Air pollution is not spread evenly across demographic groups. Exposures and associated health risks appear to fall disproportionately on populations that are poor and nonwhite. Although scientific evidence documenting disparities in air pollution exposures, doses, and health effects is scant, the available data strongly support the contention that disadvantaged groups, many of whom are ethnic and racial minorities, routinely encounter levels of air pollution that are higher than average. The extent to which exposure differentials contribute to observed differences in health status by class and race is unknown, but worthy of further investigation. We recommend several steps, all of them feasible and most of them relatively inexpensive, to improve our understanding and ability to address environmental health disparities.
Agency for Toxic Substances and Disease Registry (ATSDR). (1988). The Nature and Extent of Lead Poisoning in Children in the United States: A Report to Congress.Centers for Disease Control, Atlanta, GA.
2.
Agency for Toxic Substances and Disease Registry (ATSDR). (1992). Proceedings of the National Minority Health Conference, Atlanta, GA.
3.
AschP., and SenecaJ.J. (1978). “Some evidence on the distribution of air quality.”Land Econ.54: (3): 278–297.
4.
BaquetC.R., HormJ.W., GibbsT., and GreenwaldP. (1991). “Socioeconomic factors and cancer incidence among blacks and whites.”J. Natl. Cancer Inst.83: 551–557.
5.
BerntonH.S., McMAHONT.F., and BrownH. (1972). “Cockroach asthma.”Brit. J. Dis. Child.66: 61.
6.
BinderR.E., MitchellC.A., SchoenbergJ.B., and BouhuysA. (1976). “Lung function among black and white children.”Am. Rev. Respir. Dis.114: 955–959.
7.
BrainJ.D., BeckB.D., WarrenA.J., and ShaikhR.A. (eds.). (1988). Variations in Susceptibility to Inhaled Pollutants.The Johns Hopkins University Press, Baltimore, MD.
8.
BrajerV., and HallJ.V. (1992). “Recent evidence on the distribution of air pollution effects.”Contemp. Policy Issues.10: 63–71.
9.
BryantB., and MohaiP. (eds.). (1992). Race and the Incidence of Hazards: A Time for Discourse.Westview Press, Boulder, CO.
10.
BullardR.D. (1991). “Environmental racism in America?”Environ. Protection. July: 25–26.
11.
BullardR.D., and WrightB.H. (1986). “The politics of pollution: Implications for the black community.”Phylon.XLVII: 71–78.
12.
BullardR.D., and WrightB.H. (1987). “Environmentalism and the politics of equity: Emergent trends in the black community.”Mid-Am. Rev. Sociol.12: 21–38.
13.
CalabreseE.J. (1984). Ecogenetics: Genetic Variation in Susceptibility to Environmental Agents.John Wiley & Sons, New York, NY.
14.
CalabreseE.J. (1986). Age and Susceptibility to Toxic Substances.John Wiley & Sons, New York, NY.
15.
CarrW., ZeitelT., and WeissK. (1992). “Variations in asthma hospitalizations and deaths in New York City.”Am. J. Pub. Health.82(1): 54–65.
16.
Centers for Disease Control (CDC). (1989a). “Cigarette smoking—Behavioral risk factor surveillance system.”MMWR38: 845–848.
17.
Centers for Disease Control (CDC). (1989b). “Trends in lung cancer incidence—United States, 1986.”MMWR38: 505–513.
18.
Centers for Disease Control (CDC), Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (1990). Tobacco Use in 1986: Methods and Basic Tabulations from Adult Use of Tobacco Survey. DHHS Publication Number OM-90–2004. Rockville, MD.
19.
ChapmanM.D., PollartS.M., LuczynskaC.M., and Platts-MillsT.A.E. (1988). “Hidden allergic factors in the etiology of asthma.”Chest94: 185–190.
20.
ChapmanR.S., HasselbladV., HayesC.G., WilliamsJ.V.R., and HammerD.I. (1976). “Air pollution and childhood ventilatory function. I. Exposure to particulate matter in two southeastern cities, 1971–1972.” In: Clinical Implications of Air Pollution Research (FinkelA.J., DuelW.C., eds.). Publishing Sciences Group, Inc.,Acton, MA.
21.
Clean Air Act Amendments (CAA). (1990). P.L. 101–549, November 15.
22.
CoultasD.B., GongH., GradR. (1994). “State of the art: Respiratory diseases in minorities of the United States.”Am. Rev. Respir. Dis. (In press).
