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Relationship between environmental and sustainability-related literacy and health behaviors : a systematic review

DOI zum Zitieren der Version auf EPub Bayreuth: https://doi.org/10.15495/EPub_UBT_00009525
URN to cite this document: urn:nbn:de:bvb:703-epub-9525-1

Title data

Paulsen, Lisa ; Muth, Hannah ; Kallenbach, Jennifer ; Reismann, Lydia ; Jochem, Carmen ; Buksch, Jens:
Relationship between environmental and sustainability-related literacy and health behaviors : a systematic review.
In: Frontiers in Public Health. (27 July 2026) Issue 14 . - 1860395.
ISSN 2296-2565
DOI der Verlagsversion: https://doi.org/10.3389/fpubh.2026.1860395

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Abstract

Introduction: The climate crisis poses significant risks to environmental and human health, emphasizing the need for integrated approaches such as planetary health and related co-benefits. In this context, environmentally sustainable and health-promoting behaviors are often closely aligned, suggesting that environmental and sustainability-related literacy may positively influence health behaviors. However, this association has not been systematically synthesized. Therefore, this review aimed to examine the relationship between environmental and sustainability-related literacy and health behaviors. Methods: Following PRISMA guidelines and a preregistered protocol (PROSPERO CRD420251104050), literature searches were conducted in seven databases on 9 April 2025. Studies examining the association between environmental and sustainability-related literacy and health behaviors were included. Screening, data extraction, and quality appraisal (using the Joanna Briggs Institute checklist) were conducted independently by two reviewers. Due to heterogeneity in concepts and measures, a narrative synthesis was performed. Results: Of 7,864 non-duplicate records, five cross-sectional studies (2020–2024) were included. One study identified an explanatory pathway linking environmental literacy to health behaviors via environmental attitudes and sustainable lifestyles. Three studies reported positive associations between environmental and sustainability-related literacy and health behaviors, including diet and smoking. One study did not report results for the specific association examined in this review. Overall study quality was mixed. Discussion: Findings suggest a potential positive relationship between environmental and sustainability-related literacy and health behaviors, supporting the idea of co-benefits between sustainability and health. However, the small number of studies, their cross-sectional design, and conceptual and methodological heterogeneity restrict firm conclusions. Further research using robust designs, clearer conceptual frameworks, and standardized measures is needed to better understand causal relationships. Strengthening environmental and sustainability-related literacy could support strategies to promote both public health and environmental sustainability, alongside necessary structural and policy-level actions.

Further data

Item Type: Article in a journal
Keywords: environment; health behavior; healthy lifestyle; literacy; sustainability
DDC Subjects: 600 Technology, medicine, applied sciences > 610 Medicine and health
Institutions of the University: Faculties > Faculty of Law, Business and Economics
Faculties > Faculty of Law, Business and Economics > Department of Business Administration
Faculties > Faculty of Law, Business and Economics > Chair Planetary and Public Health
Faculties > Faculty of Law, Business and Economics > Chair Planetary and Public Health > Chair Planetary and Public Health - Univ.-Prof. Dr. med. Wilm Quentin
Faculties
Language: English
Originates at UBT: Yes
URN: urn:nbn:de:bvb:703-epub-9525-1
Date Deposited: 29 Jul 2026 09:25
Last Modified: 29 Jul 2026 09:25
URI: https://epub.uni-bayreuth.de/id/eprint/9525

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