Abstract:This study provides an empirical test of two mechanisms (social capital and exposure to air pollution) that are theorized to mediate the effect of neighborhood on health and contribute to racial disparities in health outcomes. To this end, we utilize the Social Capital Benchmark Study, a national survey of individuals nested within communities in the United States, to estimate how multiple dimensions of social capital and exposure to air pollution, explain racial disparities in self-rated health. Our main find… Show more
“…Although this study contributes to previous work by bridging the fields of social epidemiology and environmental inequality and by formally testing established theoretical models, the veracity of our results is contingent on replication with longitudinal data and more comprehensive assessments of socioeconomic status. Additional research is also needed to explore socioeconomic variations in toxin exposure and physical health in different national contexts and at different levels of analysis (Ard 2015(Ard , 2016Ard et al 2016). Research along these lines would advance our collective understanding of the environmental processes linking socioeconomic status and health.…”
Although established theoretical models suggest that socioeconomic inequalities in physical health are partially mediated or explained by exposures to environmental toxins, there is little empirical evidence to support these processes. Building on previous research, we analyze data from the National Health and Nutrition Examination Surveys (2007–2008) to formally test whether associations between socioeconomic status and self-rated physical health are mediated by direct biological assessments of environmental toxins. We find that the embodiment of environmental toxins is disproportionate in individuals of lower socioeconomic status. Although toxins in general and lead in particular are unrelated to self-rated health, socioeconomic differences in self-rated physical health are partially mediated by embodied cadmium. Our mediation analyses suggest that education and income may promote physical health by reducing exposures to cadmium. This study contributes to previous work by bridging the fields of social epidemiology and environmental inequality and by formally testing established theoretical models.
“…Although this study contributes to previous work by bridging the fields of social epidemiology and environmental inequality and by formally testing established theoretical models, the veracity of our results is contingent on replication with longitudinal data and more comprehensive assessments of socioeconomic status. Additional research is also needed to explore socioeconomic variations in toxin exposure and physical health in different national contexts and at different levels of analysis (Ard 2015(Ard , 2016Ard et al 2016). Research along these lines would advance our collective understanding of the environmental processes linking socioeconomic status and health.…”
Although established theoretical models suggest that socioeconomic inequalities in physical health are partially mediated or explained by exposures to environmental toxins, there is little empirical evidence to support these processes. Building on previous research, we analyze data from the National Health and Nutrition Examination Surveys (2007–2008) to formally test whether associations between socioeconomic status and self-rated physical health are mediated by direct biological assessments of environmental toxins. We find that the embodiment of environmental toxins is disproportionate in individuals of lower socioeconomic status. Although toxins in general and lead in particular are unrelated to self-rated health, socioeconomic differences in self-rated physical health are partially mediated by embodied cadmium. Our mediation analyses suggest that education and income may promote physical health by reducing exposures to cadmium. This study contributes to previous work by bridging the fields of social epidemiology and environmental inequality and by formally testing established theoretical models.
