Bridging conceptual “silos”: bringing together health promotion and sustainability governance for practitioners at the landscape scale

Environmental health issues are examples of “wicked problems” that require cross-sectoral collaboration at the community level, yet health practitioners and environmental stakeholders find it challenging to see how and why they could be working together. Supportive organisations have been identified as the most vital enabler for individual professionals to participate actively in cross-sectoral initiatives. Ability to justify inter-professional cooperation makes it easier for practitioners to gain the necessary approvals within their institutional mandates. This paper introduces a new conceptual framework that bridges health promotion and sustainability governance to facilitate practical cross-sectoral collaboration that targets complex health-related environmental and social-ecological challenges. The proposed framework integrates six concrete overlapping themes linking health promotion and sustainability governance. The framework also highlights examples of areas where the fields could benefit from one another. Moreover, children's environmental health is proposed as a desirable overall outcome and an attractive venue for potential collaboration, because of its critical role in the public health and well-being of future generations. As a determinant of adult health, children's environmental health emphasises the vital interdependencies between health and the environment.

[1]  D. Rapport,et al.  Time for an ecosystem approach to public health? Lessons from two infectious disease outbreaks in Canada , 2009, Global public health.

[2]  Elizabeth Harris,et al.  Theory in a Nutshell: A Practical Guide to Health Promotion Theories , 2004 .

[3]  M. Minkler Linking science and policy through community-based participatory research to study and address health disparities. , 2010, American journal of public health.

[4]  Derek Armitage,et al.  Governance and the Commons in a Multi-Level World , 2007 .

[5]  A. Soto,et al.  Developmental effects of endocrine-disrupting chemicals in wildlife and humans. , 1993, Environmental health perspectives.

[6]  Guy S. Parcel,et al.  How individuals, environments, and health behaviors interact: Social cognitive theory. , 2008 .

[7]  Valerie Brown,et al.  Sustainability and Health: Supporting Global Ecological Integrity in Public Health , 2005 .

[8]  E. Ostrom Beyond Markets and States: Polycentric Governance of Complex Economic Systems , 2010, American Economic Review.

[9]  R. Scholes,et al.  Ecosystems and human well-being: current state and trends , 2005 .

[10]  B. Israel,et al.  Health Education and Community Empowerment: Conceptualizing and Measuring Perceptions of Individual, Organizational, and Community Control , 1994, Health education quarterly.

[11]  I. Kickbusch Approaches to an ecological base for public health , 1989 .

[12]  Alfonso Mucci,et al.  Short-term responses to watershed logging on biomass mercury and methylmercury accumulation by periphyton in boreal lakes , 2006 .

[13]  David Waltner-Toews,et al.  Towards integrated governance for water, health and social-ecological systems: the watershed governance prism. , 2010 .

[14]  A. McMichael,et al.  Population Health As a Primary Criterion of Sustainability , 2006, EcoHealth.

[15]  D. Stokols Translating Social Ecological Theory into Guidelines for Community Health Promotion , 1996, American journal of health promotion : AJHP.

[16]  M. Harada,et al.  Followup Study of Mercury Pollution in Indigenous Tribe Reservations in the Province of Ontario, Canada, 1975–2002 , 2005, Bulletin of environmental contamination and toxicology.

[17]  K. Davies Economic Costs of Childhood Diseases and Disabilities Attributable to Environmental Contaminants in Washington State, USA , 2006, EcoHealth.

[18]  Michael T. Hernke,et al.  Sustainability, Health and Precautionary Perspectives on Lawn Pesticides, and Alternatives , 2011, EcoHealth.

[19]  K. Stronks,et al.  A 'health broker' role as a catalyst of change to promote health: an experiment in deprived Dutch neighbourhoods. , 2011, Health promotion international.

[20]  M. Whitehead,et al.  Policies and strategies to promote social equity in health. Background document to WHO - Strategy paper for Europe , 1991 .

[21]  A. Stirling “Opening Up” and “Closing Down” , 2008 .

