Air Pollution and Pulmonary Health in American Indian/Alaska Native Children: Describing and Addressing Inequitable Environmental Exposures.

BACKGROUND

Air pollution is a significant modifiable risk factor that exacerbates asthma and compromises overall pulmonary health. American Indian/Alaska Native (AI/AN) populations may experience inequitable exposure to air pollution due to centuries of discrimination and forced relocation.

AIMS: This review summarizes studies examining air pollution and its effects on pulmonary health in AI/AN children.

MATERIALS AND

METHODS

A narrative review was undertaken by searching the largest medical literature databases. The search yielded ~100 articles, of which 12 are included in the review.

RESULTS

A narrative review was undertaken by searching the largest medical literature databases. The search yielded ~100 articles, of which 12 are included in the review.

DISCUSSION: AI/AN children are at risk of suboptimal pulmonary health outcomes due to inequitable exposures dictated by historical and current policies outside of their own control.

CONCLUSION

To address this inequity, specific advocacy actions must be taken to improve health outcomes related to air pollution among AI/AN youth, while also exploring additional strategies to expand access to pediatric pulmonary care.