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首页> 外文期刊>International Journal of Environmental Research and Public Health >What Causes Environmental Inequalities and Related Health Effects? An Analysis of Evolving Concepts
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What Causes Environmental Inequalities and Related Health Effects? An Analysis of Evolving Concepts

机译：是什么导致环境不平等和相关的健康影响？不断发展的概念分析

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Early environmental justice studies were exposure-oriented, lacked an integrated approach, and did not address the health impact of environmental inequalities. A coherent conceptual framework, needed to understand and tackle environmental inequalities and the related health effects, was lacking. We analyzed the more recent environmental justice literature to find out how conceptual insights have evolved. The conceptual framework of the WHO Commission on Social Determinants of Health (CSDH) was analyzed for additional explanations for environmental inequalities and the related health effects. This paper points out that recent environmental justice studies have broadened their scope by incorporating a broader set of physical and social environmental indicators, and by focusing on different geographic levels and on health impacts of environmental inequalities. The CSDH framework provided additional elements such as the role of structural determinants, the role of health-related behavior in relation to the physical and social environment, access to health care, as well as the life course perspective. Incorporating elements of the CSDH framework into existing environmental justice concepts, and performing more empirical research on the interactions between the different determinants at different geographical levels would further improve our understanding of environmental inequalities and their health effects and offer new opportunities for policy action.
机译：早期的环境正义研究是以暴露为导向的，缺乏综合的方法，并且没有解决环境不平等对健康的影响。缺乏理解和解决环境不平等及其相关健康影响所需的连贯的概念框架。我们分析了较新的环境正义文献，以了解概念见解如何演变。对世卫组织健康问题社会决定因素委员会（CSDH）的概念框架进行了分析，以进一步解释环境不平等及其相关的健康影响。本文指出，最近的环境正义研究通过纳入更广泛的自然和社会环境指标，并着眼于不同地理级别以及环境不平等对健康的影响，扩大了其范围。 CSDH框架提供了其他要素，例如结构决定因素的作用，与健康相关的行为与自然和社会环境有关的作用，获得医疗保健的机会以及生命历程的观点。将CSDH框架的要素纳入现有的环境正义概念中，并对不同决定因素在不同地理级别之间的相互作用进行更多的实证研究，将进一步增进我们对环境不平等及其对健康的影响的理解，并为政策行动提供新的机会。

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