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Asking Why Is Necessary to Address Health Disparities: A Critical Approach for Solution-Oriented Environmental Epidemiological Research. 问为什么是解决健康差异的必要条件:以解决方案为导向的环境流行病学研究的关键方法》。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-14 DOI: 10.1289/EHP14513
Tamarra James-Todd, Kathryn S Tomsho, Symielle A Gaston, Kevin C Elliott, Chandra L Jackson

Background: In environmental epidemiology, we use an array of tools from various, related disciplines to answer key questions about environmental exposures in relation to health outcomes. Typically, we ask questions related to what, who, where, when, and how. We value these questions because they contribute to novel scientific discovery and our understanding of disease etiology linked to environmental exposures. In addition, these questions help us better understand who might be at highest risk of exposure and subsequent risk of disease. Although necessary for the goals of environmental epidemiology, these questions are insufficient for addressing environmental health disparities. Specifically, these questions may be able to help us describe exposure-health outcome associations but are limited in their ability to move beyond identification to intervening on observed disparities to achieve environmental health equity.

Objectives: We sought to emphasize the need to value and routinely add the key question of "Why?" in environmental epidemiological studies. In asking this additional critical question, we can identify and incorporate the structural determinants and drivers of environmental exposure disparities and determine whether these factors are linked to existing and historically recalcitrant health disparities. Further, we can design effective studies that build on existing frameworks to address the fundamental causes of environmental health disparities.

Discussion: This commentary underscores the need to routinely incorporate "why" questions in the practice of environmental epidemiology. By asking and addressing "Why?" we can employ better, more solution-oriented study designs, improve data collection, and enhance our ability to collaborate with diverse study populations through trust-building and community-engaged research. Incorporating these approaches will move environmental epidemiology forward from mostly documenting to actively addressing environmental health disparities. https://doi.org/10.1289/EHP14513.

背景:在环境流行病学中,我们使用一系列来自不同相关学科的工具来回答环境暴露与健康结果相关的关键问题。通常,我们会提出与什么、谁、在哪里、何时以及如何相关的问题。我们重视这些问题,因为它们有助于新的科学发现,有助于我们了解与环境暴露相关的疾病病因。此外,这些问题还有助于我们更好地了解哪些人暴露于环境的风险最高,以及随后的患病风险。尽管这些问题对于环境流行病学的目标来说是必要的,但对于解决环境健康差异问题来说是不够的。具体来说,这些问题或许可以帮助我们描述暴露与健康结果之间的关联,但在识别之外对观察到的差异进行干预以实现环境健康公平方面,这些问题的能力是有限的:我们试图强调在环境流行病学研究中重视并例行增加 "为什么?"这一关键问题的必要性。通过提出这个额外的关键问题,我们可以确定并纳入环境暴露差异的结构性决定因素和驱动因素,并确定这些因素是否与现有的和历史上顽固存在的健康差异有关。此外,我们还可以在现有框架的基础上设计有效的研究,以解决环境健康差异的根本原因:本评论强调了将 "为什么 "的问题纳入环境流行病学实践的必要性。通过提出并解决 "为什么?"的问题,我们可以采用更好、更以解决问题为导向的研究设计,改进数据收集,并通过建立信任和社区参与研究来提高我们与不同研究人群合作的能力。采用这些方法将推动环境流行病学从主要记录环境健康差异向积极解决环境健康差异迈进。https://doi.org/10.1289/EHP14513。
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引用次数: 0
Comment on "Associations between Changes in Exposure to Air Pollutants due to Relocation and the Incidence of 14 Major Disease Categories and All-Cause Mortality: A Natural Experiment Study". 关于 "搬迁导致的空气污染物暴露变化与 14 种主要疾病的发病率和全因死亡率之间的关系:自然实验研究 "发表评论。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-12 DOI: 10.1289/EHP16404
Ziwei Gao, Jiachen Qi, Wei Ye
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引用次数: 0
Madagascar's Plague: One Health Research Aims to Slow Its Spread. 马达加斯加的瘟疫:一项健康研究旨在减缓瘟疫蔓延。
IF 12.7 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-08 DOI: 10.1289/EHP15224
Wendee Nicole

The integrated approach tackles a perfect storm of poverty, invasive rats, deforestation, and climate change that is contributing to the increase in bubonic plague cases.

这种综合方法解决了导致鼠疫病例增加的贫困、鼠类入侵、森林砍伐和气候变化等问题。
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引用次数: 0
Education Fosters Action: Community Science Advances Arsenic Abatement in Maine and New Hampshire. 教育促进行动:社区科学推动了缅因州和新罕布什尔州的砷减排工作。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-25 DOI: 10.1289/EHP16189
Carrie Arnold

High school students and teachers paired with researchers improved awareness, drinking water testing, and abatement in high-risk areas.

