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Climate change adaptation across the life-course - from pregnancy to adolescence – it’s time to advance the field of climate change and child health 在整个生命过程中——从怀孕到青春期——适应气候变化,现在是推进气候变化和儿童健康领域的时候了
Pub Date : 2023-03-09 DOI: 10.1088/2752-5309/acc2dd
D. Helldén, R. Ndejjo, Amanda Sturm, Ida Persson, R. Wanyenze, K. Ebi, M. Nilsson, T. Alfvén
Children are bearing and will continue to bear a high burden from climate change, through direct and indirect pathways. Climate change adaptation interventions are essential to limit the current and projected impacts of climate change on child health. However, the perspective of children and their health with regards to adaptation in research and policy is limited. Ensuring that adaptation interventions are context specific, consider interrelated barriers to implementation and leverage existing structures including multisectoral collaboration is vital. Further, a life-course perspective on child health and well-being could serve as a template for tailoring adaptation interventions to the specific vulnerabilities and needs of specific development periods of the child. A meaningful engagement of children and young persons in the design and implementation of adaptation interventions is essential to increase effectiveness and uptake. With climate change effecting millions of children worldwide, it is high time to put child health at the center of adaptation.
儿童正在并将继续通过直接和间接途径承受气候变化带来的沉重负担。气候变化适应干预措施对于限制气候变化目前和预计对儿童健康的影响至关重要。然而,儿童及其健康在研究和政策适应方面的观点是有限的。确保适应干预措施针对具体情况,考虑相互关联的执行障碍,并利用包括多部门合作在内的现有结构,至关重要。此外,从生命历程的角度看待儿童健康和福祉,可以作为一个模板,根据儿童特定发展时期的特定脆弱性和需求调整适应干预措施。儿童和青年有意义地参与适应干预措施的设计和实施,对于提高有效性和接受度至关重要。随着气候变化影响全球数百万儿童,现在是时候把儿童健康放在适应的中心了。
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引用次数: 1
Warm-season temperatures and emergency department visits among children with health insurance. 温暖季节的气温和有健康保险的儿童急诊室就诊。
Pub Date : 2023-03-01 DOI: 10.1088/2752-5309/ac78fa
Jennifer D Stowell, Yuantong Sun, Keith R Spangler, Chad W Milando, Aaron Bernstein, Kate R Weinberger, Shengzhi Sun, Gregory A Wellenius

High ambient temperatures have become more likely due to climate change and are linked to higher rates of heat-related illness, respiratory and cardiovascular diseases, mental health disorders, and other diseases. To date, far fewer studies have examined the effects of high temperatures on children versus adults, and studies including children have seldom been conducted on a national scale. Compared to adults, children have behavioral and physiological differences that may give them differential heat vulnerability. We acquired medical claims data from a large database of commercially insured US children aged 0-17 from May to September (warm-season) 2016-2019. Daily maximum ambient temperature and daily mean relative humidity estimates were aggregated to the county level using the Parameter-elevation Relationships on Independent Slopes dataset, and extreme heat was defined as the 95th percentile of the county-specific daily maximum temperature distribution. Using a case-crossover design and temperature lags 0-5 days, we estimated the associations between extreme heat and cause-specific emergency department visits (ED) in children aged <18 years, using the median county-specific daily maximum temperature distribution as the reference. Approximately 1.2 million ED visits in children from 2489 US counties were available during the study period. The 95th percentile of warm-season temperatures ranged from 71 °F to 112 °F (21.7 °C to 44.4 °C). Comparing 95th to the 50th percentile, extreme heat was associated with higher rates of ED visits for heat-related illness; endocrine, nutritional and metabolic diseases; and otitis media and externa, but not for all-cause admissions. Subgroup analyses suggested differences by age, with extreme heat positively associated with heat-related illness for both the 6-12 year (odds ratio [OR]: 1.34, 95% confidence interval [CI]: 1.16, 1.56) and 13-17 year age groups (OR: 1.55, 95% CI: 1.37, 1.76). Among children with health insurance across the US, days of extreme heat were associated with higher rates of healthcare utilization. These results highlight the importance of individual and population-level actions to protect children and adolescents from extreme heat, particularly in the context of continued climate change.

