Register      Login
Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Exploring Australian health promotion and environmental sustainability initiatives

Rebecca Patrick A C and Jonathan Kingsley B
+ Author Affiliations
- Author Affiliations

A School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, Vic. 3125, Australia.

B Melbourne School of Population and Global Health, The University of Melbourne, Level 4, 207 Bouverie Street, Carlton, Vic. 3010, Australia.

C Corresponding author. Email: rebecca.patrick@deakin.edu.au

Health Promotion Journal of Australia 27(1) 36-42 https://doi.org/10.1071/HE15008
Submitted: 28 January 2015  Accepted: 24 September 2015   Published: 10 December 2015

Abstract

Issue addressed: Health promotion practitioners have important roles in applying ecosystem approaches to health and actively promoting environmental sustainability within community-level practice. The present study identified the nature and scope of health promotion activities across Australia that tackle environmental sustainability.

Methods: A mixed-method approach was used, with 82 participants undertaking a quantitative survey and 11 undertaking a qualitative interview. Purposeful sampling strategies were used to recruit practitioners who were delivering community-level health promotion and sustainability programs in Australia. The data were analysed thematically and interpretation was guided by the principles of triangulation.

Results: Study participants were at various stages of linking health promotion and environmental sustainability. Initiatives focused on healthy and sustainable food, active transport, energy efficiency, contact with nature and capacity building.

Conclusion: Capacity building approaches were perceived as essential to strengthening this field of practice. Healthy and sustainable food and active transport were suitable platforms for simultaneously promoting community health and sustainability. There was potential for expansion of programs that emphasise contact with nature and energy issues, as well as interventions that emphasise systems thinking and interdisciplinary approaches.

So what?: It was promising that Australian health promotion programs have started to address complexity rather than single issues, as evidenced by explicit engagement with environmental sustainability. However, more effort is required to enable a shift towards ecosystem approaches to health.

Key words: climate change, ecohealth.


References

[1]  Rennie S (2008) Towards a 21st-century understanding of humans’ relation to nature: two hats? J Environ Educ 40, 55–61.
Towards a 21st-century understanding of humans’ relation to nature: two hats?Crossref | GoogleScholarGoogle Scholar |

[2]  Kickbusch I. The food system: a prism for present and future challenges for health promotion and sustainable development triggering debate. Health Promotion Switzerland. 2010. Available from: http://www.ilonakickbusch.com/kickbusch-wAssets/docs/White-Paper---The-Food-System.pdf [Verified 12 October 2015].

[3]  Smith JA, Capon A (2011) Addressing climate change through health promotion. Health Promot J Austr 22, 3–4.
Addressing climate change through health promotion.Crossref | GoogleScholarGoogle Scholar |

[4]  Webb JC, Mergler D, Parkes MW, Saint-Charles J, Spiegel J, Waltner-Toews D, Yassi A, Woollard RF (2010) Tools for thoughtful action: the role of ecosystem approaches to health and enhancing public health. Can J Public Health 101, 439–41.

[5]  Butler CD, Friel S (2006) Time to regenerate: ecosystems and health promotion. PLoS Med 3, e394
Time to regenerate: ecosystems and health promotion.Crossref | GoogleScholarGoogle Scholar | 17076549PubMed |

[6]  Dooris M (2013) Expert voices for change: bridging the silos: towards healthy and sustainable settings for the 21st century. Health Place 20, 39–50.
Expert voices for change: bridging the silos: towards healthy and sustainable settings for the 21st century.Crossref | GoogleScholarGoogle Scholar | 23376729PubMed |

[7]  Albrecht G, Higginbotham N, Connor L, Freeman S. Social and cultural perspectives on eco-health. In Heggenhougen K, Quah S, editors. International encyclopaedia of public health, Vol. 6 (pp. 57–63). San Diego: Academic Press; 2008.

[8]  Bunch MJ, Morrison KE, Parkes MW, Venema HD (2011) Promoting health and well-being by managing for social–ecological resilience: the potential of integrating ecohealth and water resources management approaches. Ecol Soc 16, 6–23.

[9]  Wilcox B, Kueffer C (2008) Transdisciplinarity in ecohealth: status and future prospects. EcoHealth 5, 1–3.
Transdisciplinarity in ecohealth: status and future prospects.Crossref | GoogleScholarGoogle Scholar | 18648789PubMed |

[10]  Max-Neef MA (2005) Foundations of transdisciplinarity. Ecol Econ 53, 5–16.
Foundations of transdisciplinarity.Crossref | GoogleScholarGoogle Scholar |

[11]  Horwitz P, Finlayson CM (2011) Wetlands as settings for human health: incorporating ecosystem services and health impact assessment into water resource management. BioScience 61, 678–88.
Wetlands as settings for human health: incorporating ecosystem services and health impact assessment into water resource management.Crossref | GoogleScholarGoogle Scholar |

[12]  Ramsar Bucharest. Resolution XI.12. Wetlands and health: taking an ecosystem approach. 2012. Available from: http://ramsar.rgis.ch/pdf/cop11/res/cop11-res12-e.pdf [Verified 12 October 2015].

