Department of Occupational and Environmental Medicine, College of Medicine, Ewha Womans University, 07985 Seoul, Korea.
Ewha Global Health Institute for Girls, College of Medicine, Ewha Womans University, 07985 Seoul, Korea.
Int J Environ Res Public Health. 2018 Jul 3;15(7):1404. doi: 10.3390/ijerph15071404.
The unique environmental vulnerability of small island developing states (SIDS) is likely to impact negatively on children's health. Children's environmental health indicators (CEHI) are standardized measures that can be used to assess the environmental exposures and their resulting health outcomes in children. This study sought to utilize the United Nations (UN) global Sustainable Development Goals (SDGs), with their associated targets and indicators, as a framework for a CEHI proposal for SIDS. Exposure-side indicators were taken from key themes from the 2012 Rio+20 UN Conference on Sustainable Development, and health-side indicators were selected based on the most significant contributors to the burden of disease in children. The multiple-exposures⁻multiple-effect (MEME) framework was then used to show the relationships between environmental exposures and children's health outcomes. The framework was populated with available data from the World Bank's DataBank. Whilst there was some data available at a population level, major gaps in both exposure-side and health-side indicators were revealed. In order to progress children's environmental health in SIDS, a further piece of work is required to propose a fully prioritized set of exposure-side and health-side CEHIs; based on, but not exclusively linked to, the SDGs.
小岛屿发展中国家（SIDS）独特的环境脆弱性可能对儿童健康产生负面影响。儿童环境健康指标（CEHI）是标准化的衡量标准，可用于评估儿童的环境暴露及其对健康的影响。本研究旨在利用联合国（UN）全球可持续发展目标（SDGs）及其相关目标和指标，作为 SIDS 儿童环境健康指标建议的框架。暴露指标取自 2012 年里约+20 联合国可持续发展大会的主要主题，而健康指标则根据对儿童疾病负担的最大贡献因素进行选择。然后，采用多暴露-多效应（MEME）框架来展示环境暴露与儿童健康结果之间的关系。该框架采用了世界银行 DataBank 中提供的数据。尽管在人口层面上有一些数据，但在暴露指标和健康指标方面都存在重大差距。为了在 SIDS 中促进儿童环境健康，需要进一步开展工作，根据但不限于可持续发展目标，提出一套全面优先的暴露和健康方面的儿童环境健康指标。
