Global health equity and climate stabilisation: a common agenda
Global health equity and climate stabilisation: a common agenda
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DOI：
10.1016/s0140-6736(08)61692-x
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发表时间：
2008-11-08
期刊：
影响因子：
168.9
通讯作者：
Vagero, Denny
中科院分区：
文献类型：
--
作者：
Friel, Sharon;Marmot, Michael;Vagero, Denny
尽管许多人的健康状况有所改善，但国家之间和国家内部的健康不平等程度仍在加剧。与此同时，人类正在破坏全球气候和其他维持生命的环境系统，从而给健康和福祉带来严重风险，特别是对弱势群体，但最终对每个人来说都是如此。健康不平等和环境变化的根本决定因素有很大重叠；它们是一种以不对称增长和竞争为基础的经济体系的迹象，这种经济体系是由市场力量塑造的，而这些力量大多忽视健康和环境后果，而不是公平和支持的价值观。经济发展的重点需要转向健康的城市化形式、更高效和可再生的能源以及可持续和更公平的粮食系统。全球的相互联系和相互依存使得健康的社会和环境决定因素能够以提高健康公平、减少贫困和建设生活在环境限制内的社会的方式得到解决。
Although health has improved for many people, the extent of health inequities between and within countries is growing. Meanwhile, humankind is disrupting the global climate and other life-supporting environmental systems, thereby creating serious risks for health and wellbeing, especially in vulnerable populations but ultimately for everybody. Underlying determinants of health inequity and environmental change overlap substantially; they are signs of an economic system predicated on asymmetric growth and competition, shaped by market forces that mostly disregard health and environmental consequences rather than by values of fairness and support. A shift is needed in priorities in economic development towards healthy forms of urbanisation, more efficient and renewable energy sources, and a sustainable and fairer food system. Global interconnectedness and interdependence enable the social and environmental determinants of health to be addressed in ways that will increase health equity, reduce poverty, and build societies that live within environmental limits.