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    Chapter 1.1 · Weighing the ingredients

    What the deprivation index measures

    The Area Deprivation Index orders 75,717 census tracts almost in reverse order of median home value, with a rank correlation of −0.988, and the home value term alone accounts for 74.3% of the variance of the score its formula produces.

    In one San Francisco census tract, 35.9%35.9% percent of persons below the poverty lineEstimandpoverty rate of one tract (ACS tract estimate, margin of error not in the staged file)Weightsnone (single tract)Populationresidents of the tract in the first row of the tablePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceAmerican Community Survey of residents are below the poverty line, and the Area Deprivation IndexArea Deprivation Index (ADI)A score that ranks neighborhoods by income, education, employment and housing conditions drawn from the American Community Survey. In this book a higher national percentile means a more deprived neighborhood. (ADI) ranks it at national percentile 11 national percentileEstimandpublished ADI of one tract (mean of its block groups' ranks)Weightsnone (single tract)Populationthe tract in the first row of the tablePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index, among the least deprived in the nation. A version of the same formula that puts every measure on a common scale ranks the tract at percentile 99.799.7 percentile among the tracts of the frameEstimandpercentile of the standardized replica score of one tractWeightsnone (single tract)Populationthe tract in the first row of the tablePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceAmerican Community Survey, near the most deprived end. The tract's median home value is at the top code of the American Community Survey, the cap the survey puts on the dollar values it reports. The tract illustrates what the index's formula does, and its rank is not an estimate of how deprived the tract is.

    The index orders tracts almost as home prices do

    Across 75,71775,717 tractsEstimandcount of tracts in the frameWeightsnone (full count)Population2020 census tracts with a published ADI rank, a population and all 15 rebuilt measuresPeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceAmerican Community Survey census tracts of the states and the District of Columbia, the ADI has a population-weightedPopulation-weightedAveraged so that each place counts in proportion to its number of residents, which lets a large county move the result more than a small one. An unweighted average counts every place equally. rank correlation of −0.988−0.988 rank correlation coefficientEstimandpopulation-weighted correlation of the percentile ranks of the published tract ADI and of median home value, interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI −0.989 to −0.986n75,717 tractsWeightsACS 2019-2023 tract populationPopulationresidents of the tracts in the frame (50 states and DC; a published ADI rank, a population and all rebuilt measures)PeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index with median home value. A rank correlation compares the positions of tracts in two rankings. The sign is negative because the index rises as home values fall, and its size means that the index orders tracts almost as home prices do.

    The Neighborhood Atlas at the University of Wisconsin publishes the index. It applies a recipe that Gopal Singh built from 1990 census tracts for a study of mortality in the United States.[1, 2] The recipe multiplies each census measure of education, work, income and housing by a fixed coefficient and adds the products. Median family income, home value, gross rent and the monthly mortgage cost are dollar amounts. The other measures are proportions or a log ratio, and the Atlas enters proportions as fractions of one. The coefficients are close in size, so the unit of a measure, more than its coefficient, sets how much the measure moves the sum.

    Variance measures how widely scores spread around their average, in squared units. A dollar amount in the hundreds of thousands varies over a wider range than a proportion, so it contributes more of the variance of a sum. In a replica of the score built from the published formula, the home value term alone accounts for 74.3%74.3% percent of the variance of the scoreEstimandvariance of the home value term alone (Singh's coefficients times the measures in their own units) as a share of the variance of the score, with no covariance with the other terms allocated to it; interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 70.5% to 77.0%n75,717 tractsWeightsACS 2019-2023 tract populationPopulationresidents of the tracts in the frame (50 states and DC; a published ADI rank, a population and all rebuilt measures)PeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index of the variance across tracts. The home value and family income terms are correlated, and Figure 1 shares each covariance between two terms equally between them. On that accounting, home value is allocated 85.4% (95% CI 83.1% to 87.0%)85.4% percent of the variance of the scoreEstimandshare of the population-weighted variance of the score (Singh's coefficients times the measures in their own units) allocated to median home value: the covariance of that measure's term with the score divided by the score's variance, so each covariance between two terms is shared equally between them and the shares add to the whole; interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 83.1% to 87.0%n75,717 tractsWeightsACS 2019-2023 tract populationPopulationresidents of the tracts in the frame (50 states and DC; a published ADI rank, a population and all rebuilt measures)PeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation IndexNoteAn allocated share: the covariance of the home value and family income terms is shared between them. The first edition's fact of this id was home value's share of the variance of the raw inputs, a different quantity; hv_own_share gives the variance of the home value term alone. of the variance in raw units.

