Addressing triggers in both outdoor air and indoor environments is essential to improving asthma. Even the best clinical management can be undermined by the presence of triggers in the environment. Poor outdoor air quality due to proximity to ports, freeways, industrial facilities, and other sources of air pollutants is more prevalent in low income communities and communities of color, particularly African American and Latino. Similarly, substandard housing that produces asthma triggers is more likely to exist in the same communities. Effective strategies to reduce environmental triggers need to include institutional and political decisions that affect the daily living conditions in these neighborhoods. Additionally, strategies with an increased focus on how land use and transportation decisions together create a built environment that contributes to or reduces asthma risk are very important. This section provides information and strategies related to inequitable environmental factors impacting asthma.

• Childhood incident asthma and traffic-related air pollution at home and school.

• Urban Air Pollution and Health Inequities: A Workshop Report, The American Lung Association, link to abstract.
  
• Chevron in Richmond:  Community Based Strategies for Climate Justice, link to full PDF.
• Building Healthy Communities from the Ground Up: Environmental Justice in California, link to full PDF.
• Public health benefits of strategies to reduce greenhouse-gas emissions: urban land transport, link to full PDF.
• Reducing Asthma Disparities by Addressing Environmental Inequities A Case Study of Regional Asthma Management and Prevention’s Advocacy Efforts, link to full article.
• Dumping in Dixie: Race, Class, and Environmental Quality links to Chapter 1 and Chapter 2.