Evidence map›Paper›PMID 40044815›Full record

ArticleJournal of exposure science & environmental epidemiology2026

An environmental vulnerability index framework supporting targeted public health interventions at the census tracts level.

Lauren B Anderson, Rochelle H Holm, Caison Black, Donald J Biddle, Weihsueh A Chiu, Aruni Bhatnagar, Ted Smith

Abstract read
In one paragraph

Article in Journal of exposure science & environmental epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lauren B Anderson *Center for Healthy Air Water and Soil, Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA.
Rochelle H Holm *Center for Healthy Air Water and Soil, Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA. rochelle.holm@louisville.edu.ORCID http://orcid.org/0000-0001-8849-1390
Caison BlackCenter for Healthy Air Water and Soil, Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA.
Donald J BiddleDepartment of Geographic and Environmental Sciences, Center for Geographic Information Sciences, University of Louisville, Louisville, KY, USA.
Weihsueh A ChiuDepartment of Veterinary Physiology and Pharmacology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA.
Aruni BhatnagarChristina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA.
Ted SmithCenter for Healthy Air Water and Soil, Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA. ted.smith@louisville.edu.

Funding

Single cell, multi-parametric high throughput platform to classify endocrine disruptor potential of mixturesP42ES027704 · NIEHS · TEXAS A&M UNIVERSITY · PI Efstratios Pistikopoulos · 2017 to 2026
$21.2M
Superfund Training CoreP42ES023716 · NIEHS · UNIVERSITY OF LOUISVILLE · PI HEIN, DAVID W · 2017 to 2025
$18.1M
Texas A&M Center for Environmental Health Research (TiCER)P30ES029067 · NIEHS · TEXAS A&M UNIVERSITY · PI Sakhila Banu · 2019 to 2026
$13.0M
NIEHS NIH HHS P30 ES029067NIEHS NIH HHS P42 ES023716NIEHS NIH HHS P42 ES027704
6 · The paper itself

Abstract

backgroundAnalyzing and visualizing disparities in environmental risks can help assess place-based vulnerabilities and provide civic leaders and community members with essential data for promoting health equity and informing public health strategies.

objectiveWe investigated the adaptation of a previously developed environmental vulnerability index to evaluate the cumulative impact of diverse stressors in Louisville Metro-Jefferson County, KY, with the goal of supporting multi-faceted targeted public health interventions at the census tract level.

methodsWe assessed countywide vulnerability variability using the Toxicological Prioritization Index interface across five domains with 32 publicly available data indicators, and modeled the effects of theoretical public health interventions.

resultsOur findings suggest that similar vulnerable areas are not always geographically clustered. Higher vulnerability scores were observed in the western and central areas of the county, with lower scores in the eastern regions. The index enabled the selection of the most at-risk census tracts for modeling targeted public health interventions to reduce cumulative environmental vulnerability. IMPACT: Environmental vulnerabilities are not invariant features of urban environments. Rather, knowledge of these risks can guide the development and implementation of targeted solutions. This analysis demonstrated how publicly available data can support selection of feasible interventions to improve environmental equity. Targeted interventions to modify environmental conditions that support health can be developed and implemented locally with greater precision at the census tract level, yielding impactful outcomes.

Indexed as

Environmental ExposurePublic HealthCensusesHumansRisk AssessmentVulnerable Populationscensus tractenvironmental justiceinterventionpublic healthToxPivulnerability

Identifiers

PMID40044815
PMCPMC12353866

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.