    Figure 1

    In raw units home value accounts for 74.3% of the variance of the score on its own and 85.4% with its covariance with income shared out, against 5.3% after standardization

    Share of the population-weighted variance of the replica score allocated to each measure, same coefficients, measures in raw units and in standard deviation units, 75,717 tracts

    In raw units home value and family income carry 99.2% of the variance of the score between them

    Share of the variance of the score in raw units allocated to each measure, percent

    Measure

    Home value's bar is the longest and family income's the second; every other bar is nearly zero.

    Show data
    Data for In raw units home value accounts for 74.3% of the variance of the score on its own and 85.4% with its covariance with income shared out, against 5.3% after standardization, Raw units
    conf_highconf_lowmeasurenshare
    86.9983.08Home value75,71785.40
    16.5212.64Family income75,71714.23
    0.2450.213Mortgage cost75,7170.226
    0.1640.143Gross rent75,7170.152
    0.0000.000Income disparity75,7170.000
    0.0000.000White-collar jobs75,7170.000
    0.0000.000Below 150% of poverty75,7170.000
    0.0000.000Poverty75,7170.000
    0.0000.000Single parents75,7170.000
    0.0000.000Under 9 years of school75,7170.000
    0.0000.000No plumbing75,7170.000
    0.0000.000Unemployment75,7170.000
    0.0000.000Homeownership75,7170.000
    0.0000.000Crowding75,7170.000
    0.0000.000No vehicle75,7170.000

    In raw units the home value and family income bars are the only ones long enough to see, and after standardization every measure has a bar and home value's is short. Each bar is a measure's allocated share of the population-weighted variance of the replica score, with whiskers for 95% intervals; the tabs share one order and one axis. Values in Table 3.

    Note: Raw units: dollars for the four dollar measures, proportions between zero and one for the rest, and the log ratio for income disparity, as the Atlas applies Singh's coefficients. Standardized: each measure minus its population-weighted mean over its population-weighted standard deviation.Note: The two measures that are not rebuilt (high school diploma and internet access) are proportions, so in raw units they would add little to the variance of the score.Source: ACS 2019-2023 five-year tract estimates (staged ACS file and Census API pull of housing measures); Singh (2003) coefficients; population-weighted (ACS tract population)

    A standardized score subtracts each measure's mean and divides by its standard deviation, the typical distance from that mean, so that every measure enters in the same units. With the same coefficients, home value is then allocated 5.3% (95% CI 5.0% to 5.7%)5.3% percent of the variance of the scoreEstimandshare of the population-weighted variance of the score (Singh's coefficients times the measures in standard deviation units) allocated to median home value: the covariance of that measure's term with the score divided by the score's variance, so each covariance between two terms is shared equally between them and the shares add to the whole; interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 5.0% to 5.7%n75,717 tractsWeightsACS 2019-2023 tract populationPopulationresidents of the tracts in the frame (50 states and DC; a published ADI rank, a population and all rebuilt measures)PeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index of the variance. The same coefficients thus give weights that depend on the scale of the measures. Petterson showed this across the block groups of the Atlas, and Hannan and colleagues found that in New York State the ADI mainly reflects home value.[3, 4] The shares here describe a population-weighted frame of tracts, a different population from either study.

    How the replica was built

    The replica uses American Community Survey (ACS) five-year estimates for 2019 to 2023 for 2020 census tracts. The dataset registry records the ADI's 2023 release, used here, as built on the same period. It rebuilds every measure except the share of adults with at least a high school diploma and the share of households without internet. Some rebuilt measures are substitutes, such as the poverty rate of persons where Singh counted families. The Atlas ranks block groups and imputes missing values from the surrounding geography. The replica works with tracts, keeps only those with every rebuilt measure and imputes nothing. Ranked among those tracts, the replica's score has a rank correlation of +0.991 (95% CI 0.990 to 0.992)+0.991 rank correlation coefficientEstimandpopulation-weighted correlation of the percentile ranks of the published tract ADI and of the replica score in raw units, interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 0.990 to 0.992n75,717 tractsWeightsACS 2019-2023 tract populationPopulationresidents of the tracts in the frame (50 states and DC; a published ADI rank, a population and all rebuilt measures)PeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation IndexNoteCounting each tract once gives +0.992. with the published tract rank. The match shows that the published formula reproduces the Atlas's ranks, and it does not show that the Atlas's code is the same. Each interval comes from resampling whole counties. The report gives every estimate with its interval and sample size.

