Climate Change, Heat-Related Health Risks, and Stroke: Perceptions and Adaptations Among Older Israeli Adults

Extreme heat, a leading cause of weather-related morbidity and mortality, particularly affects vulnerable populations such as older people, increasing their risk of stroke. There is a gap between scientific knowledge and policy implementation, particularly regarding climatic risk factors for stroke. This study aims to identify knowledge barriers and enablers and formulate recommendations. We held eight focus groups of participants aged ≥ 60 years (N = 56), a workshop with 36 public health policy experts and stakeholders, and six in-depth interviews with experts. Three main themes emerged: (1) risk perception and responsibility attribution, revealing varying awareness of climate change risk for stroke and complex personal, cultural, and institutional responsibilities; (2) barriers to climate change adaptation, including knowledge gaps, environmental maladaptation, and insufficient governmental resources; and (3) enabling factors and adaptive solutions, highlighting individual coping strategies, education, and collaborative policy interventions. Focus group participants demonstrated diverse adaptive behaviors, while policymakers emphasized interagency collaboration and targeted knowledge dissemination. Older individuals demonstrated limited knowledge about climate change and its health risks. National policies lack effective communication. There is a critical need for knowledge dissemination, coping tools, and solutions for healthcare providers and at-risk groups, particularly regarding the health implications of climate change.