工作场所暴露在美国各个社区不同:对社会脆弱性和种族/民族健康差异的影响
Abas Shkembi1, Jon Zelner2,3, Sung Kyun Park4,2
1Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA. ashkembi@umich.edu.
Journal of racial and ethnic health disparities
|August 30, 2024
概括
种族和少数民族社区面临更高的工作场所暴露,有助于健康差异. 目前的风险评估忽视了职业环境,可能低估了这些风险,特别是在弱势群体.
科学领域:
- 环境健康 环境健康
- 职业健康 职业健康 职业健康 职业健康
- 卫生公平研究 卫生公平研究
背景情况:
- 基于地点的风险指数,如社会脆弱性指数 (SVI),往往忽视了工作场所的暴露.
- 这种遗漏可能导致社区风险的错误分类,并掩盖了种族/民族健康差异的驱动因素.
研究的目的:
- 开发和评估基于地点的职业暴露指标.
- 检查这些指标,种族/种族,SVI和健康不平等之间的关系.
- 调查职业暴露如何导致种族/民族健康差异.
主要方法:
- 利用美国人口普查数据和工作暴露矩阵,为所有美国人口普查区域创建六个职业危险指标.
- 使用自然立方线分析了少数群体和职业指标之间的关联.
- 根据职业噪音,化学物质和疾病/感染暴露的分层人口普查片段来评估糖尿病,喘和高血压的差异.
主要成果:
- 种族/民族少数群体,特别是低收入群体,承受着工作场所暴露的不成比例的负担.
- 排除职业数据的综合风险指标可能会系统地低估弱势群体的风险.
- 职业暴露不平等与慢性疾病中的种族/民族差异有关.
结论:
- 在风险评估中忽视工作场所的暴露,低估了少数群体的累积风险.
- 职业正义是解决全国性种族/民族健康差异的一个关键因素.
- 未来的研究和政策应该将职业暴露纳入社区健康评估中.
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