[22]  John P. Kretzman,et al.  Building Communities from the Inside Out: A Path Toward Finding and Mobilizing a Community's Assets , 1993 .

[23]  L. Berkman,et al.  From social integration to health: Durkheim in the new millennium. , 2000, Social science & medicine.

[24]  J. Masuda,et al.  Reaching for environmental health justice: Canadian experiences for a comprehensive research, policy and advocacy agenda in health promotion. , 2010, Health promotion international.

[25]  A. Stirling Participation, precaution and reflexive governance for sustainable development , 2009 .

[26]  A. Dearry,et al.  Environmental Health Promotion: Progress and Future Opportunities , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[27]  Andrew Jordan,et al.  Sustainability: exploring the processes and outcomes of governance , 2009 .

[28]  A. John Sinclair,et al.  THE CONCEPT OF CRITICAL ENVIRONMENTAL ASSESSMENT (EA) EDUCATION , 1997 .

[29]  D. Wadley,et al.  Dynamic sustainabilities: technology, environment, social justice , 2011 .

[30]  Grant T Baldwin,et al.  Understanding Wicked Problems: A Key to Advancing Environmental Health Promotion , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[31]  R. Etzel,et al.  Environmental pediatrics and its impact on government health policy. , 2004, Pediatrics.

[32]  P. Gluckman,et al.  Developmental origins of non-communicable disease: Implications for research and public health , 2012, Environmental Health.

[33]  I. Rosenstock,et al.  Can we build on, or must we replace, the theories and models in health education? , 1994, Health education research.

[34]  S. Straus,et al.  Lost in knowledge translation: Time for a map? , 2006, The Journal of continuing education in the health professions.

[35]  C. Tyler,et al.  Roach, Sex, and Gender-Bending Chemicals: The Feminization of Wild Fish in English Rivers , 2008 .

[36]  Robert Jessop,et al.  Rende Governance , Governance Failure , and Meta-Governance , 2003 .

[37]  T. Hancock Healthy communities must also be sustainable communities. , 2000, Public health reports.

[38]  M. Bentley Healthy Cities, local environmental action and climate change. , 2007, Health promotion international.

[39]  C. Nykiforuk,et al.  Smoke-free spaces over time: a policy diffusion study of bylaw development in Alberta and Ontario, Canada. , 2007, Health & social care in the community.

[40]  Dominique F. Charron,et al.  Ecohealth research in practice : innovative applications of an ecosystem approach to health , 2012 .

[41]  D. Connell Sustainable Livelihoods and Ecosystem Health: Exploring Methodological Relations as a Source of Synergy , 2010, EcoHealth.

[42]  Amy D. Kyle,et al.  Integrated Assessment of Environment and Health: America’s Children and the Environment , 2005, Environmental health perspectives.

[43]  J. Norberg,et al.  ADAPTIVE GOVERNANCE OF SOCIAL-ECOLOGICAL SYSTEMS , 2005 .

[44]  Shawna L. Mercer,et al.  The value and challenges of participatory research: strengthening its practice. , 2008, Annual review of public health.

[45]  D. Cole,et al.  Links between humans and ecosystems: the implications of framing for health promotion strategies , 1999 .

[46]  Ortwin Renn,et al.  Precaution and the governance of risk , 2009 .

[47]  L. Birnbaum Environmental Chemicals: Evaluating Low-Dose Effects , 2012, Environmental health perspectives.

[48]  R. Labonté Econology: integrating health and sustainable development. Part One: theory and background , 1991 .

[49]  Kai N. Lee Sustainability: A Philosophy of Adaptive Ecosystem Management , 2006 .

[50]  M. Kraft,et al.  The Three Epochs of the Environmental Movement , 2008 .

[51]  Dale Hattis High-throughput testing--the NRC vision, the challenge of modeling dynamic changes in biological systems, and the reality of low-throughput environmental health decision making. , 2009, Risk analysis : an official publication of the Society for Risk Analysis.

