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Encouraging and Enabling Lifestyles and Behaviours to Simultaneously Promote Environmental Sustainability, Health and Equity: Key Policy Messages from INHERIT

. 2020 Sep 30 ; 17 (19) : . [epub] 20200930

Language English Country Switzerland Media electronic

Document type Journal Article, Research Support, Non-U.S. Gov't, Review

Grant support
667364 Horizon 2020 Framework Programme - International

Human consumption and activity are damaging the global ecosystem and the resources on which we rely for health, well-being and survival. The COVID-19 crisis is yet another manifestation of the urgent need to transition to more sustainable societies, further exposing the weaknesses in health systems and the injustice in our societies. It also underlines that many of the factors leading to environmental degradation, ill health and social and health inequities are interlinked. The current situation provides an unprecedented opportunity to invest in initiatives that address these common factors and encourage people to live more healthily and sustainably. Such initiatives can generate the positive feedback loops needed to change the systems and structures that shape our lives. INHERIT (January 2016-December 2019), an ambitious, multisectoral and transnational research project that involved 18 organisations across Europe, funded by the European Commission, explored such solutions. It identified, defined and analysed promising inter-sectoral policies, practices and approaches to simultaneously promote environmental sustainability, protect and promote health and contribute to health equity (the INHERIT "triple-win") and that can encourage and enable people to live, move and consume more healthfully and sustainably. It also explored the facilitators and barriers to working across sectors and in public private cooperation. The insights were brought together in guidelines setting out how policy makers can help instigate and support local "triple-win" initiatives that influence behaviours as an approach to contributing to the change that is so urgently needed to stem environmental degradation and the interlinked threats to health and wellbeing. This article sets out this guidance, providing timely insights on how to "build back better" in the post pandemic era.

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Debonne N. Climate Change and Land: An IPCC Special Report on Climate Change, Desertification, Land Degradation, Sustainable Land Management, Food Security, and Greenhouse Gas Fluxes in Terrestrial Ecosystem. Intergovernmental Panel on Climate Change; Geneva, Switzerland: 2019.

Watts N., Amann M., Arnell N., Ayeb-Karlsson S., Belesova K., Boykoff M., Byass P., Cai W., Campbell-Lendrum D., Capstick S., et al. The 2019 Report of the Lancet Countdown on Health and Climate Change: Ensuring That the Health of a Child Born Today Is Not Defined by a Changing Climate. Lancet. 2019;394:1836–1878. doi: 10.1016/S0140-6736(19)32596-6. PubMed DOI PMC

Haines A., Ebi K. The Imperative for Climate Action to Protect Health. N. Engl. J. Med. 2019;380:263–273. doi: 10.1056/NEJMra1807873. PubMed DOI

European Political Strategic Centre . Sustainability Now! A European Vision for Sustainability. European Commission; Brussels, Belgium: 2016. EPSC Strategic Notes.

Friel S., Marmot M., McMicheal A., Kjellstrom T., Vagero D. Global Health Equity and Climate Stabilisation: A Common Agenda. Lancet. 2008;372:1677–1683. doi: 10.1016/S0140-6736(08)61692-X. PubMed DOI

Staatsen B., van der Vliet N., Kruize H., Hall L., Morris G., Bell R., Stegeman I. Exploring Triple-Win Solutions for Living, Moving and Consuming That Encourage Behavioural Change, Project the Environment, Promote Health and Health Equity. EuroHealthNet; Brussels, Belgium: 2017. [(accessed on 20 July 2020)]. Available online: https://inherit.eu/resources/reports/

European Parliament . Briefing (Economic and Monetary Affairs; Employment and Social Affairs): Economic Inequality. European Parliament; Brussels, Belgium: 2016.

WHO WHO Director-General’s Opening Remarks at the World Health Assembly. [(accessed on 14 July 2020)]; Available online: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-world-health-assembly.

de Wit W., Freschi A., Trench E. COVID 19: Urgent Call to Protect People and Nature. World Wide Fund for Nature; Gland, Switzerland: 2020.

