IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v9y2012i2p370-390d15820.html
   My bibliography  Save this article

Cumulative Risk Assessment: An Overview of Methodological Approaches for Evaluating Combined Health Effects from Exposure to Multiple Environmental Stressors

Author

Listed:
  • Ken Sexton

    (Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas, School of Public Health, Brownsville Regional Campus, 80 Fort Brown, Brownsville, TX 78520, USA)

Abstract

Systematic evaluation of cumulative health risks from the combined effects of multiple environmental stressors is becoming a vital component of risk-based decisions aimed at protecting human populations and communities. This article briefly examines the historical development of cumulative risk assessment as an analytical tool, and discusses current approaches for evaluating cumulative health effects from exposure to both chemical mixtures and combinations of chemical and nonchemical stressors. A comparison of stressor-based and effects-based assessment methods is presented, and the potential value of focusing on viable risk management options to limit the scope of cumulative evaluations is discussed. The ultimate goal of cumulative risk assessment is to provide answers to decision-relevant questions based on organized scientific analysis; even if the answers, at least for the time being, are inexact and uncertain.

Suggested Citation

  • Ken Sexton, 2012. "Cumulative Risk Assessment: An Overview of Methodological Approaches for Evaluating Combined Health Effects from Exposure to Multiple Environmental Stressors," IJERPH, MDPI, vol. 9(2), pages 1-21, January.
    • Handle: RePEc:gam:jijerp:v:9:y:2012:i:2:p:370-390:d:15820
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/9/2/370/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/9/2/370/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Leah Zilversmit Pao & Emily W. Harville & Jeffrey K. Wickliffe & Arti Shankar & Pierre Buekens, 2019. "The Cumulative Risk of Chemical and Nonchemical Exposures on Birth Outcomes in Healthy Women: The Fetal Growth Study," IJERPH, MDPI, vol. 16(19), pages 1-16, October.
    2. Birute Balseviciene & Liuda Sinkariova & Regina Grazuleviciene & Sandra Andrusaityte & Inga Uzdanaviciute & Audrius Dedele & Mark J. Nieuwenhuijsen, 2014. "Impact of Residential Greenness on Preschool Children’s Emotional and Behavioral Problems," IJERPH, MDPI, vol. 11(7), pages 1-14, June.
    3. Esther Min & Deric Gruen & Debolina Banerjee & Tina Echeverria & Lauren Freelander & Michael Schmeltz & Erik Saganić & Millie Piazza & Vanessa E. Galaviz & Michael Yost & Edmund Y.W. Seto, 2019. "The Washington State Environmental Health Disparities Map: Development of a Community-Responsive Cumulative Impacts Assessment Tool," IJERPH, MDPI, vol. 16(22), pages 1-16, November.
    4. Timothy M. Barzyk & Hongtai Huang & Ronald Williams & Amanda Kaufman & Jonathan Essoka, 2018. "Advice and Frequently Asked Questions (FAQs) for Citizen-Science Environmental Health Assessments," IJERPH, MDPI, vol. 15(5), pages 1-20, May.
    5. Devon C. Payne-Sturges & Thurka Sangaramoorthy & Helen Mittmann, 2021. "Framing Environmental Health Decision-Making: The Struggle over Cumulative Impacts Policy," IJERPH, MDPI, vol. 18(8), pages 1-21, April.
    6. Timothy M. Barzyk & Sacoby Wilson & Anthony Wilson, 2015. "Community, State, and Federal Approaches to Cumulative Risk Assessment: Challenges and Opportunities for Integration," IJERPH, MDPI, vol. 12(5), pages 1-26, April.
    7. Miguel Ángel López-Navarro & Jaume Llorens-Monzonís & Vicente Tortosa-Edo, 2013. "The Effect of Social Trust on Citizens’ Health Risk Perception in the Context of a Petrochemical Industrial Complex," IJERPH, MDPI, vol. 10(1), pages 1-18, January.
    8. Kristen Burwell-Naney & Sacoby M. Wilson & Siobhan T. Whitlock & Robin Puett, 2019. "Hybrid Resiliency-Stressor Conceptual Framework for Informing Decision Support Tools and Addressing Environmental Injustice and Health Inequities," IJERPH, MDPI, vol. 16(8), pages 1-19, April.
    9. Raoul S. Liévanos, 2018. "Retooling CalEnviroScreen: Cumulative Pollution Burden and Race-Based Environmental Health Vulnerabilities in California," IJERPH, MDPI, vol. 15(4), pages 1-26, April.
    10. Kathleen Kerr & Gayle Morse & Donald Graves & Fei Zuo & Alain Lipowicz & David O. Carpenter, 2019. "A Detoxification Intervention for Gulf War Illness: A Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 16(21), pages 1-27, October.
    11. Kathleen Hibbert & Nicolle S. Tulve, 2019. "State-of-the-Science Review of Non-Chemical Stressors Found in a Child’s Social Environment," IJERPH, MDPI, vol. 16(22), pages 1-27, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:9:y:2012:i:2:p:370-390:d:15820. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.