美国各地公共饮用水化物度的区域和种族/民族不平等
Rose Hefferon1, Dana E Goin2, Jeremy A Sarnat1
1Department of Environmental Health, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Journal of exposure science & environmental epidemiology
|June 30, 2023
概括
数以百万计的美国居民受高化物水平的水系统服务,特别是西班牙裔社区. 这项研究为未来的化物研究提供了关键数据.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 社区水的化是一种公共卫生措施,旨在减少牙损伤.
- 新出现的证据将慢性化物暴露与儿童的神经发育不良结果联系在一起.
- 在流行病学研究中,缺乏关于社区水系统 (CWS) 化物度的全国代表性数据.
研究的目的:
- 评估美国CWS化物度的区域和社会人口差异.
- 调查县级种族/民族组成与CWS化物水平之间的关联.
- 创建一个数据库,将化物暴露与健康结果联系起来.
主要方法:
- 使用EPA数据 (2006-2011) 为32,495个CWS和2,152个人口加权县生成的化物度估计.
- 化物分布在不同地区,人口规模和社会人口统计学特征之间进行比较.
- 用于评估CWS化物与县的种族/民族组成之间的关系的空间错误模型.
主要成果:
- 4.5%的CWS服务超过290万人,超过了世卫组织的化物指南 (≥1500μg/L).
- 在依赖地下水的CWS中发现的最高化物水平位于西南部和中西部东部,为西班牙裔社区提供服务.
- 西班牙裔/拉丁裔居民的10%增加与CWS化物度 (GMR) 的1.16倍增加有关.
结论:
- 超过290万美国居民的饮用水含含量高于世卫组织指导方针.
- 在CWS化物度存在显著的不平等,不成比例地影响西班牙裔/拉丁裔社区.
- 生成的化物估计可以支持未来关于慢性化物暴露和健康影响的流行病学研究.
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