skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: An Overview of Literature Topics Related to Current Concepts, Methods, Tools, and Applications for Cumulative Risk Assessment (2007–2016)

Journal Article · · International Journal of Environmental Research and Public Health
 [1];  [2]; ORCiD logo [3]
  1. Johns Hopkins Univ., Baltimore, MD (United States). Department of Health Policy and Management, Bloomberg School of Public Health
  2. Oak Ridge Inst. for Science and Education (ORISE), Washington, DC (United States). Office of the Science Advisor, U.S. Environmental Protection Agency
  3. US Environmental Protection Agency (EPA), Washington, DC (United States). Office of the Science Advisor

Cumulative risk assessments (CRAs) address combined risks from exposures to multiple chemical and nonchemical stressors and may focus on vulnerable communities or populations. Significant contributions have been made to the development of concepts, methods, and applications for CRA over the past decade. Work in both human health and ecological cumulative risk has advanced in two different contexts. The first context is the effects of chemical mixtures that share common modes of action, or that cause common adverse outcomes. In this context two primary models are used for predicting mixture effects, dose addition or response addition. The second context is evaluating the combined effects of chemical and nonchemical (e.g., radiation, biological, nutritional, economic, psychological, habitat alteration, land-use change, global climate change, and natural disasters) stressors. CRA can be adapted to address risk in many contexts, and this adaptability is reflected in the range in disciplinary perspectives in the published literature. This article presents the results of a literature search and discusses a range of selected work with the intention to give a broad overview of relevant topics and provide a starting point for researchers interested in CRA applications.

Research Organization:
Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Organization:
USDOE; USEPA
Grant/Contract Number:
SC0014664
OSTI ID:
1628340
Journal Information:
International Journal of Environmental Research and Public Health, Vol. 14, Issue 4; ISSN 1660-4601
Publisher:
MDPICopyright Statement
Country of Publication:
United States
Language:
English

References (151)

Neighborhood-level risk and resilience factors: an emerging issue in childhood asthma epidemiology journal November 2009
Ecosystem services as assessment endpoints for ecological risk assessment: Ecosystem Service Assessment Endpoints journal December 2015
The Shared Pathoetiological Effects of Particulate Air Pollution and the Social Environment on Fetal-Placental Development journal January 2014
Do neighbourhoods matter? Neighbourhood disorder and long-term trends in serum cortisol levels journal August 2010
Evolutionary ecotoxicology of pesticide resistance: a case study in Daphnia journal March 2011
A review of independent action compared to concentration addition as reference models for mixtures of compounds with different molecular target sites journal January 2007
Using Physiologically-Based Pharmacokinetic Models to Incorporate Chemical and Non-Chemical Stressors into Cumulative Risk Assessment: A Case Study of Pesticide Exposures journal May 2012
"But I Know It's True": Environmental Risk Assessment, Justice, and Anthropology journal June 2007
Incorporating Nonchemical Stressors Into Cumulative Risk Assessments journal February 2012
Predictive Environmental Risk Assessment of Chemical Mixtures: A Conceptual Framework journal February 2012
Human biomonitoring of phthalate exposure in Austrian children and adults and cumulative risk assessment journal July 2015
Integrating Epidemiology, Education, and Organizing for Environmental Justice: Community Health Effects of Industrial Hog Operations journal August 2008
Maternal Prenatal Urinary Phthalate Metabolite Concentrations and Child Mental, Psychomotor, and Behavioral Development at 3 Years of Age journal February 2012
Cumulative effects of in utero administration of mixtures of reproductive toxicants that disrupt common target tissues via diverse mechanisms of toxicity journal April 2010
Blood Cadmium and Lead and Chronic Kidney Disease in US Adults: A Joint Analysis journal August 2009
Understanding The Cumulative Impacts Of Inequalities In Environmental Health: Implications For Policy journal May 2011
Neighborhood Psychosocial Hazards and the Association of Cumulative Lead Dose With Cognitive Function in Older Adults journal January 2009
