Ibiti O N gbe Naa

Ni mi kẹhin bulọọgi post Mo mẹnuba awọn ẹka marun ti Awọn ipinnu Ipinle ti Ilera (SDoH) ti a ti mọ nipasẹ Awọn eniyan Alafia 2030. Wọn jẹ: 1) awọn adugbo wa ati awọn agbegbe ti a kọ, 2) ilera ati itọju ilera, 3) agbegbe awujọ ati agbegbe, 4) eto -ẹkọ, ati 5) iduroṣinṣin eto -ọrọ.¹ Loni Mo fẹ lati sọrọ nipa awọn agbegbe wa ati awọn agbegbe ti a kọ, ati awọn ipa - mejeeji dara ati buburu - wọn le ni lori awọn abajade ilera wa.¹

Gẹgẹbi Awọn Ile-iṣẹ fun Iṣakoso Arun (CDC), ayika ti a kọ pẹlu “gbogbo awọn ẹya ara ti ibi ti a ngbe ati ṣiṣẹ.” Eyi pẹlu awọn nkan bii awọn ile, awọn ọna, awọn itura ati awọn aaye ṣiṣi miiran (tabi aini rẹ), ati awọn amayederun.² Ronu nipa ibiti o ngbe ni bayi - ṣe adugbo rẹ ni awọn ọna-ọna tabi ọna keke? Njẹ ọgba itura tabi ibi isere wa nitosi? Njẹ afẹfẹ nigbagbogbo jẹ aimọ nitori ikole nitosi? Bawo ni o ṣe sunmọ opopona, tabi si ile itaja ọjà kan? Ibo ni iwọ yoo ni lati wakọ lati lọ si irin-ajo?

Ibi ti o ngbe, ati ohun ti o yi ọ ka, awọn ọrọ. Itan-akọọlẹ, awọn ẹgbẹ to kere julọ ti ni anfani lati gbe ni awọn agbegbe alaini bi abajade ti “ẹlẹyamẹya itan ni awọn iṣe ile” ati pe wọn ti jiya fun rẹ.^3,4 Gẹgẹbi ipilẹ Robert Wood Johnson, “awọn iyatọ adugbo le ṣẹda ati mu awọn ailagbara awujọ le ti o ṣe alabapin si awọn aisedeede ilera pẹlu eto-ọrọ aje, ẹya tabi awọn ẹya, ti a fun ni iraye si awọn orisun ati awọn ifihan si awọn ipo ti o jẹ ipalara fun ilera.⁴

Fun apẹẹrẹ, Elyria Swansea, ọkan ninu adugbo atijọ ti Denver ti o wa ni agbegbe ti iṣelọpọ ti ilu nla; ṣe akiyesi nipasẹ diẹ ninu lati wa ni ọkan ninu awọn koodu zip ti o bajẹ julọ ni orilẹ-ede. Gẹgẹbi iwadi 2017 nipasẹ ATTOM Data Solutions, koodu koodu zip 80216 ni ipo ti o ga julọ ni “Atọka 10 ti o ga julọ Ayika Ewu Ewu Ayika.”⁵ O jẹ ile si Plaina Dog Chow Plant, Suncor Oil Refinery, awọn aaye superfund meji, ati iṣẹ imugboroosi I-70 ti n lọ lọwọlọwọ, gbogbo eyiti o ṣe alabapin si awọn ipo gbigbe talaka ni agbegbe naa.^6,7

Iwadii Imudaniloju Ilera ti 2014 ri pe awọn ifiyesi ilera marun ti o ni ipa lori awọn olugbe Elyria Swansea ni: didara ayika, sisopọ ati gbigbe kiri, iraye si awọn ẹru ati awọn iṣẹ, aabo agbegbe, ati ilera ilera ti opolo.⁸ O tun rii pe awọn olugbe, ti o jẹ pupọ julọ Hispaniki, “jiya diẹ ninu awọn oṣuwọn to ga julọ ti arun inu ọkan ati ẹjẹ, ọgbẹ suga, isanraju ati ikọ-fèé ni Ilu naa.”⁷ Ni Elyria Swansea, iye awọn ile-iwosan ikọ-fèé jẹ 1,113.12 fun awọn eniyan 100,000.⁹ Bayi ṣe afiwe iyẹn si adugbo ọlọrọ ati ipo ti o dara julọ bi Washington Park West, ti awọn olugbe rẹ ko ni ipa nipasẹ awọn opopona, ikole igbagbogbo, ati awọn nkan ti o ni ayika. Awọn oṣuwọn ti awọn ile-iwosan ikọ-fèé ni apakan yii ti Denver ko to idamẹrin kan ti oṣuwọn ni Elyria Swansea; iyatọ jẹ itaniji.⁹

Nitorinaa ọpọlọpọ awọn ifosiwewe ṣere sinu ilera gbogbogbo wa, ati ibiti a gbe wa jẹ nla kan. Ni ihamọra pẹlu imoye yii jẹ pataki fun imuse ifojusi ati awọn ilowosi to munadoko ati rii daju pe awọn ọmọ ẹgbẹ wa gba awọn orisun to tọ ati atilẹyin.

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1. Nipa Awọn eniyan ilera 2030 - Awọn eniyan Alafia 2030 | health.gov

2. https://www.cdc.gov/nceh/publications/factsheets/impactofthebuiltenvironmentonhealth.pdf

3. https://www.nationalgeographic.com/science/article/how-nature-deprived-neighborhoods-impact-health-people-of-color

4. https://www.rwjf.org/en/library/research/2011/05/neighborhoods-and-health-.html#:~:text=Depending%20on%20where%20we%20live,places%20to%20exercise%20or%20play.

5. https://www.attomdata.com/news/risk/2017-environmental-hazard-housing-risk-index/

6. https://www.coloradoindependent.com/2019/08/09/elyria-swansea-i-70-construction-health-impacts/

7. https://www.denverpost.com/2019/06/30/asthma-elyria-swansea-i-70-project/

8.https://www.denvergov.org/content/dam/denvergov/Portals/746/documents/HIA/HIA%20Composite%20Report_9-18-14.pdf

9. https://www.pressmask.com/2019/06/30/asthma-in-denver-search-rates-by-neighborhood/