Douglas M., Katikireddi S.V., Taulbut M., McKee M., McCartney G. Mitigating the Wider Health Effects of Covid-19 Pandemic Response. Br. Med. J. 2020;369 doi: 10.1136/bmj.m1557. PubMed DOI PMC

Bambra C., Riordan R., Ford J., Matthews F. The COVID-19 pandemic and health inequalities. [(accessed on 29 September 2020)];J. Epidemiol. Community Health. 2020 doi: 10.1136/jech-2020-214401. Available online: https://jech.bmj.com/content/early/2020/06/13/jech-2020-214401. PubMed DOI PMC

Morris G., Saunders P. Oxford Research Encyclopedia of Environmental Science. Environmental Science; New York, NY, USA: 2017. The Environment in Health and Well-Being. DOI

Sustainable Development Goals. About the Sustainable Development Goals Sustainable Development Goals. [(accessed on 17 July 2020)]; Available online: https://www.un.org/sustainabledevelopment/development-agenda/

Fu B., Wang S., Zhang J., Hou Z., Li J. Unravelling the Complexity in Achieving the 17 Sustainable-Development Goals. Natl. Sci. Rev. 2019;6:386–388. doi: 10.1093/nsr/nwz038. PubMed DOI PMC

Griffiths P., West C. A Balanced Intervention Ladder: Promoting Autonomy through Public Health Action. Public Health. 2015;129:1092–1098. doi: 10.1016/j.puhe.2015.08.007. PubMed DOI

Conner M., Norman P. Predicting Health Behaviour: Research and Practice with Social Cognition Models. 2nd ed. Open University Press; Berkshire, UK: 2005.

Schultz P., Kaiser F. Promoting Pro-Environmental Behavior. In: Clayton S., editor. Oxford Library of Psychology. The Oxford Handbook of Environmental and CConservation Psychology. Oxford University Press; Oxford, UK: 2012. pp. 556–580. DOI

Vlek C., Steg L. Human Behavior and Environmental Sustainability: Problems, Driving Forces, and Research Topics. J. Soc. Issues. 2007;63:1–19. doi: 10.1111/j.1540-4560.2007.00493.x. DOI

Michie S., van Stralen M., West R. The Behaviour Change Wheel: A New Method for Characterising and Designing Behaviour Change Interventions. Implement. Sci. 2011;6 doi: 10.1186/1748-5908-6-42. PubMed DOI PMC

Marmot M. Fair Society, Healthy Lives. The Marmot Review. UCL Institute of Health Equity; London, UK: 2010.

WHO . Environmental Health Inequalities in Europe. Second Assessment Report. WHO; Geneva, Switzerland: 2019.

Adams J., Mytton O., White M., Monsivais P. Why Are Some Population Interventions for Diet and Obesity More Equitable and Effective than Others? The Role of Individual Agency. PLoS Med. 2016;13:e1001990. doi: 10.1371/journal.pmed.1001990. PubMed DOI PMC

Cigainero J. Who Are France’s Yellow Vest Protesters, and What Do They Want? NPR. [(accessed on 29 September 2020)]; Available online: https://www.npr.org/2018/12/03/672862353/who-are-frances-yellow-vest-protesters-and-what-do-they-want?t=1601391370078.

Wilkinson R., Pickett K. The Spirit Level: Why More Equal Societies Almost Always Do Better. Allen Lane; London, UK: 2009.

Prüss-Ustün A., Wolf J., Corvalán C., Neville T., Bos R., Neira M. Diseases Due to Unhealthy Environments: An Updated Estimate of the Global Burden of Disease Attributable to Environmental Determinants of Health. J. Public Health. 2017;39:464–475. doi: 10.1093/pubmed/fdw085. PubMed DOI PMC

INHERIT INHERIT Policy Toolkit. [(accessed on 11 September 2020)]; Available online: https://inherit.eu/policy-toolkit/

INHERIT Database on Promising Practices. [(accessed on 11 September 2020)];2020 Available online: https://inherit.eu/db-results/

Moser S.C. Not for the Faint of Heart: Tasks of Climate Change Communication in the Context of Societal Transformation. In: Feola G., Geogheagan H., Arnall A., editors. Climate and Culture: Multidisciplinary Perspectives on a Warming World. Cambridge University Press; Cambridge, UK: 2019. pp. 141–167.

