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德克萨斯州休斯顿一个小地理社区中接触环境风险对身心健康的影响。

The Impacts of Exposure to Environmental Risk on Physical and Mental Health in a Small Geographic Community in Houston, TX.

作者信息

Sansom Garett, Parras Juan, Parras Ana, Nieto Yudith, Arellano Yvette, Berke Philip, McDonald Thomas, Shipp Eva, Horney Jennifer A

机构信息

Department of Epidemiology and Biostatistics, Texas A&M School of Public Health, 1266 TAMU, College Station, TX, 77843, USA.

Texas Environmental Justice Advocacy Services, 6731 Harrisburg Blvd, Houston, TX, 77011, USA.

出版信息

J Community Health. 2017 Aug;42(4):813-818. doi: 10.1007/s10900-017-0322-y.

Abstract

Previous research has shown that communities with low average socioeconomic status (SES) and majority minority populations are more likely to be exposed to industrial buildings, waste facilities, and poor infrastructure compared to white communities with higher average SES. While some studies have demonstrated linkages between exposures to specific environmental contaminates within these communities and negative health outcomes, little research has analyzed the effects of environmental contaminants on the mental and physical health of these populations. A cross-sectional survey collected data from residents of Manchester, a small neighborhood in Houston, TX, that is characterized by industrial sites, unimproved infrastructure, nuisance flooding, and poor air quality. Our study (N = 109) utilized the 12 item Short Form Health Survey version 2 (SF12v2) to assess the general mental and physical health of the community. The community as a whole had reduced physical health scores compared to U.S. national averages. The time residents had lived in the neighborhood was also correlated with a reported reduction in physical health scores (r2 = 0.136; p-value <0.001). The association between time lived in the neighborhood and poorer health scores remained after adjusting for age, race, and gender (coef = -0.27, p-value <0.001). Mental health scores were within national averages and time spent living in the neighborhood did not appear to negatively impact respondent's mental health scores. These findings point to the need for more research to determine the potential for additive physical and mental health impacts in long-term residents in neighborhoods characterized by environmental justice issues.

摘要

先前的研究表明,与平均社会经济地位(SES)较高的白人社区相比,平均SES较低且少数族裔占多数的社区更有可能接触到工业建筑、垃圾处理设施和基础设施差的情况。虽然一些研究已经证明了这些社区接触特定环境污染物与负面健康结果之间的联系,但很少有研究分析环境污染物对这些人群身心健康的影响。一项横断面调查收集了德克萨斯州休斯顿一个名为曼彻斯特的小社区居民的数据,该社区的特点是有工业场地、基础设施不完善、滋扰性洪水和空气质量差。我们的研究(N = 109)使用12项简短健康调查问卷第2版(SF12v2)来评估该社区的总体身心健康状况。与美国全国平均水平相比,整个社区的身体健康得分较低。居民在该社区居住的时间也与报告的身体健康得分下降相关(r2 = 0.136;p值<0.001)。在调整年龄、种族和性别后,在社区居住的时间与较差的健康得分之间的关联仍然存在(系数 = -0.27,p值<0.001)。心理健康得分在全国平均水平范围内,在社区居住的时间似乎并未对受访者的心理健康得分产生负面影响。这些发现表明,需要进行更多研究,以确定在以环境正义问题为特征的社区中,长期居民身心健康受到叠加影响的可能性。

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