Publications by authors named "Camila H Alvarez"

Environmental justice and health research demonstrate unequal exposure to environmental hazards at the neighborhood-level. We use an innovative method-eco-intersectional multilevel (EIM) modeling-to assess intersectional inequalities in industrial air toxics exposure across US census tracts in 2014. Results reveal stark inequalities in exposure across analytic strata, with a 45-fold difference in average exposure between most and least exposed.

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Communities of color and poor neighborhoods are disproportionately exposed to more air pollution-a pattern known as environmental injustices. Environmental injustices increase susceptibility to negative health outcomes among residents in affected communities. The structural mechanisms distributing environmental injustices in the USA are understudied.

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Drawing on the traditions of environmental justice, intersectionality, and social determinants of health, and using data from the EPA's NATA 2014 estimates of cancer risk from air toxics, we demonstrate a novel quantitative approach to evaluate intersectional environmental health risks to communities: Eco-Intersectional Multilevel (EIM) modeling. Results from previous case studies were found to generalize to national-level patterns, with multiply marginalized tracts with a high percent of Black and Latinx residents, high percent female-headed households, lower educational attainment, and metro location experiencing the highest risk. Overall, environmental health inequalities in cancer risk from air toxics are: (1) experienced intersectionally at the community-level, (2) significant in magnitude, and (3) socially patterned across numerous intersecting axes of marginalization, including axes rarely evaluated such as gendered family structure.

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