Guillen-Hanson G., Strube R., Xhelili A. INHERIT: Reaching the ‘Triple-Win’, Four Future Scenarios of a Healthier, More Equitable and Sustainable Europe in 2040. [(accessed on 20 July 2020)];2018 Available online: https://inherit.eu/resources/reports/

Zvěřinová I., Máca V., Ščasný M., Strube R., Marques S., Dubová D., Kryl M., Craveiro D., Taylor T., Chiabai A., et al. How to Achieve a Healthier and More Sustainable Europe by 2040 According to the Public? Results of a Five-Country Questionnaire Survey. [(accessed on 29 September 2020)];Int. J. Environ. Res. Public Health. 2020 17:6071. Available online: https://www.mdpi.com/1660-4601/17/17/6071. PubMed PMC

van der Vliet N., Staatsen B., Kruize H., Morris G., Costongs C., Bell R., Marques S., Taylor T., Quiroga S., Juarez P.M., et al. The INHERIT Model: A Tool to Jointly Improve Health, Environmental Sustainability and Health Equity through Behavior and Lifestyle Change. Int. J. Environ. Res. Public Health. 2018;15:1435. doi: 10.3390/ijerph15071435. PubMed DOI PMC

Kruize H., van der Vliet N., Staatsen B., Bell R., Chiabai A., Muiños G., Higgins S., Quiroga S., Martinez-Juarez P., Aberg Yngwe M., et al. Urban Green Space: Creating a Triple Win for Environmental Sustainability, Health, and Health Equity through Behavior Change. Int. J. Environ. Res. Public Health. 2019;16:4403. doi: 10.3390/ijerph16224403. PubMed DOI PMC

INHERIT INHERIT Policy Roundtables. [(accessed on 11 September 2020)]; Available online: https://www.inherit.eu/roundtables/

Bell R., Khan M., Romeo-Velilla M., Stegeman I., Godfrey A., Taylor T., Morris G., Staatsen B., van der Vliet N., Kruize H., et al. Ten Lessons for Good Practice for the INHERIT Triple Win: Health, Equity, and Environmental Sustainability. Int. J. Environ. Res. Public Health. 2019;16:4546. doi: 10.3390/ijerph16224546. PubMed DOI PMC

Miller V., Yusuf S., Chow C.K., Dehghan M., Corsi D.J., Lock K., Popkin B., Rangarajan S., Khatib R., Lear S.A., et al. Availability, Affordability, and Consumption of Fruits and Vegetables in 18 Countries across Income Levels: Findings from the Prospective Urban Rural Epidemiology (PURE) Study. Lancet Glob. Health. 2016;4:695–703. doi: 10.1016/S2214-109X(16)30186-3. PubMed DOI

Aschemann-Witzel J., Zielke S. Can’t Buy Me Green? A Review of Consumer Perceptions of Behavior toward the Price of Organic Food. J. Consum. Aff. 2017;51:211–251. doi: 10.1111/joca.12092. DOI

Zvěřinová I., Ščasný M., Máca V. Barriers and Potential for Adopting Healthier, More Equitable and Environmentally Friendly Solutions Identified in a Five-Country Survey. EuroHealthNet; Brussels, Belgium: 2018. [(accessed on 20 July 2020)]. Available online: https://www.inherit.eu/five-country-survey/

Bell R., Khan M., Lillefjell M., Anthun K., Maass R., Hope S., Espnes G., Friedrich B., Friberg M., Merritt A., et al. INHERIT: Quantitative and Qualitative Evaluations of Impacts and Benefits of Nine INHERIT Case Studies. EuroHealthNet; Brussels, Belgium: 2019. [(accessed on 20 July 2020)]. Available online: https://www.inherit.eu/quantitative-and-qualitative-evaluations-of-impacts-and-benefits-of-nine-inherit-case-studies/

Spelt H., Tsiampalis T., Karnaki P., Kouvari M., Zota D., Linos A., Westerink J. Lifestyle E-Coaching for Physical Activity Level Improvement: Short-Term and Long-Term Effectivity in Low Socioeconomic Status Groups. Int. J. Environ. Res. Public Health. 2019;16:4427. doi: 10.3390/ijerph16224427. PubMed DOI PMC

Sharpe R., Machray K., Fleming L., Taylor T., Henley W., Chenore T., Hutchcroft I., Taylor J., Heaviside C., Wheeler B. Household Energy Efficiency and Health: Area-Level Analysis of Hospital Admissions in England. Environ. Int. 2019;133:105164. doi: 10.1016/j.envint.2019.105164. PubMed DOI PMC

