| Literature DB >> 31426575 |
Michel G Loustaunau1, Jayajit Chakraborty2.
Abstract
This article contributes to distributive environmental justice (EJ) research on air pollution by analyzing racial/ethnic and related intra-categorical disparities in health risk from exposure to on-road hazardous air pollutants (HAPs) in Harris County, Texas. Previous studies in this urban area have not examined intra-ethnic heterogeneity in EJ outcomes or disproportionate exposure to vehicular pollutants. Our goal was to determine how the EJ implications of cancer risk from exposure to on-road HAP sources differ across and within each major racial/ethnic group (Hispanics, non-Hispanic Blacks, and non-Hispanic Whites), based on data from the Environmental Protection Agency's National-Scale Air Toxics Assessment (2011) and American Community Survey (2009-2013). Statistical analyses are based on generalized estimating equations which account for clustering of analytic units. Results indicated that Hispanics and non-Hispanic Blacks are exposed to significantly higher cancer risk than non-Hispanic Whites. When each racial/ethnic group was disaggregated based on contextually relevant characteristics, individuals who are in poverty, foreign-born, renters, and have limited English proficiency are found to be disproportionately located in areas exposed to significantly higher cancer risk, regardless of their major racial/ethnic designation. Our findings underscore the need to conduct intra-categorical EJ analysis for uncovering inequalities that get concealed when broadly defined racial/ethnic categories are used.Entities:
Keywords: Houston; air pollution; cancer risk; environmental justice; transportation
Mesh:
Substances:
Year: 2019 PMID: 31426575 PMCID: PMC6720268 DOI: 10.3390/ijerph16162968
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Figure 1Distribution of on-road lifetime cancer risk by census tract in Harris County, Texas.
Descriptive statistics for key variables (N = 784 tracts).
| Variables | Min | Max | Mean | Std. Dev. |
|---|---|---|---|---|
| On-road cancer risk (persons per million) | 2.078 | 22.490 | 8.368 | 2.862 |
| Proportion Hispanic | 0.001 | 0.973 | 0.407 | 0.256 |
| Proportion non-Hispanic Black | 0.000 | 0.953 | 0.191 | 0.218 |
| Proportion non-Hispanic White | 0.000 | 0.940 | 0.326 | 0.267 |
| Proportion non-Hispanic Asian | 0.000 | 0.461 | 0.060 | 0.071 |
| Proportion non-Hispanic other race | 0.000 | 0.055 | 0.001 | 0.005 |
| Population density | 52 | 67,718 | 5123 | 4159 |
| Median household income ($) | 12,272 | 250,000 | 58,586 | 34,736 |
Descriptive statistics for variables used in intra-categorical analysis (N = 784 tracts).
| Variables | Min | Max | Mean | Std. Dev. |
|---|---|---|---|---|
| Hispanic: | ||||
| Proportion above poverty | 0.044 | 1.000 | 0.571 | 0.249 |
| Proportion below poverty | 0.000 | 0.955 | 0.428 | 0.249 |
| Proportion U.S. born | 0.000 | 1.000 | 0.604 | 0.138 |
| Proportion foreign born | 0.000 | 1.000 | 0.395 | 0.138 |
| Proportion homeowners | 0.000 | 1.000 | 0.522 | 0.295 |
| Proportion renters | 0.000 | 1.000 | 0.477 | 0.295 |
| Proportion high school or higher | 0.000 | 1.000 | 0.623 | 0.217 |
| Proportion less than high school | 0.000 | 1.000 | 0.376 | 0.217 |
| Proportion English proficient | 0.166 | 1.000 | 0.636 | 0.178 |
| Proportion limited English proficient | 0.000 | 0.833 | 0.363 | 0.178 |
| Proportion age below 65 years | 0.676 | 1.000 | 0.954 | 0.045 |
| Proportion age of 65 or more years | 0.000 | 0.478 | 0.050 | 0.057 |
| Non-Hispanic Black: | ||||
| Proportion above poverty | 0.000 | 1.000 | 0.762 | 0.242 |
| Proportion below poverty | 0.000 | 1.000 | 0.237 | 0.242 |
| Proportion U.S. born | 0.000 | 1.000 | 0.921 | 0.127 |
| Proportion foreign born | 0.000 | 1.000 | 0.078 | 0.127 |
