Skip to main content

Soziale Ungleichheit bei umweltbezogener Gesundheit: Erklärungsansätze aus umweltepidemiologischer Perspektive

  • Chapter
Gesundheitliche Ungleichheit

IDie Tatsache, dass materielle Faktoren, die natürliche wie auch die anthropogen gestaltete, gebaute Umwelt die Gesundheit beeinträchtigen bzw. gesundheitsförderlich/salutogen wirken können, ist hinlänglich bekannt und wurde von verschiedenen Fachdisziplinen in unterschiedlicher Tiefe aufgegriffen und untersucht. Auf Basis der „Global Burden of Disease“- Methodik wurde – sofern es die Datenlage epidemiologischer Studien zuließ – das bestimmten Umweltfaktoren zuschreibbare Krankheits- und Mortalitätsrisiko quantifiziert (Valent et al. 2004). Die Auswirkungen der Wohnbedingungen und des Wohnumfeldes auf die Gesundheit sind ein wichtiger Themenschwerpunkt von Public Health: „[…] housing is best viewed as a catch-all term for the myriad and multidimensional ways in which our conditions of living – physical, proximate, emotional, and social – can affect health.“ (Shaw 2004: 414) Insbesondere in der Stadtplanung und Ökologischen Psychologie besteht ein umfangreiches Wissen zum Zusammenhang zwischen gebauter Umwelt und Wohlbefinden, Lebensqualität und Gesundheit (Trojan & Legewie 2001).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 84.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Acheson D (1998). Independent inquiry into inequalities in health. London: The Stationery Office.

    Google Scholar 

  • American Lung Association (2001). Urban air pollution and health inequities: a workshop report. Environ Health Perspect 109 (suppl 3): 357–374.

    Google Scholar 

  • Blakely T, Hales S, Woodward A (2004). Poverty: assessing the distribution of health risks by socioeconomic position at national and local levels. Environmental Burden of Disease Series, No. 10. Geneva: World Health Organization.

    Google Scholar 

  • Bolte G (2000). Soziale Ungleichheit und Gesundheit von Kindern. Über den Zusammenhang von Indikatoren der sozialen Lage mit immunologischen Parametern und respiratorischen Erkrankungen am Beispiel einer umweltepidemiologischen Studie. Regensburg: S. Roderer.

    Google Scholar 

  • Bolte G (2006). Environmental Justice – Umweltgerechtigkeit. Umweltmed Forsch Prax 11: 161–172.

    Google Scholar 

  • Bolte G, Kohlhuber M (2005). PINCHE (Policy Interpretation Network on Children's Health and Environment) project: Final report WP5 Socioeconomic Factors. Arnhem: Public Health Services Gelderland Midden. Online: http://www.pinche.hvdgm.nl (29.03.2006)

  • Bolte G, Mielck A (2004). Umweltgerechtigkeit. Die soziale Verteilung von Umweltbelastungen. Weinheim: Juventa.

    Google Scholar 

  • Bolte G, Elvers HD, Schaaf B, et al. (2004). Soziale Ungleichheit bei der Belastung mit verkehrsabhängigen Luftschadstoffen: Ergebnisse der Kinderkohortenstudie LISA. In: Bolte G, Mielck A, eds. Umweltgerechtigkeit. Die soziale Verteilung von Umweltbelastungen. Weinheim: Juventa: 175–198.

    Google Scholar 

  • Bolte G, Kohlhuber M, Weiland SK, et al. (2005). Socioeconomic factors in EU-funded studies of children’s environmental health. Eur J Epidemiol 20: 289–291.

    Article  Google Scholar 

  • Bolte G, Wildner M, Fromme H for the GME Study Group (2006). Impact of socioeconomic position and housing environment on children’s health in Bavaria, Germany. Epidemiology 17 (suppl): 338.

    Article  Google Scholar 

  • Braun-Fahrländer C (2004). Die soziale Verteilung von Umweltbelastungen bei Kindern in der Schweiz. In: Bolte G, Mielck A, eds. Umweltgerechtigkeit. Die soziale Verteilung von Umweltbelastungen. Weinheim: Juventa: 155–173.

    Google Scholar 

  • Briggs D (2003). Making a difference: indicators to improve children’s environmental health. Geneva: WHO.

    Google Scholar 

  • Brulle RJ, Pellow DN (2006). Environmental justice: human health and environmental inequalities. Annu Rev Public Health 27: 103–124.