23.
CoultasD.B., HowardC.A., SkipperB.J., and SametJ.M. (1988). “Spirometric prediction equations for Hispanic children and adults in New Mexico.”Am. Rev. Respir, Dis.138: 1386–1392.
24.
CrapoR.O., LockeyJ., AldrichB.S., JensenR.L., and ElliottG. (1988). “Normal Spirometric values in health American Indians.”J. Occup. Med.30: 556–560.
25.
DevesaS.S., and DiamondE.L. (1983). “Socioeconomic and racial differences in lung cancer incidence.”Am. J. Epi.118: 818–831.
26.
DockeryD.W., WareJ., FerrisB.G., GlicksbergD.S., FayM.E., SpiroA., and SpeizerF.E. (1985). “Distribution of forced expiratory volume in one second and forced vital capacity in healthy white, adult never-smokers.”Am. Rev. Respir. Dis.131: 511–520.
27.
DodgeR., SolomonP., MoyersJ., and HayesC. (1985). “A longitudinal study of children exposed to sulfur oxides.”Am. J. Epi.121: 720–736.
28.
DollR., and PetoP. (1984). The Causes of Cancer.Oxford University Press, New York, NY.
29.
DukeL. (1991). “Race: Gray area of health data.”Washington Post. January 28.
30.
EscobedoL.G., AndaR.F., SmithP.F., RemingtonP.L., and MastE.E. (1990). “Sociodemographic characteristics of cigarette smoking initiation in the United States.”J. Am. Med. Assoc.264: 1550–1555.
31.
FeldmanJ.J., MakucD.M., KleinmanJ.C., and Cornoni-HuntleyJ. (1989). “National trends in educational differentials in mortality.”Am. J. Epi.129: 919–933.
32.
FioreM.C., NovotnyT.E., PierceJ.P., HatziandreuE.J., PatelK.M., and DavisR.M. (1989). “Trends in cigarette smoking in the United States: The changing influence of gender and race.”J. Am. Med. Assoc.261: 49–55.
33.
FreemanH. (1991). “Race, poverty, and cancer.”J. Nat. Cancer Inst.83: 525–527.
34.
GelobterM. (1986). The Distribution of Outdoor Air Pollution, by Income and Race. Master's Thesis, University of California at Berkeley.
35.
GergenP.J., MullallyD.I., and EvanR.III (1988). “National survey of prevalence of asthma among children in the United States, 1976 to 1980.”Nat. Acad. Pediatr.81: 1–7.
36.
GergenP.J., and TurkeltaubP.C. (1987). “Percutaneous immediate hypersensitivity to eight allergens.”J. Allergy Clin. Immunol.80: 669–679.
37.
GianessiL.P., HenryM.P., and WolffE. (1977). “The distributional implications of national air pollution damage estimates.” In: The Distribution of Economic Well-Being (JusterF. Thomas, ed.). Ballinger, Cambridge, MA. pp. 85–102.
38.
GianessiL.P., and WolffE. (1979). “The distribution effects of uniform air pollution policy in the United States.”Quarterly J Econ. May. pp. 281–301.
39.
GibbonsA. (1991). “Does war on cancer equal war on poverty?”Science253: 260.
40.
GillumR.F. (1990). “Chronic obstructive pulmonary disease in blacks and whites: Mortality and morbidity.”J. Nat. Med. Assoc.82: 417–428.
41.
GoldD.R. (1992). “Indoor air pollution.”In: Clinics In Chest Medicine (EplerG.R., ed.). Occupational Lung Diseases. 13: 215–229.
42.
GoldD.R., RotnitzkyA., DamokoshA.I. (1993). “Race and gender differences in respiratory illness prevalence and their relationship to environmental exposures in children 7 to 14 years of age.”Am. Rev. Respir. Dis. (In press).
43.
GoldmanB.A. (1991). The Truth About Where You Live: An Atlas for Action on Toxins and Mortality.Times Books, New York, NY.
44.
GoldsteinI.F., and AndrewsL.R. (1987). “Peak exposures to nitrogen dioxide and study design to detect their acute health effects.”Environ. Intl.13: 285–291.
45.
GoldsteinI.F., and WeinsteinA.L. (1986). “Air pollution and asthma: Effects of exposures to short-term sulfur dioxide peaks.”Environ. Res.40: 332–345.
46.