由于气候变化,高环境温度变得更有可能,并且与高温相关疾病、呼吸系统和心血管疾病、精神健康障碍和其他疾病的高发率有关。迄今为止,研究高温对儿童和成人影响的研究要少得多,而且在全国范围内进行的包括儿童在内的研究也很少。与成人相比,儿童在行为和生理上存在差异,这可能使他们对热的脆弱性有所不同。我们从2016-2019年5 - 9月(暖季)美国0-17岁商业保险儿童的大型数据库中获取医疗索赔数据。利用独立坡度参数-高程关系数据集将日最高环境温度和日平均相对湿度估算值汇总到县一级,并将极端热定义为县特定日最高温度分布的第95百分位。使用病例交叉设计和温度滞后0-5天,我们估计了极端高温与年龄儿童病因特异性急诊就诊(ED)之间的关系
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引用次数: 2
Intervention studies to reduce the impact of climate change on health in rural communities in the United States: a systematic review 减少气候变化对美国农村社区健康影响的干预研究:系统回顾
Pub Date : 2023-02-14 DOI: 10.1088/2752-5309/acbbe6
Daniel J. Smith, Elizabeth Mizelle, Sharon L. Leslie, Grace X Li, Sheila Stone, P. Stauffer, Anna R. Smith, Gianna Lewis, E. L. Rodden, R. McDermott-Levy, Lisa M. Thompson
Climate change, the greatest public health threat of the 21st century, will uniquely affect rural areas that are geographically isolated and experience greater health inequities. This systematic review describes and evaluates interventions to lessen the effects of climate change on human health in the rural United States, including interventions on air pollution, vector ecology, water quality, severe weather, extreme heat, allergens, and water and food supply. Searches were constructed based on the eight domains of the Centers for Disease Control and Prevention (CDC) Framework “Impact of Climate Change on Human Health.” Searches were conducted in EBSCO Environment Complete, EBSCO GreenFILE, Embase.com, MEDLINE via PubMed, and Web of Science. Duplicate citations were removed, abstracts were screened for initial inclusion, and full texts were screened for final inclusion. Pertinent data were extracted and synthesized across the eight domains. Article quality was assessed using the Mixed Methods Appraisal Tool. Of 8471 studies screened, 297 were identified for full text review, and a total 49 studies were included in this review. Across the domains, 34 unique interventions addressed health outcomes due to air pollution (n = 8), changes in vector ecology (n = 6), water quality (n = 5), severe weather (n = 3), extreme heat (n = 2) increasing allergens (n = 1), water and food supply (n = 1), and across multiple CDC domains (n = 8). Participatory action research methodology was commonly used and strived to mobilize/empower communities to tackle climate change. Our review identified three randomized controlled trials, with two of these three published in the last five years. While original research on the impact of climate change on health has increased in the past decade, randomized control trials may not be ethical, cost effective, or feasible. There is a need for time-efficient and high-quality scholarship that investigates intervention efficacy and effectiveness for reducing health impacts of climate change upon rural populations.
