Social inequalities resulting from health risks related to ambient air quality--A European review

Deguen, Séverine; Zmirou‐Navier, Denis

doi:10.1093/eurpub/ckp220

Cited by 143 publications

(98 citation statements)

References 36 publications

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“…High-risk mortality clusters due to cardiovascular diseases related to high vehicular traffic exposure adjusted by age, gender, and income ratio. lower socioeconomic status tend to live closer to roadways of great vehicle flow 7,8 , mainly because these areas are not very valued by the real state market 21 . On the other hand, this relation might be associated with the fact that people of poor socioeconomic conditions might be exposed to a higher number of risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…Income inequality is connected to several social inequalities, such as low educational levels, poor households, preexisting morbidities, difficulty regarding health services access, as well as higher exposure to the most different environmental and occupational risks 22,23 . Some authors also believe that people with lower purchasing power tend to have more difficulties in modifying their risk behaviors, such as stopping smoking, enhancing their diet, and working out more, which could raise the expectation for cardiovascular diseases 21,24 . The female gender presented 17 to 30% of higher mortality risk due to CD related to high traffic exposure.…”

Section: Discussionmentioning

confidence: 99%

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Fatores de risco para mortalidade por doenças cardiovasculares associados à alta exposição ao tráfego veicular

Rodrigues

Santos

Hacon

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Objective: To identify areas and risk factors in cardiovascular disease (CD) mortality associated with air pollution from high exposure to vehicular traffic. Methods: Cross-sectional study of CD mortality in 2,617 individuals aged 45-85 years living in the urban area of Cuiabá and Várzea Grande, Mato Grosso State, Brazil, between 2009 and 2011. We used the residential proximity of up to 150 meters to a roadway of great vehicle flow as a proxy of high exposure to air pollution from vehicular traffic. The association between age, gender, income, and traffic intensity with vehicular traffic exposure was assessed through the multiple logistic regression. We conducted stratified analyses to observe the influence of seasons and groups of causes. We used Bernoulli's spatial model of probability to identify high-risk clusters. Results: Risk factors for CD mortality associated with high exposure to vehicular traffic were: living in census tracts with very unequal income (OR = 1.78; 95%CI 1.36 -2.33), heavy traffic (OR = 1.20; 95%CI 1.01 -1.43), and female gender (OR = 1.18; 95%CI 1.01 -1.38). The CD mortality risk increases about 10% during the dry season period. We identified nine areas of risk. Conclusion: High exposure to traffic is associated with CD mortality in Cuiabá and Várzea Grande. Income inequality, traffic intensity, and female gender presented as the main determiners for this exposure. The dry season period enhances the effects of traffic exposure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fatores de risco para mortalidade por doenças cardiovasculares associados à alta exposição ao tráfego veicular

Rodrigues

Santos

Hacon

et al. 2017

Rev. bras. epidemiol.

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“…Plusieurs revues de littérature ont été consacrées à ce sujet (Deguen, Zmirou-Navier, 2010 ;Hajat, Hsia et al, 2015 ;Rodriguez-Villamizar, Berney et al, 2016).…”

Section: Survol De La Littérature Internationale Et Française Au Sujeunclassified

Considérations, dans les politiques publiques, de l’équité et des inégalités sociales de santé en lien avec l’exposition à la pollution atmosphérique

Benmarhnia¹

2017

Pollution Atmosphérique

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RésuméLes effets sanitaires de la pollution atmosphérique ne sont pas distribués de manière homogène au sein des différents sous-groupes d'une population. De plus, il existe de forts contrastes vis-à-vis de l'exposition aux différents polluants atmosphériques. Cet article vise, dans un premier temps, à introduire la question des inégalités environnementales en lien avec la pollution atmosphérique. En parallèle, de nombreuses politiques publiques existent pour réduire les émissions de polluants atmosphériques. Dans un second temps, cet article vise à introduire la notion d'équité dans la distribution des effets d'une politique. Enfin, nous proposons une explication des mécanismes possibles sur l'effet d'une politique publique vis-à-vis de l'augmentation ou de la réduction des inégalités de santé, en utilisant un exemple lié à la réduction des émissions liées au trafic. Mots-clés

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“…Mitchell & Dorling (2003) completed a comprehensive review of UK air quality social equity studies and concluded that most studies investigating the relationship between air quality and deprivation, tended to show that air pollution is greater in more deprived communities (Mitchell and Dorling 2003). These inequalities are complex (Briggs, David et al 2008;Deguen and Zmirou-Navier 2010), but can be framed within the theory of environmental justice, in that some groups are disproportionately subject to environmental hazards and disadvantage predisposing them to poor health (Gee and Payne-Sturges 2004).…”

Section: Introductionmentioning

confidence: 99%

Towards an interdisciplinary science of transport and health: a case study on school travel

Hodgson¹,

Namdeo²,

Araujo‐Soares³

et al. 2012

Journal of Transport Geography

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Background and Aim: This paper was conceptualised and informed by discussions at the 2nd Workshop in a UKTRC funded series on 'Social Impacts and Equity in Transport'.Presentations made by a range of stakeholders as well as a specially commissioned play stimulated our thoughts on how to encourage better interaction between health and transport researchers. We chose school travel as a case study as it exemplifies two key aspects of the wider transport and health debates; (i) the increasing trend towards reliance on car travel, described here in the context of sedentary lifestyles, traffic congestion, pollution, and parental attitudes, and (ii) school travel occurs at a critical life-stage during which behaviour patterns are formed that are likely to be influential in later life, thus making it an important target point for interventions.Methods: We present evidence from four distinct, but complementary, theoretical perspectives: transport, exposure, behaviour and sustainability. We draw common lessons and identify challenges using a range of conceptual frameworks: integrated psychological model of transport choices, Dahlgren and Whitehead's 'layers of influence' model, Hosking et al's 'pathways from transport to health', and Hanlon et al's integral theory. We demonstrate the benefits and challenges of holistic interaction and collaboration between disciplines to better understand the key issues and develop policy interventions that are meaningful and effective. Results and conclusions:None of the pre-existing conceptual models were fully able to encompass the societal and individual level influences on school travel. However, we present an interim model for further discussion and debate. Key words:Transport, health, sustainability, behaviour change, transport choice, health behaviour Word count:7935 Highlights  Transport and health are interlinked on many levels  School travel contributes to congestion and pollution, and impacts on health  It also represents a critical life stage during which life-long behaviours are set  School travel provides a valuable case study to explore numerous converging agendas  There remain challenges to holistically considering this multi-dimensional issue

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Social inequalities resulting from health risks related to ambient air quality--A European review

Cited by 143 publications

References 36 publications

Fatores de risco para mortalidade por doenças cardiovasculares associados à alta exposição ao tráfego veicular

Fatores de risco para mortalidade por doenças cardiovasculares associados à alta exposição ao tráfego veicular

Considérations, dans les politiques publiques, de l’équité et des inégalités sociales de santé en lien avec l’exposition à la pollution atmosphérique

Towards an interdisciplinary science of transport and health: a case study on school travel

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