GoldsteinI.F., AndrewsL.R., and HartelD. (1988). “Assessment of human exposure to nitrogen dioxide carbon monoxide and respirable particulates in New York inner-city residences.”Atm. Environ.22: 2127–2139.
47.
GoldsteinI.F., HartelD., AndrewsL.R., WeinsteinA.L. (1986). “Indoor air pollution exposures of low-income inner-city residents.”Environ. Intl.12: 211–219.
48.
GoughM. (1989). “Estimating cancer mortality.”Env. Sci. Tech.23: 925–930.
49.
GrandjeanP., KelloD., RohrbornG., and TarkowskiS. (eds.). (1991). Ecogenetics: Genetic Predisposition to the Toxic Effects of Chemicals.Chapman & Hall, New York, NY.
50.
GrundbacherF.J. (1975). “Causes of variation in serum IgE levels in normal populations.”J. Allergy Clin. Immunol.56: 104–111.
51.
HammerD.I., MillerF.J., SteadA.G., and HayesC.G. (1976). “Air pollution and lower respiratory disease. I. Exposure to sulfur dioxides and particulate matter in New York, 1972.” In: Clinical Implications of Air Pollution Research (FinkleA.J., DuelW.C., eds.). Publishing Sciences Group, Inc.,Acton, MA. pp. 321–337.
52.
HandyF. (1977). “Income and air quality in Hamilton, Ontario.”Alternatives. Spring:6(3).
53.
HarrisonD., and RubinfeldD.L. (1977). The Distribution of Benefits from Improvements in Urban Air Quality. Discussion Paper (D77-15), Department of City and Regional Planning, Harvard University, Cambridge, MA.
54.
HasselbladV., HumbleC.G., GrahamM.R., and SandersonH.S. (1981). Indoor environmental determinants of lung function in children.”Am. Rev. Respir. Dis.123: 479–485.
55.
Hasset-SippleB., CoteI.L. (1990). “Toxic air pollutants and noncancer health risks.”MMWR.40(17): 278–279.
56.
HeritageJ. (ed.). (1992). “Environmental protection—Has it been fair?”EPA J.18: March/April.
57.
HigginsonJ., and MuirC.S. (1979). “Environmental carcinogenesis: Misconceptions and limitations to cancer control.”J. Natl. Cancer Inst.63: 1291–1298.
58.
HsiK.H.K., JenkinsD.E., HsiB.P., BourhoferE., ThompsonV., TanakawaN., and HsiehG.S.I. (1979). “Ventilatory functions of normal children and young adults—Mexican American, white, and black. I. Spirometry.”J. Pediatr.95: 14–23.
59.
Indian Health Service. (1991). Trends in Indian Health 1991. DHHS Pub. No. 300–165/50070. U.S. Government Printing Office., Washington, DC.
60.
KabatG.C., MorabiaA., and WynderE.L. (1991). “Comparison of smoking habits of blacks and whites in a case-control study.”Am. J. Public Health81: 1483–1486.
61.
KalesR.E., BurnettR., and ZwangenburgH. (1991). “Adverse health effects among adults exposed to home dampness and molds.”Am. Rev. Respir. Dis.143: 505–509.
62.
KangB. (1976). “Study on cockroach antigen as a probable causative agent in bronchial asthma.”J. Allergy Clin. Immunol.58: 357–365.
63.
KaufmannF., TagerI.B., MunozA., and SpeizerF.E. (1989). “Familial factors related to lung function in children aged 6–10 years. Results from the PAARC epidemiologic study.”Am. Rev. Respir. Dis.129: 1289–1299.
64.
KipenH.M., WartenbergD., ScullyP.F., and GreenbergM. (1991). “Are non-whites at greater risk for occupational cancer?”Am. J. Indus. Med.19: 67–74.
65.
MakH., JohnstonP., AbbeyH., and TalamoR.C. (1982). “Prevalence of asthma and health service utilization of asthmatic children in an inner city.”J. Allergy Clin. Immunol.70: 367–372.
66.
MarcusE.F., MacLEANC.J., CurbJ.D., JohnsonL.R., VollmerW.M., and BuistA.S. (1988). “Reference values for FEV1 in Japanese-American men from 45 to 68 years of age.”Am. Rev. Respir. Dis.138: 1393–1397.
67.
MaurerJ.D., RosenbergH.M., and KeemerJ.B. (1990). “Deaths of Hispanic origin: 15 reporting states, 1979–81.”National Center for Health Statistics. Vital Health Stat.20(18). DHHS Pub. No. (PHS) 91-1855. Washington, DC.
