堡垒阿拉巴马州:玉米马萨堡垒用于预防脊柱双
Michael J Feldman1,2, William J Hereford2, Regan Gaskin2
1Division of Pediatric Neurosurgery, Department of Neurosurgery, Oklahoma University Health System, Oklahoma City, Oklahoma.
Pediatrics
|January 22, 2026
概括
在阿拉巴马州,玉米粉 (CMF) 的叶酸强化现在是强制性的,以防止神经管缺陷 (NTDs). 该倡议旨在减少西班牙裔人口的NTD差异,并可以成为其他州的典范.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 卫生政策 卫生政策
背景情况:
- 神经管缺陷 (NTDs) 是可以预防的与母亲的叶酸摄入相关的出生缺陷.
- 在美国的西班牙裔人口中,NTD的发病率不成比例.
- 从谷物强化中排除玉米麦粉 (CMF) 可能会延续这些差异.
研究的目的:
- 寻求州立法授权,对CMF进行叶酸强化.
- 开发一个可复制的立法模型,用于全国性的CMF强化.
- 减少NTD并解决西班牙裔社区的健康差异.
主要方法:
- 通过双语宣传,让西班牙裔社区了解饮食习惯.
- 与强化专家一起起草立法草案,确保科学和政策的可行性.
- 通过有针对性的参与和游说,确保了立法赞助商.
主要成果:
- 阿拉巴马州的HB384号法案,要求对CMF和tortilla产品进行叶酸强化,于2025年6月签署成为法律.
- 反对者提出了有关遗传变异,产前护理和政府影响力的担忧.
- 这一成功为通过政策解决健康差异提供了一个模式.
结论:
- 阿拉巴马州的立法成功证明了通过CMF强化减少NTD的可行模式.
- 在其他州复制可能会导致国家政策或行业采用.
- 在西班牙裔社区每年有可能预防120例NTD病例,并节省1亿美元的医疗保健费用.
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