Hoover Kara C
Department of Anthropology, University of Alaska, Fairbanks, AK.
Yale J Biol Med. 2018 Mar 28;91(1):53-62. eCollection 2018 Mar.
Modern lifestyles are disrupting the human senses-primarily sight, sound, and smell. Noise-induced hearing loss has been noted for centuries and increasing over time following the industrial era. From the mid-20 century, the numbers of individuals with myopia (the leading visual impairment) have been increasing globally. Historical evidence for olfactory dysfunction is not known but its etiological links to pollution suggest it increased following industrialization. Clinical interventions for sight and sound loss include preventative and corrective measures but none exist for olfactory dysfunction. Further, olfactory loss is linked to multiple negative health outcomes across physical, mental, and social domains. Due to the global rates of exposure to pollution, olfaction is a global health concern. The environmental injustice inherent in human society (locally and globally) results in inequitable risk for sensory loss by the most vulnerable populations and creates an even deeper gradient in health disparity. Situated within the environmental justice and health disparity literature, this paper introduces the term to describe variation in sensory environments based on socio-economic status (which is often entwined with race and education). A key challenge to risk management is awareness of sensory inequity experienced by vulnerable populations and incorporating that awareness into basic research and policy.
现代生活方式正在扰乱人类的感官——主要是视觉、听觉和嗅觉。噪声性听力损失几个世纪以来一直存在,并且自工业时代以来呈上升趋势。自20世纪中叶起,近视(主要的视力障碍)患者的数量在全球范围内持续增加。嗅觉功能障碍的历史证据尚不明确,但其与污染的病因学联系表明,自工业化以来其发病率有所上升。针对视力和听力损失的临床干预措施包括预防和矫正措施,但嗅觉功能障碍尚无此类措施。此外,嗅觉丧失与身体、心理和社会领域的多种负面健康结果相关。由于全球范围内接触污染的比例,嗅觉成为一个全球性的健康问题。人类社会(在本地和全球范围内)固有的环境不公正导致最脆弱人群面临感官丧失的不公平风险,并在健康差距方面造成更深的梯度。基于环境正义和健康差距文献,本文引入一个术语来描述基于社会经济地位(通常与种族和教育交织在一起)的感官环境差异。风险管理的一个关键挑战是意识到弱势群体所经历的感官不平等,并将这种意识纳入基础研究和政策之中。