    The ADI reads expensive places as less deprived

    The disagreement between the published ranking and the standardized one follows the cost of housing. Figure 2 groups tracts by the median home value of their county, in quartiles with equal numbers of residents. The published percentile minus the standardized percentile averages +11.1 (95% CI 10.5 to 11.6)+11.1 percentile points, published ADI minus standardized replicaEstimandpopulation-weighted mean of the published tract ADI minus the percentile of the standardized replica score among the tracts of the frame, interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 10.5 to 11.6n22,023 tractsWeightsACS 2019-2023 tract populationPopulationresidents of tracts in the lowest-cost quartile of residents' counties, by county median home valuePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index points in the lowest-cost counties and −16.5 (95% CI −21.3 to −11.5)−16.5 percentile points, published ADI minus standardized replicaEstimandpopulation-weighted mean of the published tract ADI minus the percentile of the standardized replica score among the tracts of the frame, interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI −21.3 to −11.5n17,638 tractsWeightsACS 2019-2023 tract populationPopulationresidents of tracts in the highest-cost quartile of residents' counties, by county median home valuePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index points in the highest-cost counties. At the same standardized percentile, tracts in the highest-cost counties have a lower published ADI than tracts in the lowest-cost counties in every tenth of the standardized ranking.

    Figure 2

    The published ADI percentile minus the standardized percentile averages −16.5 in the highest-cost counties and +11.1 in the lowest-cost counties

    Tract percentile on the published ADI against the percentile of the standardized replica score, by the cost of the tract's county, and the tracts with the largest gaps

    At the same standardized percentile, tracts in the highest-cost counties have a lower published ADI than tracts in the lowest-cost counties

    Published ADI against the standardized percentile, one dot per sampled tract, colored by the median home value of the tract's county

    Loading data

    The line of binned means for the lowest-cost counties lies above the line for the highest-cost counties in every tenth of the standardized ranking, and the gap widens toward the most deprived tenth.

    The line of binned means for the lowest-cost counties lies above the line for the highest-cost counties in every tenth of the standardized ranking, and the gap widens toward the most deprived tenth. Each dot is a sampled tract, placed by its standardized percentile and its published ADI, and each marker is a population-weighted mean of the published ADI within a tenth, with a 95% interval. The second tab lists the high-poverty tracts with the largest gaps, with the San Francisco tract in the first row. Values in Table 5.

    Note: Counties are grouped by their median home value into quartiles with equal numbers of residents; the middle two quartiles are drawn together in gray. Markers are population-weighted means of the published ADI within tenths of the standardized percentile for the lowest-cost and highest-cost groups, with 95% intervals from a bootstrap over counties; cells with few tracts are left out.Note: The dots are a random sample of the frame's tracts drawn with a fixed seed (seed and share in the methods note); the means, intervals and the table use every tract.Note: A tract's ACS medians rest on the homes and renters in the tract, which are few in some tracts, and the staged file has no margins of error; a college-town tract can show a high poverty rate because of student households. Each row illustrates what the formula does and is not an estimate of its tract's deprivation.Source: Neighborhood Atlas ADI 2023; ACS 2019-2023; population-weighted (ACS tract population) binned means, modeled estimates

