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Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort
Tools for assessing multiple exposures across several domains (e.g., physical, chemical, and social) are of growing importance in social and environmental epidemiology because of their value in uncovering disparities and their impact on health outcomes. Here we describe work done within the Environm...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10379099/ https://www.ncbi.nlm.nih.gov/pubmed/37510572 http://dx.doi.org/10.3390/ijerph20146339 |
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author | Martenies, Sheena E. Zhang, Mingyu Corrigan, Anne E. Kvit, Anton Shields, Timothy Wheaton, William Around Him, Deana Aschner, Judy Talavera-Barber, Maria M. Barrett, Emily S. Bastain, Theresa M. Bendixsen, Casper Breton, Carrie V. Bush, Nicole R. Cacho, Ferdinand Camargo, Carlos A. Carroll, Kecia N. Carter, Brian S. Cassidy-Bushrow, Andrea E. Cowell, Whitney Croen, Lisa A. Dabelea, Dana Duarte, Cristiane S. Dunlop, Anne L. Everson, Todd M. Habre, Rima Hartert, Tina V. Helderman, Jennifer B. Hipwell, Alison E. Karagas, Margaret R. Lester, Barry M. LeWinn, Kaja Z. Magzamen, Sheryl Morello-Frosch, Rachel O’Connor, Thomas G. Padula, Amy M. Petriello, Michael Sathyanarayana, Sheela Stanford, Joseph B. Woodruff, Tracey J. Wright, Rosalind J. Kress, Amii M. |
author_facet | Martenies, Sheena E. Zhang, Mingyu Corrigan, Anne E. Kvit, Anton Shields, Timothy Wheaton, William Around Him, Deana Aschner, Judy Talavera-Barber, Maria M. Barrett, Emily S. Bastain, Theresa M. Bendixsen, Casper Breton, Carrie V. Bush, Nicole R. Cacho, Ferdinand Camargo, Carlos A. Carroll, Kecia N. Carter, Brian S. Cassidy-Bushrow, Andrea E. Cowell, Whitney Croen, Lisa A. Dabelea, Dana Duarte, Cristiane S. Dunlop, Anne L. Everson, Todd M. Habre, Rima Hartert, Tina V. Helderman, Jennifer B. Hipwell, Alison E. Karagas, Margaret R. Lester, Barry M. LeWinn, Kaja Z. Magzamen, Sheryl Morello-Frosch, Rachel O’Connor, Thomas G. Padula, Amy M. Petriello, Michael Sathyanarayana, Sheela Stanford, Joseph B. Woodruff, Tracey J. Wright, Rosalind J. Kress, Amii M. |
author_sort | Martenies, Sheena E. |
collection | PubMed |
description | Tools for assessing multiple exposures across several domains (e.g., physical, chemical, and social) are of growing importance in social and environmental epidemiology because of their value in uncovering disparities and their impact on health outcomes. Here we describe work done within the Environmental influences on Child Health Outcomes (ECHO)-wide Cohort Study to build a combined exposure index. Our index considered both environmental hazards and social stressors simultaneously with national coverage for a 10-year period. Our goal was to build this index and demonstrate its utility for assessing differences in exposure for pregnancies enrolled in the ECHO-wide Cohort Study. Our unitless combined exposure index, which collapses census-tract level data into a single relative measure of exposure ranging from 0–1 (where higher values indicate higher exposure to hazards), includes indicators for major air pollutants and air toxics, features of the built environment, traffic exposures, and social determinants of health (e.g., lower educational attainment) drawn from existing data sources. We observed temporal and geographic variations in index values, with exposures being highest among participants living in the West and Northeast regions. Pregnant people who identified as Black or Hispanic (of any race) were at higher risk of living in a “high” exposure census tract (defined as an index value above 0.5) relative to those who identified as White or non-Hispanic. Index values were also higher for pregnant people with lower educational attainment. Several recommendations follow from our work, including that environmental and social stressor datasets with higher spatial and temporal resolutions are needed to ensure index-based tools fully capture the total environmental context. |
format | Online Article Text |