    Article  Google Scholar 

  • Burkhardt J, Grunow-Lutter V (2005). Umwelt- und Gesundheitsberichterstattung auf dem Weg zu nachhaltiger Entwicklung. In: Fehr R, Neus H, Heudorf U, eds. Gesundheit und Umwelt. Ökologische Prävention und Gesundheitsförderung. Bern: Huber: 201–210.

    Google Scholar 

  • Chaix B, Gustafsson S, Jerrett M, et al. (2006). Children’s exposure to nitrogen dioxide in Sweden: investigating environmental justice in an egalitarian country. J Epidemiol Community Health 60: 234–241.

    Article  Google Scholar 

  • Diez Roux AV (2004). The study of group-level factors in epidemiology: rethinking variables, study designs, and analytical approaches. Epidemiol Rev 26: 104–111.

    Article  Google Scholar 

  • Drukker M, Kaplan C, Feron F, van Os J (2003). Children’s health-related quality of life, neighbourhood socio-economic deprivation and social capital. A contextual analysis. Soc Sci Med 57: 825–841.

    Article  Google Scholar 

  • Dunn JR (2000). Housing and health inequalities: Review and prospects for research. Housing Studies 15: 341–366.

    Article  Google Scholar 

  • Du Prel X, Kramer U, Ranft U (2005). Changes in social inequality with respect to health-related living conditions of 6-year-old children in East Germany after re-unification. BMC Public Health 5: 64.

    Article  Google Scholar 

  • Ellaway A, Macintyre S, Bonnefoy X (2005). Graffiti, greenery, and obesity in adults: secondary analysis of European cross sectional survey. BMJ 331: 611–612.

    Article  Google Scholar 

  • Elliott MR, Wang Y, Lowe RA, Kleindorfer PR (2004). Environmental justice: frequency and severity of US chemical industry accidents and the socioeconomic status of surrounding communities. J Epidemiol Community Health 58: 24–30.

    Article  Google Scholar 

  • Evans G, Kantrowitz E (2002). Socioeconomic status and health: The potential role of environmental risk exposure. Ann Rev Public Health 23: 303–331.

    Article  Google Scholar 

  • Fehr R, Neus H (2005). System- und Strukturmodelle; Lebensbereiche. In: Fehr R, Neus H, Heudorf U, eds. Gesundheit und Umwelt. Ökologische Prävention und Gesundheitsförderung. Bern: Huber: 76–94.

    Google Scholar 

  • Finkelstein MM, Jerrett M, DeLuca P, et al. (2003). Relation between income, air pollution and mortality: a cohort study. Can Med Assoc J 169: 397–402.

    Google Scholar 

  • Frumkin H (2005). Health, equity, and the built environment. Environ Health Perspect 113: A290-A291.

    Article  Google Scholar 

  • Gee GC, Payne-Sturges DC (2004). Environmental health disparities: a framework integrating psychosocial and environmental concepts. Environ Health Perspect 112: 1645–1653.

    Google Scholar 

  • Gordon-Larsen P, Nelson MC, Page P, Popkin BM (2006). Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics 117: 417–424.

    Article  Google Scholar 

  • Health Effects Institute (2000). Reanalysis of the Harvard Six Cities Study and the American Cancer Society Study of Particulate Air Pollution and Mortality. Cambridge, USA: HEI

    Google Scholar 

  • Heinrich J, Mielck A, Schäfer I, Mey W (2000). Social inequality and environmentally-related diseases in Germany: review of empirical results. Soz Präventivmed 45: 106–118.

    Article  Google Scholar 

  • Hoek G, Brunekreef B, Goldbohm S, et al. (2002). Association between mortality and indicators of traffic-related air pollution in the Netherlands: a cohort study. Lancet 360: 1203–1209.

    Article  Google Scholar 

  • Jackson RJ (2003). The impact of the built environment on health: an emerging field. Am J Public Health 93: 1382–1384.

    Article  Google Scholar 

  • Jantunen M, ed. (1997). Socioeconomic and cultural factors in air pollution epidemiology. European Commission, Directorate-General XII Science, Research and Development. Air pollution epidemiology reports series, Report number 8. Luxemburg.

    Google Scholar 

  • Jarre J (1975). Umweltbelastungen und ihre Verteilung auf soziale Schichten. Göttingen: Otto Schwartz & Co.

    Google Scholar 

  • Kohlhuber M, Mielck A, Weiland SK, Bolte G (2006). Social inequality in perceived environmental exposures in relation to housing conditions in Germany. Environ Res 101: 246–255.

