Being overburdened and medically underserved: assessment of this double disparity for populations in the state of Maryland

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dc.contributor.authorWilson, Sacoby
dc.contributor.authorZhang, Hongmei
dc.contributor.authorJiang, Chengsheng
dc.contributor.authorBurwell, Kristen
dc.contributor.authorRehr, Rebecca
dc.contributor.authorMurray, Rianna
dc.contributor.authorDalemarre, Laura
dc.contributor.authorNaney, Charles
dc.date.accessioned2021-09-21T15:12:03Z
dc.date.available2021-09-21T15:12:03Z
dc.date.issued2014-04-04
dc.description.abstractEnvironmental justice research has shown that many communities of color and low-income persons are differentially burdened by noxious land uses including Toxic Release Inventory (TRI) facilities. However, limited work has been performed to assess how these populations tend to be both overburdened and medically underserved. We explored this “double disparity” for the first time in Maryland. We assessed spatial disparities in the distribution of TRI facilities in Maryland across varying levels of sociodemographic composition using 2010 US Census Health Professional Shortage Area (HPSA) data. Univariate and multivariate regression in addition to geographic information systems (GIS) were used to examine relationships between sociodemographic measures and location of TRI facilities. Buffer analysis was also used to assess spatial disparities. Four buffer categories included: 1) census tracts hosting one or more TRI facilities; 2) tracts located more than 0 and up to 0.5 km from the closest TRI facility; 3) tracts located more than 0.5 km and up to 1 km from a TRI facility; and 4) tracts located more than 1 km and up to 5 km from a TRI facility. We found that tracts with higher proportions of non-white residents and people living in poverty were more likely to be closer to TRI facilities. A significant increase in income was observed with an increase in distance between a census tract and the closest TRI facility. In general, percent non-white was higher in HPSA tracts that host at least one TRI facility than in non-HPSA tracts that host at least one TRI facility. Additionally, percent poverty, unemployment, less than high school education, and homes built pre-1950 were higher in HPSA tracts hosting TRI facilities than in non-HPSA tracts hosting TRI facilities. We found that people of color and low-income groups are differentially burdened by TRI facilities in Maryland. We also found that both low-income groups and persons without a high school education are both overburdened and medically underserved. The results of this study provide insight into how state agencies can better address the double disparity of disproportionate environmental hazards and limited access to health care resources facing vulnerable communities in Maryland.en_US
dc.description.urihttps://doi.org/10.1186/1476-069X-13-26
dc.identifierhttps://doi.org/10.13016/ybl3-kkhn
dc.identifier.citationWilson, S., Zhang, H., Jiang, C. et al. Being overburdened and medically underserved: assessment of this double disparity for populations in the state of Maryland. Environ Health 13, 26 (2014).en_US
dc.identifier.urihttp://hdl.handle.net/1903/27895
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.relation.isAvailableAtSchool of Public Health
dc.relation.isAvailableAtMaryland Institute of Applied Environmental Health
dc.relation.isAvailableAtDigital Repository at the University of Maryland
dc.relation.isAvailableAtUniversity of Maryland (College Park, Md)
dc.subjectCensus Tracten_US
dc.subjectBaltimore Cityen_US
dc.subjectCensus Tract Levelen_US
dc.subjectToxic Release Inventoryen_US
dc.subjectDistance Banden_US
dc.titleBeing overburdened and medically underserved: assessment of this double disparity for populations in the state of Marylanden_US
dc.typeArticleen_US

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