Air pollution mixture exposure during pregnancy and postpartum psychological functioning: racial/ethnic- and fetal sex-specific associations
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A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods
Postpartum depression and mother-to-infant bonding difficulties (MIBD), two issues crucial to maternal and infant mental health, often coexist and affect each other. Our study aims to dissect their complex relationship through a graphical LASSO network analysis of individual symptoms in 5594 Japanese postpartum women, whose geographical distribution was nationally representative. We identified ‘fear’, ‘enjoyment’, ‘overwhelm’, and ‘insomnia’ as common bridge symptoms linking postpartum depression and MIBD across three distinct postpartum periods. Moreover, ‘self-harm’ emerged as a bridge symptom in the first 6 months and the 7–12 month period, while ‘laugh’ was a bridge symptom in the first 6 months and the 13–24 month period. Notably, ‘self-blame’ was identified as a unique bridge symptom specific to the 13–24 month period. Our analysis highlights the complexities of symptom connectivity across postpartum stages and underscores the critical need for interventions that address both common and stage-specific bridge symptoms to effectively support maternal mental health and strengthen mother-to-infant bonding.
Racial and ethnic differences in prenatal exposure to environmental phenols and parabens in the ECHO Cohort
Research suggests racial/ethnic disparities in prenatal exposure to endocrine disrupting environmental phenols (EPs) in limited populations. However, no studies have investigated racial/ethnic disparities in prenatal EP exposure across the U.S.
Intercity personnel exchange is more effective than policy transplantation at reducing water pollution
Severe spatial disparities exist in water pollution and water governance. A popular solution is that lagging cities transplant policies from cities with successful experiences. However, environmental governance is more than policies. Merely copying policies from elsewhere may not generate intended effects. Here this research argues that intercity personnel exchange can be a more effective policy instrument than policy transplantation. We provide the first nationwide estimates in China of the effect of intercity exchange of city leaders on water pollution reduction. Using large-scale micro-level datasets on city leaders’ curriculum vitae, firm behaviors, patents and policy texts, we show that intercity exchange of city leaders leads to a 4.78–15.26% reduction in firm-level water pollution, which contributes to 39.45–57.98% of the national total water pollution reduction from 2006 to 2013. Exchanged city leaders facilitate the diffusion of governance experience across cities and the formulation of intercity cooperation. They are also more likely to initiate new policies to support industrial upgrading. Our findings highlight the importance and potential of intercity personnel exchange as a policy instrument for water governance in particular and green transition in general.
Dynamic effects of psychiatric vulnerability, loneliness and isolation on distress during the first year of the COVID-19 pandemic
The COVID-19 pandemic’s impact on mental health is challenging to quantify because pre-existing risk, disease burden and public policy varied across individuals, time and regions. Longitudinal, within-person analyses can determine whether pandemic-related changes in social isolation impacted mental health. We analyzed time-varying associations between psychiatric vulnerability, loneliness, psychological distress and social distancing in a US-based study during the first year of the pandemic. We surveyed 3,655 participants about psychological health and COVID-19-related circumstances every 2 weeks for 6 months. We combined self-reports with regional social distancing estimates and a classifier that predicted probability of psychiatric diagnosis at enrollment. Loneliness and psychiatric vulnerability both impacted psychological distress. Loneliness and distress were also linked to social isolation and stress associated with distancing, and psychiatric vulnerability shaped how regional distancing affected loneliness across time. Public health policies should address loneliness when encouraging social distancing, particularly in those at risk for psychiatric conditions.
Socially vulnerable communities face disproportionate exposure and susceptibility to U.S. wildfire and prescribed burn smoke
While air pollution from most U.S. sources has decreased, emissions from wildland fires have risen. Here, we use an integrated assessment model to estimate that wildfire and prescribed burn smoke caused $200 billion in health damages in 2017, associated with 20,000 premature deaths. Nearly half of this damage came from wildfires, predominantly in the West, with the remainder from prescribed burns, mostly in the Southeast. Our analysis reveals positive correlations between smoke exposure and various social vulnerability measures; however, when also considering smoke susceptibility, these disparities are systematically influenced by age. Senior citizens, who are disproportionately White, represented 16% of the population but incurred 75% of the damages. Nonetheless, within most age groups, Native American and Black communities experienced the greatest damages per capita. Our work highlights the extraordinary and disproportionate effects of the growing threat of fire smoke and calls for targeted, equitable policy solutions for a healthier future.
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