Socioeconomic Disparities and Air Pollution Exposure: a Global Review
Open accessAbstract
The existing reviews and meta-analyses addressing unequal exposure of environmental hazards on certain populations have focused on several environmental pollutants or on the siting of hazardous facilities. This review updates and contributes to the environmental inequality literature by focusing on ambient criteria air pollutants (including NOx), by evaluating studies related to inequality by socioeconomic status (as opposed to race/ethnicity) and by providing a more global perspective. Overall, most North American studies have shown that areas where low-socioeconomic-status (SES) communities dwell experience higher concentrations of criteria air pollutants, while European research has been mixed. Research from Asia, Africa, and other parts of the world has shown a general trend similar to that of North America, but research in these parts of the world is limited.
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This issue disproportionately affects vulnerable populations, including low-income communities and the geriatric and pediatric populations.
“This issue disproportionately affects vulnerable populations, including low-income communities and the geriatric and pediatric populations.”
From The Burden of Air Pollution on Skin Health: a Brief Report and Call to Action (2024) · cites this paper as [39]
The Results and Conclusions (page numbers unavailable) report disproportionate air-pollution exposure among many low-SES communities. The paper does not establish the same claim for geriatric or pediatric populations; searches for age-related vulnerability returned no supporting passage outside reference titles. (LLM, conf=0.86)
Experimental — accuracy not yet measuredExisting variations in regional pollution levels can result in unequal distributions of AD exacerbations linked to air pollution from wildfires.
“Existing variations in regional pollution levels can result in unequal distributions of AD exacerbations linked to air pollution from wildfires [39].”
From The Burden of Air Pollution on Skin Health: a Brief Report and Call to Action (2024) · cites this paper as [39]
The Results sections on methodological issues and air pollution exposure assessment describe geographic variation in pollution and how pooled analyses can mask local inequalities. The Introduction also discusses health disparities associated with unequal exposure. The paper does not address wildfire pollution or AD exacerbations, so it does not support that specific application. (LLM, conf=0.85)
Experimental — accuracy not yet measuredHigh SES individuals often have resources that protect them from elevated exposures to hazards, such as indoor work environments, access to private transportation, living in newer buildings, and often, the ability for climate control and filtration in indoor environments.
“In contrast, high SES individuals often have resources that protect them from elevated exposures to hazards, such as indoor work environments, access to private transportation, living in newer buildings, and often, the ability for climate control and filtration in indoor environments [94].”
From The Environmental Determinants of Skin Health: Linking Climate Change, Air Pollution, and the Dermatologic Disease Burden (2025) · cites this paper as [94]
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The outdoor air pollution and brain health workshop
Block, M. L., Elder, A., Auten, R. L., Bilbo, S. D., Chen, H., Chen, J.-C., Cory-Slechta, D. A., Costa, D., Diaz-Sanchez, D., Dorman, D. C., et al. (2012) · NeuroToxicology · doi:10.1016/j.neuro.2012.08.014 · Cited by 539 · see citing works
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Research works printed but not linked: 54
- [1]Bowen W An analytical review of environmental justice research: what do we really know? Environ Manage 2002 29 3 15 11740620
- [2]Brown P Race, class, and environmental health: a review and systematization of the literature Environ Res 1995 69 15 30 7588491
- [3]Brulle RJ Pellow DN Environmental justice: human health and environmental inequalities Annu Rev Public Health 2006 27 103 124 16533111
