David C. Folch’s research while affiliated with Northern Arizona University and other places

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Publications (26)


Airborne Lead Exposure and Childhood Cognition: The Environmental Influences on Child Health Outcomes (ECHO) Cohort (2003-2022)
  • Article

March 2024

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32 Reads

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3 Citations

American Journal of Public Health

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Michael Willoughby

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Amii M Kress

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[...]

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Objectives. To examine whether a previously reported association between airborne lead exposure and children’s cognitive function replicates across a geographically diverse sample of the United States. Methods. Residential addresses of children (< 5 years) were spatially joined to the Risk-Screening Environmental Indicators model of relative airborne lead toxicity. Cognitive outcomes for children younger than 8 years were available for 1629 children with IQ data and 1476 with measures of executive function (EF; inhibitory control, cognitive flexibility). We used generalized linear models using generalized estimating equations to examine the associations of lead, scaled by interquartile range (IQR), accounting for individual- and area-level confounders. Results. An IQR increase in airborne lead was associated with a 0.74-point lower mean IQ score (b = −0.74; 95% confidence interval = −1.00, −0.48). The association between lead and EF was nonlinear and was modeled with a knot at the 97.5th percentile of lead in our sample. Lead was significantly associated with lower mean inhibitory control but not with cognitive flexibility. This effect was stronger among males for both IQ and inhibitory control. Conclusions. Early-life exposure to airborne lead is associated with lower cognitive functioning. ( Am J Public Health. 2024;114(3):309–318. https://doi.org/10.2105/AJPH.2023.307519 )



Simulation Approach Comparison. Note: The solid line in the histograms represents the resulting distribution from unadjusted inputs; the shaded area is the resulting distribution from the unadjusted replicate style inputs; the dashed line is the estimate
Summation examples for the analytic and simulation approaches
Relationship between correlation and deviation for the analytic and simulation approaches, Spanish language
Summing different numbers of inputs for the analytic and simulation approaches, persons below poverty
Proportion examples for the analytic and simulation approaches

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The Impact of Covariance on American Community Survey Margins of Error: Computational Alternatives
  • Article
  • Publisher preview available

June 2023

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41 Reads

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3 Citations

Population Research and Policy Review

The American Community Survey (ACS) is an indispensable tool for studying the United States (US) population. Each year the US Census Bureau (BOC) publishes approximately 11 billion ACS estimates, each of which is accompanied by a margin of error (MOE) specific to that estimate. Researchers, policy makers, and government agencies combine these estimates in myriad ways, which requires an accurate measurement of the MOE on that combined estimate. We compare three options for computing this MOE: the analytic approach uses standard statistically derived formulas, the simulation approach builds an empirical distribution of the combined estimate based on simulated values of the inputs, and the replicate approach uses simulated values published by the BOC based on their internal model that statistically replicates the entire ACS 80 times. We find that since the replicate approach is the only one of the three to incorporate covariance between the input variables, it performs the best. We further find that the simulation and analytic approaches generally match one another and can both overestimate and underestimate the MOE; they have their places when the replicate approach is not feasible.

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Day time, night time, over time: geographic and temporal uncertainty when linking event and contextual data

May 2021

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157 Reads

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7 Citations

Environmental Health

Background The growth of geolocated data has opened the door to a wealth of new research opportunities in the health fields. One avenue of particular interest is the relationship between the spaces where people spend time and their health outcomes. This research model typically intersects individual data collected on a specific cohort with publicly available socioeconomic or environmental aggregate data. In spatial terms: individuals are represented as points on map at a particular time, and context is represented as polygons containing aggregated or modeled data from sampled observations. Uncertainty abounds in these kinds of complex representations. Methods We present four sensitivity analysis approaches that interrogate the stability of spatial and temporal relationships between point and polygon data. Positional accuracy assesses the significance of assigning the point to the correct polygon. Neighborhood size investigates how the size of the context assumed to be relevant impacts observed results. Life course considers the impact of variation in contextual effects over time. Time of day recognizes that most people occupy different spaces throughout the day, and that exposure is not simply a function residential location. We use eight years of point data from a longitudinal study of children living in rural Pennsylvania and North Carolina and eight years of air pollution and population data presented at 0.5 mile (0.805 km) grid cells. We first identify the challenges faced for research attempting to match individual outcomes to contextual effects, then present methods for estimating the effect this uncertainty could introduce into an analysis and finally contextualize these measures as part of a larger framework on uncertainty analysis. Results Spatial and temporal uncertainty is highly variable across the children within our cohort and the population in general. For our test datasets, we find greater uncertainty over the life course than in positional accuracy and neighborhood size. Time of day uncertainty is relatively low for these children. Conclusions Spatial and temporal uncertainty should be considered for each individual in a study since the magnitude can vary considerably across observations. The underlying assumptions driving the source data play an important role in the level of measured uncertainty.


