Understanding The Cumulative Impacts Of Inequalities In Environmental Health: Implications For Policy

Understanding The Cumulative Impacts Of Inequalities In Environmental Health: Implications For Policy
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DOI:
10.1377/hlthaff.2011.0153
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发表时间:
2011-05-01
期刊:
影响因子:
9.7
通讯作者:
Kyle, Amy D.
Kyle, Amy D.
中科院分区:
医学1区
文献类型:
--
作者:
Morello-Frosch, Rachel;Zuk, Miriam;Kyle, Amy D.

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种族或少数民族群体和低收入社区的健康状况比其他人差。他们更经常地面临多种环境危害和社会压力,包括贫穷、住房质量差和社会不平等。研究人员正在努力研究如何最好地描述这些危害和压力源的累积效应,以帮助监管机构和决策者制定更有效的政策来解决健康和环境差异。在这篇文章中,我们综合了现有的科学证据,累积的健康影响较高的暴露率的环境危害,沿着个人的生物易感性和社会脆弱性。我们的结论是,目前的环境政策,这是狭隘地集中在污染物及其来源,应扩大到考虑到暴露和脆弱性的人遇到的累积影响,主要是居住在社区组成的种族或少数民族或社会经济地位低的人。
Racial or ethnic minority groups and low-income communities have poorer health outcomes than others. They are more frequently exposed to multiple environmental hazards and social stressors, including poverty, poor housing quality, and social inequality. Researchers are grappling with how best to characterize the cumulative effects of these hazards and stressors in order to help regulators and decision makers craft more-effective policies to address health and environmental disparities. In this article we synthesize the existing scientific evidence regarding the cumulative health implications of higher rates of exposure to environmental hazards, along with individual biological susceptibility and social vulnerability. We conclude that current environmental policy, which is focused narrowly on pollutants and their sources, should be broadened to take into account the cumulative impact of exposures and vulnerabilities encountered by people who live in neighborhoods consisting largely of racial or ethnic minorities or people of low socioeconomic status.