68.
McCAULLJ. (1976). “Discriminatory air pollution: If poor, don't breathe.”Environ.18: 26–31.
69.
McDONALDI.e., and McDONALDA.D. (1987). “Epidemiology of asbestos-related lung cancer.” In: Asbestos-Related Malignancy (AntmanK., AisnerJ., eds.). Grune & Stratton, Orlando, FL. pp. 57–59.
70.
MontgomeryL.E. (1992). “Increased effects of poverty on the health of U.S. children and young people since 1976.” Paper presented at the Annual Meeting of American Public Health Association, Washington, DC. November.
71.
MontgomeryL.E., and Carter-PokrasO. (1993). “Health Status by Social Class and/or Minority Status: Implications for Environmental Equity Research.”Toxicology and Industrial Health, Vol.9(5): 729–773.
72.
MullallyD.I., HowardW.A., HubbardT.J., GraumanJ.S., and CohenS.G. (1984). “Increased hospitalizations for asthma among children in the Washington, DC, area during 1961–1981.”Ann. Allergy.53: 15–19.
73.
National Center for Health Statistics (NCHS). (1984). SEER Program: Cancer Incidence and Mortality in the United States, 1973–1981 (HornJ., eds.). Department of Health and Human Services, Washington, DC.
74.
National Center for Health Statistics (NCHS). (1990). Vital and Health Statistics: Health of Black and White Americans, 1985–1987. Series 10: Data from the National Health Interview Survey, No. 171. U.S. Department of Health and Human Services. PHS: 90-1599.
75.
National Center for Health Statistics (NCHS). (1992). Advance Report of Final Mortality Statistics, 1989. Monthly Vital Statistics Report; Vol. 40, No. 8, Supp 2. Public Health Service, Hyattsville, MD.
76.
National Research Council (NRC). (1989). National Academy of Sciences. Biological Markers in Reproductive Toxicology.National Academy Press, Washington, DC.
77.
National Research Council (NRC). (1991a). National Academy of Sciences. Human Exposure Assessment of Airborne Pollutants: Advances and Opportunities.National Academy Press, Washington, DC.
78.
National Research Council (NRC). (1991b). National Academy of Sciences. Environmental Epidemiology: Public Health and Hazardous Wastes.National Academy Press, Washington, DC.
79.
NazaroffW.W., and TeichmanK. (1990). “Indoor radon.”Environ. Sci. Technol.24(6): 774–782.
80.
NeimanM., and LoveridgeR.O. (1981). “Environmentalism and local growth control: A probe into the class bias thesis.”Environ. Behavior13: 759–772.
81.
PappasG., QueenS., HaddenW., and FisherG. (1991). “The widening health gap: Increasing differential mortality in the United States, 1960–86.” Paper presented at the Annual Meeting of the American Public Health Association, Atlanta, GA.
82.
PickleL.W., MasonT.J., HowardN., HooverR., and FraumeniJ.F. (1990). Atlas of Cancer Mortality Among Nonwhites: 1950–1980.U.S. Department of Health and Human Services, Public Health Service, DHHS Publication No. (NIH) 87-2900.
83.
PierceJ.P., FioreM.C., NovotnyT.E., HatziandreuE.J., and DavisR.M. (1989a). “Trends in cigarette smoking in the United States: Educational differences are increasing.”J. Am. Med. Assoc.261: 56–60.
84.
PierceJ.P., FioreM.C., NovotnyT.E., HatziandreuE.J., and DavisR.M. (1989b). “Trends in cigarette smoking in the United States: Projections to the year 2000.”J. Am. Med. Assoc.261: 61–65.
85.
Platts-MillsT.A.E., PollartS.M., FioccoG. (1987). “Epidemiology of adult asthma in an emergency room.”J. Allergy Clin. Immunol.79: 184.
86.
PolednakA.P. (1989). Racial and Ethnic Differences in Disease.Oxford University Press, New York, NY.
87.
RiosR., PojeG.V., and DetelsR. (1993). “Susceptibility to environmental pollutants among minorities.”Toxicology and Industrial Health9(5): 797–820.
88.
SametJ.M., MarburyM.C., and SpenglerJ.D. (1987). “Health effects and sources of indoor air pollution.”Part I. Am. Rev. Respir. Dis.136: 1486–1508.
