在德克萨斯州哈里斯县的自然早产中,环境正义负担和黑人-白人差异
K W Whitworth1,2, I Moussa2, H M Salihu3
1Section of Epidemiology and Population Sciences, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Frontiers in reproductive health
|January 5, 2024
概括
环境正义 (EJ) 的负担和社会经济因素只适度地减少了自发早产 (sPTB) 的黑人-白人差异. 黑色鱼在EJ社区经历了增加的sPTB风险,与白色鱼不同.
科学领域:
- 生殖健康 生殖健康
- 环境健康 环境健康
- 健康差异 在健康上的差异
背景情况:
- 在自发早产 (sPTB) 中,黑人和白人之间的差异仍然存在,对环境正义 (EJ) 负担的作用的理解有限.
- 电商负担将增加的环境危害与社会经济贫困相结合,可能加剧健康不平等.
- 之前的研究还没有充分评估EJ负担和社会经济因素对sPTB差异的综合影响.
研究的目的:
- 评估环境正义 (EJ) 负担在哈里斯县德克萨斯州自发早产 (sPTB) 黑白人差异中的作用.
- 为了比较EJ负担与仅仅邻居层面的社会经济贫困对sPTB差异的影响.
- 调查EJ负担,社会经济因素和sPTB之间的种族分层关联.
主要方法:
- 从PeriBank数据库 (2011年8月至2020年12月) 追溯分析了3,703只非西班牙裔黑人和5,475只非西班牙裔白人类动物.
- 使用美国EPA EJScreen (PM2.5,臭氧,NPL站点) 和地区贫困指数 (ADI) 在邮政编码层面的EJ负担的表征.
- 多变量后勤回归模型评估了在对邻近变量进行控制后,对sPTB的种族相关赔率比率 (OR) 的减弱.
主要成果:
- 黑色鱼的sPTB患病率比白色鱼高79% (OR=1.79).
- 消极反应负担和ADI适度地减轻了这种差异 (ORs 1.58-1.69).
- 在EJ社区的黑色类动物中观察到增加的sPTB风险 (例如,PM2.5 EJ负担指数的概率增加了17%),但不是白色类动物. 在ADI关联方面没有发现种族差异.
结论:
- 有限的证据表明,EJ负担对整体黑白sPTB差异的直接贡献.
- 欧日社区可能会对黑色和白色的鱼产生不同的影响,这表明在加剧差异方面可能发挥作用.
- 需要进行进一步的研究,以了解与少数群体中sPTB风险和EJ负担之间的联系机制.
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