Underutilized and Under Threat: Environmental Policy as a Tool to Address Diabetes Risk

  • Sabina Shaikh
  • Jyotsna S. Jagai
  • Colette Ashley
  • Shuhan Zhou
  • Robert M. Sargis
Economics and Policy in Diabetes (ES Huang and AA Baig, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Economics and Policy in Diabetes

Abstract

Purpose of Review

Diabetes is a burgeoning threat to public health in the USA. Importantly, the burden of diabetes is not equally borne across society with marked disparities based on geography, race/ethnicity, and income. The etiology of global and population-specific diabetes risk remains incompletely understood; however, evidence linking environmental toxicants acting as endocrine-disrupting chemicals (EDCs), such as particulate matter and arsenic, with diabetes suggests that environmental policies could play an important role in diabetes risk reduction.

Recent Findings

Evidence suggests that disproportionate exposures to EDCs may contribute to subgroup-specific diabetes risk; however, no federal policies regulate EDCs linked to diabetes based upon diabetogenic potential. Nevertheless, analyses of European Union data indicate that such regulation could reduce diabetes-associated costs and disease burden.

Summary

Federal laws only regulate EDCs indirectly. The accumulating evidence linking these chemicals with diabetes risk should encourage policymakers to adopt stricter environmental standards that consider both health and economic impacts.

Keywords

Diabetes Pollution Toxicant Endocrine-disrupting chemical Environmental policy Environmental justice 

Notes

Compliance with Ethical Standards

Conflict of Interest

Sabina Shaikh, Jyotsna S. Jagai, Colette Ashley, and Shuhan Zhou declare that they have no conflict of interest.

Robert M. Sargis reports honoraria from CVS.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Sabina Shaikh
    • 1
  • Jyotsna S. Jagai
    • 2
  • Colette Ashley
    • 3
  • Shuhan Zhou
    • 3
  • Robert M. Sargis
    • 4
  1. 1.Program on Global Environment, Social Science Collegiate DivisionUniversity of ChicagoChicagoUSA
  2. 2.Environmental and Occupational Health Sciences Division, School of Public HealthUniversity of Illinois at ChicagoChicagoUSA
  3. 3.Harris School of Public PolicyUniversity of ChicagoChicagoUSA
  4. 4.Division of Endocrinology, Diabetes and Metabolism, Department of MedicineUniversity of Illinois at ChicagoChicagoUSA

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