评估用于绘制历史红线图的方法,以对人口普查区域进行卫生公平研究
Hannah De Los Santos1, Carla P Bezold2, Karen M Jiang2
1The MITRE Corporation, McLean, VA, USA. hdelossantos@mitre.org.
概括
历史上的红线图对当今的健康状况产生了重大影响. 考虑当前人口的连续绘图方法为红线和健康研究提供了更好的见解.
科学领域:
- 环境健康 环境健康
- 城市规划 城市规划
- 公共卫生 公共卫生
背景情况:
- 邻里地区的特点,包括住房状况,对健康结果有着深刻的影响.
- 历史性的红线划分,一个导致投资减少的区域分类实践,越来越多地被认为是它对当今健康的影响.
- 关于在当代健康研究中测量历史红线的最佳方法的指导是有限的.
研究的目的:
- 评估不同的红线图对齐方法如何影响历史红线和当今健康结果之间的关联.
- 为了比较各种红线测量方法的统计学意义和解释能力 (R2值).
- 为健康研究中最佳的红线测量提供建议.
主要方法:
- 确定了11种现有的红线地图对齐方法和37种逻辑扩展,共48种方法.
- 将这些方法与202个城市的人口普查区预期寿命数据合并,构建了9696个线性模型.
- 评估模型使用统计学意义,R2值和根平均平方误差 (RMSE) 来评估地理和人口变化.
主要成果:
- 根平均平方误差 (RMSE) 达到0.175,表明历史和当代地理和人口之间的持续差异.
- 使用低值的连续方法显示了更高的社区覆盖率.
- 权重方法显示了更显著的关联,而高值方法则产生了更高的R2值.
结论:
- 建议在健康研究中采用包含当代人口分布和映射重叠的连续红线测量方法.
- 选择红线测量方法显著影响观察到的与健康结果的关联.
- 一个R应用程序{holcmapr}被开发,以促进方法的比较和选择,用于红线和健康研究.
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