Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Environmental Systems Research Institute, Redlands, CA, USA.
Nature. 2022 Jan;601(7892):228-233. doi: 10.1038/s41586-021-04190-y. Epub 2022 Jan 12.
Air pollution contributes to the global burden of disease, with ambient exposure to fine particulate matter of diameters smaller than 2.5 μm (PM) being identified as the fifth-ranking risk factor for mortality globally. Racial/ethnic minorities and lower-income groups in the USA are at a higher risk of death from exposure to PM than are other population/income groups. Moreover, disparities in exposure to air pollution among population and income groups are known to exist. Here we develop a data platform that links demographic data (from the US Census Bureau and American Community Survey) and PM data across the USA. We analyse the data at the tabulation area level of US zip codes (N is approximately 32,000) between 2000 and 2016. We show that areas with higher-than-average white and Native American populations have been consistently exposed to average PM levels that are lower than areas with higher-than-average Black, Asian and Hispanic or Latino populations. Moreover, areas with low-income populations have been consistently exposed to higher average PM levels than areas with high-income groups for the years 2004-2016. Furthermore, disparities in exposure relative to safety standards set by the US Environmental Protection Agency and the World Health Organization have been increasing over time. Our findings suggest that more-targeted PM reductions are necessary to provide all people with a similar degree of protection from environmental hazards. Our study is observational and cannot provide insight into the drivers of the identified disparities.
空气污染对全球疾病负担做出了贡献,环境中细颗粒物(PM)的直径小于 2.5μm 被认为是全球第五大死亡风险因素。在美国,与其他人群/收入群体相比,少数族裔和低收入群体因接触 PM 而死亡的风险更高。此外,已知不同人群和收入群体之间存在空气污染暴露方面的差异。在这里,我们开发了一个数据平台,将美国人口普查局和美国社区调查的数据与美国各地的 PM 数据联系起来。我们在美国邮编(约 32000 个)的制表区层面分析了 2000 年至 2016 年的数据。我们发现,与平均 PM 水平较高的非裔、亚裔和西班牙裔或拉丁裔人群相比,平均 PM 水平较低的地区拥有更高比例的白人和美洲原住民人口。此外,对于 2004-2016 年,低收入人群所在地区的平均 PM 水平一直高于高收入人群所在地区。此外,相对于美国环境保护署和世界卫生组织设定的安全标准,暴露程度的差异一直在随着时间的推移而增加。我们的研究结果表明,需要更有针对性地减少 PM,以确保所有人都能获得类似程度的环境危害保护。我们的研究是观察性的,无法深入了解确定的差异的驱动因素。