[52]  C. Adair,et al.  Knowledge transfer and exchange: review and synthesis of the literature. , 2007, The Milbank quarterly.

[53]  F. D'itri,et al.  The outbreak of Minamata disease (methyl mercury poisoning) in cats on Northwestern Ontario reserves. , 1977, Environmental research.

[54]  J. L. Harrison,et al.  The Government Printing Office , 1968, American Journal of Pharmaceutical Education.

[55]  B. Poland,et al.  Context as a Fundamental Dimension of Health Promotion Program Evaluation , 2008 .

[56]  F. Berkes,et al.  Collaborative Integrated Management in Canada's North: The Role of Local and Traditional Knowledge and Community-Based Monitoring , 2007 .

[57]  E. Weber,et al.  Wicked problems, knowledge challenges, and collaborative capacity builders in network settings , 2008, IEEE Engineering Management Review.

[58]  Jonathan A. Patz,et al.  Ecosystem change and public health: a global perspective. , 2001 .

[59]  I. Rootman,et al.  Health promotion in Canada : critical perspectives , 2007 .

[60]  James F. McKenzie,et al.  Planning, Implementing, and Evaluating Health Promotion Programs : A Primer , 1992 .

[61]  J. Haseman,et al.  Summary of the National Toxicology Program's report of the endocrine disruptors low-dose peer review. , 2002, Environmental health perspectives.

[62]  F. Berkes Devolution of environment and resources governance: trends and future , 2010, Environmental Conservation.

[63]  J. Meadowcroft What about the politics? Sustainable development, transition management, and long term energy transitions , 2009 .

[64]  P. Martens,et al.  EcoHealth: A Transdisciplinary Imperative for a Sustainable Future , 2004, EcoHealth.

[65]  N. Wallerstein,et al.  Strengthening Individual and Community Capacity to Prevent Disease and Promote Health: In Search of Relevant Theories and Principles , 1995, Health education quarterly.

[66]  A. Diduck Critical education in resource and environmental management: Learning and empowerment for a sustainable future , 1999 .

[67]  Andrea Baccarelli,et al.  Epigenetics and environmental chemicals , 2009, Current opinion in pediatrics.

[68]  C. Casals-Casas,et al.  Endocrine disruptors: from endocrine to metabolic disruption. , 2011, Annual review of physiology.

[69]  B. Crona,et al.  The role of social networks in natural resource governance: What relational patterns make a difference? , 2009 .

[70]  S. Daniels,et al.  Collaborative learning: Improving public deliberation in ecosystem-based management , 1996 .

[71]  A. Schulz,et al.  Social Determinants of Health: Implications for Environmental Health Promotion , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[72]  Ann Robertson,et al.  New Health Promotion Movement: A Critical Examination , 1994, Health education quarterly.

[73]  T. Bryant Role of knowledge in public health and health promotion policy change. , 2002, Health promotion international.

[74]  David J. Rapport,et al.  Sustainability science: an ecohealth perspective , 2006, Sustainability science.

[75]  J. Harris,et al.  Tackling Wicked Problems: Through the Transdisciplinary Imagination , 2010 .

[76]  M. Lockwood Good governance for terrestrial protected areas: A framework, principles and performance outcomes. , 2010, Journal of environmental management.

[77]  Joke Vandenabeele,et al.  Social learning: a new perspective on learning in participatory systems , 1998 .

[78]  Sen Wang Wicked problems and metaforestry: Is the era of management over? , 2002 .

[79]  Karen Bickerstaff,et al.  Participatory Local Governance and Transport Planning , 2001 .

[80]  W. Mclaughlin,et al.  Communication in Ecosystem Management: A Case Study of Cross-Disciplinary Integration in the Assessment Phase of the Interior Columbia Basin Ecosystem Management Project , 2004, Environmental management.

[81]  G. Davey Smith Epigenesis for epidemiologists: does evo-devo have implications for population health research and practice? , 2012, International journal of epidemiology.

