School of Public Health ad Social Policy, University of Victoria, 494 Ker Ave, Victoria, BC V9A 2B7, Canada.
Health Promot Int. 2021 Dec 13;36(Supplement_1):i53-i63. doi: 10.1093/heapro/daab120.
Health promotion has paid a lot of attention to the social determinants of health and to health equity but much less attention to the ecological determinants. Yet the most fundamental determinants of health are the natural systems that make the Earth liveable and are the source of our air, water, food, fuels and materials. Yet they are threatened by the very economic and social development that we have created to meet the social determinants of health. Moreover, the benefits and burdens of that development are inequitably distributed, resulting in both ecological and social injustice. In the past few years the new field of planetary health-'the health of human civilization and the state of the natural systems on which it depends'-has emerged, while WHO has confirmed that 'the source of human health [is] nature'. So arguably the most important task facing health promotion in the 21st century is to turn its attention to planetary health: health promotion workers must become planetary health promoters. Local health promotion in the 21st century needs to incorporate the concept of planetary health promotion and its application in the creation of healthy 'One Planet' communities and must become part of the emerging network of community organizations and individuals working to create sustainable, just and healthy communities.
健康促进一直非常关注健康的社会决定因素和健康公平问题，但对生态决定因素关注较少。然而，对健康最根本的决定因素是使地球适宜居住的自然系统，也是我们的空气、水、食物、燃料和材料的来源。然而，正是我们为满足健康的社会决定因素而创造的经济和社会发展，对它们构成了威胁。此外，这种发展的利益和负担分配不均，导致生态和社会不公正。在过去几年中，出现了一个新的领域——行星健康，即“人类文明的健康和人类赖以生存的自然系统的状态”，而世界卫生组织已经确认“人类健康的源泉是自然”。因此，健康促进在 21 世纪面临的最重要任务可能是将注意力转向行星健康：健康促进工作者必须成为行星健康促进者。21 世纪的地方健康促进需要纳入行星健康促进的概念及其在创建健康的“一个星球”社区方面的应用，并且必须成为正在努力创建可持续、公正和健康社区的社区组织和个人的新兴网络的一部分。