Organophosphorus pesticide residues in Greek virgin olive oil: levels, dietary intake and risk assessment journal October 2008
Childhood social position and associations between environmental exposures and health outcomes journal March 2009
Cumulative risk assessment of the exposure to organophosphorus and carbamate insecticides in the Dutch diet journal September 2008
Biomonitoring and Hormone‐Disrupting Effect Biomarkers of Persistent Organic Pollutants In Vitro and Ex Vivo journal May 2014
Cumulative dietary exposure of the population of Denmark to pesticides journal September 2015
Place-based stressors associated with industry and air pollution journal July 2014
The dynamic nature of social disadvantage: implications for hazard exposure and vulnerability in Greater Vancouver: The dynamic nature of social disadvantage journal May 2008
Differential Exposure to Hazardous Air Pollution in the United States: A Multilevel Analysis of Urbanization and Neighborhood Socioeconomic Deprivation journal June 2012
A Review of Independent Action Compared to Concentration Addition as Reference Models for Mixtures of Compounds with Different Molecular Target Sites journal January 2008
Urinary Excretion of Phthalate Metabolites in School Children of China: Implication for Cumulative Risk Assessment of Phthalate Exposure journal December 2014
The Importance of Gene—Environment Interaction: Implications for Social Scientists journal November 2008
Adverse outcome pathways: A conceptual framework to support ecotoxicology research and risk assessment
  • Ankley, Gerald T.; Bennett, Richard S.; Erickson, Russell J.
  • Environmental Toxicology and Chemistry, Vol. 29, Issue 3 https://doi.org/10.1002/etc.34
journal March 2010
Nutrition Can Modulate the Toxicity of Environmental Pollutants: Implications in Risk Assessment and Human Health journal June 2012
A metabolomics based test of independent action and concentration addition using the earthworm Lumbricus rubellus journal April 2012
A docking-based receptor library of antibiotics and its novel application in predicting chronic mixture toxicity for environmental risk assessment journal November 2012
Evidence from pharmacology and pathophysiology suggests that chemicals with dissimilar mechanisms of action could be of bigger concern in the toxicological risk assessment of chemical mixtures than chemicals with a similar mechanism of action journal August 2014
Cumulative Risk Assessment Toolbox: Methods and Approaches for the Practitioner journal January 2013
Brain drain: the cost of neglected responsibilities in evaluating cumulative effects of environmental chemicals journal October 2014
Probabilistic cumulative risk assessment of anti-androgenic pesticides in food journal December 2009
Toxicodynamic analysis of the combined cholinesterase inhibition by paraoxon and methamidophos in human whole blood journal April 2009
The impact of temperature stress and pesticide exposure on mortality and disease susceptibility of endangered Pacific salmon journal August 2014
Toxicodynamic analysis of the inhibition of isolated human acetylcholinesterase by combinations of methamidophos and methomyl in vitro journal April 2009
Assessment of Chemical Mixtures and Groundwater Effects on Daphnia magna Transcriptomics journal August 2011
Mapping socio-environmentally vulnerable populations access and exposure to ecosystem services at the U.S.–Mexico borderlands journal May 2012
A scalable climate health justice assessment model journal May 2015
Adverse Outcome Pathway (AOP) Development I: Strategies and Principles journal December 2014
An integrated probabilistic framework for cumulative risk assessment of common mechanism chemicals in food: An example with organophosphorus pesticides journal July 2009
A framework for examining social stress and susceptibility to air pollution in respiratory health journal July 2010
Application of a Novel Method for Assessing Cumulative Risk Burden by County journal May 2012
Mixture effects at very low doses with combinations of anti-androgenic pesticides, antioxidants, industrial pollutant and chemicals used in personal care products journal August 2014
Using Biomarkers to Inform Cumulative Risk Assessment journal May 2007
Vulnerability as a Function of Individual and Group Resources in Cumulative Risk Assessment journal May 2007
A Phased Approach for Assessing Combined Effects from Multiple Stressors journal May 2007
Supraphysiological Cortisol Elevation Alters the Response of Wild Bluegill Sunfish to Subsequent Stressors: EFFECT OF SUPRAPHYSIOLOGICAL CORTISOL ELEVATION
  • McCONNACHIE, Sarah H.; O'Connor, Constance M.; Gilmour, Kathleen M.