    Article  Google Scholar 

  • Krämer U, Koch T, Ranft U, et al. (2000). Traffic-related air pollution is associated with atopy in children living in urban areas. Epidemiology 11: 64–70.

    Article  Google Scholar 

  • Krieger N (2001). Theories for social epidemiology in the 21st century: an ecosocial perspective. Int J Epidemiol 30: 668–677.

    Article  Google Scholar 

  • Leyden KM (2003). Social capital and the built environment: the importance of walkable neighborhoods. Am J Public Health 93: 1546–1551.

    Article  Google Scholar 

  • Lucas K, ed. (2004). Running on empty. Transport, social exclusion and environmental justice. Bristol: Policy Press.

    Google Scholar 

  • Mackenbach JP (2006). Health inequalities: Europe in profile. Rotterdam. Independent expert report as part of the project entitled „Tackling Health Inequalities: Governing for Health”. Online: http://www.dh.gov.uk/assetRoot/04/12/15/84/04121584.pdf(24.05.2006)

  • Marmot M (2000). Multilevel approaches to understanding social determinants. In: Berkman LF, Kawachi I, eds. Social epidemiology. Oxford: Oxford University Press: 349–367.

    Google Scholar 

  • Mielck A (2000). Soziale Ungleichheit und Gesundheit. Empirische Ergebnisse, Erklärungsansätze, Interventionsmöglichkeiten. Bern: Huber.

    Google Scholar 

  • Mielck A, Bolte G (2004). Die soziale Verteilung von Umweltbelastungen: Neue Impulse für Public Health Forschung und Praxis. In: Bolte G, Mielck A, eds. Umweltgerechtigkeit. Die soziale Verteilung von Umweltbelastungen. Weinheim: Juventa: 7–28.

    Google Scholar 

  • Nicolai T, Carr D, Weiland SK, et al. (2003). Urban traffic and pollutant exposure related to respiratory outcomes and atopy in a large sample of children. Eur Respir J 21: 956–963.

    Article  Google Scholar 

  • O'Neill MS, Jerrett M, Kawachi I, et al. (2003). Health, wealth, and air pollution: advancing theory and methods. Environ Health Perspect 111: 1861–1870.

    Google Scholar 

  • Parkes A, Kearns A (2006). The multi-dimensional neighbourhood and health: a cross-sectional analysis of the Scottish Household Survey, 2001. Health Place 12: 1–18.

    Article  Google Scholar 

  • Pekkanen J, Pearce N (2001). Environmental epidemiology: challenges and opportunities. Environ Health Perspect 109: 1–5.

    Article  Google Scholar 

  • Pollack CE, von dem Knesebeck O, Siegrist J (2004). Housing and health in Germany. J Epidemiol Community Health 58: 216–222.

    Article  Google Scholar 

  • Ponce NA, Hoggatt KJ, Wilhelm M, Ritz B (2005). Preterm birth: the interaction of traffic-related air pollution with economic hardship in Los Angeles neighborhoods. Am J Epidemiol 162: 140–148.

    Article  Google Scholar 

  • Robert Koch-Institut, ed. (2005). Armut, soziale Ungleichheit und Gesundheit. Expertise des Robert Koch-Instituts zum 2. Armuts- und Reichtumsbericht der Bundesregierung. Beiträge zur Gesundheitsberichterstattung des Bundes. Berlin: Robert Koch-Institut.

    Google Scholar 

  • Saelens BE, Sallis JF, Black JB, Chen D (2003). Neighborhood-based differences in physical activity: An environment scale evaluation. Am J Public Health 93: 1552–1558.

    Article  Google Scholar 

  • Schulz A, Northridge ME (2004). Social determinants of health: implications for environmental health promotion. Health Educ Behav 31: 455–471.

    Article  Google Scholar 

  • Sexton K, Adgate JL (1999). Looking at environmental justice from an environmental health perspective. J Expo Anal Environ Epidemiol 9: 3–8.

    Article  Google Scholar 

  • Shaw M (2004). Housing and public health. Annu Rev Public Health 25: 397–418.

    Article  Google Scholar 

  • Soobader M, Cubbin C, Gee GC, et al. (2006). Levels of analysis for the study of environmental health disparities. Environ Res 102: 172–180.

    Article  Google Scholar 

  • Statistisches Bundesamt (1998). Gesundheitsbericht für Deutschland. Stuttgart: Metzler-Poeschel.

