Lancet Planetary Health最新文献

英文中文

The role of electric cooking in providing sustainable school meals in low-income and lower-middle-income countries 在低收入和中低收入国家，电烹饪在提供可持续校餐方面的作用。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/S2542-5196(25)00004-X

Yesmeen Khalifa PhD , Prof Matthew Leach PhD , Richard Sieff PhD , Jerome Nsengiyaremye PhD , Beryl Onjala MA , Karlijn Groen MSc , Francesco Fuso Nerini PhD , Camilo Ramirez MSc , Raffaella Bellanca PhD

Approximately 418 million children are beneficiaries of school meal programmes globally. In general, supportive infrastructure is necessary for the successful delivery of school meals, but in many low-income and lower-middle-income countries (LLMICs), schools have poor access to essential facilities such as kitchens, electricity, and clean water. Moreover, schools in LLMICs often rely on charcoal or firewood for cooking with consequent negative health, social, economic, and environmental impacts that disproportionally affect women and children. The increasing availability of electricity and large energy efficient cooking appliances in LLMICs suggests that electric cooking could offer a potential solution. However, although the impacts of providing electricity to schools on educational outcomes have been explored, and the scope for electric cooking transitions at household level is increasingly studied, evidence on the role of electricity in providing sustainable school meals remains scarce, particularly in LLMICs. Most existing studies on school meals focus on the health and nutritional values of school meals and do not consider the energy used in their preparation or associated impacts. To address this gap, this Personal View explores the contribution of electric cooking to providing sustainable school meals. Recent case studies from Kenya, Lesotho, Nepal, and Guinea that introduced electric cooking as an alternative to traditional cooking fuels have shown how electric cooking can contribute to providing sustainable schools meals in LLMICs. This Personal View highlights multiple sustainable benefits from shifting to electric cooking, which include environmental, economic, and health benefits, and time saving, with potential gender benefits intersecting these domains. Sharing lessons learned from each study could improve the delivery and effectiveness of these interventions for other schools, and understanding the range of contexts and challenges could help towards programme design for wider scaling of sustainable school meal provision.

全球约有4.18亿儿童受益于学校供餐方案。一般来说，支持性基础设施是成功提供校餐的必要条件，但在许多低收入和中低收入国家，学校难以获得厨房、电力和清洁水等基本设施。此外，低收入中低收入国家的学校往往依靠木炭或柴火做饭，因此对健康、社会、经济和环境产生负面影响，对妇女和儿童的影响尤为严重。低收入中低收入国家越来越多地使用电力和大型节能烹饪器具，这表明电烹饪可能提供一种潜在的解决方案。然而，尽管已经探索了向学校供电对教育成果的影响，并且越来越多地研究了家庭层面的电烹饪过渡范围，但关于电力在提供可持续学校膳食方面的作用的证据仍然很少，特别是在低收入中低收入国家。大多数现有的关于学校膳食的研究都集中在学校膳食的健康和营养价值上，而没有考虑准备过程中使用的能量或相关的影响。为了解决这一差距，本个人观点探讨了电烹饪对提供可持续学校膳食的贡献。最近，肯尼亚、莱索托、尼泊尔和几内亚的案例研究将电烹饪作为传统烹饪燃料的替代品，这些研究表明，电烹饪可以为低收入中低收入国家提供可持续的学校膳食做出贡献。这一个人观点强调了转向电烹饪带来的多重可持续效益，包括环境、经济和健康效益，以及节省时间，潜在的性别效益与这些领域交叉。分享从每项研究中吸取的经验教训可以改善这些干预措施在其他学校的实施和有效性，了解背景和挑战的范围可以帮助设计方案，以扩大可持续学校供餐的规模。

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引用次数: 0

Physical activity in context: the systems and inequalities of metabolic harm 背景下的身体活动：代谢危害的系统和不平等。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101323

Prof Alex Broom PhD , Imogen Harper PhD , Prof Jakelin Troy PhD , Prof Louise Baur PhD , Prof Emmanuel Stamatakis PhD

Physical inactivity and sedentary lifestyles are now accepted as major contributors to metabolic harm and disorder in the 21st century. These harms are frequently framed as a result of individual choices, with solutions leaning into personal responsibility. There are, however, crucial structural influences on individuals’ capacity to engage with so-called lifestyle advice. In particular, the way in which structural environments influence labour, lives, and communities can present several barriers to exercise and physical activity. These pressures, and their consequences, have particular and compounding effects on those who are economically and socially marginalised. When scientific and clinical literature overlooks these structural determinants of lifestyle, the effectiveness of interventions are undermined, or even worse, intervention failure reinforces judgement and isolation, which cements metabolically harmful behaviours. In this Viewpoint, we call for renewed focus on how social structures influence physical activity to characterise the injustices underpinning current metabolic health and harm.

