Department of Family and Preventive Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.
Rev Environ Health. 2021 Dec 30;37(2):181-187. doi: 10.1515/reveh-2021-0118. Print 2022 Jun 27.
A scoping review was performed to answer: what environmental health concerns have been associated with adverse health outcomes in the Navajo Nation? The review focused on occupational and ambient environmental exposures associated with human industrial activities. The search strategy was implemented in PubMed, and two investigators screened the retrieved literature. Thirteen studies were included for review. Data were extracted using the matrix method. Six studies described associations between work in uranium mining and cancer. Six studies focused on environmental exposures to uranium mine waste and other metals, with outcomes that included biological markers, kidney disease, diabetes and hypertension, and adverse birth outcomes. One study explored occupational exposure to Sin Nombre Virus and infection. Most research has focused on the health effects of uranium, where occupational exposures occurred among miners and environmental exposures are a legacy of uranium mining and milling. Gaps exist with respect to health outcomes associated with current occupations and the psychosocial impact of environmental hazards. Other environmental exposures and hazards are known to exist on the Navajo Nation, which may warrant epidemiologic research.
与纳瓦霍族不利健康结局相关的环境健康问题有哪些？本综述重点关注与人类工业活动相关的职业和环境暴露。检索策略在 PubMed 中实施，两名调查员筛选了检索到的文献。纳入了 13 项研究进行综述。使用矩阵法提取数据。有 6 项研究描述了铀矿开采工作与癌症之间的关联。有 6 项研究侧重于铀矿废物和其他金属的环境暴露，其结果包括生物标志物、肾脏疾病、糖尿病和高血压以及不良生育结局。一项研究探讨了辛诺波病毒和感染的职业暴露。大多数研究都集中在铀对健康的影响上，其中职业暴露发生在矿工中，而环境暴露则是铀开采和加工的遗留问题。目前与职业相关的健康结果以及环境危害的心理社会影响方面存在空白。纳瓦霍族还存在其他已知的环境暴露和危害，这可能需要进行流行病学研究。