[82]  Philip J. Landrigan,et al.  Chronic Effects of Toxic Environmental Exposures on Children's Health , 2002, Journal of toxicology. Clinical toxicology.

[83]  Andrew Jordan,et al.  The Governance of Sustainable Development: Taking Stock and Looking Forwards , 2008 .

[84]  A. Rütten,et al.  Policy development and implementation in health promotion--from theory to practice: the ADEPT model. , 2011, Health promotion international.

[85]  M. Sparks Building healthy public policy: don't believe the misdirection. , 2011, Health promotion international.

[86]  Adrian Smith,et al.  The governance of sustainable socio-technical transitions , 2005 .

[87]  Diána Szekeres,et al.  The United Nations Millennium Development Goals , 2012 .

[88]  S. Tong,et al.  Major Issues in the Environmental Health Decision-Making Process , 1999 .

[89]  R. Caron,et al.  Community Ecology and Capacity: Keys to Progressing the Environmental Communication of Wicked Problems , 2009, Applied environmental education and communication.

[90]  Christian Rostboll,et al.  On Deliberative Democracy , 2001 .

[91]  A. Rotem,et al.  Health promotion and environmental management: a partnership for the future , 1992 .

[92]  H. Voisey,et al.  The political significance of local agenda 21: The early stages of some European experience , 1996 .

[93]  R. Carignan,et al.  Mercury concentrations in fish from forest harvesting and fire‐impacted Canadian Boreal lakes compared using stable isotopes of nitrogen , 2005, Environmental toxicology and chemistry.

[94]  Derek R. Armitage,et al.  Adaptive co-management and the paradox of learning , 2008 .

[95]  T. Webler,et al.  Public Participation in Impact Assess-ment: A Social Learning Perspective , 1995 .

[96]  Andrew P. Kythreotis Local strategic partnerships: a panacea for voluntary interest groups to promote local environmental sustainability? The UK context , 2010 .

[97]  Klaus Bosselmann,et al.  Governance for Sustainability: Issues, Challenges, Successes , 2008 .

[98]  C. Dakubo Ecosystems and human health , 2010 .

[99]  H. Chan,et al.  Temporal and spatial trends of mercury in fish collected in the English-Wabigoon river system in Ontario, Canada. , 2007, The Science of the total environment.

[100]  N. Hotta,et al.  Signs and symptoms of methylmercury contamination in a First Nations community in Northwestern Ontario, Canada. , 2014, Science of the Total Environment.

[101]  R. Labonté Econology: integrating health and sustainable development Part two: guiding principles for decision-making , 1991 .

[102]  J. Salonen,et al.  Socioeconomic conditions in childhood and ischaemic heart disease during middle age. , 1990, BMJ.

[103]  P. Martens,et al.  Sustainable development: how to manage something that is subjective and never can be achieved? , 2007 .

[104]  Y. Ben-Shlomo,et al.  A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. , 2002, International journal of epidemiology.

[105]  C. Latter,et al.  Defining and operationalizing capacity for heart health promotion in Nova Scotia, Canada. , 2004, Health promotion international.

[106]  H. Barton,et al.  A health map for the local human habitat , 2006, The journal of the Royal Society for the Promotion of Health.

[107]  Maria E. Fernandez,et al.  Planning Health Promotion Programs: An Intervention Mapping Approach , 2006 .

[108]  Angus Morrison-Saunders,et al.  Conceptualising sustainability assessment , 2004 .

[109]  D. Mazmanian Towards Sustainable Communities: Transition and Transformations , 2008 .

[110]  V. P. Mai,et al.  Pesticide Mixtures, Endocrine Disruption, and Amphibian Declines: Are We Underestimating the Impact? , 2006, Environmental health perspectives.

[111]  Jason L. Powell,et al.  Community Organizing and Community Building for Health , 1998 .

[112]  JOSH RICHARDSON,et al.  Ecosystem Sustainability and Health: A Practical Approach. , 2006 .