- [4]Evans GW Kantrowitz E Socioeconomic status and health: the potential role of environmental risk exposure Annu Rev Public Health 2002 23 303 331 11910065
- [5]Miao Q Chen DM Buzzelli M Environmental equity research: review with focus on outdoor air pollution research methods and analytic tools Archives of Environmental & Occupational Health 2015 70 47 55 24972259
- [6]Mohai P Pellow D Roberts JT Environmental justice Annual Review of Environment and Resources 2009 34 405 430
- [7]Pulido L A critical review of the methodology of environmental racism research Antipode 1996 28 142 159
- [8]Szasz A Meuser M Environmental inequalities: literature review and proposals for new directions in research and theory Curr Sociol 1997 45 99 120
- Harper S Ruder E Roman HA Using inequality measures to incorporate environmental justice into regulatory analyses Int J Environ Res Public Health 2013 10 4039 4059 This is a good review of the various inequality metrics that can be applied to environmental inequality studies 23999551 PMC3799504
- Marshall JD Swor KR Nguyen NP Prioritizing environmental justice and equality: diesel emissions in Southern California Environ Sci Technol 2014 48 4063 4068 This paper measures both inequality and injustice in addition to the impact of the pollutant. Furthermore it looks at source specific air pollution which as noted above has policy and regulatory impact 24559220
- [13]Clark LP Millet DB Marshall JD National patterns in environmental injustice and inequality: outdoor NO2 air pollution in the United States Plos One 2014 9 8 PMC3988057 24736569
- [14]Laurent O Bard D Filleul L Effect of socioeconomic status on the relationship between atmospheric pollution and mortality J Epidemiol Community Health 2007 61 665 675 17630363 PMC2652988
- [15]Institute of Medicine Committee on Environmental Justice Toward environmental justice: research, education, and health policy needs National Academies Press (US) 1999 23035313
- [16]Morello-Frosch R Shenassa ED The environmental “riskscape” and social inequality: implications for explaining maternal and child health disparities Environ Health Perspect 2006 114 1150 1153 16882517 PMC1551987
- [17]O’Neill MS Jerrett M Kawachi L Health, wealth, and air pollution: advancing theory and methods Environ Health Perspect 2003 111 1861 1870 14644658 PMC1241758
- [18]Kaufman JS Cooper RS Commentary: considerations for use of racial/ethnic classification in etiologic research Am J Epidemiol 2001 154 291 298 11495850
- [22]Backes CH Nelin T Gorr MW Early life exposure to air pollution: how bad is it? Toxicol Lett 2013 216 47 53 23164674 PMC3527658
- [23]Bascom R Bromberg PA Costa DA Health effects of outdoor air pollution. Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society Am J Respir Crit Care Med 1996 153 3 50 8542133
- [25]Brook RD Rajagopalan S Pope CA 3rd Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association Circulation 2010 121 2331 2378 20458016
- [26]Gray SC Edwards SE Miranda ML Race, socioeconomic status, and air pollution exposure in North Carolina Environ Res 2013 126 152 158 23850144
- [27]Brochu PJ Yanosky JD Paciorek CJ Particulate air pollution and socioeconomic position in rural and urban areas of the northeastern United States Am J Public Health 2011 101 S224 S230 21836114 PMC3222475
- Hajat A Diez-Roux AV Adar SD Air pollution and individual and neighborhood socioeconomic status: evidence from the Multi-Ethnic Study of Atherosclerosis (MESA) Environ Health Perspect 2013 121 1325 1333 This is one of the few papers that evaluates both individual and neighborhood SES, using individual level air pollution data thus making it one of the few studies that does not have an ecological study design 24076625 PMC3855503
- [29]Bell ML Ebisu K Environmental inequality in exposures to airborne particulate matter components in the United States Environ Health Perspect 2012 120 1746 1752 22889745 PMC3546368
- [32]Crouse DL Ross NA Goldberg MS Double burden of deprivation and high concentrations of ambient air pollution at the neighbourhood scale in Montreal, Canada Soc Sci Med 2009 69 971 981 19656603
- [33]Molitor J Su J Molitor NT Identifying vulnerable populations through an examination of the association between multi-pollutant profiles and poverty Environ Sci Technol 2011 45 7754 7760 21797252
