{"title":"生命早期公平:促进环境正义,促进妇幼健康","authors":"Ayhan Ceri, Dogukan Keskin","doi":"10.1002/bdr2.2448","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Environmental justice (EJ) is essential for addressing the disproportionate burden of environmental hazards on vulnerable populations, particularly pregnant individuals and young children. Developmental sensitivity to toxic exposures, such as air pollution, lead, and endocrine-disrupting chemicals, is compounded by systemic inequities like food insecurity and housing instability. Structural racism and socioeconomic disadvantage further exacerbate these risks, leading to higher rates of preterm birth, low birth weight, and maternal morbidity in marginalized communities.</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>This study explores the intersection of environmental and social determinants of health, emphasizing EJ’s role in reducing disparities through community engagement, research, and policy reforms.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A narrative review of policies, interventions, and case studies was conducted to assess effective EJ strategies in mitigating maternal and child health disparities.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Successful community-driven initiatives, such as lead abatement programs and air quality improvements, demonstrate that aligning policies with community-identified priorities leads to measurable health benefits.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>EJ-based interventions reduce environmental risks and health inequities through participatory research and systemic policy changes. However, challenges such as limited funding and data gaps require coordinated action.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>To promote maternal and child health equity, we recommend expanding funding, institutionalizing community engagement, and leveraging innovative data collection. By prioritizing community-led solutions, EJ can drive systemic transformation, ensuring better health outcomes for future generations.</p>\n </section>\n </div>","PeriodicalId":9121,"journal":{"name":"Birth Defects Research","volume":"117 2","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Equity in Early Life: Advancing Environmental Justice for Maternal and Child Health\",\"authors\":\"Ayhan Ceri, Dogukan Keskin\",\"doi\":\"10.1002/bdr2.2448\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Environmental justice (EJ) is essential for addressing the disproportionate burden of environmental hazards on vulnerable populations, particularly pregnant individuals and young children. Developmental sensitivity to toxic exposures, such as air pollution, lead, and endocrine-disrupting chemicals, is compounded by systemic inequities like food insecurity and housing instability. Structural racism and socioeconomic disadvantage further exacerbate these risks, leading to higher rates of preterm birth, low birth weight, and maternal morbidity in marginalized communities.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>This study explores the intersection of environmental and social determinants of health, emphasizing EJ’s role in reducing disparities through community engagement, research, and policy reforms.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A narrative review of policies, interventions, and case studies was conducted to assess effective EJ strategies in mitigating maternal and child health disparities.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Successful community-driven initiatives, such as lead abatement programs and air quality improvements, demonstrate that aligning policies with community-identified priorities leads to measurable health benefits.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>EJ-based interventions reduce environmental risks and health inequities through participatory research and systemic policy changes. However, challenges such as limited funding and data gaps require coordinated action.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>To promote maternal and child health equity, we recommend expanding funding, institutionalizing community engagement, and leveraging innovative data collection. By prioritizing community-led solutions, EJ can drive systemic transformation, ensuring better health outcomes for future generations.</p>\\n </section>\\n </div>\",\"PeriodicalId\":9121,\"journal\":{\"name\":\"Birth Defects Research\",\"volume\":\"117 2\",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-02-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Birth Defects Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/bdr2.2448\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"DEVELOPMENTAL BIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Birth Defects Research","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/bdr2.2448","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DEVELOPMENTAL BIOLOGY","Score":null,"Total":0}
Equity in Early Life: Advancing Environmental Justice for Maternal and Child Health
Background
Environmental justice (EJ) is essential for addressing the disproportionate burden of environmental hazards on vulnerable populations, particularly pregnant individuals and young children. Developmental sensitivity to toxic exposures, such as air pollution, lead, and endocrine-disrupting chemicals, is compounded by systemic inequities like food insecurity and housing instability. Structural racism and socioeconomic disadvantage further exacerbate these risks, leading to higher rates of preterm birth, low birth weight, and maternal morbidity in marginalized communities.
Aims
This study explores the intersection of environmental and social determinants of health, emphasizing EJ’s role in reducing disparities through community engagement, research, and policy reforms.
Methods
A narrative review of policies, interventions, and case studies was conducted to assess effective EJ strategies in mitigating maternal and child health disparities.
Results
Successful community-driven initiatives, such as lead abatement programs and air quality improvements, demonstrate that aligning policies with community-identified priorities leads to measurable health benefits.
Discussion
EJ-based interventions reduce environmental risks and health inequities through participatory research and systemic policy changes. However, challenges such as limited funding and data gaps require coordinated action.
Conclusion
To promote maternal and child health equity, we recommend expanding funding, institutionalizing community engagement, and leveraging innovative data collection. By prioritizing community-led solutions, EJ can drive systemic transformation, ensuring better health outcomes for future generations.
期刊介绍:
The journal Birth Defects Research publishes original research and reviews in areas related to the etiology of adverse developmental and reproductive outcome. In particular the journal is devoted to the publication of original scientific research that contributes to the understanding of the biology of embryonic development and the prenatal causative factors and mechanisms leading to adverse pregnancy outcomes, namely structural and functional birth defects, pregnancy loss, postnatal functional defects in the human population, and to the identification of prenatal factors and biological mechanisms that reduce these risks.
Adverse reproductive and developmental outcomes may have genetic, environmental, nutritional or epigenetic causes. Accordingly, the journal Birth Defects Research takes an integrated, multidisciplinary approach in its organization and publication strategy. The journal Birth Defects Research contains separate sections for clinical and molecular teratology, developmental and reproductive toxicology, and reviews in developmental biology to acknowledge and accommodate the integrative nature of research in this field. Each section has a dedicated editor who is a leader in his/her field and who has full editorial authority in his/her area.