Parkes Margot W
Rev Environ Health. 2016 Mar;31(1):125-30. doi: 10.1515/reveh-2015-0067.
Renewed effort to understand the social-ecological context of health is drawing attention to the dynamics of land and water resources and their combined influence on the determinants of health. A new area of research, education and policy is emerging that focuses on the land-water-health nexus: this orientation is applicable from small wetlands through to large-scale watersheds or river basins, and draws attention to the benefits of combined land and water governance, as well as the interrelated implications for health, ecological and societal concerns. Informed by research precedents, imperatives and collaborations emerging in Canada and parts of Oceania, this review profiles three integrative, applied approaches that are bringing attention to the importance the land-water-health nexus within the Pacific Basin: wetlands and watersheds as intersectoral settings to address land-water-health dynamics; tools to integrate health, ecological and societal dynamics at the land-water-health nexus; and indigenous leadership that is linking health and well-being with land and water governance. Emphasis is given to key characteristics of a new generation of inquiry and action at the land-water-health nexus, as well as capacity-building, practice and policy opportunities to address converging environmental, social and health objectives linked to the management and governance of land and water resources.
为理解健康的社会生态背景而做出的新努力，正将人们的注意力引向土地和水资源的动态变化及其对健康决定因素的综合影响。一个新的研究、教育和政策领域正在兴起，其重点是土地-水-健康关系：这种取向适用于从小型湿地到大规模流域或河流盆地的范围，并提请人们关注土地和水综合治理的益处，以及对健康、生态和社会问题的相关影响。基于加拿大和大洋洲部分地区出现的研究先例、必要性和合作，本综述介绍了三种综合应用方法，这些方法正在使太平洋盆地内的土地-水-健康关系的重要性受到关注：将湿地和流域作为跨部门环境来应对土地-水-健康动态；在土地-水-健康关系中整合健康、生态和社会动态的工具；以及将健康与福祉与土地和水治理联系起来的土著领导力。重点介绍了土地-水-健康关系中新一代探究和行动的关键特征，以及为实现与土地和水资源管理及治理相关的环境、社会和健康目标融合而进行能力建设、实践和政策方面的机会。
