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首页> 外文期刊>International Journal of Environmental Research and Public Health >Application of a Novel Method for Assessing Cumulative Risk Burden by County
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Application of a Novel Method for Assessing Cumulative Risk Burden by County

机译：一种新方法在县累积风险负担评估的应用

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The purpose of this study is to apply the Human Security Index (HSI) as a tool to detect social and economic cumulative risk burden at a county-level in the state of Texas. The HSI is an index comprising a network of three sub-components or “fabrics”; the Economic, Environmental, and Social Fabrics. We hypothesized that the HSI will be a useful instrument for identifying and analyzing socioeconomic conditions that contribute to cumulative risk burden in vulnerable counties. We expected to identify statistical associations between cumulative risk burden and (a) ethnic concentration and (b) geographic proximity to the Texas-Mexico border. Findings from this study indicate that the Texas-Mexico border region did not have consistently higher total or individual fabric scores as would be suggested by the high disease burden and low income in this region. While the Economic, Environmental, Social Fabrics (including the Health subfabric) were highly associated with Hispanic ethnic concentration, the overall HSI and the Crime subfabric were not. In addition, the Education, Health and Crime subfabrics were associated with African American racial composition, while Environment, Economic and Social Fabrics were not. Application of the HSI to Texas counties provides a fuller and more nuanced understanding of socioeconomic and environmental conditions, and increases awareness of the role played by environmental, economic, and social factors in observed health disparities by race/ethnicity and geographic region.
机译：本研究的目的是将人类安全指数（HSI）作为一种检测德克萨斯州县级的社会和经济累积风险负担的工具。 HSI是包括三个子组件或“织物”网络的索引;经济，环境和社会面料。我们假设HSI将是一个有用的工具，用于识别和分析社会经济条件，这些条件有助于弱势群体中的累积风险负担。我们希望识别累积风险负担与（a）种族浓度和（b）地理邻近地地理邻近的统计协会与德克萨斯州墨西哥边境。从本研究表明，德克萨斯州墨西哥边境地区没有始终如一的总面料或单独的面料分数，这是该地区的高疾病负担和低收入所提出的。虽然经济，环境，社会面料（包括健康子特征）与西班牙裔民族浓度高度相关，但整体恒生和犯罪子特许犯罪率并非如此。此外，教育，卫生和犯罪和犯罪子特征与非洲裔美国种族构成有关，而环境，经济和社会面料则不是。 HSI对德克萨斯州县的应用为社会经济和环境条件提供了更大且更细致的了解，并提高了通过种族/种族和地理区域观察到的卫生差异中的环境，经济和社会因素所发挥的作用。

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