Healthcare Economist March 6, 2025
Jason Shafrin

A paper by Ng, Zhang and Kowal (2025) use the American Community Survey (ACS) data from 2016–2022 were used to construct Social Vulnerability Index (SVI).

SVI is calculated from 16 social determinants of health (SDoH) variables that are grouped into 4 themes: socioeconomic status, household characteristics, racial and ethnic minority status, and housing type & transportation (see my blog post on SVI for more details). The ACS data is available at the county and the ZIP code tabulation area (ZCTA) levels. The authors created crosswalks to estimate SVI at the 3-digit and 5-digit ZIP code levels. The methodology is explained in more detail as follows:

The ZCTA numerator (e.g., people in a geographic unit below 150% of the...

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