From the Firefly wiki under Reavers:
Reaver craft have a savage and funereal air, and are not in particularly good shape—they are almost inevitably running without reactor containment, which means the inhabitants are constantly being bombarded with radiation at suicidal levels.
Is there any indication that this constant exposure to intensely high radiation has any effect on the Reavers, such radiation sickness and death? Or, could it further contribute to their savage disposition caused by the Pax chemical?