    The gap matters most where people are poor. In the frame's tracts where 30%30% percent of persons below the poverty lineEstimandpoverty rate at or above which a tract is called high-poverty; a definitionWeightsnone (definition)Populationtracts called high-poverty in this chapterPeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceAmerican Community Survey or more of people are below the poverty line, the published ADI places 16.1% (95% CI 11.3% to 21.4%)16.1% percent of residentsEstimandshare of residents of high-poverty tracts who live in tracts at or below the 50th percentile on the published ADI (percentile among the tracts of the frame for the replica), interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 11.3% to 21.4%n5,100 tractsWeightsACS 2019-2023 tract populationPopulationresidents of high-poverty tracts of the framePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index of residents in tracts ranked at or below the 50th50th national percentileEstimandpercentile cutoff; a definitionWeightsnone (definition)Populationrank at or below which a tract counts as among the less deprivedPeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index national percentileNational percentileA neighborhood's position in the national ordering, given as the share of all neighborhoods that fall below it. A higher percentile means a higher value than more of the rest of the country.. That end of the ranking is the less deprived one. The standardized replica places 0.34% (95% CI 0.15% to 0.55%)0.34% percent of residentsEstimandshare of residents of high-poverty tracts who live in tracts at or below the 50th percentile on the replica score in standard deviation units (percentile among the tracts of the frame for the replica), interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 0.15% to 0.55%n5,100 tractsWeightsACS 2019-2023 tract populationPopulationresidents of high-poverty tracts of the framePeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index of them there. Across every high-poverty tract with a published rank, including tracts that lack some rebuilt measures, the published share is 20.6% (95% CI 14.1% to 27.9%)20.6% percent of residentsEstimandshare of residents of high-poverty tracts who live in tracts at or below the 50th percentile on the published ADI, interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 14.1% to 27.9%n6,718 tractsWeightsACS 2019-2023 tract populationPopulationresidents of high-poverty tracts with a published ADI rank, whether or not they have all rebuilt measuresPeriodACS 2019 to 2023 five-year estimates, ADI 2023 releaseSourceArea Deprivation Index.

    One Medicare payment model, ACO REACH, adjusts payments by a score that combines the ADI with a beneficiary's status as dually eligible for Medicare and Medicaid or as receiving the low-income subsidy. For performance year 2024 the Centers for Medicare and Medicaid Services added the state ADI, which compares tracts within a state. It said the change would better identify underserved beneficiaries in areas with a high cost of living.[5] This chapter does not test how much of the dominance of home value the state ADI removes.

    Two outcomes test the recipes

    Two outcomes that no ranking used as an input test the recipes. One is life expectancy at birthLife expectancy at birthThe average number of years a newborn would live if death rates at every age stayed as they were in the period measured. It summarizes the death rates of a period and is not a forecast for any child. from USALEEPUSALEEPThe U.S. Small-area Life Expectancy Estimates Project, a National Center for Health Statistics release of life expectancy at birth for most census tracts. It covers deaths from 2010 to 2015 only and has not been updated., for deaths in 2010 to 2015. The other is upward mobility, the mean adult household income rank of children from low-income families raised in the tract, from the Opportunity Atlas, for children born in 1978 to 1983. Every ranking runs from least to most deprived, so every correlation with these outcomes is negative, and the values here are absolute.

    For life expectancy the published ADI correlates 0.615 (95% CI 0.594 to 0.633)0.615 absolute rank correlation coefficientEstimandabsolute value of the population-weighted correlation between the percentile rank of the published ADI (higher means more deprived) and the percentile rank of life expectancy at birth, interval from a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 0.594 to 0.633n71,874 tractsWeightsACS 2019-2023 tract populationPopulationtracts with a life expectancy estimate that are not institutional tracts, in the framePeriodlife expectancy for deaths in 2010 to 2015; rankings from ACS 2019 to 2023SourceUSALEEP life expectancy. The standardized replica differs from it by 0.005 (95% CI −0.015 to 0.027)0.005 difference in absolute rank correlationEstimandabsolute correlation of the standardized replica with life expectancy at birth minus that of the published ADI, on the same tracts, interval from paired draws of a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI −0.015 to 0.027n71,874 tractsWeightsACS 2019-2023 tract populationPopulationtracts with a life expectancy estimate that are not institutional tracts, in the framePeriodlife expectancy for deaths in 2010 to 2015; rankings from ACS 2019 to 2023SourceUSALEEP life expectancy, an interval that includes zero, so the two track life expectancy about as closely. For upward mobility the standardized replica correlates more strongly than the published ADI, by 0.100 (95% CI 0.076 to 0.123)0.100 difference in absolute rank correlationEstimandabsolute correlation of the standardized replica with mean adult household income rank of children raised by parents at the 25th income percentile minus that of the published ADI, on the same tracts, interval from paired draws of a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 0.076 to 0.123n75,667 tractsWeightsACS 2019-2023 tract populationPopulationtracts with an Opportunity Atlas rank for children from low-income families, in the framePeriodchildren born 1978 to 1983, household income measured in 2014 to 2015; rankings from ACS 2019 to 2023SourceOpportunity Atlas. Family income alone also correlates more strongly with mobility than the published ADI does, by 0.082 (95% CI 0.063 to 0.101)0.082 difference in absolute rank correlationEstimandabsolute correlation of negative median family income with the mean adult household income rank of children raised by parents at the 25th income percentile minus that of the published ADI, on the same tracts, interval from paired draws of a bootstrap over counties (Connecticut planning regions stand in for counties)Interval95% CI 0.063 to 0.101n75,667 tractsWeightsACS 2019-2023 tract populationPopulationtracts with an Opportunity Atlas rank for children from low-income families, in the framePeriodchildren born 1978 to 1983, household income measured in 2014 to 2015; rankings from ACS 2019 to 2023SourceOpportunity Atlas, while for life expectancy the interval of its difference from the ADI includes zero. The rankings that standardize edge out family income alone for both outcomes, for life expectancy by small margins, and the published ADI does not for either.