高中师生与研究人员结成对子,提高了高风险地区的认识、饮用水检测和减排能力。
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引用次数: 0
A Prospective Analysis of Per- and Polyfluoroalkyl Substances from Early Pregnancy to Delivery in the Atlanta African American Maternal-Child Cohort. 亚特兰大非裔美国人母婴队列中从怀孕早期到分娩的全氟和多氟烷基物质前瞻性分析。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-06 DOI: 10.1289/EHP14334
Youran Tan, Stephanie M Eick, Anne L Dunlop, Dana Boyd Barr, Kaitlin R Taibl, Kyle Steenland, Kurunthachalam Kannan, Morgan Robinson, Che-Jung Chang, Parinya Panuwet, Volha Yakimavets, Carmen J Marsit, P Barry Ryan, Donghai Liang
<p><strong>Background: </strong>Longitudinal trends in per- and polyfluoroalkyl substances (PFAS) serum concentrations across pregnancy have not been thoroughly examined, despite evidence linking prenatal PFAS exposures with adverse birth outcomes.</p><p><strong>Objectives: </strong>We sought to characterize longitudinal PFAS concentrations across pregnancy and to examine the maternal-fetal transfer ratio among participants in a study of risk and protective factors for adverse birth outcomes among African Americans.</p><p><strong>Methods: </strong>In the Atlanta African American Maternal-Child cohort (2014-2020), we quantified serum concentrations of four PFAS in 376 participants and an additional eight PFAS in a subset of 301 participants during early (8-14 weeks gestation) and late pregnancy (24-30 weeks gestation). Among these, PFAS concentrations were also measured among 199 newborns with available dried blood spot (DBS) samples. We characterized the patterns, variability, and associations in PFAS concentrations at different time points across pregnancy using intraclass correlation coefficients (ICCs), maternal-newborn pairs transfer ratios, linear mixed effect models, and multivariable linear regression, adjusting for socioeconomic and prenatal predictors.</p><p><strong>Results: </strong>Perfluorohexane sulfonic acid (PFHxS), perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), and perfluorononanoic acid (PFNA) were detected in <math><mrow><mo>></mo><mn>95</mn><mo>%</mo></mrow></math> of maternal samples, with PFHxS and PFOS having the highest median concentrations. We observed high variability in PFAS concentrations across pregnancy time points (<math><mrow><mtext>ICC</mtext><mo>=</mo><mn>0.03</mn><mo>-</mo><mn>0.59</mn></mrow></math>). All median PFAS concentrations increased from early to late pregnancy, except for PFOA and N-methyl perfluorooctane sulfonamido acetic acid (NMFOSAA), which decreased [paired <math><mi>t</mi></math>-test for all PFAS <math><mrow><mi>p</mi><mo><</mo><mn>0.05</mn></mrow></math> except for PFOA and perfluorobutane sulfonic acid (PFBS)]. Prenatal serum PFAS were weakly to moderately correlated with newborn DBS PFAS (<math><mrow><mo>-</mo><mn>0.05</mn><mo><</mo><mtext>rho</mtext></mrow></math> <math><mrow><mo><</mo><mn>0.49</mn></mrow></math>). The median maternal-fetal PFAS transfer ratio was lower for PFAS with longer carbon chains. After adjusting for socioeconomic and prenatal predictors, in linear mixed effect models, the adjusted mean PFAS concentrations significantly increased during pregnancy, except for PFOA. In multivariable linear regression, PFAS concentrations in early pregnancy significantly predicted the PFAS concentrations in late pregnancy and in newborns.</p><p><strong>Discussion: </strong>We found that the concentrations of most PFAS increased during pregnancy, and the magnitude of variability differed by individual PFAS. Future studies are needed to understand the influence of
背景:尽管有证据表明产前全氟烷基和多氟烷基物质(PFAS)暴露与不良出生结局有关,但对整个孕期全氟烷基和多氟烷基物质(PFAS)血清浓度的纵向趋势尚未进行深入研究:我们试图描述妊娠期间纵向 PFAS 浓度的特征,并检查非裔美国人不良出生结果风险和保护因素研究参与者的母胎转移比:在亚特兰大非裔美国人母婴队列(2014-2020 年)中,我们量化了 376 名参与者血清中四种 PFAS 的浓度,以及 301 名参与者在孕早期(妊娠 8-14 周)和孕晚期(妊娠 24-30 周)血清中另外八种 PFAS 的浓度。其中,我们还测量了 199 名新生儿干血斑 (DBS) 样本中的 PFAS 浓度。我们使用类内相关系数 (ICC)、母体-新生儿对转移比、线性混合效应模型和多变量线性回归,对社会经济因素和产前预测因素进行了调整,从而确定了整个孕期不同时间点的全氟辛烷磺酸浓度的模式、变异性和关联性:95%以上的母体样本中都检测到了全氟己烷磺酸(PFHxS)、全氟辛烷磺酸(PFOS)、全氟辛酸(PFOA)和全氟壬酸(PFNA),其中全氟己烷磺酸和全氟辛烷磺酸的中位浓度最高。我们观察到,不同妊娠时间点的 PFAS 浓度差异很大(ICC=0.03-0.59)。除了 PFOA 和 N-甲基全氟辛烷磺酰胺乙酸(NMFOSAA)的中位数浓度有所下降外,所有 PFAS 的中位数浓度从孕早期到孕晚期均有所上升[除了 PFOA 和全氟丁烷磺酸(PFBS)外,所有 PFAS 的配对 t 检验结果均为 p0.05]。产前血清中的 PFAS 与新生儿 DBS 中的 PFAS 呈弱至中度相关(-0.05rho 0.49)。碳链较长的 PFAS 的母胎 PFAS 转移比中位数较低。在线性混合效应模型中,调整社会经济因素和产前预测因素后,调整后的 PFAS 平均浓度在孕期显著增加,但 PFOA 除外。在多变量线性回归中,孕早期的 PFAS 浓度可显著预测孕晚期和新生儿的 PFAS 浓度:讨论:我们发现,大多数 PFAS 的浓度在孕期都会增加,而且不同 PFAS 的变化幅度也不同。未来的研究需要了解妊娠期间和妊娠后人体内 PFAS 变异对出生结果的影响。https://doi.org/10.1289/EHP14334。
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引用次数: 0
Environmental Exposures and Long COVID in a Prospective Population-Based Study in Catalonia (COVICAT Study). 加泰罗尼亚一项前瞻性人群研究(COVICAT 研究)中的环境暴露与长期 COVID。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-27 DOI: 10.1289/EHP15377
Apolline Saucy, Ana Espinosa, Susana Iraola-Guzmán, Gemma Castaño-Vinyals, Barbara N Harding, Marianna Karachaliou, Otavio Ranzani, Rafael De Cid, Judith Garcia-Aymerich, Manolis Kogevinas
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引用次数: 0
Erratum: "Gut Check: Microbiota and Obesity in Mice Exposed to Polystyrene Microspheres". 勘误:《肠道检查:暴露于聚苯乙烯微球的小鼠体内的微生物群与肥胖》。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-27 DOI: 10.1289/EHP16701
Wendee Nicole
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引用次数: 0
Diversity under a Microscope: As Biodiversity Diminishes, Do Allergies and Asthma Increase? 显微镜下的多样性:生物多样性减少,过敏症和哮喘会增加吗?
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1289/EHP15798
Kelley Christensen