Sharpe R.A., Taylor T., Fleming L.E., Morrissey K., Morris G., Wigglesworth R. Making the Case for “Whole System” Approaches: Integrating Public Health and Housing. Int. J. Environ. Res. Public Health. 2018;15:2345. doi: 10.3390/ijerph15112345. PubMed DOI PMC

de Jalón S.G., Chiabai A., Taylor T., Quiroga S., Suarez C., Artaza N., Blas T., de Ayala A., Martínez P., Latorre C., et al. Cost-Benefit Analysis of Four INHERIT Case Studies. [(accessed on 20 July 2020)];2019 Available online: https://inherit.eu/resources/reports/

van der Vliet N., den Broeder L., Staatsen B., Kruize H. INHERIT: Success Factors, Barriers and Future of Intersectoral Cooperation: A Qualitative Evaluation of Twelve INHERIT Case Studies. EuroHealthNet; Brussels, Belgium: 2019. [(accessed on 20 July 2020)]. Available online: https://www.inherit.eu/executive-summary-and-full-report/

de Jalón García S., Chiabai A., Tague A.M., Artaza N., de Ayala A., Quiroga S., Kruize H., Suárez C., Bell R., Taylor T. Providing Access to Urban Green Spaces: A Participatory Benefit-Cost Analysis in Spain. Int. J. Environ. Res. Public Health. 2020;17:2818. doi: 10.3390/ijerph17082818. PubMed DOI PMC

WHO . Participation as a Driver of Health Equity. WHO; Copenhagen, Denmark: 2019.

Gjorgjev D., Dimovska M., Morris G., Howie J., Borota Popovska M., Topuzovska Latkovikj M. How Good Is Our Place—Implementation of the Place Standard Tool in North Macedonia. Int. J. Environ. Res. Public Health. 2019;17:194. doi: 10.3390/ijerph17010194. PubMed DOI PMC

Grossi F., Strube R., Xhelili A. INHERIT: Citizen Insights for a Healthier, More Equitable and Sustainable Europe in 2040. A Qualitative Analysis in Five Countries; EuroHealthNet, Brussels, Belgium. [(accessed on 11 September 2020)];2018 Available online: https://www.inherit.eu/citizen-insights/

Xhelili A., Strube R., Grossi F., Zvěřinová I., Taylor T., Martinez-Juarez P., Quiroga S., Suárez C., Gjorgjev D. A Technological Scenario for a Healthier, More Equitable and Sustainable Europe in 2040: Citizen Perceptions and Policy Implications. Int. J. Environ. Res. Public Health. 2020;17:231. doi: 10.3390/ijerph17010231. PubMed DOI PMC

Anthun K., Lillefjell M., Espnes G.A., Hope S., Maass R.K., Nguyen C., Sætermo T. INHERIT: Implementing Triple-Win Case Studies for Living, Moving and Consuming That Encourage Behavioural Change, Protect the Environment, and Promote Health and Health Equity; EuroHealthNet, Brussels, Belgium. [(accessed on 20 July 2020)];2019 Available online: https://www.inherit.eu/implementing-triple-win-case-studies/

Vos M., Romeo-Velilla M., Stegeman I., Bell R., van der Vliet N., van Lippevelde W. Qualitative Evaluation of the Stoemp Network in Ghent: An Intersectoral Approach to Make Healthy and Sustainable Food Available to All. Int. J. Environ. Res. Public Health. 2020;17:3073. doi: 10.3390/ijerph17093073. PubMed DOI PMC

Craveiro D., Marques S., Marreiros A., Bell R., Khan M., Godinho C., Quiroga S., Suárez C. Equity, Health, and Sustainability with PROVE: The Evaluation of a Portuguese Program for a Short Distance Supply Chain of Fruits and Vegetables. Int. J. Environ. Res. Public Health. 2019;16:5083. doi: 10.3390/ijerph16245083. PubMed DOI PMC

Akenji L., Lettenmeier M., Koide R., Toivio V., Amellina A. 1.5-Degree Lifestyles: Targets and Options for Reducing Lifestyle Carbon Footprints. IGES; Seyssins, France: 2019.

INHERIT INHERIT Online Course. [(accessed on 20 July 2020)]; Available online: https://www.inherit.eu/online-course/

Goffman E. In the wake of COVID-19, is glocalization our sustainability future? Sustain. Sci. Pract. Policy. 2020;16:48–52. doi: 10.1080/15487733.2020.1765678. DOI

IPBES . In: Global Assessment Report on Biodiversity and Ecosystem Services of the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services. Brondizio E.S., Settele J., Díaz S., Ngo H.T., editors. IPBES Secretariat; Bonn, Germany: 2019. [(accessed on 29 September 2020)]. Available online: https://ipbes.net/global-assessment.

