Understanding Italian and European citizens' knowledge, trust and awareness about One Health : a transdisciplinary approach

The "One Health" (OH) approach highlights the interconnectedness of human, animal, and environmental health, emphasizing collaboration across disciplines to address complex global challenges such as pandemics, climate change, and antimicrobial resistance. Despite its academic and institutional prominence, OH remains poorly understood by the public, with limited awareness and trust in its feasibility. This study, based on a CAWI survey of 1,500 European citizens, reveals significant knowledge gaps, with only 15% recognizing OH as a label and 24% understanding the concept when explained. While interest in OH is high, trust in its implementation lags behind. Citizens' perceptions also favor tangible over systemic benefits. Bridging this gap requires clearer communication, supportive policies, and actionable strategies to translate OH from theory into practice, fostering its integration into daily life and global health governance. [Testo dell'editore]