Institute of Health Equity, UCL, London WC1E 7HB, UK.
EuroHealthNet, 1000 Brussels, Belgium.
Int J Environ Res Public Health. 2019 Nov 17;16(22):4546. doi: 10.3390/ijerph16224546.
The world's challenges of climate change, damage to ecosystems, and social and health inequalities require changes in human behaviours at every level of organisation, among governments, business, communities, and individuals. An important question is how behaviour change can be enabled and supported at the scale and speed required. The research reported in this paper describes important lessons for good practice in changing contexts to modify behaviours for a triple win for health, equity and environmental sustainability. Authors synthesised learning from qualitative, quantitative and cost benefit evaluations of 15 case studies conducted in 12 countries in Europe. The case studies address ways of living (green spaces and energy efficient housing), moving (active transport) and consuming (healthy and sustainable diets) that support the triple win. Ten lessons for good practice were identified. These include bringing a triple win mindset to policy and practice in planning interventions, with potential to improve environmental sustainability, health and equity at the same time. The lessons for good practice are intended to support governmental and non-governmental actors, practitioners and researchers planning to work across sectors to achieve mutual benefits for health and environmental sustainability and in particular to benefit poorer and more socio-economically disadvantaged groups.
气候变化、生态系统破坏以及社会和健康不平等给全球带来了挑战，需要在各级组织层面上改变人类行为，包括政府、企业、社区和个人。一个重要的问题是，如何在所需的规模和速度上实现行为改变，并提供支持。本文报告的研究描述了在不断变化的背景下改变行为以实现健康、公平和环境可持续性三重胜利的良好实践的重要经验教训。作者综合了来自欧洲 12 个国家的 15 个案例研究的定性、定量和成本效益评估的学习成果。这些案例研究探讨了支持三重胜利的生活方式（绿色空间和节能住房）、行动（积极交通）和消费（健康和可持续饮食）方式。确定了 10 条良好实践经验教训。这些经验教训包括在规划干预措施时将三重胜利思维带入政策和实践中，这有可能同时提高环境可持续性、健康和公平。这些良好实践经验教训旨在支持政府和非政府行为者、从业者和研究人员跨越部门工作，实现健康和环境可持续性的共同利益，特别是使较贫困和社会经济地位较低的群体受益。
