1. Environmental Health Inequalities Among Municipalities Affected by Contaminated Sites in Italy.
- Author
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Pasetto, Roberto, Di Fonzo, Davide, De Santis, Marco, Porcu, Rosanna, and Zona, Amerigo
- Subjects
HAZARDOUS waste sites ,ENVIRONMENTAL health ,CITIES & towns ,HEALTH equity ,GLOBAL North-South divide ,EARLY death - Abstract
Background: Scientific evidence shows that hazardous industrial facilities are disproportionately distributed among socially deprived communities; however, environmental distributive justice research in Europe is still in its early stages, and the combined effect of contamination and socioeconomic deprivation on health has seldom been assessed. This study aims to assess environmental health inequalities in communities (i.e., municipalities) followed up by the Italian epidemiological surveillance system of contaminated sites (SENTIERI). Methods: Municipalities close to major Italian contaminated sites of interest for remediation were classified into least and most deprived according to regional quintiles of deprivation; standardized mortality ratios (SMR) for general, neoplastic, and premature mortality were aggregated using meta-analysis (meta-SMRs with 90% confidence interval [CI]). Findings were stratified by geographical macro-area. Results: Fifty-five percent of southern municipalities are in the most deprived group. Meta-SMRs show a significant excess for men in the most deprived group (general: 104 [90% CI 103–106]; neoplastic: 104 [90% CI 102–106]; premature: 102 [90% CI 100–104]) and for general mortality in women in both least deprived (102 [90% CI 100–103]) and most deprived municipalities (105 [90% CI 104–107]). The findings are confirmed at a macro-area level. General mortality is highest in southern women in the most deprived group (106 [90% CI 104–108]). Discussion: There is an unequal distribution of major contaminated sites by municipality deprivation level in the South of Italy. Evidence of the Italian North–South divide is present for inequalities associated with contaminated sites. Conclusions: Findings from SENTIERI should be integrated with evidence from ad hoc local epidemiological monitoring systems to provide information for decision-making processes at different administrative levels. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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