Environmental justice: frequency and severity of US chemical industry accidents and the socioeconomic status of surrounding communities

被引:79
作者
Elliott, MR
Wang, Y
Lowe, RA
Kleindorfer, PR
机构
[1] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Dept Biostat & Epidemiol, Philadelphia, PA 19104 USA
[2] Univ Penn, Sch Med, Biostat Anal Ctr, Philadelphia, PA 19104 USA
[3] Oregon Hlth Sci Univ, Dept Publ Hlth & Prevent Med, Dept Emergency Med, Ctr Policy & Res Emergency Med, Portland, OR 97201 USA
[4] Oregon Hlth Sci Univ, Div Med Informat & Outcome Res, Portland, OR 97201 USA
[5] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA
[6] Univ Penn, Wharton Sch, Risk Management & Decis Proc Ctr, Philadelphia, PA 19104 USA
关键词
D O I
10.1136/jech.58.1.24
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Study objectives: The Clean Air Act Amendments of 1990 requires that chemical facilities in the US with specified quantities of certain toxic or flammable chemicals file a five year history of accidents. This study considers the relation between the reported accidents and surrounding community characteristics. Design: This study is a retrospective analysis of the association between the demographics of counties in which facilities are located and the risk of accidental chemical release and resulting injuries at those facilities. The " location risk'' ( the risk that a facility having large volumes of hazardous chemicals is located in a community) and " operations risk'' ( the risk of an accident itself) are investigated. Setting: 1994 - 2000 accident history data from 15 083 US industrial facilities using one or more of 140 flammable or toxic substances above a threshold level. Demographic makeup of 2333 counties surrounding these facilities was determined from the 1990 US census. Main results: Larger and more chemical intensive facilities tend to be located in counties with larger African- American populations and in counties with both higher median incomes and high levels of income inequality. Even after adjusting for location risk there is greater risk of accidents for facilities in heavily African- American counties ( OR of accident = 1.9, 95% CI = 1.5 to 2.4). Conclusions: Further research and policy interventions are required to reduce the probability of locating facilities in an inequitable fashion, as well as health surveillance, and regulatory monitoring and enforcement activities to ensure that hazardous facilities in minority communities prepare and prevent accidental chemical releases to the same standards as elsewhere.
引用
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页码:24 / 30
页数:7
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