    Figure 3

    The published ADI tracks life expectancy about as closely as the standardized score does but upward mobility less closely, by 0.100 in correlation

    Absolute population-weighted rank correlation of eight rankings with tract life expectancy at birth and with the adult income rank of children from low-income families, 71,874 and 75,667 tracts

    • Life expectancy at birth
    • Upward mobility
    Show data
    Data for The published ADI tracks life expectancy about as closely as the standardized score does but upward mobility less closely, by 0.100 in correlation
    conf_highconf_lowestimatenoutcomeranking
    0.6530.6130.63371,874Life expectancy at birthFirst principal component
    0.6070.5660.58775,667Upward mobilityFirst principal component
    0.6380.6010.62071,874Life expectancy at birthReplica, raw units
    0.5200.4660.49275,667Upward mobilityReplica, raw units
    0.6420.5960.61971,874Life expectancy at birthReplica, standardized
    0.6030.5600.58275,667Upward mobilityReplica, standardized
    0.6330.5940.61571,874Life expectancy at birthPublished ADI
    0.5110.4550.48375,667Upward mobilityPublished ADI
    0.6300.5870.60971,874Life expectancy at birthFamily income
    0.5860.5430.56475,667Upward mobilityFamily income
    0.6050.5630.58471,874Life expectancy at birthHome value
    0.4730.4150.44375,667Upward mobilityHome value
    0.5530.4850.51871,874Life expectancy at birthSVI socioeconomic theme
    0.5710.5190.54575,667Upward mobilitySVI socioeconomic theme
    0.5290.4840.50871,874Life expectancy at birthPoverty rate
    0.5220.4860.50475,667Upward mobilityPoverty rate

    The dots for life expectancy bunch together across the composite rankings and family income, and for upward mobility the published ADI, its raw replica and home value alone have the lowest point estimates. Each dot is the absolute population-weighted rank correlation between a ranking and an outcome across the frame's tracts that have that outcome, with a 95% interval. Values in Table 7.

    Note: Both outcomes were modeled and neither was an input to any ranking. Each outcome uses the tracts that have it and every ranking, and institutional tracts are dropped from the life expectancy comparison. USALEEP covers deaths in 2010 to 2015 and its 2020-tract file is interpolated from 2010 tracts; the Opportunity Atlas covers children born in 1978 to 1983 and its 2020-tract file is interpolated from 2010 tracts.Note: Family income and home value enter as negative values so that a higher rank means more deprived. The SVI theme and the poverty rate are not Atlas products.Source: Neighborhood Atlas ADI 2023; ACS 2019-2023; CDC/ATSDR Social Vulnerability Index 2022; NCHS USALEEP 2010-2015; Opportunity Atlas 1978-1983 birth cohorts; population-weighted (ACS tract population) rank correlations, modeled estimates

    A factor model of the measures sorts them into housing money, economic hardship, and a group of crowding and adults who left school before ninth grade. The number of groups rests on a common cutoff. In raw units the single number follows the housing-money factor. A ranking dominated by home value measures the cost of housing, a property of a market, and some uses of a deprivation index may want that. The two outcomes disagree about the recipes, and the data cannot say which recipe is right.