- [35]Miranda ML Edwards SE Keating MH Making the environmental justice grade: the relative burden of air pollution exposure in the United States Int J Environ Res Public Health 2011 8 1755 1771 21776200 PMC3137995
- [36]Su JG Jerrett M de Nazelle A Does exposure to air pollution in urban parks have socioeconomic, racial or ethnic gradients? Environ Res 2011 111 319 328 21292252
- Rooney MS Arku RE Dionisio KL Spatial and temporal patterns of particulate matter sources and pollution in four communities in Accra, Ghana Sci Total Environ 2012 435 107 114 This is the first study from Africa to evaluate SES inequalities, albeit briefly, in criteria air pollution concentrations. The exposure assessment uses a mobile monitoring platform to compensate for the lack of government air pollution data 22846770
- Fan XP Lam KC Yu Q Differential exposure of the urban population to vehicular air pollution in Hong Kong Sci Total Environ 2012 426 211 219 This is one of the few papers to highlight inequality in the distribution of criteria air pollutants in an Asian setting. This paper suggests that both residential mobility and market forces may influence air pollution exposure and shows how government housing policy can influence air pollution exposure 22542227
- [44]Goodman A Wilkinson P Stafford M Characterising socio-economic inequalities in exposure to air pollution: a comparison of socio-economic markers and scales of measurement Health Place 2011 17 767 774 21398166
- [45]Havard S Deguen S Zmirou-Navier D Traffic-related air pollution and socioeconomic status: a spatial autocorrelation study to assess environmental equity on a small-area scale Epidemiology 2009 20 223 230 19142163
- [46]Richardson EA Pearce J Tunstall H Particulate air pollution and health inequalities: a Europe-wide ecological analysis Int J Health Geogr 2013 12 34 23866049 PMC3720269
- [47]Briggs D Abellan JJ Fecht D Environmental inequity in England: small area associations between socio-economic status and environmental pollution Soc Sci Med 2008 67 1612 1629 18786752
- [48]Padilla CM Kihal-Talantikite W Vieira VM Air quality and social deprivation in four French metropolitan areas--a localized spatio-temporal environmental inequality analysis Environ Res 2014 134 315 324 25199972 PMC4294705
- [49]Branis M Linhartova M Association between unemployment, income, education level, population size and air pollution in Czech cities: evidence for environmental inequality? A pilot national scale analysis Health Place 2012 18 1110 1114 22632903
- [50]Fernandez-Somoano A Tardon A Socioeconomic status and exposure to outdoor NO2 and benzene in the Asturias INMA birth cohort, Spain J Epidemiol Community Health 2014 68 29 36 23999377 PMC3888634
- [51]Chaix B Gustafsson S Jerrett M Children’s exposure to nitrogen dioxide in Sweden: investigating environmental injustice in an egalitarian country J Epidemiol Community Health 2006 60 234 241 16476754 PMC2465552
- [52]Fecht D Fischer P Fortunato L Associations between air pollution and socioeconomic characteristics, ethnicity and age profile of neighbourhoods in England and the Netherlands Environ Pollut 2015 198 201 210 25622242
- [53]Pearce JR Richardson EA Mitchell RJ Environmental justice and health: the implications of the socio-spatial distribution of multiple environmental deprivation for health inequalities in the United Kingdom Transactions of the Institute of British Geographers 2010 35 522 539
- [54]Maantay J Mapping environmental injustices: pitfalls and potential of geographic information systems in assessing environmental health and equity Environ Health Perspect 2002 110 161 171 11929725 PMC1241160
- [55]Soobader M Cubbin C Gee GC Levels of analysis for the study of environmental health disparities Environ Res 2006 102 172 180 16781704
- [56]Yanosky JD Schwartz J Suh HH Associations between measures of socioeconomic position and chronic nitrogen dioxide exposure in Worcester, Massachusetts J Toxicol Environ Health A 2008 71 1593 1602 18850459
- [60]Su JG Jerrett M Morello-Frosch R Inequalities in cumulative environmental burdens among three urbanized counties in California Environ Int 2012 40 79 87 22280931
