Background:
Despite well-documented inequities in exposure to environmental toxicants, limited evidence exists on how neighborhood vulnerabilities intersect with the US Housing and Urban Development (HUD)-subsidized housing and whether such housing modifies these disparities. This study examines whether the presence and type of HUD-assisted housing modifies the association between neighborhood social vulnerability and exposure to industrial air toxicants.
Methods:
Using the 2022 Environmental Protection Agency Risk-Screening Environmental Indicators air toxicant scores at the census tract level, this nationwide ecological cross-sectional study assessed their association with neighborhood social vulnerability as measured by the Centers for Disease Control and Prevention Social Vulnerability Index. We additionally evaluated how these associations differed by the presence and type of HUD-assisted housing (public housing, housing voucher holders, and project-based multifamily housing) using tract-level regression models.
Results:
Greater neighborhood social vulnerability was associated with higher environmental toxicant scores. The presence and type of HUD-assisted housing significantly modified these associations, indicating that the nature of the association between neighborhood social vulnerability and toxic air exposure depends on the presence versus absence of certain HUD housing types.
Conclusion:
The observed relationships between toxic air concentrations, social vulnerability, and HUD-assisted housing highlight the need for preventive, equity-focused housing and environmental policies to reduce exposure risks.
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