The "most beautiful place" where "it's not possible to live": a qualitative study of relational well-being in an area of climate vulnerability, Bangladesh

Purpose Climate change is the greatest global health threat of the 21st century, but little is known about well-being in climate vulnerable populations. We investigate how well-being is shaped by common and unique stressors in an area of climate vulnerability in Bangladesh. Methods We present findin...

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Main Authors: Lilier, Kyra (Author) , Dalglish, Sarah L. (Author) , Reñosa, Mark Donald (Author) , Selim, Samiya A. (Author) , Raihan, Syed Tauheed (Author) , Islam, Rafia (Author) , Das, Jennifer (Author) , Danquah, Ina (Author) , Sauerborn, Rainer (Author) , Bärnighausen, Kate (Author)
Format: Article (Journal)
Language:English
Published: September 4, 2025
In: PLOS ONE
Year: 2025, Volume: 20, Issue: 9, Pages: 1-20
ISSN:1932-6203
DOI:10.1371/journal.pone.0325972
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1371/journal.pone.0325972
Verlag, kostenfrei, Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0325972
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Author Notes:Kyra Lilier, Sarah L. Dalglish, Mark Donald C. Reñosa, Samiya A. Selim, Syed Tauheed Raihan, Rafia Islam, Jennifer Das, Ina Danquah, Rainer Sauerborn, Kate Bärnighausen

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520 |a Purpose Climate change is the greatest global health threat of the 21st century, but little is known about well-being in climate vulnerable populations. We investigate how well-being is shaped by common and unique stressors in an area of climate vulnerability in Bangladesh. Methods We present findings from 60 semi-structured in-depth interviews. We inductively analyzed our data following a Reflexive Thematic Analysis approach and then applied a Relational Well-being (RWB) framework. Results We found that well-being was influenced negatively by factors such as financial worries, forced migration, social pressure, and natural disasters. Well-being was influenced positively by factors such as financial satisfaction, voluntary migration, social support, and place attachment. Conclusions Using relational well-being as a conceptual lens allowed us to explore the dynamism and complexity of factors shaping well-being that were partly specific to the local context and partly rooted in wider societal and global structures. Policies which aim to improve the well-being of climate vulnerable populations should consider relational well-being as a conceptual tool to leverage locally available informal resources, such as suppotive reciprocal relationships. 
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