一个健康指数适用于南美洲国家
Alessandra Cristiane Sibim1,2, Wagner Antonio Chiba de Castro3, Louise Bach Kmetiuk4
1Latin-American Institute of Technology, Infrastructure and Territory, Federal University for Latin American Integration (UNILA), Foz do Iguaçu, Brazil.
Frontiers in public health
|October 23, 2024
概括
南美一个健康指数 (OHI) 与人类发展指数 (HDI) 相对应,但不是GDP. 环境健康的收益并不总是改善人类/动物的健康,突出区域不平等.
科学领域:
- 一个健康概念及其在南美洲的应用.
- 综合人类,动物和环境健康的跨学科研究.
- 发展中国家健康的社会经济和环境决定因素.
背景情况:
- 一个健康概念强调人类,动物和环境健康的相互联系.
- 随着COVID-19的爆发,人们需要改进全球健康战略,特别是动物传播疾病.
- 南美洲的生物多样性,再加上社会经济和环境挑战,为一健康实施提供了一个独特的背景.
研究的目的:
- 评估南美国家"一个健康指数" (OHI).
- 研究OHI与主要社会经济指标之间的关系,包括人力发展指数 (HDI) 和国内生产总值 (GDP).
- 在南美宏观区域背景下,确定影响One Health结果的因素.
主要方法:
- 利用聚类分析根据OHI和社会经济数据对南美国家进行分组.
- 采用多变量变量分析 (PERMANOVA) 来测试OHI和社会经济指标之间的关联.
- 分析了与南美地区相关的人类,动物和环境健康指标的现有数据.
主要成果:
- 一个健康指数 (OHI) 和人类发展指数 (HDI) 之间发现了积极的关联,但与国内生产总值 (GDP) 没有.
- 具有政治稳定,强大的健康投资和进步政策的国家显示出更高的OHI.
- 改善的环境健康并不总是与更好的人类和动物健康结果有关;动物健康指标显著有限.
结论:
- 南美国家之间存在健康不平等和挑战.
- 亚马逊生物群的环境健康益处与不发达的当地人类健康系统形成鲜明对比,使One Health整合复杂化.
- 对自然区域的可持续经济增长激励措施至关重要,以防止为了人类和动物健康的利益而牺牲环境健康.
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