Validating a geospatial healthfulness index with self-reported chronic disease and health outcomes

Richard C. Sadler, Thomas W. Wojciechowski, Zachary Buchalski, Mieka Smart, Megan Mulheron and David Todem

Social Science & Medicine, 2022, vol. 311, issue C

Abstract: Leveraging community engagement from past research may yield frameworks on which to build new inquiries. We previously integrated community voice into the development of a healthfulness index to increase awareness of social determinants of health in the built environment and inform deployment of public health interventions in the Flint (Michigan, USA) Center for Health Equity Solutions. Here we combine the healthfulness index with self-reported chronic disease and health outcomes (n = 12,279) from a community-based healthcare entity, the Genesee Health Plan. The healthfulness index purports to predict how health-promoting a neighborhood is based on many spatially varying characteristics; by linking our health plan data to this index, we validate the effectiveness of the healthfulness index.

Keywords: Health equity; Built environment; Geographic information systems; Cardiovascular disease; Mental health (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1016/j.socscimed.2022.115291

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