环境因素对人类总体健康的影响:范围审查。

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Healthcare Pub Date : 2024-10-24 DOI:10.3390/healthcare12212123
Amina Sundas, Ivan Contreras, Omer Mujahid, Aleix Beneyto, Josep Vehi
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引用次数: 0

摘要

背景/目标:外部环境通过空气质量、使用绿地、接触污染物和气候变化等诸多因素不断影响人类健康。污染对人类福祉构成了巨大威胁;反之,环境因素也会对健康产生积极影响。本研究旨在全面回顾各种环境因素与人类健康之间的复杂关系。虽然个别研究对特定方面进行了探讨,但缺乏更广泛的综合理解。研究方法通过数据库(PubMed、Cochrane、Copernicus),确定了 4888 篇论文,并选择了 166 篇进行详细分析。结果我们总结了最近的研究,确定了空气污染、气候变化、太阳辐射和气象条件等环境因素与它们对各种健康结果的影响之间的多种关联,包括呼吸系统、心血管、代谢和胃肠道、肾脏和泌尿生殖系统、神经和心理健康、传染病和皮肤病以及主要癌症。我们使用和弦图来说明这些联系。我们还展示了不同环境因素之间的相互作用。研究结果首先探讨了环境因素对人类健康的直接影响;然后探讨了环境因素的相互作用和综合影响,阐明了它们(通常是间接的)相互作用和对人类健康的集体贡献;最后探讨了气候变化对人类健康的影响。结论:研究人员和政策制定者需要考虑到个人同时暴露于多种污染物,即 "多污染物暴露现象"。研究和调节环境因素时,必须考虑各种污染物的综合影响,而不是单独研究每种污染物。我们强调可行的建议和解决方案。
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The Effects of Environmental Factors on General Human Health: A Scoping Review.

Background/Objectives: The external environment constantly influences human health through many factors, including air quality, access to green spaces, exposure to pollutants, and climate change. Contamination poses a substantial threat to human well-being; conversely, environmental factors also positively impact health. The purpose of this study is to provide a comprehensive review of the complex relationship between various environmental factors and human health. While individual studies have explored specific aspects, a broader integrative understanding is lacking. Methods: Through databases (PubMed, Cochrane, Copernicus), 4888 papers were identified, with 166 selected for detailed analysis. Results: We summarized recent research, identifying multiple associations between environmental factors such as air pollution, climate change, solar radiation, and meteorological conditions and their impact on various health outcomes, including respiratory, cardiovascular, metabolic and gastrointestinal, renal and urogenital, neurological and psychological health, infectious and skin diseases, and major cancers. We use chord diagrams to illustrate these links. We also show the interaction between different environmental factors. Findings begin with exploring the direct impact of environmental factors on human health; then, the interplay and combined effects of environmental factors, elucidating their (often indirect) interaction and collective contribution to human health; and finally, the implications of climate change on human health. Conclusions: Researchers and policymakers need to consider that individuals are exposed to multiple pollutants simultaneously, the "multipollutant exposure phenomenon". It is important to study and regulate environmental factors by considering the combined impact of various pollutants rather than looking at each pollutant separately. We emphasize actionable recommendations and solutions.

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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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