Christina Ek, James R Hébert, Daniela B Friedman, Dwayne E Porter
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引用次数: 0
摘要
导言:弱势群体的慢性病发病率较高,包括心脏病、癌症和糖尿病。种族、民族、较低的社会经济地位和贫困都是导致这些疾病发生率过高的原因。其他因素,包括系统性种族主义、气候变化、不良饮食习惯、缺乏食物获取途径和表观遗传影响,在弱势人群中的分布和经历不同,也对慢性病的发展起着重要作用。这篇关于慢性病诱因的综合综述强调了对这些已发现的新因素的独特关注:方法:使用 OVID Medline 和 Web of Science 进行了特别文献综述:结果:先前的研究结果表明,气候变化加剧了多种压力因素(包括单独压力因素和综合压力因素)及其对少数群体身心健康的负面影响:讨论:各种压力因素大大增加了少数群体患慢性疾病的风险。本文提出了未来研究的建议,以阐明气候、种族和饮食逆境对少数群体的影响。该领域的进一步研究对于实现联合国可持续发展目标和改善公共卫生成果至关重要。
Climate Change, Racism, and Food Insecurity: Cyclical Impacts of Stressors Exacerbate Health Disparities.
Introduction: Disadvantaged populations have higher rates of chronic disease, including heart disease, cancer, and diabetes. Race, ethnicity, lower socioeconomic status, and poverty all contribute to these disproportionate rates. Other factors, including systemic racism, climate change, poor diet, lack of food access, and epigenetic influences, that are distributed and experienced differently across vulnerable populations also play a significant role in the development of chronic diseases. This comprehensive review of contributors to chronic diseases emphasizes a unique focus on these identified emerging factors.
Methods: An ad hoc literature review using OVID Medline and Web of Science was conducted.
Results: Findings from prior studies indicate that multiple stressors, both in isolation and in combination, and their negative impacts on both physical and mental health of minorities are exacerbated by climate change.
Discussion: Various stressors dramatically increase chronic disease risk in minority groups. Recommendations for future research to elucidate the impacts of climatic, racial, and dietary adversity with minority populations are presented. Further study in this area is critical for achieving the UN Sustainable Development Goals and improving public health outcomes.
期刊介绍:
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.