title: Integrating Human and Ecosystem Health Through Ecosystem Services Frameworks.
abstract: The pace and scale of environmental change is undermining the conditions for human health. Yet the environment and human health remain poorly integrated within research, policy and practice. The ecosystem services (ES) approach provides a way of promoting integration via the frameworks used to represent relationships between environment and society in simple visual forms. To assess this potential, we undertook a scoping review of ES frameworks and assessed how each represented seven key dimensions, including ecosystem and human health. Of the 84 ES frameworks identified, the majority did not include human health (62%) or include feedback mechanisms between ecosystems and human health (75%). While ecosystem drivers of human health are included in some ES frameworks, more comprehensive frameworks are required to drive forward research and policy on environmental change and human health.
authors.affiliation: Environment Department, University of York, Heslington, York, YO10 5DD, UK. adriana@cantab.net.
authors.forename: Adriana E S
authors.identifier: http://orcid.org/0000-0002-4038-143X
authors.initials: AE
authors.lastname: Ford
authors.affiliation: Department of Health Sciences, Seebohm Rowntree Building, University of York, Heslington, York, YO10 5DD, UK.
authors.forename: Hilary
authors.initials: H
authors.lastname: Graham
authors.affiliation: Environment Department, University of York, Heslington, York, YO10 5DD, UK.
authors.forename: Piran C L
authors.initials: PC
authors.lastname: White
mesh_terms: D057231:Climate Change; D017753:Ecosystem; D005544:Forecasting; D006801:Humans; D011634:Public Health / Q000639:trends*
keywords: conceptual framework; determinants of health; environmental drivers; public health; socio-ecological systems