生命早期公平:促进环境正义,促进妇幼健康

IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY
Ayhan Ceri, Dogukan Keskin
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引用次数: 0

摘要

环境正义(EJ)对于解决环境危害对弱势群体,特别是孕妇和幼儿造成的不成比例的负担至关重要。发育过程中对空气污染、铅和干扰内分泌的化学物质等有毒物质暴露的敏感性,与粮食不安全和住房不稳定等系统性不平等更为严重。结构性种族主义和社会经济劣势进一步加剧了这些风险,导致边缘化社区的早产、低出生体重和孕产妇发病率更高。本研究探讨了健康的环境和社会决定因素的交集,强调EJ在通过社区参与、研究和政策改革减少差距方面的作用。方法对政策、干预措施和案例研究进行述评,以评估EJ策略在缓解孕产妇和儿童健康差距方面的有效性。结果:成功的社区驱动举措,如铅减排计划和空气质量改善,表明政策与社区确定的优先事项相一致,可带来可衡量的健康效益。基于ejb的干预措施通过参与性研究和系统性政策变化减少环境风险和卫生不平等。然而,资金有限和数据差距等挑战需要采取协调一致的行动。为了促进妇幼保健公平,我们建议扩大资金,使社区参与制度化,并利用创新的数据收集。通过优先考虑社区主导的解决方案,EJ可以推动系统性转型,确保为子孙后代提供更好的健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Birth Defects Research
Birth Defects Research Medicine-Embryology
CiteScore
3.60
自引率
9.50%
发文量
153
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.
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