Proximity to sources of airborne lead is associated with reductions in Children's executive function in the first four years of life

March 2021

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33 Reads

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12 Citations

Health & Place

Although policies to remove lead from gasoline have resulted in a substantial reduction in airborne lead, multiple industries are known to generate lead that is released in the air. The present study examines the extent to which residential proximity to a documented source of airborne lead is associated with intellectual and executive function in children. Data were available for n = 849 children from the Family Life Project. Geolocation for children's residences between birth and 36 months were referenced against the Environmental Protection Agency's Risk Screening Environmental Indicators (RSEI) database, which estimates exposure for each ½ mile grid in the contiguous United States. Instrumental variable models were employed to estimate causal associations between exposure and cognitive outcomes measured at 36, 48, and 60 months, using census-documented density of manufacturing employment as the instrument. Models of continuous lead dosage indicated small negative effects for both child IQ and executive function (EF). These results indicate that RSEI estimates of airborne lead exposure are meaningfully associated with decrements in cognitive development.


Figure 5
Day Time, Night Time, Over Time: Geographic and Temporal Uncertainty When Linking Event and Contextual Data

May 2020

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83 Reads

Background: The growth of geolocated data has opened the door to a wealth of new research opportunities in the health fields. One avenue of particular interest is the relationship between the spaces where people spend time and their health outcomes. This research model typically intersects individual data collected on a specific cohort with publicly available socioeconomic or environmental aggregate data. In spatial terms: individuals are represented as points on map at a particular time, and context is represented as polygons containing aggregated or modeled data from sampled observations. Uncertainty abounds in these kinds of complex representations. Methods: We present four sensitivity analysis approaches that interrogate the stability of spatial and temporal relationships between point and polygon data. Positional accuracy assesses the significance of assigning the point to the correct polygon. Neighborhood size investigates how the size of the context assumed to be relevant impacts observed results. Life course considers the impact of variation in contextual effects over time. Time of day recognizes that most people occupy different spaces throughout the day, and that exposure is not simply a function residential location. We use eight years of point data from a longitudinal study of children living in rural Pennsylvania and North Carolina and eight years of air pollution and population data presented at 0.5 mile (0.805 km) grid cells. We first identify the challenges faced for research attempting to match individual outcomes to contextual effects, then present methods for estimating the effect this uncertainty could introduce into an analysis and finally contextualize these measures as part of a larger framework on uncertainty analysis. Results: Spatial and temporal uncertainty is highly variable across the children within our cohort and the population in general. For our test datasets, we find greater uncertainty over the life course than in positional accuracy and neighborhood size. Time of day uncertainty is relatively low for these children. Conclusions: Spatial and temporal uncertainty should be considered for each individual in a study since the magnitude can vary considerably across observations. The underlying assumptions driving the source data play an important role in the level of measured


The most and least socially vulnerable counties in California based on three different county-level input files (a) California, b FEMA Region IX (including Arizona, California, Hawaii, and Nevada), and c the entire USA. California has 58 counties. Areas labeled 1–5 (red) represent the most vulnerable counties, whereas scores 54–58 (blue) represent the least vulnerable counties. d The range in SoVI rankings for each California county based on the state, regional, and national SoVI analyses
results for changes in variable contributions and rank values due to changes in the geographic extent of the input. Input variables are listed in descending order of importance (net contribution) to the index (when constructed using all counties in the USA). The expected contribution to social vulnerability (positive or negative) is shown, as is the actual contribution at the national level. Variable instability is shown by “# of reversals.” The column counts the number of times a variable reverses its contribution to the index, from positive to negative or vice versa; the maximum number of reversals possible is 20. Instability in the relative importance of variables to the index is shown in “SoVI rank value” the observed range in ranks (from 1 being the most significant contributor to the index and 28 being the least)
Evaluating social vulnerability indicators: criteria and their application to the Social Vulnerability Index

January 2020

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1,191 Reads

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256 Citations

As a concept, social vulnerability describes combinations of social, cultural, economic, political, and institutional processes that shape socioeconomic differentials in the experience of and recovery from hazards. Quantitative measures of social vulnerability are widely used in research and practice. In this paper, we establish criteria for the evaluation of social vulnerability indicators and apply those criteria to the most widely used measure of social vulnerability, the Social Vulnerability Index (SoVI). SoVI is a single quantitative indicator that purports to measure a place’s social vulnerability. We show that SoVI has some critical shortcomings regarding theoretical and internal consistency. Specifically, multiple SoVI-based measurements of the vulnerability of the same place, using the same data, can yield strikingly different results. We also show that the SoVI is often misaligned with theory; increases in variables that contribute to vulnerability, like the unemployment rate, often decrease vulnerability as measured by the SoVI. We caution against the use of the index in policy making or other risk-reduction efforts, and we suggest ways to more reliably assess social vulnerability in practice.