  • Journal of Experimental Zoology Part A: Ecological Genetics and Physiology, Vol. 317, Issue 5 https://doi.org/10.1002/jez.1726
journal May 2012
Chemical mixtures and childrenʼs health journal January 2014
An Index for Assessing Demographic Inequalities in Cumulative Environmental Hazards with Application to Los Angeles, California journal October 2009
Toxicity prediction of binary combinations of cadmium, carbendazim and low dissolved oxygen on Daphnia magna journal August 2008
Synergistic, antagonistic and additive effects of multiple stressors: predation threat, parasitism and pesticide exposure in Daphnia magna journal December 2008
Brief communication: The ecosystem perspective in ecotoxicology as a way forward for the ecological risk assessment of chemicals: How Ecosystem Ecotoxicology Can Inform Risk Assessment journal June 2013
The Mothers and Children’s Environmental Health (MOCEH) study journal July 2009
Do Chronic Stressors Lead to Physiological Dysregulation? Testing the Theory of Allostatic Load journal January 2007
Polybrominated Diphenyl Ethers (PBDEs) in Marine Fish and Dietary Exposure in Newfoundland journal March 2022
Community, State, and Federal Approaches to Cumulative Risk Assessment: Challenges and Opportunities for Integration journal April 2015
Non-Chemical Stressors and Cumulative Risk Assessment: An Overview of Current Initiatives and Potential Air Pollutant Interactions journal June 2011
Systematic Proteomic Approach to Characterize the Impacts of Chemical Interactions on Protein and Cytotoxicity Responses to Metal Mixture Exposures journal October 2014
Inupiat Health and Proposed Alaskan Oil Development: Results of the First Integrated Health Impact Assessment/Environmental Impact Statement for Proposed Oil Development on Alaska’s North Slope journal November 2007
New approaches to uncertainty analysis for use in aggregate and cumulative risk assessment of pesticides journal May 2015
Critical issues in using the common mixture toxicity models concentration addition or response addition on species sensitivity distributions: A theoretical approach: Limits in using mixture models on SSD journal August 2013
Evaluating Pharmacokinetic and Pharmacodynamic Interactions with Computational Models in Supporting Cumulative Risk Assessment journal May 2011
Tools available to communities for conducting cumulative exposure and risk assessments journal April 2009
An overview of measurement method tools available to communities for conducting exposure and cumulative risk assessments journal March 2009
Joint Exposure to Chemical and Nonchemical Neurodevelopmental Stressors in U.S. Women of Reproductive Age in NHANES journal April 2014
The EPA's human exposure research program for assessing cumulative risk in communities journal April 2009
Black–White Blood Pressure Disparities: Depressive Symptoms and Differential Vulnerability to Blood Lead journal February 2013
Recovery or decline of the northwestern Black Sea: A societal choice revealed by socio-ecological modelling journal November 2009
Environmental inequity in England: Small area associations between socio-economic status and environmental pollution journal November 2008
Out of the Land of Oz: the importance of tackling wicked environmental problems without taming them journal November 2014
Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies journal April 2015
Maternal Stress and Depressive Symptoms and Infant Development at Six Months: the Mothers and Children's Environmental Health (MOCEH) Prospective Study journal January 2016
A Framework for Examining Social Stress and Susceptibility to Air Pollution in Respiratory Health journal September 2009
Neighborhood disorder and telomeres: Connecting children's exposure to community level stress and cellular response journal May 2013
A Conceptual Framework for Evaluating the Interaction of a Chemical and Nonchemical Stressor in Human Health Risk Assessments: A Case Study for Lead and Psychosocial Stress journal December 2014
Linking empirical estimates of body burden of environmental chemicals and wellness using NHANES data journal February 2012
Parental stress increases the effect of traffic-related air pollution on childhood asthma incidence journal July 2009
Estimating the Toxicity of Pesticide Mixtures to Aquatic Organisms: A Review journal May 2013
Implications of global climate change for the assessment and management of human health risks of chemicals in the natural environment journal December 2012
