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环境污染物与儿童发育:为融入和启发儿童环境健康科学提供具有发育知识的机会和建议。

Environmental contaminants and child development: Developmentally-informed opportunities and recommendations for integrating and informing child environmental health science.

机构信息

School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

New Dir Child Adolesc Dev. 2022 Mar;2022(181-182):173-193. doi: 10.1002/cad.20479. Epub 2022 Aug 30.

Abstract

Child environmental health (CEH) science has identified numerous effects of early life exposures to common, ubiquitous environmental toxicants. CEH scientists have documented the costs not only to individual children but also to population-level health effects of such exposures. Importantly, such risks are unequally distributed in the population, with historically marginalized communities and the children living in these communities receiving the most damaging exposures. Developmental science offers a lens and set of methodologies to identify nuanced biological and behavioral processes that drive child development across physical, cognitive, and socioemotional domains. Developmental scientists are also experts in considering the multiple, hierarchically-layered contexts that shape development alongside toxicant exposure. Such contexts and the individuals acting within them make up an overarching "child serving ecosystem" spanning systems and sectors that serve children directly and indirectly. Articulating how biobehavioral mechanisms and social-ecological contexts unfold from a developmental perspective are needed in order to inform CEH translation and intervention efforts across this child-serving ecosystem. Developmentalists can also benefit from integrating CEH science findings in their work by considering the role of the physical environment, and environmental toxicants specifically, on child health and development. Building on themes that were laid out by Trentacosta and Mulligan in 2020, this commentary presents recommendations for connecting developmental and CEH science and for translating such work so that it can be used to promote child development in an equitable manner across this child-serving ecosystem. These opportunities include (1) Using Developmentally-Informed Conceptual Models; (2) Applying Creative, Sophisticated, and Rigorous Methods; (3) Integrating Developmentally-Sensitive Intervention Considerations; and (4) Establishing Interdisciplinary Collaborations and Cross-Sector Partnerships.

摘要

儿童环境健康(CEH)科学已经确定了许多儿童早期接触常见、普遍存在的环境毒物的影响。CEH 科学家不仅记录了这些暴露对个别儿童的成本,还记录了对人群健康的影响。重要的是,这些风险在人群中分布不均,历史上处于边缘地位的社区及其居住在这些社区的儿童受到的影响最大。发展科学提供了一个视角和一套方法,用于识别驱动儿童在身体、认知和社会情感领域发展的微妙的生物和行为过程。发展科学家还擅长考虑塑造发展的多层次、多层面的环境,以及与毒物暴露同时发生的环境。这些环境和其中的个体构成了一个总体的“儿童服务生态系统”,涵盖了直接和间接为儿童服务的系统和部门。从发展的角度阐明生物行为机制和社会生态环境是如何展开的,对于在这个儿童服务生态系统中进行 CEH 转化和干预工作是必要的。发展心理学家也可以通过考虑物理环境的作用,特别是环境毒物对儿童健康和发展的作用,从他们的工作中受益。本评论以 Trentacosta 和 Mulligan 在 2020 年提出的主题为基础,提出了将发展和 CEH 科学联系起来的建议,并提出了将这项工作转化为能够在这个儿童服务生态系统中以公平的方式促进儿童发展的建议。这些机会包括:(1)使用发展知情的概念模型;(2)应用创造性、复杂和严格的方法;(3)整合发展敏感的干预考虑因素;(4)建立跨学科合作和跨部门伙伴关系。

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