干旱区生态环境知识资源中心(Arid): Investigation of the Environmental and Socio-Economic Characteristics of Counties with a High Asthma Burden to Focus Asthma Action in Utah

Arid

DOI	10.3390/ijerph17145251
	Investigation of the Environmental and Socio-Economic Characteristics of Counties with a High Asthma Burden to Focus Asthma Action in Utah
	Vowles, Maureen; Kerry, Ruth; Ingram, Ben; Mason, Linda
通讯作者	Vowles, M
来源期刊	INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
EISSN	1660-4601
出版年	2020
卷号	17 期号:14
英文摘要	Rising adult asthma prevalence (AAP) rates and asthma emergency room (AER) visits constitute a large burden on public health in Utah (UT), a high-altitude state in the Great Basin Desert, USA. This warrants an investigation of the characteristics of the counties with the highest asthma burden within UT to improve allocation of health resources and for planning. The relations between several predictor environmental, health behavior and socio-economic variables and two health outcome variables, AAP and AER visits, were investigated for UT's 29 counties. Non-parametric statistical comparison tests, correlation and linear regression analysis were used to determine the factors significantly associated with AER visits and AAP. Regression kriging with Utah small area data (USAD) as well as socio-economic and pollution data enabled local Moran's I cluster analysis and the investigation of moving correlations between health outcomes and risk factors. Results showed the importance of desert/mining dust and socio-economic status as AAP and AER visits were greatest in the south of the state, highlighting a marked north-south divide in terms of these factors within the state. USAD investigations also showed marked differences in pollution and socio-economic status associated with AAP within the most populous northern counties. Policies and interventions need to address socio-economic inequalities within counties and between the north and south of the state. Fine (PM2.5) and coarse (PM10) particulate matter monitors should be installed in towns in central and southern UT to monitor air quality as these are sparse, but in the summer, air quality can be worse here. Further research into spatiotemporal variation in air quality within UT is needed to inform public health interventions such as expanding clean fuel programs and targeted land-use policies. Efforts are also needed to examine barriers to routine asthma care.
英文关键词	air pollution Utah asthma elevation altitude aridity PM2 5 fine particulate matter desert dust inversion mine dust smoking adult asthma prevalence asthma emergency room visits public health
类型	Article
语种	英语
开放获取类型	Green Accepted, gold, Green Published
收录类别	SSCI
WOS记录号	WOS:000557762200001
WOS关键词	PARTICULATE AIR-POLLUTION ; CIGARETTE-SMOKING ; QUALITY STANDARDS ; BRONCHIAL-ASTHMA ; DUST STORMS ; RISK ; MATTER ; FINE ; ASSOCIATION ; POPULATION
WOS类目	Environmental Sciences ; Public, Environmental & Occupational Health
WOS研究方向	Environmental Sciences & Ecology ; Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/325526
作者单位	[Vowles, Maureen] Univ Liverpool, Dept Publ Hlth & Policy, Liverpool L69 3GB, Merseyside, England; [Kerry, Ruth] Brigham Young Univ, Dept Geog, Provo, UT 84602 USA; [Ingram, Ben] Univ Talca, Fac Engn, Curico 3460000, Chile; [Mason, Linda] Univ Liverpool Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England
推荐引用方式 GB/T 7714	Vowles, Maureen,Kerry, Ruth,Ingram, Ben,et al. Investigation of the Environmental and Socio-Economic Characteristics of Counties with a High Asthma Burden to Focus Asthma Action in Utah[J],2020,17(14).
APA	Vowles, Maureen,Kerry, Ruth,Ingram, Ben,&Mason, Linda.(2020).Investigation of the Environmental and Socio-Economic Characteristics of Counties with a High Asthma Burden to Focus Asthma Action in Utah.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,17(14).
MLA	Vowles, Maureen,et al."Investigation of the Environmental and Socio-Economic Characteristics of Counties with a High Asthma Burden to Focus Asthma Action in Utah".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 17.14(2020).