Division of Life Sciences, Rutgers University, Piscataway, NJ 08854, USA.
Am J Public Health. 2011 Dec;101 Suppl 1(Suppl 1):S64-73. doi: 10.2105/AJPH.2010.300077. Epub 2011 May 6.
Risk assessment determines pathways, and exposures that lead to poor health. For exposures that fall disproportionately on urban low-income communities, minorities, and Native Americans, these pathways are often more common than in the general population. Although risk assessors often evaluate these pathways on an ad hoc basis, a more formal way of addressing these nonstandard pathways is needed to adequately inform public health policy. A conceptual model is presented for evaluating nonstandard, unique, or excessive exposures, particularly for environmental justice communities that have an exposure matrix of inhalation, dermal, ingestion, and injection. Risk assessment can be improved by including nonstandard and unique exposure pathways as described in this conceptual model.
风险评估确定导致健康不良的途径和暴露。对于不成比例地落在城市低收入社区、少数族裔和美国原住民身上的暴露,这些途径往往比在一般人群中更为常见。尽管风险评估人员经常根据需要对这些途径进行评估,但需要一种更正式的方法来解决这些非标准途径,以便为公共卫生政策提供充分的信息。本文提出了一种评估非标准、独特或过度暴露的概念模型,特别是对于具有吸入、皮肤接触、摄入和注射暴露矩阵的环境正义社区。通过包括本文概念模型中描述的非标准和独特的暴露途径,可以改进风险评估。