| Proportion homeowners | 0.000 | 1.000 | 0.410 | 0.337 |
| Proportion renters | 0.000 | 1.000 | 0.589 | 0.337 |
| Proportion high school or higher | 0.000 | 1.000 | 0.877 | 0.163 |
| Proportion less than high school | 0.000 | 1.000 | 0.122 | 0.163 |
| Proportion English proficient | 0.000 | 1.000 | 0.974 | 0.082 |
| Proportion limited English proficient | 0.000 | 1.000 | 0.025 | 0.082 |
| Proportion age below 65 years | 0.000 | 1.000 | 0.916 | 0.137 |
| Proportion age of 65 or more years | 0.000 | 1.000 | 0.083 | 0.137 |
| Non-Hispanic White: | ||||
| Proportion above poverty | 0.000 | 1.000 | 0.809 | 0.157 |
| Proportion below poverty | 0.000 | 1.000 | 0.190 | 0.157 |
| Proportion U.S. born | 0.000 | 1.000 | 0.929 | 0.094 |
| Proportion foreign born | 0.000 | 1.000 | 0.070 | 0.094 |
| Proportion homeowners | 0.000 | 1.000 | 0.649 | 0.265 |
| Proportion renters | 0.000 | 1.000 | 0.350 | 0.265 |
| Proportion high school or higher | 0.000 | 1.000 | 0.896 | 0.135 |
| Proportion less than high school | 0.000 | 1.000 | 0.103 | 0.135 |
| Proportion English proficient | 0.160 | 1.000 | 0.763 | 0.192 |
| Proportion limited English proficient | 0.000 | 0.839 | 0.236 | 0.192 |
| Proportion age below 65 years | 0.000 | 1.000 | 0.813 | 0.141 |
| Proportion age of 65 or more years | 0.000 | 1.000 | 0.186 | 0.141 |
Multivariate generalized estimating equation (GEE) analysis of on-road lifetime cancer risk (LCR): Beta coefficients. QIC = quasi-likelihood under the independence criterion.
| Variables | Model 1 | Model 2 | Model 3 |
|---|---|---|---|
| Population density | 0.254 ** | 0.253 ** | 0.250 ** |
| Median household income | 0.046 * | 0.046 * | 0.048 * |
| Proportion Hispanic | Ref | 0.035 ** | 0.153 ** |
| Proportion non-Hispanic Black | −0.027 * | Ref | 0.103 ** |
| Proportion non-Hispanic White | −0.158 ** | −0.122 ** | Ref |
| Proportion non-Hispanic Asian | 0.103 ** | 0.113 ** | 0.148 ** |
| Proportion non-Hispanic other race | −0.017 | −0.016 | −0.014 * |
| Intercept | 2.129 ** | 2.128 ** | 2.126 ** |
| Scale | 0.017 | 0.017 | 0.017 |
| Model fit (QIC) | 24.953 | 24.965 | 24.699 |
* p < 0.05; ** p < 0.01; N = 784.
Intra-categorical GEE analysis for the Hispanic population: Beta coefficients.
| Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | Model 6 |
|---|---|---|---|---|---|---|
| Population density | 0.268 ** | 0.235 ** | 0.210 ** | 0.265 ** | 0.248 ** | 0.258 ** |
| Median household income | 0.061 ** | 0.029 | 0.087 ** | 0.051 * | 0.046 * | 0.030 * |
| Proportion Non-Hispanic Black | −0.004 | −0.027 * | −0.045 ** | −0.022 * | −0.018 * | −0.021 * |
| Proportion Non-Hispanic White | −0.116 ** | −0.125 ** | −0.164 ** | −0.116 ** | −0.112 ** | −0.148 ** |
| Proportion Non-Hispanic Asian | 0.108 ** | 0.106 ** | 0.062 ** | 0.119 ** | 0.128 ** | 0.096 ** |
| Proportion Non-Hispanic other | −0.013 * | −0.021 * | −0.013 * | −0.015 * | −0.015 * | −0.016 * |
| Proportion Hispanic: above poverty | Ref | |||||
| Proportion Hispanic: below poverty | 0.065 ** | |||||
| Proportion Hispanic: U.S. born | Ref | |||||
| Proportion Hispanic: foreign born | 0.058 ** | |||||
| Proportion Hispanic: homeowners | Ref | |||||
| Proportion Hispanic: renters | 0.134 ** | |||||
| Proportion Hispanic: high school or higher | Ref | |||||
| Proportion Hispanic: less than high school | 0.061 ** | |||||
| Proportion Hispanic: English proficient | Ref | |||||
| Proportion Hispanic: not English proficient | 0.068 ** | |||||
| Proportion Hispanic: age below 65 years | Ref | |||||
| Proportion Hispanic: age of 65 or more years | 0.042 ** | |||||
| Intercept | 2.140 ** | 2.123 ** | 2.143 ** | 2.136 ** | 2.136 ** | 2.124 ** |
| Scale | 0.016 | 0.016 | 0.013 | 0.016 | 0.016 | 0.016 |
| Model fit (QIC) | 26.181 | 24.976 | 27.257 | 24.395 | 26.042 | 22.354 |
* p < 0.05; ** p < 0.01; N = 784.