89.
SametJ.M., MarburyM.C., and SpenglerJ.D. (1988). “Health effects and sources of indoor air pollution.”Part II. Am. Rev. Respir. Dis.137: 221–242.
90.
SametJ.M., and SpenglerJ.D. (eds.). (1991). Indoor Air Pollution: A Health Perspective.The Johns Hopkins Press, Baltimore, MD.
91.
SchneidermanM., DavisD.L., and WagenerW.K. (1990). “Smokers: Black and white.”(letter). Science249: 228–229.
92.
SchoenbergJ.B., BeckG.J., and BouhuysA. (1978). “Growth and decay of pulmonary function in healthy blacks and whites.”Respir. Pbys.33: 367–390.
93.
SchwabM. (1990a). The Influence of Daily Activity Patterns and Differential Exposure to Carbon Monoxide Among Social Groups. Proceedings of the Research Planning Conference on Human Activity Patterns (T.H. Stark, ed.). EPA/600/4–89/004.
94.
SchwabM. (1990b). “An examination of the intra-SMSA distribution of carbon monoxide exposure.”J. Air Waste Man. Assoc.40: 331–336.
95.
SchwabM. (1992) Activity Patterns and Differential Exposure to Air Pollutants: A Review of the Literature and Suggestions for Further Analysis of Differences in Exposure Among Socioeconomic and Demographic Groups. Report Submitted to the U.S. EPA, Office of Health Research, June 12.
96.
SchwartzE.S., KopieV.Y., RiveM., and TucksonR.V. (1990a). “Black/white comparisons of deaths preventable by medical intervention: United States and the District of Columbia 1980–1986.”Int. J. Epi.19: 591–598.
97.
SchwartzJ., and LevinR. (1992). “Lead: Example of the job ahead.”EPA J.18: 42–44.
98.
SchwartzJ., GoldD., DockeryD.W., WeissS.T., and SpeizerF.E. (1990b). “Predictors of asthma and persistent wheeze in a national sample of children in the United States.”Am. Rev. Respir. Dis.142: 555–562.
99.
SchwartzJ., KatzS.A., FegleyR.W., and TockmanM.S. (1988a). “Analysis of Spirometric data from a national sample of healthy 6- to 24-year-olds (NHANES II).”Am. Rev. Respir. Dis.138: 1405–1414.
100.
SchwartzJ., KatzS.A., FegleyR.Q., and TockmanM.S. (1988b). “Sex and race differences in the development of lung function.”Am. Rev. Respir. Dis.138: 1415–1421.
101.
SealE., McDONNELW.F., HouseD.E., SalaamS.A., DewittP.J., ButlerS.O., GreenJ., and RoggioL. (1993). “The pulmonary response of White and Black men and women to six concentrations of ozone.”Am. Rev. Respir. Dis.147: 804–810.
102.
SeltzerC.C., SiegelaubA.B., FriedmanG.D., and CollenM.F. (1974). “Differences in pulmonary function related to smoking habits and race.”Am. Rev. Respir. Dis.110: 598–609.
103.
SextonK., and RyanP.B. (1988). Assessment of Human Exposure to Air Pollution: Methods, Measurements, and Models (WatsonA.Y., BatesR.R., KennedyD., eds.). National Academy Press, Washington, DC.
104.
SextonK., SelevanS.G., WagenerD.K., and LybargerJ.A. (1992). “Estimating human exposures to environmental pollutants: availability and utility -of existing databases.”Arch. Environ. Health47(6): 398–407.
105.
ShyC., HasselbladV., BurtonR.M., NelsonC.J., and CohenA.A. (1973). Air pollution effects on ventilatory function of U.S. school children.”Arch. Environ. Health27: 124–128.
106.
SlyR.M. (1988). “Mortality from asthma, 1979–1984.”J. Allergy Clin. Immun.82: 705–717.
107.
SpeizerF.E., FerrisB., BishopY.M.M., and SpenglerJ. (1980). “Respiratory disease rates' and pulmonary function in children associated with NO2 exposure.”Am. Rev. Respir. Dis.121: 3–10.
108.
SporikR., HolgateS.T., Platts-MillsT.A.E., and CogswellJ.J. (1990). “Exposure to house-dust mite allergen (Der p I) and the development of asthma in childhood.”N. Engl. J. Med.323: 502–507.
109.
