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Disease and Health Inequalities Attributable to Air Pollutant Exposure in Detroit, Michigan

Author

Listed:
  • Sheena E. Martenies

    (Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

  • Chad W. Milando

    (Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

  • Guy O. Williams

    (Detroiters Working for Environmental Justice, 4750 Woodward Ave., Suite 415, Detroit, MI 48201, USA)

  • Stuart A. Batterman

    (Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

Abstract

The environmental burden of disease is the mortality and morbidity attributable to exposures of air pollution and other stressors. The inequality metrics used in cumulative impact and environmental justice studies can be incorporated into environmental burden studies to better understand the health disparities of ambient air pollutant exposures. This study examines the diseases and health disparities attributable to air pollutants for the Detroit urban area. We apportion this burden to various groups of emission sources and pollutants, and show how the burden is distributed among demographic and socioeconomic subgroups. The analysis uses spatially-resolved estimates of exposures, baseline health rates, age-stratified populations, and demographic characteristics that serve as proxies for increased vulnerability, e.g., race/ethnicity and income. Based on current levels, exposures to fine particulate matter (PM 2.5 ), ozone (O 3 ), sulfur dioxide (SO 2 ), and nitrogen dioxide (NO 2 ) are responsible for more than 10,000 disability-adjusted life years (DALYs) per year, causing an annual monetized health impact of $6.5 billion. This burden is mainly driven by PM 2.5 and O 3 exposures, which cause 660 premature deaths each year among the 945,000 individuals in the study area. NO 2 exposures, largely from traffic, are important for respiratory outcomes among older adults and children with asthma, e.g., 46% of air-pollution related asthma hospitalizations are due to NO 2 exposures. Based on quantitative inequality metrics, the greatest inequality of health burdens results from industrial and traffic emissions. These metrics also show disproportionate burdens among Hispanic/Latino populations due to industrial emissions, and among low income populations due to traffic emissions. Attributable health burdens are a function of exposures, susceptibility and vulnerability (e.g., baseline incidence rates), and population density. Because of these dependencies, inequality metrics should be calculated using the attributable health burden when feasible to avoid potentially underestimating inequality. Quantitative health impact and inequality analyses can inform health and environmental justice evaluations, providing important information to decision makers for prioritizing strategies to address exposures at the local level.

Suggested Citation

  • Sheena E. Martenies & Chad W. Milando & Guy O. Williams & Stuart A. Batterman, 2017. "Disease and Health Inequalities Attributable to Air Pollutant Exposure in Detroit, Michigan," IJERPH, MDPI, vol. 14(10), pages 1-24, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1243-:d:115675
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    as
    1. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
    2. Brender, J.D. & Maantay, J.A. & Chakraborty, J., 2011. "Residential proximity to environmental hazards and adverse health outcomes," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 37-52.
    3. Jonathan I. Levy & Susan L. Greco & Steven J. Melly & Neha Mukhi, 2009. "Evaluating Efficiency‐Equality Tradeoffs for Mobile Source Control Strategies in an Urban Area," Risk Analysis, John Wiley & Sons, vol. 29(1), pages 34-47, January.
    4. Samuel D. Brody & B. Mitchell Peck & Wesley E. Highfield, 2004. "Examining Localized Patterns of Air Quality Perception in Texas: A Spatial and Statistical Analysis," Risk Analysis, John Wiley & Sons, vol. 24(6), pages 1561-1574, December.
    5. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    6. Neal Fann & Amy D. Lamson & Susan C. Anenberg & Karen Wesson & David Risley & Bryan J. Hubbell, 2012. "Estimating the National Public Health Burden Associated with Exposure to Ambient PM2.5 and Ozone," Risk Analysis, John Wiley & Sons, vol. 32(1), pages 81-95, January.
    7. Sam Harper & Eric Ruder & Henry A. Roman & Amelia Geggel & Onyemaechi Nweke & Devon Payne-Sturges & Jonathan I. Levy, 2013. "Using Inequality Measures to Incorporate Environmental Justice into Regulatory Analyses," IJERPH, MDPI, vol. 10(9), pages 1-21, August.
    8. Samari, G., 2016. "Islamophobia and public health in the United States," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 1920-1925.
    9. Andrew L. Goodkind & Jay S. Coggins & Julian D. Marshall, 2014. "A Spatial Model of Air Pollution: The Impact of the Concentration-Response Function," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 1(4), pages 451-479.
    10. Neal Fann & Henry A. Roman & Charles M. Fulcher & Mikael A. Gentile & Bryan J. Hubbell & Karen Wesson & Jonathan I. Levy, 2011. "Maximizing Health Benefits and Minimizing Inequality: Incorporating Local‐Scale Data in the Design and Evaluation of Air Quality Policies," Risk Analysis, John Wiley & Sons, vol. 31(6), pages 908-922, June.
    11. Stuart Batterman & Rajiv Ganguly & Paul Harbin, 2015. "High Resolution Spatial and Temporal Mapping of Traffic-Related Air Pollutants," IJERPH, MDPI, vol. 12(4), pages 1-21, April.
    12. Stuart Batterman & Janet Burke & Vlad Isakov & Toby Lewis & Bhramar Mukherjee & Thomas Robins, 2014. "A Comparison of Exposure Metrics for Traffic-Related Air Pollutants: Application to Epidemiology Studies in Detroit, Michigan," IJERPH, MDPI, vol. 11(9), pages 1-25, September.
    13. Padela, A.I. & Heisler, M., 2010. "The association of perceived abuse and discrimination after september 11,2001, with psychological distress, level of happiness, and health status among Arab Americans," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 284-291.
    14. Jones, M.R. & Diez-Roux, A.V. & Hajat, A. & Kershaw, K.N. & O'Neill, M.S. & Guallar, E. & Post, W.S. & Kaufman, J.D. & Navas-Acien, A., 2014. "Race/ethnicity, residential segregation, and exposure to ambient air pollution: The Multi-Ethnic Study of Atherosclerosis (MESA)," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2130-2137.
    15. Cushing, L. & Faust, J. & August, L.M. & Cendak, R. & Wieland, W. & Alexeeff, G., 2015. "Racial/ethnic disparities in cumulative environmental health impacts in California: Evidence from a statewide environmental justice screening tool (CalEnviroScreen 1.1)," American Journal of Public Health, American Public Health Association, vol. 105(11), pages 2341-2348.
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    2. Erin Flanagan & Emilie Stroh & Anna Oudin & Ebba Malmqvist, 2019. "Connecting Air Pollution Exposure to Socioeconomic Status: A Cross-Sectional Study on Environmental Injustice among Pregnant Women in Scania, Sweden," IJERPH, MDPI, vol. 16(24), pages 1-24, December.
    3. Elaine Ruth Carnegie & Greig Inglis & Annie Taylor & Anna Bak-Klimek & Ogochukwu Okoye, 2022. "Is Population Density Associated with Non-Communicable Disease in Western Developed Countries? A Systematic Review," IJERPH, MDPI, vol. 19(5), pages 1-17, February.

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