Abstract
Extreme heat is a pressing public health threat. This study assesses and describes the interrelationships between beliefs about heat waves, individuals' precautionary behaviors during heat waves, and demographic factors. In May 2022, we surveyed 1051 residents (aged 25-90 years) in Southern Spain, a region that experiences frequent heat waves. We found that many participants engaged in heat wave avoidance (80.5%, e.g., spending more time indoors), impact reduction (63.7%, e.g., drinking more water), or prosocial behavior (31.6%, e.g., helping others). However, one in four (25.9%) respondents also indicated that they personally do not need to worry about heat waves. Heat wave beliefs and behaviors were modestly correlated with demographic characteristics. Individuals who view themselves as less vulnerable to heat-related health risks ("impervious" beliefs) were less likely to report altering their behavior during heat waves. Public health efforts aiming to change behavior during heat waves may anticipate "impervious" beliefs and demographic differences in risk perception and heat-related behaviors.