caa a22 4500 445377909 CHVBK 20180317143008.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10393-011-0686-x doi (NATIONALLICENCE)springer-10.1007/s10393-011-0686-x The Hidden Health Burden of Environmental Degradation: Disease Comorbidities and Dryland Salinity [Elektronische Daten] [Peter Speldewinde, Angus Cook, Peter Davies, Philip Weinstein] Previous studies have linked poor mental human health with environmental degradation, but none have assessed additional diseases that may co-exist with these mental disorders. In previous work, depression was found to be associated with a major form of environmental degradation; dryland salinity. However, little is known about diseases co-morbid with depression in this environmental setting. In rural Australia, dryland salinity is a major form of environmental degradation contributing widely to deterioration and non-viability of farmland. Using georeferenced health record data, Bayesian spatial methods were used to determine the relationship between dryland salinity and a range of human health outcomes. Initial modelling found an increased relative risk for asthma, suicide and ischaemic heart disease in relation to dryland salinity (adjusted for Indigenous and socio-economic status). However, in this follow-up study, a further evaluation of the role of co-morbidities in this population revealed that: (i) the presence of depression was consistently linked to residence in areas with high salinity and (ii) the association of asthma, suicide and heart disease with salinity was most likely attributable to the co-morbidity of the conditions with depression. Given the predicted increase in dryland salinity and the elevated relative risk of depression in impacted areas, the relative risk of the co-morbid conditions can be expected to increase in rural areas in the future, further adding to the burden of disease associated with environmental degradation. International Association for Ecology and Health, 2011 depression nationallicence asthma nationallicence IHD nationallicence suicide nationallicence salinity nationallicence environment nationallicence Speldewinde Peter Centre of Excellence in Natural Resource Management, The University of Western Australia, PO Box 5771, 6332, Albany, WA, Australia aut Cook Angus School of Population Health, University of Western Australia, Perth, WA, Australia aut Davies Peter Centre of Excellence in Natural Resource Management, The University of Western Australia, PO Box 5771, 6332, Albany, WA, Australia aut Weinstein Philip School of Population Health, University of Western Australia, Perth, WA, Australia aut EcoHealth Springer-Verlag 8/1(2011-03-01), 82-92 1612-9202 8:1<82 2011 8 10393 https://doi.org/10.1007/s10393-011-0686-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10393-011-0686-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Speldewinde Peter Centre of Excellence in Natural Resource Management, The University of Western Australia, PO Box 5771, 6332, Albany, WA, Australia aut NATIONALLICENCE 700 1- Cook Angus School of Population Health, University of Western Australia, Perth, WA, Australia aut NATIONALLICENCE 700 1- Davies Peter Centre of Excellence in Natural Resource Management, The University of Western Australia, PO Box 5771, 6332, Albany, WA, Australia aut NATIONALLICENCE 700 1- Weinstein Philip School of Population Health, University of Western Australia, Perth, WA, Australia aut NATIONALLICENCE 773 0- EcoHealth Springer-Verlag 8/1(2011-03-01), 82-92 1612-9202 8:1<82 2011 8 10393 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer