 2026 , 42 (4) : 429 -434 . DOI: 10.11847/zgggws1148369
Duo CHEN, Lushi KONG, Jindan ZHANG, Chun FAN, Bei LI. Impact of heat risk perception on adaptive behavior of older adults: an analysis based on chain mediation effect[J]. Chinese Journal of Public Health, 2026 , 42 (4) : 429 -434 . DOI: 10.11847/zgggws1148369
Year 2026 volume 42 Issue 4
117
39
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Article Info
doi: 10.11847/zgggws1148369
  • Receive Date:2025-07-07
  • Online Date:2026-10-23
  • Published:2026-04-10
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History
  • Received:2025-07-07
  • Revised:2025-08-20
  • Accepted:2025-10-17
Affiliations
    School of Health Management, Southern Medical University, Guangzhou 510515, China

Corresponding:

LI Bei, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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