FIGURE 1 Educational composition by share and median monthly salaries Brazil and USA -2010
FIGURE 2 Krugman index vs city size Selected Units -2010
FIGURE 3 Biplot for principal component analysis for creative class Brazil and USA -2010
Distribution of population by size of urban agglomerations Brazil and USA -2010
A A comparative study of urban occupational structures: Brazil and United States

December 2019

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69 Reads

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7 Citations

Revista Brasileira de Estudos de População

This paper compares the occupational structure of cities in Brazil and United States aiming to evaluate the extent to which the economic structure of these urban agglomerations is associated with the different stages of development, specifically when comparing a rich country with a developing one. Using a harmonized occupational database and microdata from the Brazilian 2010 Demographic Census and the U.S. American Community Survey (2008-2012), results show that Brazilian cities have a stronger connection between population size, both with occupational structure and human capital distribution, than the one found for cities in the United States. These findings suggest a stronger primacy of large cities in Brazil’s urban network and a more unequal distribution of economic activity across cities when compared to USA, indicating a strong correlation between development and occupational structure.


Connecting Points to Spatial Networks: Effects on Discrete Optimization Models

July 2019

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40 Reads

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12 Citations

Geographical Analysis

To accommodate network allocation, population polygons are frequently transformed into singular, weighted centroids which are then integrated into the network either by snapping each centroid to the nearest network segment or by generating an artificial connector that becomes part of the network. In this article, an investigation of the connection method of network allocation is undertaken with two primary foci: (1) how the density of centroid connectors effects travel cost along the network; and (2) how the algorithms utilized to determine the placement of connectors are affected by the density of connectors. We hypothesize that both issues have an effect on network travel cost and, therefore, on network‐based modeling. These hypotheses are tested on three nested spatial networks in the New England region of the United States. Two fundamental facility location models, the p‐median problem, and p‐center problem, are solved at each spatial extent while varying the density of connectors from one to four. When generating more than one connector thought must be given to the method of connection, the angle of dispersion, the acceptable tolerance of connector length, segment crossing, and saturated connectivity. A novel and thorough framework is proposed to address these concerns.


Who are the People in my Neighborhood?: The “Contextual Fallacy” of Measuring Individual Context with Census Geographies

February 2019

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69 Reads

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39 Citations

Geographical Analysis

Scholars frequently use counts of populations aggregated into geographic units like census tracts to represent measures of neighborhood context. Decades of research confirm that variation in how individuals are aggregated into geographic units can dramatically alter analyses conducted with these units. While most researchers are aware of the problem, they have lacked the tools to determine its magnitude or its capacity to affect analytical results obtained using these contextual measures. Using confidential access to the complete 2010 U.S. Decennial Census, we can construct—for all persons in the U.S.—individual‐specific contexts, which we group according to Census‐assigned block, block group, and tract. We compare these individual‐specific measures to the published statistics at each scale, and we then determine the degree to which published measures could be affected by how boundaries are drawn using a simple statistic, the standard deviation of individual context (SDIC). For three key measures (percent Black, percent Hispanic, and Entropy—a measure of ethno‐racial diversity), we find that block‐level Census statistics frequently contain a high degree of uncertainty meaning that they may not capture the actual context of individuals within them. More problematic, we uncover systematic spatial patterns in the uncertainty associated with contextual variables at all three scales.


Citations (21)


... For example, As, Cd, Mn, Pb mixed exposure, and Tl for prenatal exposure were negatively associated with the child cognitive composite score 13 . Early exposure to airborne Pb in childhood is associated with reduced cognitive function 14 . Sun et al. discovered that exposure to the mixture of multiple metals were associated with detrimental effects on cognitive flexibility in children 15 . ...

Reference:

Single and joint exposure of Pb, Cd, Hg, Se, Cu, and Zn were associated with cognitive function of older adults
Airborne Lead Exposure and Childhood Cognition: The Environmental Influences on Child Health Outcomes (ECHO) Cohort (2003-2022)
  • Citing Article
  • March 2024

American Journal of Public Health

... Policies to reduce poverty in the U.S., post the mid-1990s, have intensified inequality amongst the impoverished [86]. Additionally, the U.S. official poverty standard remains a 'unidimensional indicator', primarily focused on income [87]. Conversely, China's poverty alleviation standard is a 'multidimensional indicator', thoroughly considering aspects such as sustenance, housing, education, and healthcare, thereby fulfilling survival and basic living necessities while also embodying developmental demands [88]. ...

