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Updated: May 20, 2026
05:37
An R-Based Landscape Validation of a Competing Risk Model
Published on: September 16, 2022
Application of a novel method for assessing cumulative risk burden by county
Jennifer J Salinas1, Manasi Shah, Bassent Abdelbary
1School of Public Health, University of Texas Health Science Center at Houston, Brownsville Regional Campus, RAHC, UTB 80 Fort Brown, Brownsville, TX 78520, USA. Jennifer.J.Salinas@uth.tmc.edu
Summary
The Human Security Index (HSI) effectively identifies socioeconomic and environmental risk burdens in Texas counties. While not strongly linked to the Texas-Mexico border, the HSI revealed associations with ethnic and racial compositions, highlighting health disparities.
Area of Science:
- Public Health
- Socioeconomic Determinants of Health
- Environmental Health
Background:
- Cumulative risk burden impacts vulnerable populations.
- Understanding socioeconomic and environmental factors is crucial for public health.
- The Human Security Index (HSI) offers a framework for assessing these factors.
Purpose of the Study:
- To apply the Human Security Index (HSI) at a county-level in Texas.
- To detect social and economic cumulative risk burden.
- To analyze socioeconomic conditions contributing to risk burden in vulnerable counties.
Main Methods:
- Utilized the Human Security Index (HSI), comprising Economic, Environmental, and Social Fabrics.
- Examined statistical associations between cumulative risk burden and ethnic/racial concentration.
- Investigated geographic proximity to the Texas-Mexico border.
Main Results:
- The Texas-Mexico border region did not show consistently higher HSI scores despite high disease burden and low income.
- Economic, Environmental, and Social Fabrics were associated with Hispanic ethnic concentration.
- Education, Health, and Crime subfabrics were associated with African American racial composition.
Conclusions:
- The HSI provides a nuanced understanding of socioeconomic and environmental conditions in Texas counties.
- The index highlights the role of environmental, economic, and social factors in health disparities.
- Findings underscore the importance of considering race/ethnicity and geography in public health assessments.
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