气候变化是21世纪最大的公共卫生威胁,它对地理上孤立、卫生不平等现象更严重的农村地区将产生独特影响。本系统综述描述和评估了减少气候变化对美国农村人类健康影响的干预措施,包括对空气污染、媒介生态学、水质、恶劣天气、极端高温、过敏原以及水和食物供应的干预措施。搜索是基于疾病控制和预防中心(CDC)框架“气候变化对人类健康的影响”的八个领域构建的。在EBSCO Environment Complete, EBSCO GreenFILE, Embase.com, MEDLINE via PubMed和Web of Science中进行了搜索。删除重复引用,筛选摘要作为初始纳入,筛选全文作为最终纳入。提取并综合了八个领域的相关数据。采用混合方法评价工具评价文章质量。在筛选的8471项研究中,有297项被确定为全文综述,共有49项研究被纳入本综述。在这些领域中,34种独特的干预措施涉及空气污染(n = 8)、媒介生态变化(n = 6)、水质(n = 5)、恶劣天气(n = 3)、极端高温(n = 2)、过敏原增加(n = 1)、水和食物供应(n = 1)以及多个疾病预防控制中心领域(n = 8)造成的健康结果。参与式行动研究方法被普遍使用,并努力动员/赋予社区应对气候变化的能力。我们的综述确定了三个随机对照试验,其中两个是在最近五年内发表的。虽然在过去十年中,关于气候变化对健康影响的原始研究有所增加,但随机对照试验可能不符合伦理、成本效益或可行性。需要有省时和高质量的学术研究,以调查减少气候变化对农村人口健康影响的干预效果和有效性。
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引用次数: 0
Impact of mitigation measures to improve home indoor air quality in Kathmandu, Nepal 尼泊尔加德满都改善家庭室内空气质量的缓解措施的影响
Pub Date : 2023-01-26 DOI: 10.1088/2752-5309/acb663
L. Edwards, P. Wilkinson, G. Rutter, Leslie Iverson, A. Milojevic
Air purifiers (APs) and home sealing are interventions used to help protect U.S. diplomats against particle pollution in the home when working in polluted cities. We investigated the effect of these interventions on home indoor and personal PM2.5 exposure in Kathmandu, Nepal. Twenty-one participants underwent repeated 48 hour personal monitoring before and after intervention. We analyzed these measurements by microenvironment. Indoor-outdoor ratios (I/O) using the home indoor PM2.5 values were calculated in order to assess the air filtration capacity at home in light of increasing outdoor PM2.5 post-intervention. To quantify the effect of intervention on home indoor PM2.5, we conducted a meta-analysis of the results of dwelling-by-dwelling regression of indoor-on-outdoor (I/O) PM2.5 concentrations. On average, adding high-capacity APs and home sealing led to a 15% decrease in PM2.5 measured at home, excluding cooking periods, with a mean (standard deviation) of 7.5 (6.4) μg m−3 pre- to 6.4 (8.1) μg m−3 post-intervention despite a 57% increase in outdoor PM2.5, from 43.8 (30.8) μg m−3 pre- to 68.9 (40.7) μg m−3 post-intervention. Overall mean personal exposure fell by 36% from 15.2 (10.6) μg m−3 to 9.8 (8.7) μg m−3. I/O ratios decreased as outdoor PM2.5 strata increased; when outdoor PM2.5 < 25 μg m−3 the I/O decreased from 0.38 pre- to 0.12 post-intervention and when outdoor PM2.5 was 101–200 μg m−3 the I/O decreased from 0.12 pre- to 0.07 post-intervention. The mean regression slope of indoor-on-outdoor PM2.5 decreased from 0.13 (95% CI 0.09, 0.17) in pre-intervention dwellings to 0.07 (0.04, 0.10) post-intervention. I/O ratios showed a weak negative (not statistically significant) inverse association with air changes per hour at home. In the high pollution environment of Kathmandu, APs with home sealing provide substantial protection against ambient PM2.5 in the home environment, including during periods when outdoor PM2.5 concentration was above 100 μg m−3.