Patterns of Multidimensional Poverty in the United States
  • Citing Article
  • November 2023

... Here the denominator (spatial) comparison demonstrates that denominators should be speci c, intentional, and defended. Prior work indicates that while the discovery of geo-speci city in human infections is certainly not novel, the attribution of a geographic unit of report to different disease detection sensitivity is an important discovery [17][18][19][20][21] . Most geospeci city studies do not consider different heredity in their geographic comparisons as is done here. ...

Day time, night time, over time: geographic and temporal uncertainty when linking event and contextual data

Environmental Health

... Nevertheless, a remaining threat is lead emissions from industrial facilities [16][17][18][19]. It is known that airborne lead is released as a byproduct by more than 50 industries (e.g., battery manufacturing, coalred power plants, smelters, waste incinerators, etc.) [17,20]. ...

Proximity to sources of airborne lead is associated with reductions in Children's executive function in the first four years of life
  • Citing Article
  • March 2021

Health & Place

... As the importance of each social condition in the SVI likely varies with health outcomes, efforts have been made to refine the SVI to better target specific public health outcomes. These include considering additional community indicators beyond the 16 original variables, such as the female percentage [15], divorce rate [16], resident population density [17], minimum level of education [18], and unemployment rate [19], and/or using more sophisticated statistical methods, such as factor analysis [18,20], principal component analysis [21], the analytic hierarchy process [22,23], multi-criteria analysis [24], and machine learning [25], to derive the weights of the community variables considered in the model. Refinement of the SVI should also recognize that the weights can change over time, even with static community variables, due to external factors like policy interventions, behavioral patterns, or the dynamic nature of an epidemic. ...

Evaluating social vulnerability indicators: criteria and their application to the Social Vulnerability Index

... As IES são um diferencial para as regiões do país e o processo de desenvolvimento econômico considera a inovação e o conhecimento como fatores fundamentais de competitividade para os sistemas produtivos. A implantação das IES nestes municípios é vista como ação estratégica para o desenvolvimento local e incremento de sua centralidade e funções urbanas AMARAL, 2020;SCHERER et al., 2019), sendo estas fundamentalmente vinculadas aos investimentos locais e reforçando o recente movimento de interiorização urbana no país (SIMÕES; AMARAL, 2011), fenômeno também verificado em outras áreas como saúde (AMARAL et al., 2017a;2017b;2021). Esse processo ocorre pela necessidade de se adequar à nova realidade local, resultando no desenvolvimento por conta do aumento da demanda de docentes, técnicos e discentes no local (SILVA, 2015). ...

A A comparative study of urban occupational structures: Brazil and United States

Revista Brasileira de Estudos de População

... We acknowledge that network analysis is essential for measuring spatial accessibility as evidenced by recent research. However, connecting a centroid to the nearest node in a given road network dataset may obscure the true effects of centroid representation methods in measuring accessibility, potentially introducing additional errors due to network characteristics (Gaboardi et al., 2020). Therefore, we have chosen here to use Euclidean distance rather than road network distance. ...

Connecting Points to Spatial Networks: Effects on Discrete Optimization Models
  • Citing Article
  • July 2019

Geographical Analysis

... Weaver's introductory comments, in particular, anticipate the fundamental implications of inference with observational error, including variance inflation as well as the value of redundancy in recovering a corrupted message [83] (pp. [18][19][20][21][22]. Whereas the rules of grammar and spelling introduce redundancy into written language, SA introduces redundancy into social, health, and environmental variables. ...

Effects of a Government-Academic Partnership: Has the NSF-Census Bureau Research Network Helped Improve the U.S. Statistical System?

Journal of Survey Statistics and Methodology

... We chose not to include parental BMI in our models because we were unable to determine the BMI of most parents due to a lack of reported weight and height data. Finally, the statistical section may not accurately represent a child's neighborhood [65]. ...

Who are the People in my Neighborhood?: The “Contextual Fallacy” of Measuring Individual Context with Census Geographies
  • Citing Article
  • February 2019

Geographical Analysis

... However, SOMs, as with any other clustering method, can be affected by information loss when performing dimensionality reduction of input data. We applied a second clustering algorithm (a hierarchical algorithm, Ward's linkage) to reduce data further (Spielman & Folch, 2019) and have a hierarchy of clusters. However, the SOMs were useful for identifying important information in comments, by revealing the main issues that members of the public pointed out in terms of their needs and the urban environment. ...

Social Area Analysis and Self-Organizing Maps
  • Citing Chapter
  • January 2015