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Integrating individual and community-level SES data in environmental health tracking: Theoretical and methodological considerations

Rachel Morello-Frosch, PhD, MPH, Department of Community Health, School of Medicine & Center for Environmental Studies, Brown University, PO Box 1943, 135 Angell Street, Providence, RI 02912, 401-863-9429, Rachel_Morello-Frosch@Brown.edu

Studies in the environmental health and sociology literature suggest that communities of color and the poor bear a disproportionate burden of exposure to environmental hazards such as proximity to industrial facilities, toxic waste sites, exposure to ambient air pollution, and their associated health risks. These studies raise the question of how much persistent health disparities among communities may be partially explained by disparities in exposures to environmental hazards. The use of SES data for understanding health disparities has become an important area of study, but has only recently been incorporated into environmental health research due to policy concerns about environmental inequalities. The development of an Environmental and Public Health Tracking (EPHT) system provides an unprecedented opportunity to integrate demographic and SES data to identify disparities in environmental exposures and health outcomes over time and over a large geographic scale. This presentation will examine methods and data sources for measuring individual- and community-level SES data that have potential for use in an EPHT network. The advantages and challenges of integrating individual- versus community-level information will be analyzed. Using examples in air toxics research, we show how SES data can be integrated with environmental exposure and toxicity information to identify demographic disparities in exposures and estimated health risks among diverse populations. Implications of this approach to EPHT for addressing disparities in exposures and outcomes will be discussed.

Learning Objectives:

  • At the presentation, the participant (learner) will be able to

    Keywords: Environmental Health, Surveillance

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Addressing Environmental Health Disparities in Environmental Public Health Tracking

    The 132nd Annual Meeting (November 6-10, 2004) of APHA