Department of Community Medicine, West Virginia University, P.O. Box 9190, Morgantown, WV 26506, USA.
J Community Health. 2012 Apr;37(2):320-7. doi: 10.1007/s10900-011-9448-5.
Mountaintop coal mining in the Appalachian region in the United States causes significant environmental damage to air and water. Serious health disparities exist for people who live in coal mining portions of Appalachia, but little previous research has examined disparities specifically in mountaintop mining communities. A community-based participatory research study was designed and implemented to collect information on cancer rates in a rural mountaintop mining area compared to a rural non-mining area of West Virginia. A door-door health interview collected data from 773 adults. Self-reported cancer rates were significantly higher in the mining versus the non-mining area after control for respondent age, sex, smoking, occupational history, and family cancer history (odds ratio = 2.03, 95% confidence interval = 1.32-3.13). Mountaintop mining is linked to increased community cancer risk. Efforts to reduce cancer and other health disparities in Appalachia must focus on mountaintop mining portions of the region.
美国阿巴拉契亚地区的山顶煤矿开采对空气和水造成了重大的环境破坏。生活在阿巴拉契亚煤炭开采区的人们存在严重的健康不平等，但之前很少有研究专门研究山顶采矿社区的差异。设计并实施了一项基于社区的参与式研究，以收集有关与西弗吉尼亚州农村非采矿区相比，农村山顶采矿区癌症发病率的信息。通过挨家挨户的健康访谈，从 773 名成年人那里收集了数据。在控制了受访者的年龄、性别、吸烟、职业史和家族癌症史后，矿区的自报癌症发病率明显高于非矿区（比值比=2.03，95%置信区间=1.32-3.13）。山顶采矿与社区癌症风险增加有关。减少阿巴拉契亚地区癌症和其他健康不平等的努力必须集中在该地区的山顶采矿区。
