Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology

The 2010 Global Burden of Disease estimates indicate a trend toward increasing years lived with disability from chronic noncommunicable diseases (NCDs). Risk factors examined included smoking, diet, alcohol, <a title="Learn more about Drug Abuse" href="https://www.sciencedirect.com...

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Autores principales: Peter D. Sly, David O. Carpenter, Martin Van den Berg, Renato T. Stein, Philip J. Landrigan, Marie-Noel Brune-Drisse, William Suk
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Publicado: Ubiquity Press 2016
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spelling oai:doaj.org-article:7c2ab8a9648b4007b6c8e09aaddf8ce72021-12-02T03:52:56ZHealth Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology2214-999610.1016/j.aogh.2016.01.004https://doaj.org/article/7c2ab8a9648b4007b6c8e09aaddf8ce72016-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1052https://doaj.org/toc/2214-9996The 2010 Global Burden of Disease estimates indicate a trend toward increasing years lived with disability from chronic noncommunicable diseases (NCDs). Risk factors examined included smoking, diet, alcohol, <a title="Learn more about Drug Abuse" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/drug-abuse">drug abuse</a>, and physical inactivity. By contrast, little consideration was given to accumulating evidence that exposures to environmental chemicals, <a title="Learn more about Psychosocial Stress" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/psychosocial-stress">psychosocial stress</a>, and <a title="Learn more about Malnutrition" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/malnutrition">malnutrition</a> during fetal development and across the life span also increase risk of NCDs. To address this gap, we undertook a narrative review of early-life environmental contributions to disease. We documented numerous <a title="Learn more about Etiology (medicine)" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/etiology-medicine">etiologic</a>associations. We propose that future GBD estimates use an expanded approach for assessing etiologic contributions of environmental exposures to recognized disease risk factors. We argue that broadening the definition of environmental disease, together with improved methods of assessing early life exposures and their health outcomes across the life span, will allow better understanding of causal associations and provide the incentives required to support strategies to control avoidable exposures and reduce disease risk.Peter D. SlyDavid O. CarpenterMartin Van den BergRenato T. SteinPhilip J. LandriganMarie-Noel Brune-DrisseWilliam SukUbiquity Pressarticlechildrenpollutionnon-communicable diseaseburden of diseasepublic healthInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 1, Pp 3-9 (2016)
institution DOAJ
collection DOAJ
language EN
topic children
pollution
non-communicable disease
burden of disease
public health
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle children
pollution
non-communicable disease
burden of disease
public health
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Peter D. Sly
David O. Carpenter
Martin Van den Berg
Renato T. Stein
Philip J. Landrigan
Marie-Noel Brune-Drisse
William Suk
Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology
description The 2010 Global Burden of Disease estimates indicate a trend toward increasing years lived with disability from chronic noncommunicable diseases (NCDs). Risk factors examined included smoking, diet, alcohol, <a title="Learn more about Drug Abuse" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/drug-abuse">drug abuse</a>, and physical inactivity. By contrast, little consideration was given to accumulating evidence that exposures to environmental chemicals, <a title="Learn more about Psychosocial Stress" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/psychosocial-stress">psychosocial stress</a>, and <a title="Learn more about Malnutrition" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/malnutrition">malnutrition</a> during fetal development and across the life span also increase risk of NCDs. To address this gap, we undertook a narrative review of early-life environmental contributions to disease. We documented numerous <a title="Learn more about Etiology (medicine)" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/etiology-medicine">etiologic</a>associations. We propose that future GBD estimates use an expanded approach for assessing etiologic contributions of environmental exposures to recognized disease risk factors. We argue that broadening the definition of environmental disease, together with improved methods of assessing early life exposures and their health outcomes across the life span, will allow better understanding of causal associations and provide the incentives required to support strategies to control avoidable exposures and reduce disease risk.
format article
author Peter D. Sly
David O. Carpenter
Martin Van den Berg
Renato T. Stein
Philip J. Landrigan
Marie-Noel Brune-Drisse
William Suk
author_facet Peter D. Sly
David O. Carpenter
Martin Van den Berg
Renato T. Stein
Philip J. Landrigan
Marie-Noel Brune-Drisse
William Suk
author_sort Peter D. Sly
title Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology
title_short Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology
title_full Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology
title_fullStr Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology
title_full_unstemmed Health Consequences of Environmental Exposures: Causal Thinking in Global Environmental Epidemiology
title_sort health consequences of environmental exposures: causal thinking in global environmental epidemiology
publisher Ubiquity Press
publishDate 2016
url https://doaj.org/article/7c2ab8a9648b4007b6c8e09aaddf8ce7
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