Intra-categorical GEE analysis for the non-Hispanic Black population: Beta coefficients.
| Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | Model 6 |
|---|---|---|---|---|---|---|
| Population density | 0.215 ** | 0.256 ** | 0.186 ** | 0.260 ** | 0.252 ** | 0.249 ** |
| Median household income | 0.047 ** | 0.037 * | 0.082 ** | 0.037 * | 0.041 * | 0.038 * |
| Proportion Hispanic | 0.023 * | 0.032 * | 0.040 * | 0.025 | 0.027 | 0.024 |
| Proportion non-Hispanic White | −0.430 ** | −0.454 ** | −0.482 ** | −0.431 ** | −0.470 ** | −0.451 ** |
| Proportion non-Hispanic Asian | 1.950 ** | 1.687 ** | 2.184 ** | 1.650 ** | 1.599 ** | 1.562 ** |
| Proportion non-Hispanic other | −3.970 * | −2.208 | −2.690 * | −4.216 * | −2.766 * | −2.873 * |
| Proportion non-Hispanic Black: above poverty | Ref | |||||
| Proportion non-Hispanic Black: below poverty | 0.266 ** | |||||
| Proportion non-Hispanic Black: U.S. born | Ref | |||||
| Proportion non-Hispanic Black: foreign born | −0.192 * | |||||
| Proportion non-Hispanic Black: homeowners | Ref | |||||
| Proportion non-Hispanic Black: renters | 0.232 ** | |||||
| Proportion non-Hispanic Black: high school or higher | Ref | |||||
| Proportion non-Hispanic Black: less than high school | 0.202 ** | |||||
| Proportion non-Hispanic Black: English proficient | Ref | |||||
| Proportion non-Hispanic Black: not English proficient | −0.154 * | |||||
| Proportion non-Hispanic Black: age below 65 years | Ref | |||||
| Proportion non-Hispanic Black: age of 65 or more years | 0.132 * | |||||
| Intercept | 2.068 ** | 2.187 ** | 1.997 ** | 2.144 ** | 2.187 ** | 2.166 ** |
| Scale | 0.017 | 0.017 | 0.017 | 0.017 | 0.017 | 0.017 |
| Model fit (QIC) | 24.486 | 27.348 | 31.967 | 25.683 | 26.161 | 25.202 |
* p < 0.05; ** p < 0.01; N = 784.
Intra-categorical GEE analysis for the Non-Hispanic White population: Beta coefficients.
| Variables | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | Model 6 |
|---|---|---|---|---|---|---|
| Population density | 0.244 ** | 0.221 ** | 0.254 ** | 0.238 ** | 0.213 ** | 0.237 ** |
| Median household income | 0.058 ** | 0.047 ** | 0.072 ** | 0.048 ** | 0.042 ** | 0.048 ** |
| Proportion Hispanic | 0.137 ** | 0.132 ** | 0.119 ** | 0.149 ** | 0.060 * | 0.138 ** |
| Proportion non-Hispanic Black | 0.085 ** | 0.099 ** | 0.072 ** | 0.116 ** | 0.052 ** | 0.112 ** |
| Proportion non-Hispanic Asian | 0.150 ** | 0.086 ** | 0.056 ** | 0.137 ** | 0.166 ** | 0.143 ** |
| Proportion non-Hispanic other | −0.014 * | −0.017 * | −0.023 ** | −0.016 * | −0.012 | −0.016 * |
| Proportion non-Hispanic White: above poverty | Ref | |||||
| Proportion non-Hispanic White: below poverty | 0.042 ** | |||||
| Proportion non-Hispanic White: U.S. born | Ref | |||||
| Proportion non-Hispanic White: foreign born | 0.119 ** | |||||
| Proportion non-Hispanic White: homeowners | Ref | |||||
| Proportion non-Hispanic White: renters | 0.097 ** | |||||
| Proportion non-Hispanic White: high school or higher | Ref | |||||
| Proportion non-Hispanic White: less than high school | −0.015 | |||||
| Proportion non-Hispanic White: English proficient | Ref | |||||
| Proportion non-Hispanic White: not English proficient | 0.120 ** | |||||
| Proportion non-Hispanic White: age below 65 years | Ref | |||||
| Proportion non-Hispanic White: age of 65 or more years | 0.016 * | |||||
| Intercept | 2.120 ** | 2.137 ** | 2.141 ** | 2.125 ** | 2.120 ** | 2.122 ** |
| Scale | 0.017 | 0.015 | 0.013 | 0.016 | 0.017 | 0.017 |
| Model fit (QIC) | 24.274 | 23.168 | 21.535 | 24.470 | 25.348 | 23.834 |
* p < 0.05; ** p < 0.01; N = 784.