Over the 20th century, urbanization has substantially shaped the surface of Earth. With population rapidly shifting from rural locations towards the cities, urban areas have dramatically expanded on a global scale and represent crystallization points of social, cultural and economic assets and activities. This trend is estimated to persist for the next decades, and particularly the developing countries are expected to face rapid urban growth. The management of this growth will require good governance strategies and planning. By threatening the livelihoods, assets and health as foundations of human activities, another major global change contributor, climate change, became an equally important concern of stakeholders. Based on the climate trends observed over the 20th century, and a spatially explicit model of urbanization, this paper investigates the impacts of climate change in relation to different stages of development of urban areas, thus evolving a more integrated perspective on both processes. As a result, an integrative measure of climate change trends and impacts is proposed and estimated for urban areas worldwide. We show that those areas facing major urban growth are to a large extent also hotspots of climate change. Since most of these hotspots are located in the Global South, we emphasize the need for stakeholders to co-manage both drivers of global change. The presented integrative perspective is seen as a starting point to foster such co-management, and furthermore as a means to facilitate communication and knowledge exchange on climate change impacts.