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Eco-Health linkages: assessing the role of ecosystem goods and services on human health using causal criteria analysis

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International Journal of Public Health

Abstract

Objectives

In the last decade, we saw an upsurge of studies evaluating the role of ecosystem goods and services (EGS) on human health (Eco-Health). Most of this work consists of observational research of intermediate processes and few address the full pathways from ecosystem to EGS to human health, limiting our ability to assess causality.

Methods

We conducted a causal criteria analysis of Eco-Health literature using Eco-Evidence, a software tool that helps evaluate evidence of cause–effect relationships. We focus on the context of green spaces providing “buffering” EGS that may influence disease.

Results

We found support for a causal linkage between green spaces and all of the EGS tested, and sufficient evidence linking EGS to gastro intestinal disease and heat morbidities. Inconsistencies were found when assessing the link between EGS to cardiovascular and respiratory diseases. Few studies directly link green spaces to health. Those that do, support a connection to cardiovascular disease, and heat morbidities, but provide inconsistent evidence regarding respiratory illness.

Conclusions

Our results help establish an agenda to shape future Eco-Health research and define priorities for managing green spaces to provide human health benefits.

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Acknowledgements

We thank Laura Jackson, Mathew Harwell, Susan Yee, Marc Russell and anonymous reviewers for comments that greatly improved this manuscript. The views expressed in this paper are those of the authors and do not necessarily reflect the views or policies of the US Environmental Protection Agency. Any mention of trade names, products or services does not imply an endorsement by the US Government or the US Environmental Protection Agency (EPA). The EPA does not endorse any commercial products, services, or enterprises.

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Correspondence to Rebeca de Jesus Crespo.

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de Jesus Crespo, R., Fulford, R. Eco-Health linkages: assessing the role of ecosystem goods and services on human health using causal criteria analysis. Int J Public Health 63, 81–92 (2018). https://doi.org/10.1007/s00038-017-1020-3

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