id | pubmed-10379099 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103790992023-07-29 Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort Martenies, Sheena E. Zhang, Mingyu Corrigan, Anne E. Kvit, Anton Shields, Timothy Wheaton, William Around Him, Deana Aschner, Judy Talavera-Barber, Maria M. Barrett, Emily S. Bastain, Theresa M. Bendixsen, Casper Breton, Carrie V. Bush, Nicole R. Cacho, Ferdinand Camargo, Carlos A. Carroll, Kecia N. Carter, Brian S. Cassidy-Bushrow, Andrea E. Cowell, Whitney Croen, Lisa A. Dabelea, Dana Duarte, Cristiane S. Dunlop, Anne L. Everson, Todd M. Habre, Rima Hartert, Tina V. Helderman, Jennifer B. Hipwell, Alison E. Karagas, Margaret R. Lester, Barry M. LeWinn, Kaja Z. Magzamen, Sheryl Morello-Frosch, Rachel O’Connor, Thomas G. Padula, Amy M. Petriello, Michael Sathyanarayana, Sheela Stanford, Joseph B. Woodruff, Tracey J. Wright, Rosalind J. Kress, Amii M. Int J Environ Res Public Health Article Tools for assessing multiple exposures across several domains (e.g., physical, chemical, and social) are of growing importance in social and environmental epidemiology because of their value in uncovering disparities and their impact on health outcomes. Here we describe work done within the Environmental influences on Child Health Outcomes (ECHO)-wide Cohort Study to build a combined exposure index. Our index considered both environmental hazards and social stressors simultaneously with national coverage for a 10-year period. Our goal was to build this index and demonstrate its utility for assessing differences in exposure for pregnancies enrolled in the ECHO-wide Cohort Study. Our unitless combined exposure index, which collapses census-tract level data into a single relative measure of exposure ranging from 0–1 (where higher values indicate higher exposure to hazards), includes indicators for major air pollutants and air toxics, features of the built environment, traffic exposures, and social determinants of health (e.g., lower educational attainment) drawn from existing data sources. We observed temporal and geographic variations in index values, with exposures being highest among participants living in the West and Northeast regions. Pregnant people who identified as Black or Hispanic (of any race) were at higher risk of living in a “high” exposure census tract (defined as an index value above 0.5) relative to those who identified as White or non-Hispanic. Index values were also higher for pregnant people with lower educational attainment. Several recommendations follow from our work, including that environmental and social stressor datasets with higher spatial and temporal resolutions are needed to ensure index-based tools fully capture the total environmental context. MDPI 2023-07-10 /pmc/articles/PMC10379099/ /pubmed/37510572 http://dx.doi.org/10.3390/ijerph20146339 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Martenies, Sheena E. Zhang, Mingyu Corrigan, Anne E. Kvit, Anton Shields, Timothy Wheaton, William Around Him, Deana Aschner, Judy Talavera-Barber, Maria M. Barrett, Emily S. Bastain, Theresa M. Bendixsen, Casper Breton, Carrie V. Bush, Nicole R. Cacho, Ferdinand Camargo, Carlos A. Carroll, Kecia N. Carter, Brian S. Cassidy-Bushrow, Andrea E. Cowell, Whitney Croen, Lisa A. Dabelea, Dana Duarte, Cristiane S. Dunlop, Anne L. Everson, Todd M. Habre, Rima Hartert, Tina V. Helderman, Jennifer B. Hipwell, Alison E. Karagas, Margaret R. Lester, Barry M. LeWinn, Kaja Z. Magzamen, Sheryl Morello-Frosch, Rachel O’Connor, Thomas G. Padula, Amy M. Petriello, Michael Sathyanarayana, Sheela Stanford, Joseph B. Woodruff, Tracey J. Wright, Rosalind J. Kress, Amii M. Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort |
title | Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort |
title_full | Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort |
title_fullStr | Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort |
title_full_unstemmed | Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort |
title_short | Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort |
title_sort | developing a national-scale exposure index for combined environmental hazards and social stressors and applications to the environmental influences on child health outcomes (echo) cohort |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10379099/ https://www.ncbi.nlm.nih.gov/pubmed/37510572 http://dx.doi.org/10.3390/ijerph20146339 |
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