Environmental Health Equity: A Concept Analysis

Dodd-Butera, Teresa; Beaman, Margaret L.; Brash, Marissa

doi:10.1891/0739-6686.38.183

Cited by 6 publications

(3 citation statements)

References 25 publications

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“…AHRQ, Agency for Healthcare Research and Quality; NIH, National Institutes of Health; PCORI, Patient-Centered Outcomes Research Institute. *SDOH measures.community complaints(134)(135)(136)(137)(138). In rural and suburban communities, including Native American Indian communities, unregulated private wells are a source of water contaminants including arsenic and other metals/metalloids, pesticides,…”

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confidence: 99%

Social Determinants of Health and Diabetes: A Scientific Review

et al. 2020

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Decades of research have demonstrated that diabetes affects racial and ethnic minority and low-income adult populations in the U.S. disproportionately, with relatively intractable patterns seen in these populations' higher risk of diabetes and rates of diabetes complications and mortality (1). With a health care shift toward greater emphasis on population health outcomes and value-based care, social determinants of health (SDOH) have risen to the forefront as essential intervention targets to achieve health equity (2-4). Most recently, the COVID-19 pandemic has highlighted unequal vulnerabilities borne by racial and ethnic minority groups and by disadvantaged communities. In the wake of concurrent pandemic and racial injustice events in the U.S.,

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confidence: 99%

Social Determinants of Health and Diabetes: A Scientific Review

et al. 2020

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“…Various academic studies have considered environmental health inequities and environmental health equity [232,[241][242][243][244][245][246]. Our scoping review only generated nine hits for health equity in abstracts covering "environmental activism", two hits for "environmental governance", and zero hits for "environmental advocacy", "environmentalism", "environmental action*" and "environmental steward*".…”

Section: Opportunities To Engage With Well-beingmentioning

confidence: 99%

Potential Impact of Environmental Activism: A Survey and a Scoping Review

Wolbring

Gill

2023

Sustainability

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Environmental issues increasingly impact the well-being, the ability to have a good life, of people, especially members of marginalized groups. Dealing with environmental issues is a long-standing and increasing focus of activism. Youth are increasingly involved in environmental activism. One focus of environmental education is how to instill the role of being a change agent into students. Marginalized groups experience many problems in relation to environmental issues, and environmental activism impacts the lived experience of marginalized groups in diverse ways. A pre-study scoping review suggested a gap in academic inquiry around “the impact of environmental activism”. The aim of our study was to decrease this gap and to better understand the perceived impact of environmental activism. We used two approaches to achieve this aim. In the first step, we used a survey to ask undergraduate students about their views on the impact of environmental activism. Given the results of the survey and that students need access to information to be able to fulfill their roles as critical thinkers and change agents, we then performed a scoping review of abstracts from Scopus, Web of Science, and the 70 databases accessible through EBSCO-HOST to ascertain what topics and which marginalized groups are engaged with in the academic inquiry of environmental activism. We found that participants felt that environmental activism has an impact on all the social groups and entities we gave them as choices, although there were differences in how positively they viewed the different groups and entities being affected. The participants also indicated that many of the well-being indicators were impacted by environmental activism, although around 30% felt that they did not have information they needed to form an opinion. Finally, our participants felt that different social groups have different ability expectations. Our scoping review found that many of the groups and indicators that our participants felt were impacted by environmental activism were not covered in the abstracts we analyzed. Our findings suggest many gaps and the need for actions and opportunities in relation to the topic of the “impact of environmental activism”.

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“…To date, there has been almost no attention to and research on the ethical issues inherent in reducing health inequities experienced by PH practitioners as they navigate these issues [ 6 ]. For example, there is considerable work related to advocacy for and integration of health equity in various areas of public health practice but little focus on the ethical issues associated with implementation and integration [ 7 – 10 ]. In previous work, we identified and named a range of ethical tensions encountered by public health practitioners working in mental health promotion and prevention of harms of substance use [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Navigating conflicting value systems: a grounded theory of the process of public health equity work in the context of mental health promotion and prevention of harms of substance use

et al. 2022

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Background Promoting health equity and reducing heath inequities is a foundational aim and ethical imperative in public health. There has been limited attention to and research on the ethical issues inherent in promoting health equity and reducing health inequities that public health practitioners experience in their work. The aim of the study was to explore how public health providers identified and navigated ethical issues and their management related to promoting health equity within services focused on mental health promotion and preventing harms of substance use. Methods Semi-structured individual interviews and focus groups were conducted with 32 public health practitioners who provided public-health oriented services related to mental health promotion and prevention of substance use harms (e.g. harm reduction) in one Canadian province. Results Participants engaged in the basic social process of navigating conflicting value systems. In this process, they came to recognize a range of ethically challenging situations related to health equity within a system that held values in conflict with health equity. The extent to which practitioners recognized, made sense of, and acted on these fundamental challenges was dependent on the degree to which they had developed a critical public health consciousness. Ethically challenging situations had impacts for practitioners, most importantly, the experiences of responding emotionally to ethical issues and the experience of living in dissonance when working to navigate ethical issues related to promoting health equity in their practice within a health system based in biomedical values. Conclusions There is an immediate need for practice-oriented tools for recognizing ethical dilemmas and supporting ethical decision making related to health equity in public health practice in the context of mental health promotion and prevention of harms of substance use. An increased focus on understanding public health ethical issues and working collaboratively and reflexively to address the complexity of equity work has the potential to strengthen equity strategies and improve population health.

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Environmental Health Equity: A Concept Analysis

Cited by 6 publications

References 25 publications

Social Determinants of Health and Diabetes: A Scientific Review

Social Determinants of Health and Diabetes: A Scientific Review

Potential Impact of Environmental Activism: A Survey and a Scoping Review

Navigating conflicting value systems: a grounded theory of the process of public health equity work in the context of mental health promotion and prevention of harms of substance use

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