Tian Ya, Li Zonghan, Luo Xueyi, Hu Zheng, Xu Tong, Wu Kai, Cao Min, Pradhan Prajal, Chen Min, Lin Hui
School of Geography and Environment, Jiangxi Normal University, Nanchang 330022, China.
Key Laboratory of Virtual Geographic Environment, Ministry of Education of PRC, Nanjing Normal University, Nanjing 210023, China.
One Health. 2025 Mar 14;20:101013. doi: 10.1016/j.onehlt.2025.101013. eCollection 2025 Jun.
The One Health (OH) approach aims to sustainably balance and optimise the health of people, animals, and ecosystems. However, there is a lack of robustly quantified insights into its spatiotemporal coupling and coordination. This study employs the OH index, which incorporates Sustainable Development Goals (SDGs), to examine the coupling and coordination relationships among three health subsystems, elucidate their four spatiotemporal patterns, and identify key driving factors. Our results indicate that the degree of OH coupling coordination is improving, despite spatial unevenness across SDG regions. Countries with varying economic levels often exhibit similar coupling coordination patterns, suggesting the potential for policy coherence to foster regionally uniform development. Key factors for breaking the cycle of poverty include increased health spending, improved education, and better dietary balance. In regions facing significant economic and environmental pressures, promoting animal and environmental health through biodiversity conservation and habitat preservation is essential for achieving OH coupling coordination. Nevertheless, the absence of governance mechanisms, along with factors such as climate change, military conflicts, and fragile alliances, poses serious obstacles to achieving uniform OH. Therefore, this study underscores the necessity of targeted policy interventions, interdisciplinary collaboration, and comprehensive governance to address this unevenness, promote coordination, and advance global health governance.
“同一健康”（OH）方法旨在可持续地平衡和优化人类、动物和生态系统的健康。然而，目前缺乏对其时空耦合与协调的有力量化见解。本研究采用纳入可持续发展目标（SDGs）的OH指数，来考察三个健康子系统之间的耦合与协调关系，阐明其四种时空模式，并确定关键驱动因素。我们的结果表明，尽管可持续发展目标区域存在空间不均衡，但OH耦合协调程度正在提高。经济水平不同的国家往往呈现出相似的耦合协调模式，这表明政策一致性对于促进区域均衡发展具有潜力。打破贫困循环的关键因素包括增加卫生支出、改善教育以及更好的饮食平衡。在面临重大经济和环境压力的地区，通过生物多样性保护和栖息地保护来促进动物和环境健康对于实现OH耦合协调至关重要。然而，治理机制的缺失以及气候变化、军事冲突和脆弱联盟等因素，对实现统一的OH构成了严重障碍。因此，本研究强调有必要采取针对性的政策干预、跨学科合作和全面治理，以解决这种不均衡问题，促进协调，并推进全球卫生治理。