An integrated framework for probabilistic cumulative risk assessment of chemicals in food journal October 2007
Interactions between effects of environmental chemicals and natural stressors: A review journal August 2010
In vitro approach to predict post-translational phosphorylation response to mixtures journal November 2013
Novel methods for integrated risk assessment of cumulative stressors — Results from the NoMiracle project journal August 2010
Genotoxicity induced by pesticide mixtures: in-vitro studies on human peripheral blood lymphocytes journal September 2007
Community health assessment using self-organizing maps and geographic information systems journal January 2008
Integrated fuzzy concentration addition–independent action (IFCA–IA) model outperforms two-stage prediction (TSP) for predicting mixture toxicity journal February 2009
T3DB: the toxic exposome database journal November 2014
A Systematic Review of Allostatic Load, Health, and Health Disparities journal September 2012
Risk-based standards: integrating top–down and bottom–up approaches journal January 2014
Evaluation of the combined toxicity of 15 pesticides by uniform design: Evaluating the toxicity of mixtures of 15 pesticides by uniform design journal April 2010
Transcriptomic and proteomic effects of a neonicotinoid insecticide mixture in the marine mussel (Mytilus galloprovincialis, Lam.) journal August 2010
Is Epidemiology the Key to Cumulative Risk Assessment? journal December 2008
A Screening Method for Assessing Cumulative Impacts journal February 2012
Multiple stress effects on marine planktonic organisms: Influence of temperature on the toxicity of polycyclic aromatic hydrocarbons to Tetraselmis chuii journal August 2012
The Xenometabolome and Novel Contaminant Markers in Fish Exposed to a Wastewater Treatment Works Effluent journal August 2012
Air Pollution from Industrial Swine Operations and Blood Pressure of Neighboring Residents journal January 2013
Evaluating cumulative risk assessment for environmental justice: a community case study. journal April 2002
Two stressors and a community – Effects of hydrological disturbance and a toxicant on freshwater zooplankton journal February 2013
Explanation of non-additive effects in mixtures of similar mode of action chemicals journal September 2015
The Public Health Exposome: A Population-Based, Exposure Science Approach to Health Disparities Research journal December 2014
Genotoxic and Hematological Effects in Children Exposed to a Chemical Mixture in a Petrochemical Area in Mexico journal January 2014
Chronic Social Stress and Susceptibility to Concentrated Ambient Fine Particles in Rats journal June 2010
The need for the “new health geography” in epidemiologic studies of environment and health text January 2007
Relating ecoystem services to domains of human well-being: Foundation for a U.S. index journal May 2013
Addressing Human Variability in Next-Generation Human Health Risk Assessments of Environmental Chemicals text January 2012
Cumulative Health Risk Assessment: Finding New Ideas and Escaping from the Old Ones journal September 2014
In vitro screening for population variability in toxicity of pesticide-containing mixtures journal December 2015
The need for the “new health geography” in epidemiologic studies of environment and health journal September 2007
The use of in vitro testing to refine cumulative assessment groups of pesticides: The example of teratogenic conazoles journal May 2015
Addressing Human Variability in Next-Generation Human Health Risk Assessments of Environmental Chemicals journal January 2013
Transdisciplinary research strategies for understanding socially patterned disease: the Asthma Coalition on Community, Environment, and Social Stress (ACCESS) project as a case study journal December 2008
Allostatic load amplifies the effect of blood lead levels on elevated blood pressure among middle-aged U.S. adults: a cross-sectional study journal August 2013
Critical Biological Pathways for Chronic Psychosocial Stress and Research Opportunities to Advance the Consideration of Stress in Chemical Risk Assessment journal December 2011
Chronic Traffic-Related Air Pollution and Stress Interact to Predict Biologic and Clinical Outcomes in Asthma journal July 2008
The Environmental Protection Agency's Community-Focused Exposure and Risk Screening Tool (C-FERST) and Its Potential Use for Environmental Justice Efforts journal December 2011