缺乏运动和久坐不动的生活方式现在被认为是21世纪代谢危害和紊乱的主要原因。这些伤害通常被认为是个人选择的结果，解决方案倾向于个人责任。然而，对于个人接受所谓的生活方式建议的能力，存在着关键的结构性影响。特别是，结构性环境影响劳动、生活和社区的方式可能对锻炼和身体活动构成若干障碍。这些压力及其后果对那些在经济和社会上处于边缘地位的人产生了特殊和复杂的影响。当科学和临床文献忽视了这些生活方式的结构性决定因素时，干预措施的有效性就会受到损害，甚至更糟的是，干预失败会强化判断和孤立，从而巩固代谢有害行为。在这一观点中，我们呼吁重新关注社会结构如何影响身体活动，以描述支撑当前代谢健康和危害的不公正现象。

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引用次数: 0

Groundwater depletion in a drying world 干旱世界的地下水枯竭。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101372

Cahal McQuillan

引用次数: 0

A multilevel analysis of climate change worry: determinants and vulnerabilities 气候变化担忧的多层次分析：决定因素和脆弱性

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101347

Friederike Mast , Timo-Kolja Pförtner

Background

A growing body of evidence highlights that public perceptions and concern about climate change (CC) are key drivers of support for mitigation and adaptation policies. Understanding the determinants of CC worry is essential for effective communication strategies and policy making.

Methods

Data from the 2016 European Social Survey, comprising 44 387 individuals aged 15–100 years from 22 European countries were used to conduct multilevel logistic regression analyses to assess the association between CC worry and individual demographic (age, sex, and self-rated health), socioeconomic (education, income, household size, and political engagement), and macro-level (PM_2·5 exposure, expenditure on environmental protection, and GDP) factors.

Findings

Overall, 76·1% of the respondents were worried about CC. Younger individuals (p<0·01), those with higher education levels (p<0·01), and females (p<0·001) were more likely to be concerned about CC. Political engagement also emerged as a significant predictor (p<0·01), suggesting that civic participation correlates with environmental concerns. However, lower income was not consistently associated with higher CC worry, with the relationship varying across countries. Furthermore, macro-level indicators showed no significant association with CC worry.

Interpretation

Individual-level factors are key to understanding CC concerns and further investigation into contextual influences on CC worries is warranted. Policy efforts should target groups less concerned about CC, such as older individuals and those with lower education and income levels. Enhancing political engagement could amplify concerns about CC, leading to more robust public support for environmental policies.

Funding

None.

背景：越来越多的证据表明，公众对气候变化的认识和关注是支持减缓和适应政策的关键驱动因素。了解CC担忧的决定因素对于有效的沟通策略和政策制定至关重要。方法采用2016年欧洲社会调查（European Social Survey）数据，对来自22个欧洲国家的44 387名年龄在15-100岁的个体进行多水平logistic回归分析，评估CC担忧与个人人口统计学（年龄、性别和自评健康）、社会经济（教育、收入、家庭规模和政治参与）和宏观层面（PM2·5暴露、环境保护支出和GDP）因素的相关性。总体而言，76.1%的受访者担心环境污染，其中年轻人（p< 0.01）、受教育程度较高的人（p< 0.01）和女性（p< 0.001）更可能担心环境污染，政治参与也成为一个显著的预测因子（p< 0.01），表明公民参与与环境问题相关。然而，较低的收入并不总是与较高的CC担忧相关，各国之间的关系各不相同。宏观指标与CC担忧无显著相关。解释个人层面的因素是理解CC担忧的关键，需要进一步调查情境对CC担忧的影响。政策努力应针对不太关心CC的群体，如老年人和受教育程度和收入水平较低的人。加强政治参与可能会扩大对CC的关注，从而导致公众对环境政策的更强有力的支持。

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引用次数: 0

Rethinking planetary health assumptions about ontology through ethnography 通过民族志重新思考关于本体论的地球健康假设

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101350

Carlos E Sanchez-Pimienta

Background

Planetary health seeks to promote human and ecological wellbeing, emphasising the interconnectedness of humans as part of nature and the inclusion of Indigenous Knowledges. However, critiques highlight the reliance of Planetary Health on the Western ontological categories of nature and human, and the low engagement with indigenous worldviews. In this study, I examined whether the terms nature and human can effectively convey how Mexican grassroots-level land-defence organisations promote planetary health.

