The emerging concept of planetary health emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth's biosphere; here, we focus on the rapidly progressing microbiome science - the microbiota-mental health research in particular - as a way to illustrate the pathways by which exposure to biodiversity supports health. Microbiome science is illuminating the ways in which stress, socioeconomic disadvantage and social polices interact with lifestyle and behaviour to influence the micro and macro-level biodiversity that otherwise mediates health. Although the unfolding microbiome and mental health research is dominated by optimism in biomedical solutions (e.g. probiotics, prebiotics), we focus on the upstream psychosocial and ecological factors implicated in dysbiosis; we connect grand scale biodiversity in the external environment with differences in human-associated microbiota, and, by extension, differences in immune function and mental outlook. We argue that the success of planetary health as a new concept will be strengthened by a more sophisticated understanding of the ways in which individuals develop emotional connections to nature (nature relatedness) and the social policies and practices which facilitate or inhibit the pro-environmental values that otherwise support personal, public and planetary health.

中文翻译：

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生态失调漂移和生物心理社会医学：微生物组如何将个人、公共和地球健康联系起来。


新兴的地球健康概念强调，人类文明的健康与地球生物圈内自然系统的健康密切相关；在这里，我们重点关注快速发展的微生物组科学，特别是微生物群心理健康研究，以此来说明接触生物多样性支持健康的途径。微生物组科学正在阐明压力、社会经济劣势和社会政策与生活方式和行为相互作用的方式，从而影响微观和宏观层面的生物多样性，而生物多样性本来可以调节健康。尽管正在开展的微生物组和心理健康研究主要以生物医学解决方案（例如益生菌、益生元）的乐观态度为主，但我们重点关注与菌群失调有关的上游心理社会和生态因素；我们将外部环境中大规模的生物多样性与人类相关微生物群的差异联系起来，进而将免疫功能和精神面貌的差异联系起来。我们认为，通过更深入地理解个人与自然发展情感联系（自然相关性）的方式以及促进或抑制亲环境价值观的社会政策和实践，地球健康作为一个新概念的成功将得到加强。以其他方式支持个人、公共和地球健康。