Smith K.F., Goldberg M., Rosenthal S., Carson L., Chen J., Ramachandran S. Global Rise in human infectious disease outbreaks. J. R. Soc. Interface. 2014;11:20140950. doi: 10.1098/rsif.2014.0950. PubMed DOI PMC

European Commission . The European Green Deal: Communication from the Commission to the European Parliament, the European Council, the Council, the European Economic and Social Committee and the Committee of the Regions. European Commission; Brussels, Belgium: 2019.

Manifesto for a Healthy Recovery from COVID-19. Prescriptions for a Healthy and Green Recovery from COVID-19. [(accessed on 20 July 2020)]; Available online: https://www.who.int/news-room/feature-stories/detail/who-manifesto-for-a-healthy-recovery-from-covid-19.

European Environmental Agency . Healthy Environment, Healthy Lives. How Environment Influences Health and Well-Being in Europe. European Environmental Agency Report 21/2019. European Environmental Agency; Copenhagen, Denmark: 2020. [(accessed on 29 September 2020)]. Available online: https://www.eea.europa.eu/publications/healthy-environment-healthy-lives.

United Nations Development Programme . Financing across Sectors for Sustainable Development. Guidance Note. United Nations Development Programme; New York, NY, USA: 2019.

Barnfield A., Papartyte L., Costongs C. Financing Health Promoting Services: An Information Guide. EuroHealthNet; Brussels, Belgium: 2019.

Raworth K. Doughnut Economics: Seven Ways to Think Like a 21st-Century Economist. Cornerstone; London, UK: 2018.

Council of the European Union . Draft Council Conclusions on the Economy of Wellbeing. Council of the European Union; Brussels, Belgium: 2019.

Council of the European Union . The Economy of Wellbeing—OECD Background Paper. Council of the European Union; Brussels, Belgium: 2019.

OECD . Accelerating Climate Action: Refocusing Policies through a Well-Being Lens. OECD Publishing; Paris, France: 2019.

Trebeck K., Williams J. The Economics of Arrival: Ideas for a Grown-Up Economy. Policy Press; Bristol, UK: 2019.

Willett W., Rockström J., Loken B., Springmann M., Lang T., Vermeulen S., Garnett T., Tilman D., DeClerck F., Wood A., et al. Food in the Anthropocene: The EAT–Lancet Commission on Healthy Diets from Sustainable Food Systems. Lancet. 2019;393:447–492. doi: 10.1016/S0140-6736(18)31788-4. PubMed DOI

INHERIT Scientific Publications. [(accessed on 11 September 2020)]; Available online: https://inherit.eu/scientific-publications/

Vergragt P.J., Quist J. Backcasting for Sustainability: Introduction to the Special Issue. Technol. Forecast. Soc. Chang. 2011;78:747–755. doi: 10.1016/j.techfore.2011.03.010. DOI

Guillen-Hanson G., Strube R., Xhelili A., Liseri M. Impactful Trends in Europe towards 2040: Related to Health, Health Equity and the Environment, Following the STEEPLE Framework. EuroHealthNet; Brussels, Belgium: 2017. [(accessed on 11 September 2020)]. Available online: https://www.inherit.eu/impactful-trends/

Grossi F., Strube R., Xhelili A., Stegeman I. An INHERIT Policy Roadmap: Effective Interventions towards Healthier, More Equitable and Environmentally Sustainable European Societies. EuroHealthNet; Brussels, Belgium: 2018. [(accessed on 11 September 2020)]. Available online: https://www.inherit.eu/policy-roadmap/

Van der Vliet N., den Broeder L., Romeo-Velilla M., Kruize H., Staatsen B., Schuit J. Intersectoral Cooperation in 12 European Case Studies Aiming for Better Health, Environmental Sustainability, and Health Equity: Protocol for a Qualitative Evaluation. JMIR Res. Protoc. 2020;9:e17323. doi: 10.2196/17323. PubMed DOI PMC

INHERIT INHERIT Policy Briefs. [(accessed on 11 September 2020)]; Available online: https://inherit.eu/policy-briefs/

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