    What this cannot tell you

    A tract's rank says little about how deprived any one resident is, because the data are averages for places (ecological inferenceEcological inferenceDrawing conclusions about individuals from data about places or groups. A pattern across counties need not hold for the people inside them.). The replica is a tract-level rebuild of a block-group index, and its ACS estimates carry sampling error that the staged file does not report. Both outcomes are older than the ACS measures and are modeled estimatesModeled estimateA figure produced by a statistical model instead of a direct count or measurement, usually for small areas where direct data are thin, borrowing strength from surveys, neighboring areas or other data. Neighboring areas can share errors, so single extremes call for caution. placed on 2020 tracts from 2010 tracts. The frame leaves out Puerto Rico, which the Atlas ranks with the states.


    Go deeper

    • The report: every estimate with its interval and sample size.
    • Tables: every figure of the report as a table.

    Same question at another grain:

    Reading paths that include this chapter:

    Data sources

    • Area Deprivation IndexNeighborhood Atlas ADI, 2023 release (version 4.0.1), national percentile ranks of block groups averaged to 2020 tractsYears: 2023 release (version 4.0.1; built on ACS 2019-2023) · Weights: none (index); tract values are unweighted means of block-group ranks · License: Free for non-commercial use; cite the Neighborhood Atlas and Kind and Buckingham
    • American Community SurveyACS 2019-2023 five-year tract estimates: the staged tract file and a Census API pull of housing, occupation, income-distribution and schooling tablesYears: 2019-2023 (5-year) · Weights: ACS 2019-2023 tract population · License: Public domain (U.S. Census Bureau)
    • CDC/ATSDR Social Vulnerability IndexCDC/ATSDR Social Vulnerability Index 2022, tracts: the socioeconomic theme percentile and, for a sensitivity check, the shares of adults without a high school diploma and of households without internet (ACS 2018 to 2022)Years: 2022 release (ACS 2018-2022) · Weights: none (index); percentile ranks of tracts · License: Public domain (CDC/ATSDR)
    • USALEEP life expectancyNCHS small-area life expectancy at birth, deaths 2010 to 2015, 2020 tracts (interpolated), institutional tracts droppedYears: 2010-2015 · Weights: ACS 2019-2023 tract population · License: Public domain (NCHS, CDC)
    • Opportunity AtlasMean adult household income rank of children from low-income families, 1978 to 1983 birth cohorts, 2020 tracts (interpolated)Years: 1978-1983 birth cohorts (2018 release) · Weights: ACS 2019-2023 tract population · License: Public use (Opportunity Insights and the U.S. Census Bureau)

    All data sources

    References

    1. Singh, Gopal K. (2003). Area Deprivation and Widening Inequalities in US Mortality, 1969-1998. American Journal of Public Health 93(7): 1137-1143. doi:10.2105/AJPH.93.7.1137
    2. Kind, Amy J. H.; Buckingham, William R. (2018). Making Neighborhood-Disadvantage Metrics Accessible: The Neighborhood Atlas. New England Journal of Medicine 378(26): 2456-2458. doi:10.1056/NEJMp1802313
    3. Petterson, Stephen (2023). Deciphering the Neighborhood Atlas Area Deprivation Index: the consequences of not standardizing. Health Affairs Scholar 1(5): qxad063. doi:10.1093/haschl/qxad063
    4. Hannan, Edward L.; Wu, Yifeng; Cozzens, Kimberly; Anderson, Brett (2023). The Neighborhood Atlas Area Deprivation Index For Measuring Socioeconomic Status: An Overemphasis On Home Value. Health Affairs 42(5): 702-709. doi:10.1377/hlthaff.2022.01406
    5. Centers for Medicare & Medicaid Services (2024). ACO REACH Model Performance Year 2024 Model Update: Health Equity Benchmark Adjustment. CMS Innovation Center web page. www.cms.gov/priorities/innovation/innovation-models/reach-py24-model-perf

    How to cite

    @misc{singh2026anatomyofdeprivation,
      author = {Singh, Vishal},
      title = {What the deprivation index measures},
      year = {2026},
      url = {https://vishalsingh.org/zipcode/anatomy-of-deprivation},
      note = {In ZIP Code Destiny. Published 9 October 2026.}
    }