Low priorities for black american leaders: Environmental and occupational health

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.