评估墨西哥的环境正义:污染行业和医疗保健差异如何影响先天性心脏缺陷
Maria Jose Talayero1, Carlos Santos-Burgoa1, Jordan Kuiper2
1Department of Global Health, The George Washington University, Milken Institute School of Public Health, Washington, DC, USA.
污染性工业和缺乏医疗保健的机会增加了墨西哥儿童的先天性心脏缺陷 (CHD) 风险. 由于环境和社会不平等的结合,弱势群体面临不成比例的CHD发病率.
科学领域:
- 环境健康 环境健康
- 儿童心脏病学 儿童心脏病学
- 公共卫生政策 公共卫生政策
背景情况:
- 先天性心脏缺陷 (CHD) 是墨西哥儿童死亡的主要原因.
- 本研究调查了工业污染和社会脆弱性对墨西哥冠状动脉疾病发病率的影响.
研究的目的:
- 分析污染行业和获得医疗保健对心血管疾病发病率的独立和联合影响.
- 评估医疗保健的获取如何改变工业污染和CHD之间的关联.
主要方法:
- 负二项式回归模型用于分析来自墨西哥2446个市镇 (2008-2019) 的数据.
- 评估了污染行业,获得医疗保健和心血管疾病发病率之间的关联.
- 互动术语评估通过医疗保健获得的效果修改.
主要成果:
- 没有医疗保健设施的市政当局更有可能容纳污染工业,这表明结构性不平等.
- 污染行业与心脏病发病率的增加有关,这与获得医疗保健无关.
- 缺乏医疗保健和多个污染行业的市政当局显示,心血管疾病发病率高出42%.
结论:
- 环境污染物暴露和社会脆弱性相互协同作用,不成比例地影响弱势群体.
- 解决环境污染和医疗保健不平等问题的有针对性的政策至关重要.
- 需要进一步的研究来阐明污染-CHD机制,并指导公共卫生战略.
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