{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T21:58:01Z","timestamp":1784930281066,"version":"3.55.0"},"reference-count":48,"publisher":"Wiley","issue":"21","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Traffic\u2010related air pollutants have been associated with a variety of adverse human health impacts, including cancers. In the United States, numerous studies have documented racial inequities in neighborhood exposures to traffic\u2010related air pollution. Emerging evidence suggests that structural racism may influence neighborhood exposures to air pollutants. However, existing research has largely focused on residential racial segregation, one indicator of structural racism. This study developed a multidimensional measure of structural racism to examine the relationship between structural racism and estimated cancer risk from air pollutants in Georgia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Carcinogenic air toxics data were obtained from the US Environmental Protection Agency\u2019s 2019 Air Toxics Screening Assessment and sociodemographic data from the American Community Survey. Guided by stakeholder input, county\u2010level data on residential segregation, education, employment, incarceration, economic status, political participation, and homeownership were used to create a multidimensional county\u2010level structural racism index. Relative risks (RRs) were estimated for associations between structural racism and elevated (top 10% in Georgia) estimated cancer risk from air toxics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multilevel analyses revealed a significant association between multidimensional structural racism and exposure to carcinogenic traffic\u2010related air pollutants. Neighborhoods in the highest quartile of structural racism exhibited an elevated cancer risk from traffic\u2010related air pollutants (RR,\u00a07.84; 95% CI,\u00a05.11\u201312.05) compared to neighborhoods with lower levels of structural racism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Multidimensional structural racism was associated with estimated cancer risk from traffic\u2010related air pollution in Georgia. Findings can inform future studies and policy interventions that address racial inequalities in exposure to traffic\u2010related air pollution.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.35467","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T03:01:25Z","timestamp":1724641285000},"page":"3699-3707","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multidimensional structural racism and estimated cancer risk from traffic\u2010related air pollution"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2214-2587","authenticated-orcid":false,"given":"Emily B.","family":"White","sequence":"first","affiliation":[{"name":"Gangarosa Department of Environmental Health Rollins School of Public Health Emory University  Atlanta Georgia 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