ArticleInternational journal of environmental research and public health2020
The Health Opportunity Index: Understanding the Input to Disparate Health Outcomes in Vulnerable and High-Risk Census Tracts.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Research opportunities to advance cardiovascular health through a planetary health lens.American journal of preventive cardiology · 2026Review
- Neighborhood-level deprivation measures in the United States: a scoping review and reference guide for investigators.BMC public health · 2026Article
- Assessing Social Determinants of Health in Transplantation and CAR-T Recipients: Expert Panel Recommendations from the Survivorship Special Interest Group of ASTCT.Transplantation and cellular therapy · 2025Review
- A Geographic Weighted Regression Analysis of the Health Opportunity Index and Stroke Prevalence in Health and Human Services Region 3.International journal of environmental research and public health · 2025Article
- Drug Overdose Death among Residents of Urban Census Tracts: How Granular Geographical Analyses Uncover Socioenvironmental Correlates in Cuyahoga County, Ohio.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- The effect modification of greenspace and impervious surface on the heat-mortality association: Differences by the dissimilarity index.The Science of the total environment · 2024Article
- Exploring the role of the social vulnerability index in understanding COVID-19 immunization rates.PloS one · 2024Article
- Postpartum medication for opioid use disorder outcomes associated with prenatal treatment and neighborhood-level social determinants.American journal of obstetrics & gynecology MFM · 2023Article
- Income and rural-urban status moderate the association between income inequality and life expectancy in US census tracts.Journal of health, population, and nutrition · 2023Article
- Historic Redlining Practices and Contemporary Determinants of Health in the Detroit Metropolitan Area.American journal of public health · 2023Article
- Review
- A Framework for Interfacing and Partnering with Environmental Justice Communities as a Prelude to Human Health and Hazard Identification in the Vulnerable Census Tracts of Columbus, Ohio.International journal of environmental research and public health · 2022Review
- Characteristics of Composite Deprivation Indices Used in Public Health: A Scoping Review Protocol.International journal of environmental research and public health · 2022Article
- Redrawing Cities with Children and Adolescents: Development of a Framework and Opportunity Index for Wellbeing-The REDibuja Study Protocol.International journal of environmental research and public health · 2022Article
- Integrating Environment and Aging Research: Opportunities for Synergy and Acceleration.Frontiers in aging neuroscience · 2022Review
- Neighborhood-Level Lead Paint Hazard for Children under 6: A Tool for Proactive and Equitable Intervention.International journal of environmental research and public health · 2021Article
- Article
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7 authors.
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Abstract
The Health Opportunity Index (HOI) is a multivariate tool that can be more efficiently used to identify and understand the interplay of complex social determinants of health (SDH) at the census tract level that influences the ability to achieve optimal health. The derivation of the HOI utilizes the data-reduction technique of principal component analysis to determine the impact of SDH on optimal health at lower census geographies. In the midst of persistent health disparities and the present COVID-19 pandemic, we demonstrate the potential utility of using 13-input variables to derive a composite metric of health (HOI) score as a means to assist in the identification of the most vulnerable communities during the current pandemic. Using GIS mapping technology, health opportunity indices were layered by counties in Ohio to highlight differences by census tract. Collectively we demonstrate that our HOI framework, principal component analysis and convergence analysis methodology coalesce to provide results supporting the utility of this framework in the three largest counties in Ohio: Franklin (Columbus), Cuyahoga (Cleveland), and Hamilton (Cincinnati). The results in this study identified census tracts that were also synonymous with communities that were at risk for disparate COVID-19 related health outcomes. In this regard, convergence analyses facilitated identification of census tracts where different disparate health outcomes co-exist at the worst levels. Our results suggest that effective use of the HOI composite score and subcomponent scores to identify specific SDH can guide mitigation/intervention practices, thus creating the potential for better targeting of mitigation and intervention strategies for vulnerable communities, such as during the current pandemic.
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