A state-of-the-science review probed whether biodiversity inside the body and in the environment were associated with certain immune responses.

一项科学研究探讨了体内和环境中的生物多样性是否与某些免疫反应有关。
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引用次数: 0
Gut Check: Microbiota and Obesity in Mice Exposed to Polystyrene Microspheres. 肠道检查:暴露于聚苯乙烯微球的小鼠体内的微生物群与肥胖。
IF 10.1 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-11-01 Epub Date: 2024-11-04 DOI: 10.1289/EHP15844
Wendee Nicole

Gut microbes appeared to play a role in the obesity outcomes observed in mice fed manufactured polystyrene microspheres.

肠道微生物似乎在喂食人造聚苯乙烯微球的小鼠中观察到的肥胖结果中起了作用。
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引用次数: 0
A Bigger Big Picture: Insights on Environmental Chemicals and Dyslipidemia through Combined "Omic" Analyses. 更大的大图片:通过 "Omic "综合分析了解环境化学物质和血脂异常。
IF 10.4 1区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-10-25 DOI: 10.1289/ehp15932
Charles Schmidt
Exposures to chemicals, including phthalates, triphenyl phosphate, and dibutyl phosphate, have been associated with increased levels of lipid markers, such as elevated low-density lipoprotein.
接触化学品(包括邻苯二甲酸盐、磷酸三苯酯和磷酸二丁酯)与血脂指标(如低密度脂蛋白升高)水平升高有关。
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引用次数: 0
期刊
Environmental Health Perspectives
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