- [61]Su JG Morello-Frosch R Jesdale BM An index for assessing demographic inequalities in cumulative environmental hazards with application to Los Angeles, California Environ Sci Technol 2009 43 7626 7634 19921871
- [63]Fann N Roman HA Fulcher CM Maximizing health benefits and minimizing inequality: incorporating local-scale data in the design and evaluation of air quality policies Risk Anal 2011 31 908 922 21615761
- [64]Harper S Lynch J Meersman SC An overview of methods for monitoring social disparities in cancer with an example using trends in lung cancer incidence by area-socioeconomic position and race-ethnicity, 1992–2004 Am J Epidemiol 2008 167 889 899 18344513 PMC2409988
- [65]Brauer M Hoek G van Vliet P Estimating long-term average particulate air pollution concentrations: Application of traffic indicators and geographic information systems Epidemiology 2003 14 228 239 12606891
- [66]Dionisio KL Arku RE Hughes AF Air pollution in Accra neighborhoods: spatial, socioeconomic, and temporal patterns Environ Sci Technol 2010 44 2270 2276 20205383
- [67]Oakes JM Rossi PH The measurement of SES in health research: current practice and steps toward a new approach Soc Sci Med 2003 56 769 784 12560010
- [71]Cesaroni G Badaloni C Romano V Socioeconomic position and health status of people who live near busy roads: the Rome Longitudinal Study (RoLS) Environ Health 2010 9 20663144 PMC2918588
- [72]Dragano N Hoffmann B Moebus S Traffic exposure and subclinical cardiovascular disease: is the association modified by socioeconomic characteristics of individuals and neighbourhoods? Results from a multilevel study in an urban region Occup Environ Med 2009 66 628 635 19293166
- [73]Forastiere F Stafoggia M Tasco C Socioeconomic status, particulate air pollution, and daily mortality: differential exposure or differential susceptibility Am J Ind Med 2007 50 208 216 16847936
- [74]Næss Ø Piro FN Nafstad P Air pollution, social deprivation, and mortality: a multilevel cohort study Epidemiology 2007 18 686 694 18049185
- [75]Spalt EW Curl CL Allen RW Factors influencing time-location patterns and their impact on estimates of exposure: the Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air) Journal of Exposure Science and Environmental Epidemiology 2015
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“Existing variations in regional pollution levels can result in unequal distributions of AD exacerbations linked to air pollution from wildfires [39].”
BackgroundZieneldien, T., Ma, S., Tan, I. J., Kim, J., Busot, D., & Cohen, B. A. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22121820 · Cited by 7 · see citing works
“In contrast, high SES individuals often have resources that protect them from elevated exposures to hazards, such as indoor work environments, access to private transportation, living in newer buildings, and often, the ability for climate control and filtration in indoor environments [94].”
- Authors
- Hajat, A., Hsia, C., & O’Neill, M. S.
- Affiliations
- University of Washington (US)
- University of Michigan (US)
- Corresponding author
- Hajat, Anjum
- Venue
- Current Environmental Health Reports
- Published
- 2015-09-18
- Volume
- 2
- Issue
- 4
- Pages
- 440-450
- ISSN
- 2196-5412 (ISSN-L)
- PMC
- PMC4626327
- OpenAlex
- W1703748868
- Cited by
- 1,097
- References
- 1
- Citations by year
- 2026: 158 · 2025: 173 · 2024: 159 · 2023: 143 · 2022: 155 · 2021: 135 · 2020: 65 · 2019: 44 · 2018: 38 · 2017: 19 · 2016: 5 · 2015: 1
- FWCI
- 8.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Environmental Health Reports (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01es016932-05)
- Centers for Disease Control and Prevention (R18EH000348)
- National Institute of Environmental Health Sciences (R01-ES016932, R00ES023498, K99ES023498)
- National Institute for Occupational Safety and Health (T42-OH008455))
- Topics
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- socioeconomic disparities, air pollution exposure, nitrogen oxides, environmental inequality, environmental justice, cross-national comparison
- MeSH terms
- Air Pollution, Environmental Exposure, Humans, Social Class, Social Justice, Socioeconomic Factors, Global Health, Hazardous Substances, Particulate Matter, Health Status Disparities
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