化学的および非化学的ストレス因子の健康と生活品質への影響:ペンシルベニア州南東部における地域ベースの参加型調査
Andrea A Chiger1, Echo Alford1, Kearni N Warren1
1Dr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
南部デラウェア郡での地域健康調査は,住民に影響を与える環境と社会的ストレス要因を明らかにしました. この調査結果は,フェンセラインコミュニティにおける累積的な影響の包括的な評価の必要性を強調しています.
科学分野:
- 環境 健康
- コミュニティベースの参加型研究
- 公衆衛生
背景:
- 地域組織はペンシルベニア州南部 デラウェア郡の環境,健康,社会的状況に関するデータを求めました
- 地域データに基づいた公衆衛生対策を促すことを目的とした活動でした.
研究 の 目的:
- コミュニティベースの参加型研究 (CBPR) のアプローチを使用して,住民の健康上の懸念を特徴づける.
- 南部デラウェア郡のフェンセラインコミュニティの強み,負担,ニーズを評価する.
- 化学物質の曝露,汚染,財政的ストレス,健康状態に関するデータを収集し,政策立案者に情報を提供すること.
主な方法:
- コミュニティの共同研究者とオンラインのコミュニティ健康調査を開発しました.
- 化学的および非化学的ストレス因子,医療へのアクセス,医療条件,政策の優先順位に関する質問が含まれています.
- コミュニティベースの参加型研究 (CBPR) フレームワークを採用しました.
主要な成果:
- 住民は悪質な空気,臭い,騒音による悪影響を報告しました.
- 86%が 住居の不確実性や 差別などの 非化学的ストレスを経験しました
- 報告された喘息,うつ病,および不安症状の高い割合で,しばしば臨床診断を超えています.
結論:
- 累積的な化学的および非化学的ストレス要因の特徴づけは,フェンセラインコミュニティにとって極めて重要です.
- 健康評価は,急性症状,健康状態,生活の質を含むべきです.
- CBPRのアプローチは,累積的な影響の評価の価値を効果的に示しています.
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