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esulting in urban sprawl (Sanchez, Duhl 1999). This contributes to lower levels<br />

of physical activity, with a direct knock-on effect upon our physical and mental<br />

health and well-being.<br />

Different types of transportation have different impacts on different socio-economic<br />

groups. Poorer families, for example, tend to have lower mobility and<br />

a lower environmental impacts as a result of their lower use of private cars.<br />

Those living in urban areas – and particularly their children – are more exposed<br />

to adverse environmental conditions caused by road transport, such as traffic<br />

injuries and outdoor air pollution. They are also more vulnerable to the adverse<br />

effects of traffic because they bear greater burdens of pre-existing illness or<br />

other forms of vulnerability, like poverty, unemployment and unhealthy lifestyles<br />

(UK SDC 2010).<br />

Trends towards more sustainable health and society<br />

Recent decades have seen an increasing incidence of, and mortality caused by,<br />

non-communicable diseases. The acknowledgment of the importance of diet<br />

and physical activity in combating such diseases has generated many health<br />

promotion initiatives and government policy to support more healthy and sustainable<br />

lifestyles.<br />

Per capita environmental<br />

impacts are considerably<br />

higher for high income<br />

groups than lower income<br />

groups.<br />

Health promotion has moved<br />

beyond individual behaviour<br />

and now addresses<br />

underlying determinants.<br />

Common goals and co-benefits have been identified between health promotion<br />

and sustainable development that require further exploration. Health promotion<br />

enables people to increase control over their own health and today has<br />

moved beyond a focus on individual behaviour towards a range of social and<br />

environmental interventions that address the determinants that underpin our<br />

lifestyles.<br />

Challenges to sustainable health and society<br />

Challenges for more healthy and sustainable eating habits<br />

Industrial agriculture uses intensive production methods that require large<br />

quantities of non-renewable fossil fuel, fossil fuel-based fertilisers and pesticides.<br />

This has a direct impact on the environment and increases health risks<br />

through GHG emissions in addition to indirect impacts of food production, distribution,<br />

consumption and recycling.<br />

Marketing campaigns for highly processed food products, together with their<br />

increased availability and low price encourage people to choose unhealthy<br />

and unsustainable products. Other challenges to a more healthy diet relate to<br />

awareness and knowledge, personal habits and attitudes, and cultural, geographic<br />

and social norms and values.<br />

In most countries, low income households spend a higher proportion of their<br />

income on food than their more affluent counterparts. Poor households are impacted<br />

most by food price fluctuations. A UK study found that 5% of people on<br />

low incomes report skipping meals for a whole day (FSA 2007). A tight budget<br />

is a barrier to changing or experimenting with a healthier diet (UK SDC 2010).<br />

One key challenge, therefore, is to ensure that healthy and sustainable food is<br />

accessible to all socio-economic groups. There is also a need to consider global<br />

<strong>trends</strong> and developments, such as the growing demand for meat and dairy<br />

products in some countries. Moreover, there is a need to identify the health and<br />

sustainability benefits and disadvantages of local versus global food production<br />

and supply systems.<br />

Challenges to a healthier<br />

and more sustainable<br />

society:<br />

• Unsustainable industrial<br />

agriculture<br />

• Marketing campaigns,<br />

increasing availability<br />

and low prices for highly<br />

processed, unhealthy food<br />

• Poorly insulated, energy<br />

inefficient homes and<br />

related health problems<br />

• Effects of the economic<br />

crisis on public budgets<br />

for health promotion<br />

and infrastructure<br />

investments<br />

• Current “silo approaches”<br />

to policy making<br />

Challenges and opportunities for sustainable lifestyles 71

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