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Equidad en salud global y estabilización climática: una agenda común
Sharon Friel1, Michael Marmot, Anthony J McMichael
1Commission on Social Determinants of Health, International Institute for Society and Health, Department of Epidemiology and Public Health, University College London, London, UK.
Lancet (London, England)
|November 11, 2008
Resumen
Las crecientes desigualdades en salud y las crisis ambientales provienen de un sistema económico centrado en el crecimiento. Abordarlos requiere dar prioridad a la urbanización justa, la energía renovable y los sistemas alimentarios sostenibles para la equidad de salud global.
Área de la Ciencia:
- Salud global La salud global.
- Ciencias del medio ambiente Ciencias del medio ambiente.
- Las ciencias socioeconómicas.
Sus antecedentes:
- Las desigualdades en salud están aumentando a nivel mundial, junto con una degradación ambiental significativa.
- Las actividades humanas están alterando el clima y los ecosistemas, lo que plantea riesgos para la salud, especialmente para los grupos vulnerables.
- Las causas profundas de la desigualdad en salud y el cambio ambiental están vinculadas a un sistema económico que prioriza el crecimiento por encima de la equidad y la sostenibilidad.
Objetivo del estudio:
- Para resaltar la interconexión de la equidad en salud y la sostenibilidad ambiental.
- Para identificar los impulsores económicos sistémicos de estos desafíos globales.
- Proponer un cambio en las prioridades de desarrollo.
Principales métodos:
- Análisis de los determinantes sociales y ambientales de la salud.
- Examen de los sistemas económicos y las fuerzas del mercado.
- Revisión de la interconexión global y la interdependencia.
Principales resultados:
- Los sistemas económicos basados en el crecimiento asimétrico y la competencia ignoran las consecuencias para la salud y el medio ambiente.
- La superposición de los determinantes de la desigualdad en salud y el cambio ambiental indican problemas sistémicos.
- La interdependencia global ofrece oportunidades para soluciones integradas.
Conclusiones:
- Es necesario un cambio de paradigma en el desarrollo económico, centrándose en la urbanización saludable, la energía renovable y los sistemas alimentarios sostenibles.
- Abordar los determinantes sociales y ambientales de la salud puede promover la equidad en salud, reducir la pobreza y garantizar que las sociedades funcionen dentro de los límites planetarios.
- La cooperación global es esencial para abordar eficazmente estos desafíos interconectados.
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