[13]  Patrick R, Capetola T (2011) It’s here! Are we ready? Five case studies of health promotion practice that address climate change within Victorian health care settings. Health Promot J Austr 22, 61–67.

[14]  Sweet M (2011) Action on climate requires strong leadership from the health sector. Health Promot J Austr 22, 4–5.

[15]  Patrick R, Smith JA (2011) Core health promotion competencies in Australia: are they compatible with climate change action? Health Promot J Austr 22, 28–33.

[16]  Rowe R, Thomas A. Climate change adaptation: a framework for local action. Southern Grampians and Glenelg Primary Care Partnership (Policy signpost no. 3). Melbourne: The McCaughey Centre, University of Melbourne; 2008.

[17]  van Beurden EK, Kia AM, Hughes D, Fuller JD, Dietrich U, Howton K, Kavooru S (2011) Networked resilience in rural Australia: a role for health promotion in regional responses to climate change. Health Promot J Austr 22, 54–60.

[18]  Walker R, Mason W. Climate change adaptation for health and social services. Melbourne: CSIRO Publishing; 2015.

[19]  Wang H, Horton R (2015) Tackling climate change: the greatest opportunity for global health. Lancet
Tackling climate change: the greatest opportunity for global health.Crossref | GoogleScholarGoogle Scholar | 26639838PubMed |

[20]  Walker R, Hassall J, Chaplin S, Congues J, Bajayo R, Mason W (2011) Health promotion interventions to address climate change using a primary health care approach: a literature review. Health Promot J Austr 22, 6–12.

[21]  Gay L, Mills G, Airasian P. Educational research: competencies for analysis and applications. New York, NY: Pearson Education Inc.; 2006.

[22]  Creswell JW, Plan-Clark VL. Designing and conducting mixed methods research. Thousand Oaks, CA: Sage Publishing; 2007.

[23]  Kingsley J, Drisoll S. What are the health implications of the ever-widening gap between people and nature? 2013. Available from: http://blogs.crikey.com.au/croakey/2013/10/28/what-are-the-health-implications-of-the-ever-widening-gap-between-people-and-nature/ [Verified 6 October 2015].

[24]  de Vaus DA. Surveys in social research, 4th edn. Sydney, NSW: Allen & Unwin; 1995.

[25]  Spradley J. The ethnographic interview. Fort Worth: Harcourt Brace; 1979.

[26]  Neuman WL. Social research methods. Boston, MA: Allyn and Bacon; 1991.

[27]  Wolcott H. Transforming qualitative data: description, analysis and interpretation. In Creswell J, editor. Qualitative inquiry and research design: choosing among five traditions (pp. 139–65). Thousand Oaks, CA: Sage; 1994.

[28]  Agar M (1999) How to ask for a study in qualitatisch. Qual Health Res 9, 684–97.
How to ask for a study in qualitatisch.Crossref | GoogleScholarGoogle Scholar |

[29]  Patrick R, Capetola T, Townsend M, Hanna L (2011) Incorporating sustainability into community-based healthcare practice. EcoHealth 8, 277–89.
Incorporating sustainability into community-based healthcare practice.Crossref | GoogleScholarGoogle Scholar | 22045434PubMed |

[30]  VicHealth. VicHealth strategy and business plan 2009–2013. Melbourne: VicHealth; 2009.

[31]  Harris N, Sandor M (2013) Defining sustainable practice in community-based health promotion: a Delphi study of practitioner perspectives 2013. Health Promot J Austr 24, 53–60.

[32]  Reeves F. Planet heart: how an unhealthy environment leads to heart disease. Vancouver: Greystone Books; 2014.

[33]  Maas J, Verheij R, Vries S, Spreeuwenberg P, Schellevis FG, Groenewegen P (2009) Morbidity is related to a green living environment. J Epidemiol Community Health 63, 967–73.
Morbidity is related to a green living environment.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1Mjms1Kisw%3D%3D&md5=e52d5d5bd5279738daec5b062feccc3aCAS | 19833605PubMed |

[34]  Brown V, Grootjans J, Ritchie J, Townsend M, Verrinder G. Sustainability and health: supporting global ecological integrity in public health. Crows Nest, NSW: Allen & Unwin; 2005.

[35]  Department of Human Services. Integrated health promotion resource kit. Melbourne: Department of Human Services; 2003.

[36]  Patrick R, Capetola T, Townsend M, Nuttman S (2012) Health promotion and climate change: exploring the core competencies required for action. Health Promot Int 27, 475–85.
Health promotion and climate change: exploring the core competencies required for action.Crossref | GoogleScholarGoogle Scholar | 21914637PubMed |