Morello-Frosch Rachel, Lopez Russ
Department of Community Health, Center for Environmental Studies, School of Medicine, Brown University, Box 1943, 135 Angell Street, Providence, RI 02912, USA.
Environ Res. 2006 Oct;102(2):181-96. doi: 10.1016/j.envres.2006.05.007. Epub 2006 Jul 10.
Environmental health researchers, sociologists, policy-makers, and activists concerned about environmental justice argue that communities of color who are segregated in neighborhoods with high levels of poverty and material deprivation are also disproportionately exposed to physical environments that adversely affect their health and well-being. Examining these issues through the lens of racial residential segregation can offer new insights into the junctures of the political economy of social inequality with discrimination, environmental degradation, and health. More importantly, this line of inquiry may highlight whether observed pollution--health outcome relationships are modified by segregation and whether segregation patterns impact diverse communities differently. This paper examines theoretical and methodological questions related to racial residential segregation and environmental health disparities. We begin with an overview of race-based segregation in the United States and propose a framework for understanding its implications for environmental health disparities. We then discuss applications of segregation measures for assessing disparities in ambient air pollution burdens across racial groups and go on to discuss the applicability of these methods for other environmental exposures and health outcomes. We conclude with a discussion of the research and policy implications of understanding how racial residential segregation impacts environmental health disparities.
关注环境正义的环境卫生研究人员、社会学家、政策制定者和活动家认为,居住在贫困和物质匮乏程度高的社区中的有色人种社区,也过多地暴露于对其健康和福祉产生不利影响的物理环境中。通过种族居住隔离的视角审视这些问题,可以为社会不平等的政治经济与歧视、环境退化和健康的交汇点提供新的见解。更重要的是,这一系列探究可能会凸显观察到的污染与健康结果之间的关系是否会因隔离而改变,以及隔离模式对不同社区的影响是否不同。本文探讨了与种族居住隔离和环境健康差异相关的理论和方法问题。我们首先概述了美国基于种族的隔离情况,并提出了一个理解其对环境健康差异影响的框架。然后,我们讨论了隔离措施在评估不同种族群体间环境空气污染负担差异方面的应用,并继续讨论这些方法在其他环境暴露和健康结果方面的适用性。最后,我们讨论了理解种族居住隔离如何影响环境健康差异的研究和政策意义。