PMID- 37594675 OWN - NLM STAT- MEDLINE DCOM- 20231102 LR - 20240322 IS - 1468-2869 (Electronic) IS - 1099-3460 (Print) IS - 1099-3460 (Linking) VI - 100 IP - 5 DP - 2023 Oct TI - The Creation of a Multidomain Neighborhood Environmental Vulnerability Index Across New York City. PG - 1007-1023 LID - 10.1007/s11524-023-00766-3 [doi] AB - Compared to previous studies commonly using a single summary score, we aimed to construct a multidomain neighborhood environmental vulnerability index (NEVI) to characterize the magnitude and variability of area-level factors with the potential to modify the association between environmental pollutants and health effects. Using the Toxicological Prioritization Index framework and data from the 2015-2019 U.S. Census American Community Survey and the 2020 CDC PLACES Project, we quantified census tract-level vulnerability overall and in 4 primary domains (demographic, economic, residential, and health status), 24 subdomains, and 54 distinct area-level features for New York City (NYC). Overall and domain-specific indices were calculated by summing standardized feature values within the subdomains and then aggregating and weighting based on the number of features within each subdomain within equally-weighted primary domains. In citywide comparisons, NEVI was correlated with multiple existing indices, including the Neighborhood Deprivation Index (r = 0.91) and Social Vulnerability Index (r = 0.87) but provided additional information on features contributing to vulnerability. Vulnerability varied spatially across NYC, and hierarchical cluster analysis using subdomain scores revealed six patterns of vulnerability across domains: 1) low in all, 2) primarily low except residential, 3) medium in all, 4) high demographic, economic, and residential 5) high economic, residential, and health status, and 6) high demographic, economic and health status. Created using methods that offer flexibility for theory-based construction, NEVI provided detailed vulnerability metrics across domains that can inform targeted research and public health interventions aimed at reducing the health impacts from environmental exposures across urban centers. CI - (c) 2023. The Author(s). FAU - Uong, Stephen P AU - Uong SP AD - Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, Room 1608, New York, NY, 10032, USA. FAU - Zhou, Jiayi AU - Zhou J AD - Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, Room 1608, New York, NY, 10032, USA. FAU - Lovinsky-Desir, Stephanie AU - Lovinsky-Desir S AD - Department of Pediatrics New York, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA. FAU - Albrecht, Sandra S AU - Albrecht SS AD - Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, Room 1608, New York, NY, 10032, USA. FAU - Azan, Alexander AU - Azan A AD - Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA. FAU - Chambers, Earle C AU - Chambers EC AD - Department of Family and Social Medicine Bronx, Albert Einstein College of Medicine, New York, NY, USA. FAU - Sheffield, Perry E AU - Sheffield PE AD - Department of Environmental Medicine and Public Health New York, Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Thompson, Azure AU - Thompson A AD - School of Public Health Brooklyn, SUNY Downstate Health Sciences University New York, New York, NY, USA. FAU - Wilson, Joseph Jr AU - Wilson J Jr AD - Department of Environmental Medicine and Public Health New York, Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Woo Baidal, Jennifer AU - Woo Baidal J AD - Department of Pediatrics New York, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA. FAU - Stingone, Jeanette A AU - Stingone JA AUID- ORCID: 0000-0003-3508-8260 AD - Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, Room 1608, New York, NY, 10032, USA. j.stingone@columbia.edu. LA - eng GR - R00 ES027022/ES/NIEHS NIH HHS/United States GR - UL1 TR001445/TR/NCATS NIH HHS/United States GR - K01 HL140216/HL/NHLBI NIH HHS/United States GR - T32ES007322/ES/NIEHS NIH HHS/United States GR - K01HL140216/HL/NHLBI NIH HHS/United States GR - P30DK111022/DK/NIDDK NIH HHS/United States GR - T32 ES007322/ES/NIEHS NIH HHS/United States GR - K01DK107791/DK/NIDDK NIH HHS/United States GR - P30ES023515/ES/NIEHS NIH HHS/United States GR - K01 DK107791/DK/NIDDK NIH HHS/United States GR - P30 ES009089/ES/NIEHS NIH HHS/United States GR - P30 DK111022/DK/NIDDK NIH HHS/United States GR - P30ES009089/ES/NIEHS NIH HHS/United States GR - R01ES030717/ES/NIEHS NIH HHS/United States GR - P30 ES023515/ES/NIEHS NIH HHS/United States GR - R01 ES030717/ES/NIEHS NIH HHS/United States GR - R00ES027022/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20230818 PL - United States TA - J Urban Health JT - Journal of urban health : bulletin of the New York Academy of Medicine JID - 9809909 SB - IM MH - Humans MH - New York City MH - *Environmental Exposure MH - Health Status MH - Public Health MH - *Nevus PMC - PMC10618140 OTO - NOTNLM OT - Area-level vulnerability OT - Data integration OT - Deprivation OT - Environmental justice OT - Social determinants of health EDAT- 2023/08/18 12:42 MHDA- 2023/11/02 12:42 PMCR- 2023/08/18 CRDT- 2023/08/18 11:12 PHST- 2023/06/19 00:00 [accepted] PHST- 2023/11/02 12:42 [medline] PHST- 2023/08/18 12:42 [pubmed] PHST- 2023/08/18 11:12 [entrez] PHST- 2023/08/18 00:00 [pmc-release] AID - 10.1007/s11524-023-00766-3 [pii] AID - 766 [pii] AID - 10.1007/s11524-023-00766-3 [doi] PST - ppublish SO - J Urban Health. 2023 Oct;100(5):1007-1023. doi: 10.1007/s11524-023-00766-3. Epub 2023 Aug 18.