The economics of precision health: preventing air pollution-induced exacerbation in asthma

Assessing public support for air pollution mitigation and control policies: health, socioeconomic, and ideological predictors in an overburdened and vulnerable region of the U.S

BACKGROUND

The San Joaquin Valley (SJV) in California is one of the most polluted regions in the U.S. This study examined favorability for air pollution mitigation policies, interventions, and identified predictors amongst region's residents.

METHODS

A cross-sectional online survey asked about health status and conditions, self-protective behaviors, attitudes toward air pollution recommendations, air quality information knowledge and mitigation behaviors, as well as whether their views were favorable or unfavorable towards policy and interventions. EuroQOL-5D-3L was utilized to estimate quality-of-life distribution equity and air pollution policy favorability.

RESULTS

A total of 310 adults residing in the SJV participated in the survey. The mean age was 42.90 years, with 34% having asthma. People with asthma reported the lowest health-related quality of life (HRQoL) compared to other air pollution "sensitive" groups. Concerns included the costs, charge and attributes of adopting hybrid or electric vehicles. Residents supported air pollution control and public space preservation, with socioeconomic factors and health state being significant predictors. Left-wing ideologies favor policies charging polluters, controlling emissions, and preserving public spaces, whereas right-wing views negatively predict support for electric vehicle charges and local organization interventions.

CONCLUSIONS

Results may help air pollution control policymakers, public health agencies, environmental justice organizations, and the health equity research community understand the reasons for differential responses to air pollution interventions and mitigation efforts. This new knowledge could assist stakeholders in recommending sustainable and cost-effective interventions for improving air quality, elicit behavior change, and climate change adaptation in the region.

Promoting advanced medical services in the framework of 3PM-a proof-of-concept by the "Centro" Region of Portugal

Multidisciplinary team from three universities based in the "Centro" Region of Portugal developed diverse approaches as parts of a project dedicated to enhancing and expanding Predictive, Preventive, and Personalized Medicine (3PM) in the Region. In a sense, outcomes acted as a proof-of-concept, in that they demonstrated the feasibility, but also the relevance of the approaches. The accomplishments comprise defining a new regional strategy for implementing 3PM within the Region, training of human resources in genomic sequencing, and generating good practices handbooks dedicated to diagnostic testing via next-generation sequencing, to legal and ethical concerns, and to knowledge transfer and entrepreneurship, aimed at increasing literacy on 3PM approaches. Further approaches also included support for entrepreneurship development and start-ups, and diverse and relevant initiatives aimed at increasing literacy relevant to 3PM. Efforts to enhance literacy encompassed citizens across the board, from patients and high school students to health professionals and health students. This focus on empowerment through literacy involved a variety of initiatives, including the creation of an illustrated book on genomics and the production of two theater plays centered on genetics. Additionally, authors stressed that genomic tools are relevant, but they are not the only resources 3PM is based on. Thus, they defend that other initiatives intended to enable citizens to take 3PM should include multi-omics and, having in mind the socio-economic burden of chronic diseases, suboptimal health status approaches in the 3PM framework should also be considered, in order to anticipate medical intervention in the subclinical phase.

Supplementary Information

The online version contains supplementary material available at 10.1007/s13167-024-00353-9.