{
  "abstract": "Background: Heat-related health risks are distributed unequally among populations due to variations in exposure, sensitivity and adaptive capacity. As these determinants span physical, medical and social domains, cross-domain collaboration is essential for effective heat adaptation. This study applies an environmental justice lens (procedural, recognitional and distributive justice) to analyse barriers and facilitators in collaboration between professionals.\n\nMethods: 29 semi-structured interviews and 3 validation sessions were conducted with policymakers and client-oriented professionals from physical, medical and social domains in Utrecht and Rotterdam.\n\nResults: Procedural justice is challenged by a persistent gap between policy and practice, despite the inherently context-specific nature of heat adaptation. Neighbourhood advisors and key figures possess meaningful contextual knowledge, can fulfil a bridging role in stakeholder engagement and signalling heat stress. From a recognitional justice perspective, differences in perceived urgency regarding heat stress hinder timely identification and response. At-risk groups may not always recognise themselves as such, while medical and social professions often act reactively in response to client requests. Regarding distributive justice, the current task-oriented approach focuses on the largest challenge with the greatest benefit, based on quantifiable indicators (e.g. heat maps). As a result, cumulative heat-related health risks are overlooked despite potential leads in existing cross-domain policies on aging or summer loneliness.\n\nConclusions: Applying an environmental justice lens, facilitates reflection on the current task-oriented approach and the persistent gap between policy and practice. Key facilitators include the involvement of professionals with context-specific expertise and the strategic integration of heat adaptation into broader cross-domain policy agendas.\n\nKey messages: • Applying an environmental justice lens shows why heat adaptation overlooks risk groups and emphasises the need to better connect policy and practice.\n\n• Fairer heat adaptation starts with local knowledge: context-specific professionals and alignment with existing social policies can move beyond task-driven approaches.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "abstract",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "name": "LA Warmerdam"
    },
    {
      "name": "GS Downward"
    },
    {
      "name": "M Jambroes"
    },
    {
      "name": "YMR Vendrig-de Punder"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/88ztkxemyqx66.bib",
  "cited_by": 0,
  "doi": "10.1093/eurpub/ckag169.906",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13698563/",
  "id": "88ztkxemyqx66",
  "issns": [
    "1101-1262",
    "1464-360X"
  ],
  "landing_url": "https://doi.org/10.1093/eurpub/ckag169.906",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "5. Poster Walks"
    ],
    [
      "heading",
      "AcademicSubjects/MED00860"
    ],
    [
      "heading",
      "AcademicSubjects/SOC01210"
    ],
    [
      "heading",
      "AcademicSubjects/SOC02610"
    ],
    [
      "heading",
      "R.6. Poster Walk: Climate resilience, heat and urban health equity"
    ],
    [
      "openalex",
      "2307|Climate Change and Health Impacts"
    ]
  ],
  "openalex": "W7223650823",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13698563/pdf/?tool=EBI",
  "pmcid": "PMC13698563",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/88ztkxemyqx66.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:25Z",
      "native_id": "PMC13698563",
      "source": "pmc",
      "url": "https://doi.org/10.1093/eurpub/ckag169.906"
    },
    {
      "first_seen": "2026-10-30T12:21:44Z",
      "native_id": "PMC:PMC13698563",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13698563"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2307|Climate Change and Health Impacts",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "Using an environmental justice perspective on cross-domain collaboration in heat adaptation",
  "title_text": "Using an environmental justice perspective on cross-domain collaboration in heat adaptation",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:35:24Z",
  "url": "https://research.draconitic.com/paper/88ztkxemyqx66",
  "venue": "The European Journal of Public Health",
  "versions": []
}