空气净化器(AP)和家庭密封是用于保护美国外交官在污染城市工作时免受家中颗粒物污染的干预措施。我们调查了这些干预措施对尼泊尔加德满都家庭室内和个人PM2.5暴露的影响。21名参与者在干预前后接受了48小时的反复个人监测。我们通过微环境分析了这些测量结果。根据干预后室外PM2.5的增加,使用家庭室内PM2.5值计算室内外比(I/O),以评估家庭的空气过滤能力。为了量化干预对家庭室内PM2.5的影响,我们对室内外(I/O)PM2.5浓度逐户回归的结果进行了荟萃分析。平均而言,添加高容量AP和家庭密封导致家中测得的PM2.5(不包括烹饪时间)下降15%,干预前的平均值(标准差)为7.5(6.4)μg m−3,干预后为6.4(8.1)μg m-3,尽管室外PM2.5增加了57%,从干预前的43.8(30.8)微克m−3增加到干预后的68.9(40.7)微克m–3。总体平均个人暴露量下降了36%,从15.2(10.6)μg m−3降至9.8(8.7)μg m-3。I/O比率随着室外PM2.5层的增加而降低;当室外PM2.5<25μg m−3时,I/O从干预前的0.38下降到干预后的0.12,当室外PM2.5为101–200μg m–3时,I/O从干预前降至干预后的0.07。室内外PM2.5的平均回归斜率从干预前住宅的0.13(95%CI 0.090.17)降至干预后的0.07(0.040.10)。I/O比率显示,与家中每小时的空气变化呈微弱的负相关(无统计学意义)。在加德满都的高污染环境中,带家庭密封的AP为家庭环境中的环境PM2.5提供了实质性的保护,包括在室外PM2.5浓度超过100μg m−3的时期。
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引用次数: 1
In vitro assessment of the pulmonary toxicity of particulate matter emitted during haze events in Chiang Mai, Thailand via investigation of macrophage responses 通过巨噬细胞反应的研究,对泰国清迈雾霾事件期间排放的颗粒物的肺毒性进行体外评估
Pub Date : 2023-01-10 DOI: 10.1088/2752-5309/ac9748
K. Maciaszek, S. Gillies, S. Kawichai, T. Prapamontol, Teetawat Santijitpakdee, Wissanupong Kliengchuay, Narut Sahanavin, W. Mueller, S. Vardoulakis, Pawitrabhorn Samutrtai, J. Cherrie, David M. Brown, Kraichat Tantrakarnapa, H. Johnston
Chiang Mai (Thailand) experiences severe haze pollution in the dry season (December–April) each year mainly due to local and regional biomass burning (e.g. of agricultural land). A major component of the haze is airborne particulate matter (PM). During haze events, biomass burning is likely to be the dominant source of PM emissions, and at other times emissions from traffic dominate. The hazard of traffic derived PM has been extensively investigated previously but there are uncertainties regarding the toxicity of PM emitted from biomass burning. The toxicity of PM10 samples collected during and after haze events in Chiang Mai in 2020 was compared in vitro in J774.1 macrophages as they are responsible for the clearance of inhaled particles. Diesel exhaust particles and ultrafine carbon black were included as benchmark particles as they have been commonly used as a surrogate for PM. Cytotoxicity was evaluated 24 h post exposure at concentrations of 3.9–125 µg ml−1. Cytokine production (tumour necrosis factor alpha (TNF-α), interleukin (IL)-6, IL-1β, macrophage inflammatory protein (MIP-2)) was assessed and cell morphology visualised using light and scanning electron microscopy. The hydrodynamic diameter, zeta potential and endotoxin content of all particles was assessed as well as the metal content of PM samples. All particles induced a concentration dependent decrease in cell viability and increased TNF-α and MIP-2 production. Only PM samples stimulated IL-6 production and only non-haze PM caused IL-1β production. No change in IL-10 production was detected for any particle. PM samples and DEP caused vacuole formation in cells. The concentrations of endotoxin and metals were highest in non-haze PM, which may explain why it induced the greatest inflammatory response. As non-haze PM was more toxic than haze PM, our results indicate that the source of PM emissions can influence its toxic potency and more specifically, that PM emitted from biomass burning may be less toxic than PM emitted from traffic.
