Related Experiment Video
Updated: Apr 3, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Racial/Ethnic Disparities in Cumulative Environmental Health Impacts in California: Evidence From a Statewide
Lara Cushing1, John Faust1, Laura Meehan August1
1Lara Cushing is with the Energy & Resources Group, University of California, Berkeley. At the time of study, Lara Cushing was and all of the other authors are with the Office of Environmental Health Hazard Assessment, California Environmental Protection Agency, Sacramento, CA.
Objectives:
We used an environmental justice screening tool (CalEnviroScreen 1.1) to compare the distribution of environmental hazards and vulnerable populations across California communities.
Methods:
CalEnviroScreen 1.1 combines 17 indicators created from 2004 to 2013 publicly available data into a relative cumulative impact score. We compared cumulative impact scores across California zip codes on the basis of their location, urban or rural character, and racial/ethnic makeup. We used a concentration index to evaluate which indicators were most unequally distributed with respect to race/ethnicity and poverty.
Results:
The unadjusted odds of living in one of the 10% most affected zip codes were 6.2, 5.8, 1.9, 1.8, and 1.6 times greater for Hispanics, African Americans, Native Americans, Asian/Pacific Islanders, and other or multiracial individuals, respectively, than for non-Hispanic Whites. Environmental hazards were more regressively distributed with respect to race/ethnicity than poverty, with pesticide use and toxic chemical releases being the most unequal.
Conclusions:
Environmental health hazards disproportionately burden communities of color in California. Efforts to reduce disparities in pollution burden can use simple screening tools to prioritize areas for action.
Related Concept Videos
Bias in Epidemiological Studies
Stereotypes, Prejudice, and Discrimination
Dimensions of Health and Illness
Surveys
Gene-Environment Interactions
Criteria for Causality: Bradford Hill Criteria - II

