路易斯安那州社会脆弱性与空气毒素导致的癌症风险:环境卫生差异的空间分析
Social vulnerability and cancer risk from air toxins in Louisiana: a spatial analysis of environmental health disparities.
作者信息
Smith Sadie, Sakhamuri Sahithya, Guidry Chloe M, Mustata Wilson Gabriela
机构信息
Louisiana Center for Health Innovation, Informatics Research Institute, University of Louisiana at Lafayette, Lafayette, LA, United States.
出版信息
Front Public Health. 2025 May 20;13:1601868. doi: 10.3389/fpubh.2025.1601868. eCollection 2025.
INTRODUCTION
Louisiana faces significant environmental health challenges due to elevated air toxicity near industrial sites. The state hosts over 300 manufacturing facilities, more than 150 petrochemical plants, and 15 refineries, which, although economically beneficial, pose significant health risks to surrounding communities. Exposure to industrial emissions has been linked to respiratory conditions such as asthma, reproductive disorders, kidney damage, and various cancers. An 85-mile stretch along the Mississippi River, commonly referred to as "Cancer Alley," has long been associated with elevated cancer rates, particularly among communities with high social vulnerability.
METHODS
This study examines the relationship between social vulnerability, cancer incidence, and cancer risk using publicly available datasets, including air toxics data from the United States Environmental Protection Agency (EPA) and cancer incidence rates from the Louisiana Tumor Registry (LTR). Linear regression, interaction analyses, and geographically weighted regression were applied to assess how environmental and socioeconomic factors jointly influence cancer risk.
RESULTS
Results reveal that cancer incidence was associated with elevated air toxins and compounded by social factors such as minority status, low income, and single-parent households. Notably, some regions exhibited a counterintuitive negative association between air toxins and cancer incidence, which may be due to data limitations, including the use of older air quality data, latency in cancer development, or underreporting.
DISCUSSION
These findings underscore the importance of strengthening environmental regulations, real-time air quality monitoring, and community-based public health initiatives to reduce cancer disparities and support affected communities in Louisiana.
引言
由于工业场地附近的空气毒性升高,路易斯安那州面临重大的环境卫生挑战。该州有300多家制造工厂、150多家石化厂和15家炼油厂,这些工厂虽然带来经济效益,但对周边社区构成重大健康风险。接触工业排放物与哮喘等呼吸道疾病、生殖紊乱、肾脏损害和各种癌症有关。沿着密西西比河绵延85英里的区域,通常被称为“癌症走廊”,长期以来一直与癌症发病率升高有关,尤其是在社会脆弱性高的社区。
方法
本研究使用公开可用的数据集,包括美国环境保护局(EPA)的空气毒物数据和路易斯安那肿瘤登记处(LTR)的癌症发病率,来研究社会脆弱性、癌症发病率和癌症风险之间的关系。应用线性回归、交互分析和地理加权回归来评估环境和社会经济因素如何共同影响癌症风险。
结果
结果显示,癌症发病率与空气毒素升高有关,并受到少数族裔身份、低收入和单亲家庭等社会因素的影响。值得注意的是,一些地区在空气毒素与癌症发病率之间呈现出违反直觉的负相关,这可能是由于数据限制,包括使用较旧的空气质量数据、癌症发展的潜伏期或报告不足。
讨论
这些发现强调了加强环境法规、实时空气质量监测和基于社区的公共卫生倡议的重要性,以减少癌症差异并支持路易斯安那州受影响的社区。