1 Center for Health and the Global Environment, Schools of Medicine and Public Health, University of Washington Seattle , Washington, USA.
2 Department of Global Health, Schools of Medicine and Public Health, University of Washington , Seattle, Washington, USA.
Environ Health Perspect. 2019 Apr;127(4):45002. doi: 10.1289/EHP4534.
Abundant historical evidence demonstrates how environmental changes can affect social stability and, in turn, human health. A rapidly growing body of literature, largely from political science and economics, is examining the potential for and consequences associated with social instability related to current climate change. However, comparatively little of this research incorporates the effects on human health or the role of health systems in influencing the magnitude and types of instability that could occur.
The objective of this commentary is to articulate a conceptual framework incorporating health outcomes and health systems into theorized and observed linkages between climate change and social instability, illustrating in particular the health effects of natural resource shortages, infectious disease outbreaks, and migration.
Although increasing evidence exists that climate change, health, and social instability are related, key questions remain about the pathways linking these factors, as well as the magnitude, causality, and directionality of relationships across spatial and temporal scales. Models seeking to explain and predict climate-related social unrest should incorporate the many linkages between climate change, human health, and social instability. Members of the environmental health research community should work closely with those in the political science and economics communities to help deepen understandings of climate-related stressors and shocks that affect instability and worsen health outcomes. https://doi.org/10.1289/EHP4534.
大量历史证据表明,环境变化如何影响社会稳定,进而影响人类健康。越来越多的文献主要来自政治学和经济学领域,正在研究与当前气候变化相关的社会不稳定的可能性及其后果。然而,这些研究相对较少地纳入对人类健康的影响,也较少关注卫生系统在影响可能发生的不稳定的程度和类型方面的作用。
本评论的目的是阐述一个概念框架,将健康结果和卫生系统纳入气候变化与社会不稳定之间的理论和观察联系中,特别是要说明自然资源短缺、传染病爆发和移徙对健康的影响。
尽管越来越多的证据表明气候变化、健康和社会不稳定之间存在关联,但在这些因素之间的联系途径、以及在空间和时间尺度上的关系的程度、因果关系和方向性方面,仍存在关键问题。试图解释和预测与气候有关的社会动荡的模型应纳入气候变化、人类健康和社会不稳定之间的许多联系。环境卫生研究界的成员应与政治学和经济学界的成员密切合作,帮助加深了解影响不稳定和恶化健康结果的与气候有关的压力和冲击。https://doi.org/10.1289/EHP4534.