Estimated daily intake and cumulative risk assessment of phthalate diesters in a Belgian general population journal December 2014
Using biomarkers in sewage to monitor community-wide human health: Isoprostanes as conceptual prototype journal May 2012
Integrating health and environmental impact analysis journal October 2015
What data should we collect? A framework for identifying indicators of ecosystem contributions to human well-being journal March 2013
The human relevant potency threshold: Reducing uncertainty by human calibration of cumulative risk assessments journal March 2012
Human health impacts of ecosystem alteration journal November 2013
Cumulative Risk: Toxicity and Interactions of Physical and Chemical Stressors journal October 2013
Malodor as a Trigger of Stress and Negative Mood in Neighbors of Industrial Hog Operations journal November 2009
Transcriptomics analysis of interactive effects of benzene, trichloroethylene and methyl mercury within binary and ternary mixtures on the liver and kidney following subchronic exposure in the rat journal December 2007
Eco-Apartheid: Linking Environmental Health to Educational Outcomes journal April 2011
Simplifying complexity: Mixture toxicity assessment in the last 20 years: Simplifying complexity journal July 2013
Inupiat Health and Proposed Alaskan Oil Development: Results of the First Integrated Health Impact Assessment/Environmental Impact Statement for Proposed Oil Development on Alaska’s North Slope journal October 2007
Meta-Analytic Approaches for Multistressor Dose-Response Function Development: Strengths, Limitations, and Case Studies: Multistressor Dose-Response Function journal April 2014
Aggregate Exposure and Cumulative Risk Assessment—Integrating Occupational and Non-occupational Risk Factors journal November 2015
Parental Stress Increases the Detrimental Effect of Traffic Exposure on Children's Lung Function journal October 2011
Biological memories of past environments: Epigenetic pathways to health disparities journal July 2011
Combined and interactive effects of global climate change and toxicants on populations and communities journal December 2012
Air Pollution, Lung Function, and Physical Symptoms in Communities Near Concentrated Swine Feeding Operations journal January 2011
Exposure to Sublethal Doses of Fipronil and Thiacloprid Highly Increases Mortality of Honeybees Previously Infected by Nosema ceranae journal June 2011
The protective effect of community factors on childhood asthma journal June 2009
Dose addition and the isobole method as approaches for predicting the cumulative effect of non-interacting chemicals: A critical evaluation journal March 2009
Integrated exposure assessment of sewage workers to genotoxicants: an urinary biomarker approach and oxidative stress evaluation journal March 2011
Hormesis and public health: can glutathione depletion and mitochondrial dysfunction due to very low-dose chronic exposure to persistent organic pollutants be mitigated? journal September 2014
Cumulative Environmental Vulnerability and Environmental Justice in California’s San Joaquin Valley journal May 2012
Exploring Potential Sources of Differential Vulnerability and Susceptibility in Risk From Environmental Hazards to Expand the Scope of Risk Assessment journal December 2011
Environmental justice and toxic exposure: Toward a spatial model of physical health and psychological well-being journal March 2007
What Can Epidemiological Studies Tell Us about the Impact of Chemical Mixtures on Human Health? journal January 2016
Social stressors and air pollution across New York City communities: a spatial approach for assessing correlations among multiple exposures journal November 2014
The multiple stressor ecological risk assessment for the mercury-contaminated South River and upper Shenandoah River using the Bayesian network-relative risk model: Ecological Risk Assessment for South River journal June 2016
Polybrominated Diphenyl Ethers, Hydroxylated Polybrominated Diphenyl Ethers, and Measures of Thyroid Function in Second Trimester Pregnant Women in California journal September 2011
Using exposomics to assess cumulative risks and promote health: Using Exposomics to Assess Cumulative Risks journal October 2015
Psychological Stress: A Social Pollutant That May Enhance Environmental Risk journal October 2011

Cited By (1)

Biomonitoring and Subsequent Risk Assessment of Combined Exposure to Phthalates in Iranian Children and Adolescents journal October 2018

Figures / Tables (3)