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Background: Racial and ethnic inequities in environmental noise exist in the US, partially attributable to historical structural racism. However, previous studies have not considered the totality of people's exposures. Since people spend most of their waking time at work, there is a need to consider cumulative exposure to noise both in and out of the workplace to understand who is most at risk of noise pollution-related adverse health outcomes.
Objectives: To (1) investigate whether racial and ethnic minority communities are disproportionately burdened by transportation- and workplace-related noise pollution, and (2) assess whether structural racism through historically redlined neighborhoods with sustained mortgage discrimination partially contribute to the hypothesized inequity.
Methods: We characterized the prevalence of workplace noise and transportation noise exposure by census tract across the US. We analyzed the census tract-level association between racial and ethnic composition and the population exposed to both transportation- and workplace-related noise pollution in the 2010s using geospatial models. We then assessed census tract-level associations with transportation and workplace noise pollution using historical redlining in the 1930s as the primary covariate, stratified by mortgage discrimination in the 1990s using a similar geospatial model, controlling for census tract-level indicators of low socioeconomic status.
Results: Higher percentages of racial and ethnic minority individuals, particularly Hispanic/Latino and non-Hispanic Black Americans, were associated with significantly higher odds of exposure to both transportation and workplace noise (odds ratio = 8.59, 95% CI: 7.38-10.0, when comparing within-metropolitan area, highest to lowest quintile percentages). These disparities are particularly profound in urban areas. Urban tracts which experienced residential segregation in the 1930s, even without sustained mortgage discrimination in the 1990s, have a significantly higher percentage of individuals exposed to both transportation and workplace noise today compared to those without historical segregation (1.55%, 95% CI: 1.37-1.74). This inequity is even higher among historically segregated tracts that experienced sustained mortgage discrimination (1.83%, 95% CI: 1.66-2.01).
Significance: These findings can advance environmental justice initiatives by informing regulatory action to protect communities of color from noise pollution both environmentally and during work.
Impact: Our study provides evidence that neighborhoods with a higher proportion of racial and ethnic minority individuals are cumulatively burdened by noise pollution both during work and from transportation sources in their home communities. This suggests that not incorporating workplace exposures when assessing environmental impacts may overlook the most burdened communities. Future environmental justice efforts and policies should consider assessing workplace exposures to reduce environmental health disparities more effectively.
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http://dx.doi.org/10.1038/s41370-025-00795-x | DOI Listing |
J Palliat Care
September 2025
Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV, USA.
ObjectivesRecently, atrial fibrillation (AF) has contributed to an increase in cardiovascular deaths in the U.S. Palliative care (PC) and atrial ablation (AA) procedure can elevate quality of life of high-risk AF patients, who are associated with multiple comorbidities.
View Article and Find Full Text PDFNodular lymphocyte-predominant Hodgkin's lymphoma often follows an indolent course but carries a risk of late recurrence and transformation. Given its rarity, there is significant variability in the treatment patterns at various healthcare centers. This retrospective chart review aimed to compare the patient characteristics and outcomes of NLPHL patients >18 years of age diagnosed between January 1st, 2007, and December 31st, 2022, at Parkland Health, the safety-net system for uninsured/underinsured patients in Dallas County, with patients treated at the neighboring NCI-designated Harold C.
View Article and Find Full Text PDFClin J Am Soc Nephrol
September 2025
Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland USA.
Socioeconomic, environmental and lifestyle factors shape kidney health. Among the social determinants of health, access to healthy foods is particularly significant. As a basic need, food is integral to an individual's identity, culture, and health.
View Article and Find Full Text PDFHealth Educ Res
August 2025
Department of Social Sciences and Health Policy, Medical Center Boulevard, Wake Forest University School of Medicine, Winston-Salem, NC 27157, United States.
Minoritized racial, ethnic, sexual, and gender communities and populations face profound health disparities and their engagement in research remains low. In a randomized controlled trial, our community-based participatory research partnership tested the efficacy of ChiCAS, an HIV prevention intervention designed to increase pre-exposure prophylaxis use among Spanish-speaking transgender Latinas. Of 161 eligible Spanish-speaking transgender Latinas screened, we enrolled 144, achieving an 89% participation rate, and retained 94% at 6-month follow-up.
View Article and Find Full Text PDFNeurosurgery
September 2025
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Background And Objectives: Social determinants of health (SDOH) are key drivers of health inequities, shaping disparities in patient outcomes that must be addressed. This study examines the association between SDOH and suspected child abuse (SCA) in pediatric patients sustaining traumatic brain injury (TBI), leveraging newly proposed Centers for Disease Control and Prevention (CDC)/PLACES measures to identify the most contributing measure to SCA.
Methods: A retrospective review of our institutional database (2016-2023) identified pediatric TBI cases (18 years and younger) using International Classification of Diseases, 10th Revision codes based on a modified CDC framework.