[113]  M. Kalia Brain development: anatomy, connectivity, adaptive plasticity, and toxicity. , 2008, Metabolism: clinical and experimental.

[114]  K. Weare Settings for Health Promotion: Linking Theory and Practice , 2000 .

[115]  C. Folke,et al.  Navigating social–ecological systems: building resilience for complexity and change: Fikret Berkes, Johan Colding and Carl Folke (Eds.). Cambridge University Press, 2003. xxi + 393 pages. ISBN 0-521-81592-4 (hardback), £65 , 2004 .

[116]  R. Krech,et al.  The Adelaide Statement on Health in All Policies: moving towards a shared governance for health and well-being. , 2010, Health promotion international.

[117]  J. Lynch,et al.  Is the association between childhood socioeconomic circumstances and cause-specific mortality established? Update of a systematic review , 2008, Journal of Epidemiology & Community Health.

[118]  Trevor Hancock,et al.  It's the environment, stupid! Declining ecosystem health is THE threat to health in the 21st century. , 2011, Health promotion international.

[119]  B. Poland,et al.  The Policy Context for Community Development Practice in Public Health: A Canadian Case Study , 2000, Journal of public health policy.

[120]  Laura N. Vandenberg,et al.  Hormones and endocrine-disrupting chemicals: low-dose effects and nonmonotonic dose responses. , 2012, Endocrine reviews.

[121]  Jerome R. Ravetz,et al.  Uncertainty, complexity and post-normal science , 1994 .

[122]  Sonia Royo,et al.  What is Driving the Increasing Presence of Citizen Participation Initiatives? , 2010 .

[123]  J. Prochaska,et al.  Transtheoretical therapy: Toward a more integrative model of change. , 1982 .

[124]  F. D'itri,et al.  Mercury Contamination: A Human Tragedy , 1977 .

[125]  S. Friel,et al.  Time to Regenerate: Ecosystems and Health Promotion , 2006, PLoS medicine.

[126]  D. Dzewaltowski Emerging theories in health promotion practice and research: strategies for improving public health , 2003 .

[127]  S M Mitchell,et al.  The governance and management of effective community health partnerships: a typology for research, policy, and practice. , 2000, The Milbank quarterly.

[128]  Andrew Jordan,et al.  Comparative Conclusions - 'New' Environmental Policy Instruments: An Evolution or a Revolution in Environmental Policy? , 2003 .

[129]  D. Prevention Ottawa charter for health promotion. , 1986, Canadian journal of public health = Revue canadienne de sante publique.

[130]  A. John Sinclair,et al.  Community-based approaches to strategic environmental assessment: Lessons from Costa Rica , 2009 .

[131]  M. Macdonald,et al.  Dilemmas in Health Promotion Evaluation: Participation and Empowerment , 2008 .

[132]  E. Blas,et al.  Social determinants approaches to public health: from concept to practice. , 2011 .

[133]  Alan R. Andreasen,et al.  Public Health Communication: Evidence for Behavior Change , 2002 .

[134]  Tom Baranowski,et al.  How individuals, environments, and health behavior interact : Social learning theory , 1990 .

[135]  K. Glanz,et al.  Health behavior and health education : theory, research, and practice , 1991 .

[136]  Michael Renner,et al.  Governing for sustainability , 2014 .

[137]  Thomas E. Drabek,et al.  A new species of trouble : explorations in disaster, trauma, and community , 1994 .

[138]  K. Brown Human development and environmental governance: a reality check , 2009 .

[139]  John P. Sumpter,et al.  Estrogenic activity in five United Kingdom rivers detected by measurement of vitellogenesis in caged male trout , 1997 .

[140]  Robert B. Gibson,et al.  Governance for sustainable development: moving from theory to practice , 2005 .

[141]  R. Kates,et al.  Characterizing and measuring sustainable development , 2003 .

[142]  G. R. Brundtland Our Common Future World Commission on Environment and Development , 1987 .

