London School of Hygiene and Tropical Medicine, London, UK.
Perspect Public Health. 2010 Jan;130(1):27-33. doi: 10.1177/1757913909355221.
Climate change can be viewed as human-induced change to climate and depletion of natural systems. It potentially the biggest global health threat of the 21st century. It is predicted to have wide-ranging impacts upon human mental health and well-being, through changes and challenges to people's environment, socioeconomic structures and physical security. Even the most conservative estimates of the health impacts are extremely alarming. Increasingly, the causes of poor human health and environmental damage are related. This implies that there are common solutions. For example, there are co-benefits to human health and biodiversity from mitigating and adapting to climate change (e.g. promoting active transport and reducing car use reduces CO2 emissions, benefits our environment and reduces morbidity and mortality associated with a sedentary lifestyle). This article outlines how climate change impacts upon mental health and well-being. It introduces ecological concepts, applies these to public health and outlines their implications in transforming the way that we prioritize and deliver public health in order to promote both environmental and human health. Evidence, from psychology and neuroscience, suggests that the perception of being disconnected from our inner selves, from each other and from our environment has contributed to poor mental and physical health. We argue that we must transform the way we understand mental health and well-being and integrate it into action against climate change. We describe a Public Health Framework for Developing Well-Being, based on the principles of ecological public health.
气候变化可被视为人类对气候的影响以及自然系统的枯竭。它可能是 21 世纪最大的全球健康威胁。预计气候变化将通过改变人们的环境、社会经济结构和人身安全等方面，对人类的心理健康和幸福感产生广泛的影响。即使对健康影响的最保守估计也极其令人震惊。人类健康不良和环境破坏的原因越来越相关。这意味着存在共同的解决方案。例如，减轻和适应气候变化对人类健康和生物多样性有共同的好处（例如，促进主动交通和减少汽车使用可以减少二氧化碳排放，有益于我们的环境，并减少与久坐生活方式相关的发病率和死亡率）。本文概述了气候变化对心理健康和幸福感的影响。它介绍了生态概念，将其应用于公共卫生，并概述了它们在改变我们优先考虑和提供公共卫生的方式方面的含义，以促进环境和人类健康。心理学和神经科学的证据表明，与内在自我、彼此和环境脱节的感觉导致了心理健康和身体健康不佳。我们认为，我们必须改变我们对心理健康和幸福感的理解方式，并将其纳入应对气候变化的行动中。我们描述了一个基于生态公共卫生原则的“发展幸福感的公共卫生框架”。
