Low priorities for black american leaders: Environmental and occupational health

Summary Black Americans face increased health risks from environmental and occupational exposures when compared with white Americans, but they also face increased risks for more immediate health problems such as HIV infection/AIDS, alcohol and drug abuse, violence, and infant mortality. A survey of more than 1,000 black public health and black political leaders solicited opinions on the relative importance of 1) environmental health and 2) occupational health and safety compared with other public health problems faced by the black community. The survey also determined opinions about the degree to which specific health problems are amenable to change for black Americans and who (or what agency) should spearhead efforts aimed at specific public health objectives.Responding black leaders felt environmental health and occupational health and safety goals were somewhat important for black Americans, but among the most difficult of all public health objectives to meet. Those who felt that the above objectives were very important identified the federal govemment as the primarily responsible party for seeing that the objectives are met.Dr Dona Schneider is Assistant Professor of Public Health at Rutgers University. She teaches epidemiology and biostatistics for the New Jersey Graduate Program in Public Health at the University of Medicine and Dentistry of New Jersey, and holds memberships in both the Environmental and Occupational Health Sciences Institute and the National Institute for Environmental and Health Sciences. Her research spans the health problems of children and minorities. She regularly reviews books for theEnvironmentalist.