Methods

9 months of ethnographic fieldwork (November 2023 to August 2024) was conducted in El Salto and Juanacatlán in Mexico, which are communities severely impacted by industrial pollution, to learn from two grassroot-level organisations, Un Salto de Vida (A Leap of Life) and the Concejo Indígena de Xonacatlán (Xonacatlán Indigenous Council). I observed participants and conducted interviews and storytelling workshops to examine the relationship between local practices and the ontological assumptions of planetary health (ie, a single nature and a universal human) using an abductive data analysis approach.

Findings

Two ethnographic stories illustrate these challenges. The first contrasts two ways of making pollution real: one based on threshold theories, the other on the disappearance of native animals. The second story examines Indigenous Coca resurgence in Juanacatlán, highlighting the risks of studying using a non-indigenous lens.

Interpretation

The first story disrupts the assumption of a single nature by revealing two ways to enact pollution. The second story questions the universal human by exposing Indigenous-mestizo power relations in development projects that might harm planetary health. Overall, this study calls for meaningful engagement with grassroots and indigenous ontologies in planetary health scholarship.

Funding

The Vanier Canada Graduate Scholarship and Pierre Elliot Trudeau Foundation scholarship supported this work as part of the authors’ graduate studies.

行星健康旨在促进人类和生态福祉，强调人类作为自然的一部分的相互联系，并纳入土著知识。然而，批评强调了行星健康对西方自然和人类本体论范畴的依赖，以及与土著世界观的低接触。在这项研究中，我考察了自然和人类这两个术语是否能有效地传达墨西哥基层土地防御组织如何促进地球健康。方法于2023年11月至2024年8月在墨西哥受工业污染严重影响的El Salto和Juanacatlán社区进行为期9个月的民族志实地调查，向两个基层组织Un Salto de Vida（生命的飞跃）和Concejo Indígena de Xonacatlán （Xonacatlán土著委员会）学习。我观察了与会者，并进行了访谈和讲故事讲习班，以利用溯因数据分析方法审查当地做法与地球健康的本体论假设（即单一自然和普遍人类）之间的关系。两个民族志故事说明了这些挑战。第一个对比了两种使污染成为现实的方法：一种基于阈值理论，另一种基于本地动物的消失。第二个故事考察了Juanacatlán上土著古柯的复苏，强调了使用非土著视角进行研究的风险。第一个故事通过揭示两种制定污染的方式，打破了单一性质的假设。第二个故事通过揭露可能危害地球健康的发展项目中的土著与混血人的权力关系，对全人类提出了质疑。总的来说，这项研究呼吁在地球健康学术中与基层和土著本体论进行有意义的接触。Vanier Canada研究生奖学金和Pierre Elliot Trudeau基金会奖学金支持这项工作，作为作者研究生学习的一部分。

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引用次数: 0

Resident-led action for greener operating rooms: a pilot using the national perioperative sustainability scorecard 居民主导的绿色手术室行动：使用国家围手术期可持续性记分卡的试点

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101395

Gordon Best , Olivia Cheng-Boivin , Connor Brenna , Phil Williams , Ishita Aggarwal , Owen Luo , Nicole Simms , Sarah Ward , Anita Rao , Melissa Ho , Husein Moloo , Mary Hanna , Dave Smith

Background

Environmental determinants such as air pollution and extreme heat contribute to approximately 13 million preventable deaths globally every year. Paradoxically, the health-care sector itself considerably affects planetary health, with operating rooms accounting for 10–20% of hospital-related greenhouse gas emissions. In response, the Sustainable Health Systems Community of Practice developed a sustainability scorecard, later adapted into the national Sustainable Perioperative Care Scorecard by the CASCADES initiative. This tool outlines 13 evidence-based targets to guide sustainable practices in perioperative care. This quality improvement pilot project aimed to show the utility of this national, freely available scorecard in a resident-led assessment of perioperative sustainability practices.

Methods

Residents partnered with staff surgeons to apply the 2023 CASCADES Sustainable Perioperative Care Scorecard across two major academic institutions. Assessments covered domains such as sustainability leadership, anaesthetic gas usage, reduction of low-value care, reusable instrument adoption, and waste segregation.

Findings

Both institutions showed strong engagement with resident-led evaluations. Scorecard results could distinguish differences and opportunities in practice between the two sites. Both hospitals scored well on elements relating to limiting low-value care, minimising intraoperative fresh gas flows, and implementing reusable anaesthesia equipment, and several opportunities for improvement were identified.

Interpretation

This pilot project illustrates the practicality of a national scorecard for evaluating perioperative sustainability and underscores the important role of residents in leading climate-conscious health-care improvements. Engaging trainees in structured assessments can accelerate institutional efforts towards more sustainable perioperative practices.

Funding

None.