[143]  N. Wallerstein,et al.  Community-based participatory research for health : from process to outcomes , 2008 .

[144]  R. Plotnikoff,et al.  Exploring facilitators and barriers to individual and organizational level capacity building: outcomes of participation in a community priority setting workshop , 2010, Global health promotion.

[145]  Philip J. Landrigan,et al.  The precautionary principle: protecting public health, the environment and the future of our children , 2004 .

[146]  W. Neil Adger,et al.  ADVANCING A POLITICAL ECOLOGY OF GLOBAL ENVIRONMENTAL DISCOURSES , 2001 .

[147]  K. Glanz,et al.  An Ecological Perspective on Health Promotion Programs , 1988, Health education quarterly.

[148]  E. Parson Governing the Environment: Persistent Challenges, Uncertain Innovations , 2001 .

[149]  Dustin Cable,et al.  Environmental Justice , 2003 .

[150]  M. Lassonde,et al.  Exposure patterns and long term sequelae on adults and children in two Canadian indigenous communities exposed to methylmercury , 1997 .

[151]  E. Desjardins,et al.  Incorporating Policies for a Healthy Food System into Land Use Planning: The Case of Waterloo Region, Canada , 2011 .

[152]  Bashir Qureshi The Challenge of Promoting Health—Exploration and Action , 1997 .

[153]  F. Butterfoss,et al.  Building Allies Coalitions: Why Formation Matters , 2006, Health promotion practice.

[154]  B. Israel,et al.  Social networks and social support. , 2008 .

[155]  Anthony Charles,et al.  The Role of Participatory Governance and Community-Based Management in Integrated Coastal and Ocean Management in Canada , 2007 .

[156]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[157]  Lamont C. Hempel,et al.  Conceptual and Analytical Challenges in Building Sustainable Communities , 2009 .

[158]  F. Berkes,et al.  Adaptive co-management for social–ecological complexity , 2009 .

[159]  Justus J. Randolph A Guide to Writing the Dissertation Literature Review. , 2009 .

[160]  Ralph H. Johnson Argumentation: A Pragmatic Perspective , 1994 .

[161]  Nancy Sharby,et al.  Planning, Implementing and Evaluating Health Promotion Programs: A Primer. , 2005 .

[162]  D. Middleton,et al.  One Health and EcoHealth in Ontario: a qualitative study exploring how holistic and integrative approaches are shaping public health practice in Ontario , 2012, BMC Public Health.

[163]  Jean Lebel,et al.  Health: An Ecosystem Approach , 2003 .

[164]  D. Beauchamp Public health as social justice. , 1976, Inquiry : a journal of medical care organization, provision and financing.

[165]  I. Hertz-Picciotto,et al.  The faroes statement: human health effects of developmental exposure to chemicals in our environment. , 2007, Basic & clinical pharmacology & toxicology.

[166]  E. Lichtenstein Social learning. , 1977, NIDA research monograph.

[167]  A. Kothari,et al.  Multiple intervention research programs in community health. , 2004, The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres.

[168]  L. Goldman Linking research and policy to ensure children's environmental health. , 1998, Environmental health perspectives.

[169]  C. Kilelu,et al.  From Multiple Voices to a Common Language: Ecosystem Approaches to Human Health as an Emerging Paradigm , 2004, EcoHealth.

[170]  C. Leeuwis,et al.  Community health promotion: a framework to facilitate and evaluate supportive social environments for health. , 2010, Evaluation and program planning.

[171]  Derek Armitage,et al.  Adaptive Capacity and Community-Based Natural Resource Management , 2005, Environmental management.

[172]  Regina A Galer-Unti,et al.  Advocacy 101: Getting Started in Health Education Advocacy , 2004, Health promotion practice.

[173]  M. Kegler,et al.  Environmental Health Promotion: Bridging Traditional Environmental Health and Health Promotion , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[174]  D. Jaensch The government of South Australia , 1977 .