Climate variability exerts severe threats to farmers and agriculture related activities and farmers. A growing number of studies have paid attention to mitigating carbon emission and adapting to climate change. Very few studies, however, have investigated farmers' health risk management associated with climate change. This study, therefore, proposed a hybrid theoretical model to explore the roles of farmers' climate risk perceptions and facilitating conditions in farmers' health risk management, both theoretically and empirically. Using a sample of 1499 rice farmers in China, the partial least squares structural equation modeling (PLS-SEM) was adopted for empirical analysis, and the Multi-group Analysis (MGA) was employed to examine the heterogeneity among farmers' socio-economic status. This study found that farmers' perceived severity of climate change and perceived benefits of addressing climate change have significant impacts on their resources and technical facilitating conditions, in turn, those two types of facilitating conditions significantly impact their health risk management intentions. Subjective norms are also identified as predictors of resources facilitating condition and technical facilitating condition. In addition, farmers with lower income are more likely to suffer from health risks induced by climate change. They have fewer resources for resilience and maintaining health. Based on the findings identified above, strategies for coping with the negative impacts of climate change on farmers' health were proposed for climate adaptation from the perspective of health risk management.