Juhua Luo, PhD

Contact information for this researcher is no longer available, but you can still access their previous work.


Completed Projects - (1)

Cancer Hospitalizations in Rural-Urban Areas in Relation to Carcinogenic Discharges from Toxics Release Inventory Facilities
The purpose of the research is to understand whether discharges of carcinogens from Toxics Release Inventory facilities are related to higher cancer hospitalization rates in rural and urban settings. Evidence for this association will have potential implications for improvements to environmental policy or policies for improved cancer detection and treatment in rural settings.
Research center: West Virginia Rural Health Research Center
Topics: Chronic diseases and conditions, Environmental and agricultural health, Hospitals and clinics, Public health

Publications - (2)

  • Toxics Release Inventory Discharges and Population Health Outcomes in Rural and Urban Areas of the United States
    Policy Brief
    West Virginia Rural Health Research Center

    Examined whether chemical releases from facilities monitored through the Toxics Release Inventory (TRI) program were associated with population mortality rates for both rural and urban populations.

  • Toxics Release Inventory Discharges and Population Health Outcomes in Rural and Urban Areas of the United States (Final Report)
    West Virginia Rural Health Research Center
    The current study examines whether chemical releases from facilities monitored through the Toxics Release Inventory (TRI) program were associated with population mortality rates and birth outcomes for both rural and urban populations. We also examined whether rural and urban areas characterized by poor socioeconomic status or higher percentages of racial minorities had greater TRI releases. Health outcomes included age-adjusted CDC mortality rates for cancer, respiratory, cardiovascular, and total causes, and NCHS birth outcomes including low birth weight, preterm births and birth defects. Rural counties are defined as non-metropolitan based on rural-urban continuum codes. The results show significantly higher adjusted total mortality rates associated with greater air and water releases in both rural and urban counties, after controlling for the effects of other risk variables. Effects were found in rural areas for total, cardiovascular, and (marginally) cancer mortality outcomes. We found that counties with higher percentages of African American populations had more non-zero releases, but did not find this for populations characterized by greater Native American populations, lower income levels or higher poverty. We did not find consistent evidence for higher TRI releases being related to poorer birth outcomes. Suggestions for reducing emissions, further research to understand human health impacts, and improving rural health care are presented.