“…Based on this materialist foundation, less emphasis in EJ research has been placed on people’s subjectivities. Several articles in this Special Issue advance EJ research by examining and clarifying stakeholder subjectivities regarding EJ issues [9,11,18,19], which extends the research framework beyond the documentation of unjust conditions and processes. In Hornik et al’s [9] study, which clarifies community group perceptions of EJ in the context of water sustainability initiatives in Milwaukee, WI, USA, stakeholders shared similar perspectives on environmental injustice as an everyday experience.…”
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confidence: 99%
“…Findings highlight the importance of media in shaping perceptions of environmental injustice, and reveal how public perceptions of injustice may be cultivated to impede societal transitions toward renewable energy sources. Ard et al [19] use multilevel models in a US national study of the roles of neighborhood social capital and exposure to industrial air pollution in explaining the racial gap in self-rated health between black, Hispanic, and white individuals. They found that individuals’ feelings of trust in neighbors of different social standing and perceptions of political empowerment largely accounted for lower self-rated health among African Americans (and partially accounted for it among Hispanics) relative to whites, while exposure to industrial air pollution was statistically irrelevant.…”
Environmental justice (EJ) research seeks to document and redress the disproportionate environmental burdens and benefits associated with social inequalities. Although its initial focus was on disparities in exposure to anthropogenic pollution, the scope of EJ research has expanded. In the context of intensifying social inequalities and environmental problems, there is a need to further strengthen the EJ research framework and diversify its application. This Special Issue of the International Journal of Environmental Research and Public Health (IJERPH) incorporates 19 articles that broaden EJ research by considering emerging topics such as energy, food, drinking water, flooding, sustainability, and gender dynamics, including issues in Canada, the UK, and Eastern Europe. Additionally, the articles contribute to three research themes: (1) documenting connections between unjust environmental exposures and health impacts by examining unsafe infrastructure, substance use, and children’s obesity and academic performance; (2) promoting and achieving EJ by implementing interventions to improve environmental knowledge and health, identifying avenues for sustainable community change, and incorporating EJ metrics in government programs; and (3) clarifying stakeholder perceptions of EJ issues to extend research beyond the documentation of unjust conditions and processes. Collectively, the articles highlight potentially compounding injustices and an array of approaches being employed to achieve EJ.
“…Basic information about these studies are provided in Table 1. Most studies (four) were from the UK (21,23,25,28), followed by the USA (17,24,29). Two studies were from Australia (26,27), two from Belgium (20,22) and two from the Netherlands (30,31).…”
Section: Resultsmentioning
confidence: 99%
“…(23), respondents rated their neighborhood on a scale from dangerous to safe (26), no information about measurement (30), two questions about neighborhood as a safe place to walk around at night and if people feel safe in their homes (27) General social trust [(26), (19)*] Question: if "most people can be trusted or that you can't be too careful in dealing with people?" (19), trust of people in Australia, government, and big business (26) Neighborhood trust [(17)*, (24)*, (27)] Index about generalized trust through different entities in the neighborhood (17,27), question: how much "people in the neighborhood can be trusted" (24) Group involvement [(17)*, (26), (27), (20), (22)*, (19),…”
Background: Small-area social mechanisms-social processes involving the social environment around the place of residence-may be playing a role in the production of health inequalities. Understanding how small-area health inequalities (social environment affects health and consequently contribute to inequalities between areas) are generated and the role of social mechanisms in this process may help defining interventions to reduce inequalities. In mediation and pathway analyses, social mechanisms need to be treated as processes or factors. We aimed to identify which types of social mechanisms explaining the process leading from small-area characteristics to health inequalities have been considered and investigated in epidemiological publications and to establish how they have been operationalized. Methods: We performed a scoping review for social mechanisms in the context of small-area health inequalities in the database PubMed. Epidemiological publications identified were categorized according to the typology proposed by Galster (social networks, social contagion, collective socialization, social cohesion, competition, relative deprivation, and parental mediation). Furthermore, we assessed whether the mechanisms were operationalized at the micro or macro level and whether mechanisms were considered as processes or merely as exposure factors. Results: We retrieved 1,019 studies, 15 thereof were included in our analysis. Eight forms of operationalization were found in the category social networks and another nine in the category social cohesion. Other categories were hardly represented. Furthermore, all studies were cross sectional and did not consider mechanisms as processes. Except for one, all studies treated mechanisms merely as factors whose respective association to health outcomes was tested. Conclusion: In epidemiological publications, social mechanisms in studies on small-area effects on health inequalities are not operationalized as processes in which these mechanisms would play a role. Rather, the focus is on studying associations. To understand the production of health inequalities and the causal effect of social mechanisms on health, it is necessary to analyze mechanisms as processes. For this purpose, methods such as complex system modeling should be considered.
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