泰国清迈每年在旱季(12月至4月)经历严重的雾霾污染,主要是由于当地和区域生物质燃烧(例如农业用地)。雾霾的主要成分是空气中的颗粒物(PM)。在雾霾事件期间,生物质燃烧可能是PM排放的主要来源,而在其他时间,交通排放占主导地位。交通产生的PM的危害以前已经进行了广泛的研究,但关于生物质燃烧排放的PM的毒性存在不确定性。研究人员在J774.1巨噬细胞中体外比较了2020年清迈雾霾事件期间和之后收集的PM10样本的毒性,因为它们负责清除吸入颗粒。柴油尾气颗粒和超细炭黑通常被用作PM的替代品,因此被纳入基准颗粒。在3.9-125µg ml−1的浓度下,对暴露24 h后的细胞毒性进行评估。细胞因子的产生(肿瘤坏死因子α (TNF-α)、白细胞介素(IL)-6、IL-1β、巨噬细胞炎症蛋白(MIP-2))被评估,并用光镜和扫描电镜观察细胞形态。测定了各颗粒的水动力直径、zeta电位和内毒素含量以及PM样品的金属含量。所有颗粒均诱导浓度依赖性细胞活力降低,TNF-α和MIP-2的产生增加。只有PM样品刺激IL-6的产生,只有非雾霾PM引起IL-1β的产生。对任何颗粒均未检测到IL-10产量的变化。PM样品和DEP引起细胞内形成液泡。内毒素和金属的浓度在非雾霾PM中最高,这可能解释了为什么它会引起最大的炎症反应。由于非雾霾PM比雾霾PM毒性更大,我们的研究结果表明PM排放源可以影响其毒性效力,更具体地说,生物质燃烧排放的PM可能比交通排放的PM毒性更小。
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引用次数: 1
Community-based participatory research on the impact of greenspace on violent crime 关于绿地对暴力犯罪影响的社区参与性研究
Pub Date : 2022-11-15 DOI: 10.1088/2752-5309/aca2d2
M. Shepley, Rebecca L Ames, R. Leitão, Gloria Coleman
Background. The positive impact of greenspace on human health has been well documented, including several literature reviews and meta-analyses that have examined the broad benefits of nature connections. Researchers have also examined the relationship between nature and crime reduction and identified potential mechanisms underlying this outcome, such as the physiological impact of nature, lowered temperatures due to a reduction in the heat island effect, and places for community interaction. However, a critical shortcoming of this study is the lack of deep community involvement in the research process. Community-based participatory research (CBPR) is critical to ensuring that the findings are meaningful to communities and translatable. This study expands on recent literature reviews on greenspace outcomes by focusing on community-engaged research (CER). By gathering and summarizing studies on this topic, we address two subjects: (a) strategies that can be used to improve community engagement, and (b) environmental factors that impact community outcomes in greenspace settings. Methods. To explore these issues, we used a modified version of Arksey and O’Malley’s framework for a structured literature review, employing the Web of Science, EbscoHost, Scopus, ProQuest Global, and Google Scholar databases. Results. We retrieved 772 publications using permutations of keywords related to violent crime, greenspaces, and CBPR. After eliminating duplicates, the reviewers worked in parallel to evaluate 700 titles and abstracts and identified 51 potentially relevant papers, ten of which met the requirements for inclusion in this analysis. Discussion. Based on the studies explored in this literature review, we identified the following strategies for improving CER: building partnerships, facilitating power-sharing, utilizing community-specific indicators of success, embracing perspectives of communities of color, and empowering community researchers. In the sample of studies described here, the factors contributing to the relationship between greenspace and violent crime were maintenance, activity programming, green interventions, and community involvement.
背景绿地对人类健康的积极影响已经得到了充分的证明,包括几篇文献综述和荟萃分析,这些文献和分析考察了自然联系的广泛好处。研究人员还研究了自然与减少犯罪之间的关系,并确定了这一结果的潜在机制,如自然的生理影响、由于热岛效应的减少而降低的温度,以及社区互动的场所。然而,这项研究的一个关键缺点是缺乏深入的社区参与研究过程。基于社区的参与性研究(CBPR)对于确保研究结果对社区有意义和可翻译性至关重要。这项研究通过关注社区参与研究(CER),扩展了最近关于绿地结果的文献综述。通过收集和总结关于这一主题的研究,我们讨论了两个主题:(a)可用于提高社区参与度的策略,以及(b)在绿地环境中影响社区结果的环境因素。方法。为了探讨这些问题,我们使用了Arksey和O'Malley框架的修改版本进行结构化文献综述,使用了Web of Science、EbscoHost、Scopus、ProQuest Global和Google Scholar数据库。后果我们使用与暴力犯罪、绿地和CBPR相关的关键词排列检索了772篇出版物。在消除重复后,评审人员同时评估了700篇标题和摘要,并确定了51篇潜在的相关论文,其中10篇符合纳入本分析的要求。讨论根据本文献综述中探讨的研究,我们确定了以下改善CER的策略:建立伙伴关系,促进权力共享,利用特定社区的成功指标,接受有色人种社区的观点,并赋予社区研究人员权力。在这里描述的研究样本中,促成绿地与暴力犯罪之间关系的因素是维护、活动规划、绿色干预和社区参与。
