The environmental injustice of beauty: framing chemical exposures from beauty products as a health disparities concern.

The environmental injustice of beauty: framing chemical exposures from beauty products as a health disparities concern.
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DOI:
10.1016/j.ajog.2017.07.020
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发表时间:
2017-10
影响因子:
9.8
通讯作者:
Shamasunder B
Shamasunder B
中科院分区:
医学1区
文献类型:
--
作者:
Zota AR;Shamasunder B

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ObGyn社区已发出行动呼吁,以防止有毒环境化学品暴露及其对人类健康生殖的威胁。委员会最近的意见认识到,脆弱和服务不足的妇女可能会受到环境化学品暴露的不成比例的影响,并建议生殖健康专业人员倡导确保环境正义的政策。美容产品的使用是环境化学品暴露的一个未充分研究的来源。美容产品可能包含生殖和发育有毒物质,如邻苯二甲酸盐和重金属;然而,披露要求有限且不一致。与白色女性相比,有色人种女性体内与美容产品相关的环境化学物质水平更高,与社会经济地位无关。在发育的关键时期,如怀孕期间,即使是少量接触有毒化学品,也会引发不利的健康后果,如对生育和怀孕、神经发育和癌症的影响。在这篇评论中,我们试图强调环境正义与美容产品相关化学品暴露之间的联系。我们描述了美容产品使用中的种族/民族差异,如皮肤美白剂,直发器和女性卫生产品,以及与这些产品相关的潜在化学品暴露和健康风险。我们还讨论了有针对性的广告如何利用主流美容规范来影响这些产品的使用。生殖健康专业人员可以利用这些信息来促进环境正义,为那些对美容护理产品和其他来源的有毒环境暴露有疑问的患者提供咨询。研究人员和医疗保健提供者还可以促进健康保护政策,例如改善美容产品行业的成分测试和披露。未来的临床和公共卫生研究应考虑美容产品的使用作为一个因素,可能会形成妇女的生殖健康在整个生命过程中的健康不平等。
The ObGyn community has issued a call to action to prevent toxic environmental chemical exposures and their threats to healthy human reproduction. Recent committee opinions recognize that vulnerable and underserved women may be disproportionately impacted by environmental chemical exposures and recommend that reproductive health professionals champion policies that secure environmental justice. Beauty product use is an understudied source of environmental chemical exposures. Beauty products can include reproductive and developmental toxicants such as phthalates and heavy metals; however, disclosure requirements are limited and inconsistent. Compared to White women, women of color have higher levels of beauty product-related environmental chemicals in their bodies, independent of socioeconomic status. Even small exposures to toxic chemicals during critical periods of development, such as pregnancy, can trigger adverse health consequences such as impacts on fertility and pregnancy, neurodevelopment, and cancer. In this commentary, we seek to highlight the connections between environmental justice and beauty product-related chemical exposures. We describe racial/ethnic differences in beauty product use such as skin lighteners, hair straighteners, and feminine hygiene products as well as the potential chemical exposures and health risks associated with these products. We also discuss how targeted advertising can take advantage of mainstream beauty norms to influence use of these products. Reproductive health professionals can use this information to advance environmental justice by being prepared to counsel patients who have questions about toxic environmental exposures from beauty care products and other sources. Researchers and health care providers can also promote health-protective policies such as improved ingredient testing and disclosure for the beauty product industry. Future clinical and public health research should consider beauty product use as a factor that may shape health inequities in women’s reproductive health across the life course.
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