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“同一健康”挑战与行动:纳入性别因素以降低人畜环境界面的风险

One Health challenges and actions: Integration of gender considerations to reduce risks at the human-animal-environmental interface.

作者信息

Cataldo Claudia, Bellenghi Maria, Masella Roberta, Busani Luca

机构信息

Center for Gender-specific medicine, Gender Prevention and Health Section, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy.

出版信息

One Health. 2023 Mar 30;16:100530. doi: 10.1016/j.onehlt.2023.100530. eCollection 2023 Jun.

Abstract

The human-animal-environment interface is where the emergence of new infectious diseases can occur as a result of many complex reasons, including its alteration due to intensive farming and agriculture, increased human encroachment into wildlife habitats, international travel networks, and urbanization. The One Health approach to zoonoses is a holistic approach that considers environmental sustainability, animal health, and human health together. Gender-specific social and domestic roles can modulate (increase or decrease) an individual's risk of exposure to various hazards, including infectious diseases and zoonoses. The two scenarios presented here, one on avian influenza and the other on leptospirosis, clearly highlight the influence of gender, demonstrating that women's roles at the human-animal-environment interface are not the same as men's. Integrating the gender aspect into cross-sectoral interventions defined according to the One Health perspective could help reduce the risks of exposure to infections for humans and animals and the possible consequent economic losses. We suggest supplementing the One Health perspective with a gender analysis to study the influence of social norms, activities and risk behavior on exposure to infections, chemical pollution and the consequences of climate change.

摘要

人类-动物-环境界面是新传染病可能因多种复杂原因而出现的地方,这些原因包括集约化养殖和农业导致的该界面改变、人类对野生动物栖息地的侵占增加、国际旅行网络以及城市化。人畜共患病的“同一健康”方法是一种综合考虑环境可持续性、动物健康和人类健康的整体方法。特定性别的社会和家庭角色可以调节(增加或降低)个体接触各种危害的风险,包括传染病和人畜共患病。这里呈现的两个案例,一个关于禽流感,另一个关于钩端螺旋体病,清楚地凸显了性别的影响,表明女性在人类-动物-环境界面中的角色与男性不同。将性别因素纳入根据“同一健康”视角定义的跨部门干预措施中,有助于降低人类和动物接触感染的风险以及可能随之而来的经济损失。我们建议用性别分析来补充“同一健康”视角,以研究社会规范、活动和风险行为对接触感染、化学污染及气候变化后果的影响。

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