    Google Scholar 

  • Stephens C, Bullock S, Scott A (2001). Environmental justice. Rights and means to a healthy environment for all. ESRC Global Environmental Change Programme. Special Briefing No. 7. University of Sussex.

    Google Scholar 

  • Stephens C, Bullock S (2002). Environmental justice: an issue for the health of the children of Europe and the world. In: European Environment Agency, WHO Regional Office for Europe, eds. Chil dren's health and environment: A review of evidence. Environmental issue report No. 29. Copenhagen: 190–198.

    Google Scholar 

  • Swart E, Hoffmann B (2004). Modifiziert der Sozialstatus die gesundheitlichen Auswirkungen von Lärmexpositionen? In: Bolte G, Mielck A, eds. Umweltgerechtigkeit. Die soziale Verteilung von Umweltbelastungen. Weinheim: Juventa: 199–220.

    Google Scholar 

  • Trojan A, Legewie H (2001). Nachhaltige Gesundheit und Entwicklung. Leitbilder, Politik und Praxis der Gestaltung gesundheitsförderlicher Umwelt- und Lebensbedingungen. Frankfurt/Main: VAS.

    Google Scholar 

  • Valent F, Little D, Bertollini R, et al. (2004). Burden of disease attributable to selected environmental factors and injury among children and adolescents in Europe. Lancet 363: 2032–2039.

    Article  Google Scholar 

  • Van Lenthe FJ, Brug J, Mackenbach JP (2005). Neighbourhood inequalities in physical inactivity: the role of neighbourhood attractiveness, proximity to local facilities and safety in the Netherlands. Soc Sci Med 60: 763–775.

    Article  Google Scholar 

  • Veenstra G, Kelly S (2007). Comparing objective and subjective status: Gender and space (and environmental justice?). Health Place 13: 57–71.

    Article  Google Scholar 

  • Wakefield J (2004). Fighting obesity through the built environment. Environ Health Perspect 112: A616-A618.

    Google Scholar 

  • Wernicke E (1912). Die Wohnung in ihrem Einfluss auf Krankheit und Sterblichkeit. In: Mosse M, Tugendreich G, eds. Krankheit und soziale Lage (3. Neuauflage 1994). Göttingen: Cromm: 45–120.

    Google Scholar 

  • Wheeler BW, Ben-Shlomo Y (2005). Environmental equity, air quality, socioeconomic status, and respiratory health: a linkage analysis of routine data from the Health Survey for England. J Epidemiol Community Health 59: 948–954.

    Article  Google Scholar 

  • WHO (2002). The World Health Report 2002. Reducing risks, promoting healthy life. Geneva: WHO.

    Google Scholar 

  • Wilkinson RG (1999). Putting the picture together: prosperity, redistribution, health, and welfare. In: Marmot M, Wilkinson RG, eds. Social determinants of health. Oxford: Oxford University Press: 256–274.

    Google Scholar 

  • Wilkinson RG, Marmot M, eds. (2003). Social determinants of health: the solid facts. Second edition. Copenhagen: WHO Regional Office for Europe.

    Google Scholar 

  • Woodward A, Boffetta P (1997). Environmental exposure, social class, and cancer risk. In: Kogevinas M, Pearce N, Susser M, Boffetta P, eds. Social inequalities and cancer. IARC Scientific Publications No. 138. Lyon: IARC: 361–367.

    Google Scholar 

  • Zeka A, Zanobetti A, Schwartz J (2006). Individual-level modifiers of the effects of particulate matter on daily mortality. Am J Epidemiol 163: 849–859.

    Article  Google Scholar 

Download references

Authors

Editor information

Matthias Richter Klaus Hurrelmann

Rights and permissions

Reprints and permissions

Copyright information

© 2009 VS Verlag für Sozialwissenschaften | GWV Fachverlage GmbH

About this chapter

Cite this chapter

Bolte, G., Kohlhuber, M. (2009). Soziale Ungleichheit bei umweltbezogener Gesundheit: Erklärungsansätze aus umweltepidemiologischer Perspektive. In: Richter, M., Hurrelmann, K. (eds) Gesundheitliche Ungleichheit. VS Verlag für Sozialwissenschaften. https://doi.org/10.1007/978-3-531-91643-9_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-531-91643-9_5

  • Publisher Name: VS Verlag für Sozialwissenschaften

  • Print ISBN: 978-3-531-16084-9

  • Online ISBN: 978-3-531-91643-9

  • eBook Packages: Humanities, Social Science (German Language)

Publish with us

Policies and ethics