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引用次数: 0
Introducing Environmental Research: Health—a new journal devoted to addressing important global challenges at the interface of the environment and public health 介绍《环境研究:健康》——一份致力于解决环境和公共卫生方面的重要全球挑战的新杂志
Pub Date : 2022-11-01 DOI: 10.1088/2752-5309/ac97b5
Morag Bell
Environmental Research: Health is a new open access, interdisciplinary journal devoted to addressing important global challenges at the interface of the environment and health in ways that bridge scientific progress and assessment with efforts relating to impact and future risks, resilience, mitigation, adaptation, security and solutions in the broadest sense. While progress has been made in many areas of environmental health, many problems remain and are in fact rising, with increasing threats from climate change and growing disparities in the health burdens of environmental conditions. Although many disciplinary and some broader journals exist, Environmental Research: Health functions at the intersection of science and solutions, which necessitates contributions from multiple disciplines, often working collaboratively, to provide science to better inform decisions from the local to global levels. The journal welcomes contributions from all research methodologies, including qualitative, quantitative, experimental, theoretical and applied approaches, including work on exposure assessment, implementation studies, policy analysis, and health assessment. Through open access, all science published in the journal will be made available free of charge to everyone. The inaugural Editorial Board spans experts from many fields including medicine, epidemiology, architecture, environmental engineering, statistics, and more. Environmental Research: Health aims to facilitate high caliber scientific evidence on how environmental conditions can harm or improve health to allow decision-makers from community groups to national and international leaders to make the best choices to improve health and the environment.
《环境研究:健康》是一本新的开放获取、跨学科期刊,致力于解决环境与健康之间的重要全球挑战,将科学进步和评估与影响和未来风险、复原力、缓解、适应、安全和最广泛意义上的解决方案联系起来。尽管在环境卫生的许多领域取得了进展,但许多问题仍然存在,而且事实上正在加剧,气候变化的威胁越来越大,环境条件造成的健康负担差距越来越大。尽管存在许多学科和一些更广泛的期刊,《环境研究:健康》是科学和解决方案的交叉点,这需要多个学科的贡献,通常是合作,以提供科学,更好地为地方和全球层面的决策提供信息。该杂志欢迎所有研究方法的贡献,包括定性、定量、实验、理论和应用方法,包括接触评估、实施研究、政策分析和健康评估方面的工作。通过开放获取,该杂志上发表的所有科学都将免费提供给所有人。首届编辑委员会涵盖了来自医学、流行病学、建筑、环境工程、统计学等多个领域的专家。环境研究:健康旨在为环境条件如何损害或改善健康提供高质量的科学证据,使从社区团体到国家和国际领导人的决策者能够做出改善健康和环境的最佳选择。
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引用次数: 0
The nonlinear effects of air pollution on criminal behavior: evidence from Mexico City and New York 空气污染对犯罪行为的非线性影响:来自墨西哥城和纽约的证据
Pub Date : 2022-10-14 DOI: 10.1088/2752-5309/ac9a65
Luis Sarmiento
This article proposes an inverted U-shape relationship between air pollution and criminal behavior. Exposure increases criminality by raising criminals’ taste for risk and violent behavior while also reducing it by changing the number of felons and crime opportunities in the market through exacerbated morbidity and avoidance behavior. I illustrate both mechanisms with an expected utility model of the decision to delict and a simplified search and matching frictions model between criminals and crime opportunities. Linear, quadratic, and nonparametric Poisson pseudo-maximum likelihood estimator panel models confirm this bell-shaped relationship for Mexico City and New York, suggesting that the linear association between pollution and criminality uncovered by late studies may be better estimated with nonlinear models.
