Quantification of Neighborhood-Level Social Determinants of Health in the Continental United States [jamanetwork.com]

Rafael Maravilla(PACEs Connection Staff) 2/9/203:43 PM

By Marynia Kolak, Jay Bhatt, Yoon Hong Park, et al., January 29, 2020

Key Points

Question How do social determinants of health vary across multiple dimensions and geographic space?

Findings In this cross-sectional study of 71 901 census tracts with approximately 312 million persons across the continental United States, multivariate social determinants of health measures were reduced to 4 indices reflecting advantage, isolation, opportunity, and mixed immigrant cohesion and accessibility and were clustered into 7 neighborhood typologies that included an extreme poverty group. Social determinants of health indices were associated with premature mortality rates in Chicago, Illinois.

Meaning The use of multidimensional geospatial approaches to quantify social determinants of health rather than the use of a singular deprivation index may better capture the complexity and spatial heterogeneity underlying these determinants.

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