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Evaluating Methods for Mapping Historical Redlining to Census Tracts for Health Equity Research
Hannah De Los Santos1, Carla P Bezold2, Karen M Jiang2
1The MITRE Corporation, McLean, VA, USA. hdelossantos@mitre.org.
Historic redlining maps significantly impact present-day health outcomes. Continuous mapping methods considering current populations offer better insights for redlining and health research.
Area of Science:
- Environmental Health
- Urban Planning
- Public Health
Background:
- Neighborhood characteristics, including housing status, profoundly influence health outcomes.
- Historic redlining, a practice of area classification leading to decreased investment, is increasingly recognized for its present-day health impacts.
- Limited guidance exists on optimal methods for measuring historic redlining in studies of contemporary health.
Purpose of the Study:
- To evaluate how different redlining map alignment methods influence associations between historic redlining and present-day health outcomes.
- To compare the statistical significance and explanatory power (R² values) of various redlining measurement approaches.
- To provide recommendations for optimal redlining measurement in health research.
Main Methods:
- Identified 11 existing redlining map alignment methods and 37 logical extensions, totaling 48 methods.
- Merged these methods with census tract life expectancy data for 202 cities, constructing 9696 linear models.
- Evaluated models using statistical significance, R² values, and Root Mean Squared Error (RMSE) to assess geographic and population changes.
Main Results:
- Root Mean Squared Error (RMSE) peaked at 0.175, indicating persistent differences between historical and contemporary geographies and populations.
- Continuous methods with low thresholds demonstrated higher neighborhood coverage.
- Weighting methods showed more significant associations, while high threshold methods yielded higher R² values.
Conclusions:
- Continuous redlining measurement methods that incorporate contemporary population distributions and mapping overlap are recommended for health studies.
- The choice of redlining measurement method significantly affects observed associations with health outcomes.
- An R application, {holcmapr}, was developed to facilitate method comparison and selection for redlining and health research.
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