本文提出了空气污染与犯罪行为之间的倒u型关系。暴露通过提高罪犯对风险和暴力行为的偏好而增加犯罪,同时通过加剧发病率和回避行为而改变重罪犯的数量和市场上的犯罪机会来减少犯罪。我用犯罪决策的预期实用模型和罪犯与犯罪机会之间的简化搜索和匹配摩擦模型来说明这两种机制。线性、二次和非参数泊松伪极大似然估计面板模型证实了墨西哥城和纽约的钟形关系,这表明,最近研究发现的污染与犯罪之间的线性关联可以用非线性模型更好地估计。
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引用次数: 1
Exposure to animal feeding operations including concentrated animal feeding operations (CAFOs) and environmental justice in Iowa, USA 暴露于动物饲养操作,包括美国爱荷华州的集中动物饲养操作(CAFO)和环境正义
Pub Date : 2022-09-20 DOI: 10.1088/2752-5309/ac9329
Jiyoun Son, M. Bell
Health consequences of intensive livestock industry and implications for environmental justice are of great concern in Iowa, USA, which has an extensive history of animal feeding operations (AFOs). We examined disparities in exposure to AFOs including concentrated AFOs (CAFOs) with several environmental justice metrics and considered exposure intensity based on animal units (AUs). Using data on permitted AFOs from the Iowa Department of Natural Resources, we evaluated environmental disparities by multiple environmental justice metrics (e.g. race/ethnicity, socio-economic status (SES), income inequality (Gini index), racial isolation, and educational isolation) using 2010 Census tract-level variables. We used an exposure metric incorporating the density and intensity as the sum of AUs within each Census tract. We investigated exposure disparities by comparing distributions of environmental justice metrics based on operation type (e.g. confinement, open feedlot, large CAFOs), animal type, and Census tract-level AFOs exposure intensity categories (i.e. from low exposure (quartile 1) to high exposure (quartile 4)). AFOs in Iowa were located in areas with lower percentages of racial/ethnic minority persons and high SES communities. For example, the percent of the population that is non-Hispanic Black was over 9 times higher in Census tracts without AFOs than tracts with AFOs (5.14% vs. 0.55%). However, when we considered AFO exposure intensity within the areas having AFO exposure, areas with higher AFO exposure had higher percentages of racial/ethnic minority persons (e.g. Hispanic) and low SES communities (e.g. higher educational isolation) compared to areas with lower AFO exposure. Findings by AFO type (e.g. large CAFO, medium CAFO) showed similar patterns of the distribution of environmental justice metrics as the findings for AFOs overall. We identified complex disparities with higher exposure to non-disadvantaged subpopulations when considering areas with versus without AFOs, but higher exposure to disadvantaged communities within areas with AFOs.
集约畜牧业对健康的影响以及对环境正义的影响在美国爱荷华州备受关注,该州有着丰富的动物饲养业务历史。我们用几个环境正义指标研究了AFO(包括集中AFO)暴露的差异,并考虑了基于动物单位(AU)的暴露强度。使用爱荷华州自然资源部允许的AFO数据,我们使用2010年人口普查区级别的变量,通过多种环境正义指标(如种族/民族、社会经济地位(SES)、收入不平等(基尼指数)、种族隔离和教育隔离)评估了环境差异。我们使用了一个暴露指标,将密度和强度作为每个人口普查区内AU的总和。我们通过比较基于操作类型(如禁闭、开放饲养场、大型CAFO)、动物类型和人口普查区水平AFOs暴露强度类别(即从低暴露(四分位数1)到高暴露(四等分位数4))的环境正义指标分布,调查了暴露差异。爱荷华州的AFO位于种族/少数民族比例较低、社会经济地位较高的地区。例如,在没有AFO的人口普查区,非西班牙裔黑人人口的百分比是有AFO的地区的9倍多(5.14%对0.55%)。然而,当我们考虑有AFO暴露的地区内的AFO暴露强度时,与AFO暴露较低的地区相比,AFO暴露较高的地区的种族/少数民族(如西班牙裔)和低社会经济地位社区(如高等教育隔离)的比例较高。AFO类型的调查结果(如大型CAFO、中型CAFO)显示,环境正义指标的分布模式与AFO的总体调查结果相似。我们发现了复杂的差异,在考虑有和没有AFO的地区时,非弱势亚群体的暴露率较高,但在有AFO的区域内,弱势社区的暴露率更高。
