Fig. 1.

Behavior changes that influence policies and market forces (such as supporting bans on development of new fossil fuel infrastructure near communities targeted for marginalization, urging professional institutions to divest from fossil fuels, and advocating for fair distribution of health resources and environmental burdens) are more likely to address both structural racism and climate change than behavioral changes aimed at reducing individual carbon footprint. Structural racism leads to increased exposure and sensitivity, and decreased adaptive capacity to the health consequences of climate change, amplifying health inequities.