The perceptions of rural Australians concerning the health impacts of extreme weather events: a scoping review

Understanding rural communities’ perceptions of the health impacts of extreme weather is vital for strengthening community resilience and adaptation strategies. This paper aimed to collate existing evidence on the perceptions of rural Australians regarding the health impacts of extreme weather events. A scoping review following PRISMA-ScR guidelines was conducted. Peer-reviewed empirical articles published up to 7 May 2025 were identified from Scopus, PubMed, and Web of Science. One author undertook two-step screening and data extraction, which was checked by another author, and data were analysed using a thematic approach. Of 242 non-duplicate articles screened, 34 were included, which discussed drought (n = 14), bushfire (n = 8), flood (n = 6), extreme heat (n = 4) or a combination of events (n = 2). Two main themes arose: (1) perceived severity, frequency and duration of extreme weather events; and (2) perceptions of health impacts. The second theme comprised six subthemes: mental health risks, social disconnectedness, disrupted connection to land, distress due to uncertainties, community resilience, and disproportionate effects on vulnerable groups. Evidence gaps included a lack of perspectives separated by gender and age and a shortage of voices of socio-economically disadvantaged groups. Future research should investigate how to understand rural communities’ resilience to develop targeted adaptation and mitigation strategies.