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引用次数: 3
Nationwide assessment of ambient monthly fine particulate matter (PM2.5) and the associations with total, cardiovascular and respiratory mortality in the United States 美国月度环境细颗粒物(PM2.5)的全国评估及其与总死亡率、心血管死亡率和呼吸系统死亡率的关系
Pub Date : 2022-09-18 DOI: 10.1088/2752-5309/ac9b7e
A. Rau, A. Abadi, M. Fiecas, Yeong-Rip Gwon, Jesse E Bell, J. Berman
High air pollution events spanning multiple months and caused by environmental perturbations such as droughts and wildfires are increasing in frequency, intensity and duration due to climate change. While both daily and annual exposure to fine particulate matter (PM2.5) have regulatory standards in the United States, mid-scale exposure at the monthly interval remains unregulated and the public health impacts of mid-duration ambient air pollution exposure are poorly understood. These present a new public health challenge in mitigating harmful effects of persistent ambient air pollution on community health. We executed an ecological study of the associations between monthly mean PM2.5 exposure with total, cardiovascular and respiratory mortality counts, stratified by age, sex and race, in 698 counties in the conterminous United States from 1999 to 2018. A two-stage model was used to estimate the risk and number of deaths associated with this exposure timescale reported as incidence rate ratios (IRRs) and absolute risk differences per million persons (ARDs). Increased mortality of all types was positively associated with a 10 μg m−3 monthly change in PM2.5 exposure (total mortality IRR: 1.011, 95% confidence interval (CI): (1.009, 1.013), ARD: 8.558, 95% CI: (6.869, 10.247); cardiovascular mortality IRR: 1.014, 95% CI: (1.011, 1.018), ARD: 3.716, 95% CI: (2.924, 4.509); respiratory mortality IRR: 1.016, 95% CI: (1.011, 1.023), ARD: 1.676, 95% CI: (1.261, 2.091)). Our results suggest elderly, non-black minorities and males to be the most impacted subgroups along with metropolitan and highly socially vulnerable communities. Heterogeneities in the magnitude and direction of association were also detected across climate regions of the United States. These results elucidate potential effects of monthly PM2.5 on mortality and demonstrate a need for future health policies for this currently unregulated interval of ambient air pollution exposure.
由于气候变化,由干旱和野火等环境扰动引起的持续数月的高空气污染事件的频率、强度和持续时间都在增加。虽然美国对细颗粒物(PM2.5)的每日和年度暴露量都有监管标准,但每月的中等暴露量仍然不受监管,对中期环境空气污染暴露的公共健康影响知之甚少。在减轻持续环境空气污染对社区健康的有害影响方面,这是一项新的公共卫生挑战。我们对1999年至2018年美国698个县的月度平均PM2.5暴露与总死亡率、心血管死亡率和呼吸道死亡率之间的关系进行了生态学研究,并按年龄、性别和种族分层。使用两阶段模型来估计与该暴露时间尺度相关的风险和死亡人数,报告为发病率比(IRRs)和每百万人的绝对风险差异(ARDs)。所有类型的死亡率增加与PM2.5暴露量每月变化10 μg m−3呈正相关(总死亡率IRR: 1.011, 95%可信区间(CI):(1.009, 1.013), ARD: 8.558, 95% CI: (6.869, 10.247);心血管死亡率IRR: 1.014, 95% CI: (1.011, 1.018), ARD: 3.716, 95% CI: (2.924, 4.509);呼吸道死亡率IRR: 1.016, 95% CI: (1.011, 1.023), ARD: 1.676, 95% CI:(1.261, 2.091))。我们的研究结果表明,老年人、非黑人少数族裔和男性,以及大都市和高度社会弱势群体,是受影响最大的亚群体。在美国的气候区域中,关联的大小和方向也存在异质性。这些结果阐明了月度PM2.5对死亡率的潜在影响,并表明未来有必要针对目前不受监管的环境空气污染暴露时间制定卫生政策。
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引用次数: 2
期刊
Environmental research, health : ERH
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