Evaluating cumulative risk assessment for environmental justice: a community case study

Environmental Health Perspectives
Mary A Fox

Abstract

A key feature of cumulative risk assessment (CRA) is the ability to estimate differential health risks from environmental exposures within populations. Identifying populations at increased risk from environmental exposures is the first step toward mitigating such risks as required by the fair treatment mandate of environmental justice. CRA methods remain under development except for a limited application in pesticide regulations. The goals of this research were to advance CRA methods and to test their application in a community case study. We compared cumulative risk and health assessments for South and Southwest Philadelphia communities. The analysis found positive correlations between cumulative risk and mortality measurements for total mortality in Whites and non-Whites when we conducted the risk assessment using a multi-end point toxicological database developed for this project. Cumulative risk scores correlated positively with cause-specific mortality in non-Whites. Statistically significant increases in total and respiratory mortality rates were associated with incremental increases in the hazard ratio cumulative risk scores, with ranges of 2-6% for total and 8-23% for respiratory. Regression analyses controlled for perc...Continue Reading

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Citations

Dec 31, 2003·Environmental Health Perspectives·Devon C Payne-SturgesTimothy J Buckley
Mar 15, 2006·Annual Review of Public Health·Robert J Brulle, David N Pellow
Apr 8, 2017·International Journal of Environmental Research and Public Health·Mary A FoxLawrence Martin
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