Research needs for community-based risk assessment: findings from a multi-disciplinary workshop.

Communities face exposures to multiple environmental toxicants and other non-chemical stressors. In addition, communities have unique activities and norms that influence exposure and vulnerability. Yet, few studies quantitatively consider the role of cumulative exposure and additive impacts. Community-based risk assessment (CBRA) is a new approach for risk assessment that aims to address the cumulative stressors faced by a particular community, while incorporating a community-based participatory research framework. This paper summarizes an Environmental Protection Agency (EPA) sponsored workshop, "Research Needs for Community-Based Risk Assessment." This workshop brought together environmental and public health scientists and practitioners for fostering an innovative discussion about tools, methods, models, and approaches for CBRA. This workshop was organized around three topics: (1) Data and Measurement Methods; (2) The Biological Impact of Non-Chemical Stressors and Interaction with Environmental Exposures; and (3) Statistical and Mathematical Modeling. This report summarizes the workshop discussions, presents identified research needs, and explores future research opportunities in this emerging field.