Hornberg Claudia, Pauli Andrea
Department of Environment and Health, School of Public Health, Bielefeld University, Bielefeld, Germany.
Int J Hyg Environ Health. 2007 Oct;210(5):571-80. doi: 10.1016/j.ijheh.2007.07.006. Epub 2007 Sep 4.
Child poverty and social inequality in Western countries are growing both in scope and in complexity. The clustering of income poverty in urban settings reflects the complex process of residential segregation. Living in segregated neighbourhoods with much poverty and predominantly substandard housing is usually associated with poor physical, chemical and social environmental living conditions at the individual and community level which influence and shape children's health both directly and indirectly.
This paper shows research data on the link between child poverty and income-related health inequalities according to the unequal exposure to environmental hazards as well as the unequal distribution of environmental resources in the domestic environment and within the local context as an increasing public health issue in Germany. The links between these factors are drawn from the conceptual framework of environmental justice. Examples are shown of integrated approaches to alleviate social and environmental disparities at the community level.
The implications of environmental justice for public health include the need to uncover the link between socioeconomic factors and environmental health disparities related to the man-made environment. Developing relevant indicators for environmental inequalities in the context of housing and health is an important task for public health research. More emphasis should be placed on a comprehensive holistic approach to understand the mechanisms by which socioeconomic factors modify children's susceptibility and exposure to environmental hazards, particularly in low-income areas.
西方国家的儿童贫困和社会不平等在范围和复杂性上都在不断加剧。城市地区收入贫困的集中反映了居住隔离的复杂过程。生活在贫困集中且住房普遍不达标的隔离社区,通常与个人和社区层面恶劣的物理、化学和社会环境生活条件相关,这些条件直接或间接地影响和塑造着儿童的健康。
本文展示了关于儿童贫困与收入相关健康不平等之间联系的研究数据,这种联系体现在德国日益严重的公共卫生问题上,即对环境危害的暴露不平等以及家庭环境和当地环境中环境资源的分配不平等。这些因素之间的联系源自环境正义的概念框架。文中展示了在社区层面缓解社会和环境差距的综合方法实例。
环境正义对公共卫生的影响包括需要揭示社会经济因素与与人为环境相关的环境卫生差距之间的联系。在住房与健康背景下制定环境不平等的相关指标是公共卫生研究的一项重要任务。应更加强调采用全面的整体方法来理解社会经济因素改变儿童对环境危害易感性和暴露程度的机制,尤其是在低收入地区。