背景：空气污染和极端高温等环境决定因素每年在全球造成约1300万例可预防的死亡。矛盾的是，卫生保健部门本身对地球健康影响很大，手术室占医院相关温室气体排放量的10-20%。作为回应，可持续卫生系统实践社区开发了可持续性记分卡，后来被CASCADES倡议纳入国家可持续围手术期护理记分卡。该工具概述了13个循证目标，以指导围手术期护理的可持续实践。这个质量改进试点项目旨在展示这个全国性的、免费的记分卡在住院医生主导的围手术期可持续性实践评估中的效用。方法住院医师与主治医生合作，在两家主要学术机构应用2023 CASCADES可持续围手术期护理记分卡。评估涵盖了可持续性领导、麻醉气体使用、减少低价值护理、可重复使用仪器的采用和废物分类等领域。两所机构都表现出对住院医生主导的评估的强烈参与。记分卡结果可以区分两个站点在实践中的差异和机会。两家医院在限制低价值护理、尽量减少术中新鲜气体流动和使用可重复使用的麻醉设备等方面得分很高，并确定了一些改进的机会。该试点项目说明了评估围手术期可持续性的国家记分卡的实用性，并强调了居民在领导气候意识卫生保健改进方面的重要作用。让受训者参与结构化评估可以加速机构朝着更可持续的围手术期实践的努力。

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引用次数: 0

Mainstreaming agrobiodiversity in planet-friendly school meals for children: a scoping review 将农业生物多样性纳入地球友好型儿童校餐的主流：范围审查

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101374

Natalia Estrada-Carmona PhD , Maaike MA van Houtert MSc , Silvia Araujo de Lima MA , Paul Fauchon MSc , Danny Hunter PhD , Sarah K Jones PhD , Ian Ondo MSc , Piedad Pareja Cabrejos MSc , Silvia Pastorino PhD , Samuel Pironon PhD , Meghajit Shijagurumayum PhD , Mulele Sibeso MSc , Samrat Singh PhD , Roseline Remans PhD

The global shift away from healthy, diverse, and sustainable diets threatens children’s health and futures. Although school gardens and home-grown school feeding can reconnect children with nutritious, sustainably produced food, these interventions are often implemented separately and with little attention to agrobiodiversity, which is a cornerstone for sustainability and healthy diets. Via a scoping review of 124 articles from 35 countries, we identified wide-ranging and complementary benefits of these interventions beyond health and education. The benchmark of the species used in these interventions against cultivated, predicted, and listed edible plants shows that agrobiodiversity is underused. Despite fragmented and incomplete evidence, our research shows that these interventions can jointly drive profound transformation. Realising this potential demands systemic shifts toward holistic, rights-based approaches that overcome surmountable barriers and build objective, sustainable, and resilient food systems delivering planet-friendly school meals.

全球远离健康、多样化和可持续饮食的趋势威胁着儿童的健康和未来。虽然学校菜园和自产学校供餐可以让儿童重新获得可持续生产的营养食物，但这些干预措施往往是单独实施的，很少关注农业生物多样性，而农业生物多样性是可持续性和健康饮食的基石。通过对来自35个国家的124篇文章的范围审查，我们确定了这些干预措施在健康和教育之外的广泛和互补效益。这些干预措施中使用的物种与栽培、预测和列出的可食用植物的基准表明，农业生物多样性未得到充分利用。尽管证据零散且不完整，但我们的研究表明，这些干预措施可以共同推动深刻的变革。要实现这一潜力，就需要系统性地转向以权利为基础的整体方法，克服可克服的障碍，建立客观、可持续和有弹性的粮食系统，提供对地球友好的校餐。

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引用次数: 0

Planet-friendly school meals: opportunities to improve children's health and leverage change in food systems 爱护地球的学校膳食：改善儿童健康和促进食品系统变革的机会。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/S2542-5196(24)00302-4

Silvia Pastorino , Ulrika Backlund , Raffaella Bellanca , Danny Hunter , Minna Kaljonen , Samrat Singh , Melissa Vargas , Donal Bundy , Research Consortium White Paper writing team

引用次数: 0

Advancing heat-related mental health research: moving beyond epidemiological links 推进与热有关的心理健康研究：超越流行病学联系。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101341

Joshua R Wortzel , Emma L Lawrance , Kelton Minor , Holly K Boyle , Jeremy D Wortzel , Michelle L Bell , Henry Klar Yaggi

引用次数: 0

Planetary Health Research Digest 行星健康研究文摘。

IF 21.6 1区医学 Q1 ENVIRONMENTAL SCIENCES

Lancet Planetary Health

Pub Date : 2025-11-01 DOI: 10.1016/j.lanplh.2025.101386

Cahal McQuillan

引用次数: 0

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