Health Affairs · 2011 · 454 citations · 45 references
Public HealthEnvironmental PolicyEnvironmental SciencesEnvironmental HealthHealth EquitySocial Determinants Of HealthCumulative ImpactsEnvironmental Determinants Of HealthEnvironmental EpidemiologyEnvironmental Health PolicyEnvironmental RiskSocial VulnerabilityCumulative Effects AssessmentCumulative Health EffectsCumulative Impacts AnalysisEnvironmental Health HazardsEnvironmental Health InequalitiesEnvironmental Health InequitiesLow IncomeNeighborhood Stressors
Racial and ethnic minorities and low‑income communities experience poorer health outcomes and are disproportionately exposed to environmental hazards and social stressors such as poverty, poor housing, and inequality. The study aims to develop a framework for characterizing the cumulative effects of environmental hazards and social stressors to inform more effective policies addressing health and environmental disparities. The authors synthesize existing evidence on how higher exposure rates to environmental hazards, combined with biological susceptibility and social vulnerability, cumulatively impact health. They argue that environmental policy should expand beyond pollutant sources to incorporate the cumulative exposures and vulnerabilities faced by residents of predominantly minority or low‑socioeconomic neighborhoods.
Racial or ethnic minority groups and low-income communities have poorer health outcomes than others. They are more frequently exposed to multiple environmental hazards and social stressors, including poverty, poor housing quality, and social inequality. Researchers are grappling with how best to characterize the cumulative effects of these hazards and stressors in order to help regulators and decision makers craft more-effective policies to address health and environmental disparities. In this article we synthesize the existing scientific evidence regarding the cumulative health implications of higher rates of exposure to environmental hazards, along with individual biological susceptibility and social vulnerability. We conclude that current environmental policy, which is focused narrowly on pollutants and their sources, should be broadened to take into account the cumulative impact of exposures and vulnerabilities encountered by people who live in neighborhoods consisting largely of racial or ethnic minorities or people of low socioeconomic status.
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State of Disparities in Cardiovascular Health in the United States
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Childhood Asthma and Exposure to Traffic and Nitrogen Dioxide
W. James Gauderman, Edward L. Avol, Fred Lurmann et al. · Epidemiology · 2005 · 520 citations