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.