StropeG.L., and HelmsR.W. (1984). “A longitudinal study of spirometry in young black and young white children.”Am. Rev. Respir. Dis.130: 1100–1107.
110.
TagerI.B., WeissS.T., MunozA., RosnerB., and SpeizerF.E. (1983). “Longitudinal study of the effects of maternal smoking on pulmonary function in children.”N. Engl. J. Med.309: 699–702.
111.
United Church of Christ (UCC), Commission for Racial Justice. (1987). Toxic Waste and Race in the United States: A National Report on the Racial and Socioeconomic Characteristics of Communities with Hazardous Waste Sites. New York, NY.
112.
United States Bureau of the Census (Census). (1990). Statistical Abstract of the United States. 110th Edition. Washington, DC.
113.
United States Department of Health and Human Services (DHHS). (1985). Report of the Secretary's Task Force on Black and Minority Health. Volume I: Executive Summary.U.S. DHHS, Washington, DC.
114.
United States Department of Health and Human Services (DHHS). (1991a). Healthy People 2000.United States Government Printing Office, Washington, DC. DHHS Pub. No. (PHS) 91-50212.
115.
United States Department of Health and Human Services, National Center for Health Statistics (DHHS). (1991b). Health, United States, 1990.DHHS Pub. No. (PHS) 91–1232. Hyattsville, MD.
116.
United States Environmental Protection Agency (U.S. EPA). (1990). Cancer Risk from Outdoor Exposures to Air Toxics. EPA-450/1-90-004A. Washington, DC.
117.
United States Environmental Protection Agency (U.S. EPA). (1992a). Environmental Equity: Reducing Risk for All Communities. EPA, 230-R-92-008. Washington, DC.
118.
United States Environmental Protection Agency (U.S. EPA). (1992b). Respiratory Health Effects of Passive Smoking: Lung Cancer and Other Disorders. EPA-600/6-90/006B. Washington, DC.
119.
UtellM.J., and FrankR. (eds.). (1989). Susceptibility to Inhaled Pollutants. ASTM STP 1024. American Society for Testing and Materials, Philadelphia, PA.
120.
Van LiereK., and DunlapR.E. (1980). “The social basis of environmental concern: A review of hypotheses, explanations, and empirical evidence.”Pub. Opin. Quarterly44: 181–197.
121.
VandenbergJ.J., CoteI.L., and SextonK. (1993). Summary of the Noncancer Health Effects of the Hazardous Air Pollutants. Proceedings of the 86th Annual Meeting of the Air and Waste Management Association, Denver, CO.
122.
WallM.A., OlsonD., BonnB., CreelmanT., and BuistA.S. (1982). “Lung function in American Indian children: Reference standards for spirometry, maximal expiratory flow volume curves, and peak expiratory flow.”Am. Rev. Respir. Dis.125: 158–162.
123.
WeissK.B., and WagenerD.K. (1990a). “Asthma surveillance in the United States. A review of current trends and knowledge gaps.”Chest (Suppl.)98: 179S–184S.
124.
WeissK.B., and WagenerD.K. (1990b). “Changing patterns of asthma mortality: Identifying target populations at high risk.”J. Am. Med. Assoc.264: 1683–1687.
125.
WeitzmanM., GortmakerS., and SobolA. (1990). “Racial, social, and environmental risks for childhood asthma.”Am. J. Dis. Children144: 1189–1194.
126.
WernetteD.R., and NievesL.A. (1991). “Minorities and air pollution: A preliminary geodemographic analysis.” Presented at the Socioeconomic Research Analysis Conference. Baltimore, MD. June 27–28.
127.
WoolcockA.J., ColmanM.H., and BlackburnC.R.B. (1972). “Factors affecting normal values for ventilatory function.”Am. Rev. Respir. Dis.106: 692–709.
128.
WynderE.L., and GoriG.B. (1977). “Contribution of the environment to cancer incidence: An epidemiologic exercise.”J. Natl. Cancer Inst.58: 825–832.
129.
YuE.S.H., ChangC., LiuW.T., and KanS.H. (1985). Asian-White Mortality Differences: Are There Excess Deaths? Vol. U: Crosscutting Issues in Minority Health. Report of the Secretary's Task Force on Black and Minority Health. DHHS. Washington, DC.
130.
ZupanJ. (1973). The Distribution of Air Quality in the New York Region.Resources for the Future, Inc., Washington, DC.
131.
ZwerdlingD. (1973). “Poverty and pollution.”Progressive37: 25.
