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Open AccessFeature PaperCommunication
Int. J. Environ. Res. Public Health 2018, 15(9), 1841; https://doi.org/10.3390/ijerph15091841

The Neighborhood Effect Averaging Problem (NEAP): An Elusive Confounder of the Neighborhood Effect

Department of Geography and Geographic Information Science, Natural History Building, 1301 W Green Street, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
Received: 30 July 2018 / Revised: 21 August 2018 / Accepted: 23 August 2018 / Published: 27 August 2018
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Abstract

Ignoring people’s daily mobility and exposures to nonresidential contexts may lead to erroneous results in epidemiological studies of people’s exposures to and the health impact of environmental factors. This paper identifies and describes a phenomenon called neighborhood effect averaging, which may significantly confound the neighborhood effect as a result of such neglect when examining the health impact of mobility-dependent exposures (e.g., air pollution). Several recent studies that provide strong evidence for the neighborhood effect averaging problem (NEAP) are discussed. The paper concludes that, due to the observed attenuation of the neighborhood effect associated with people’s daily mobility, increasing the mobility of those who live in disadvantaged neighborhoods may be helpful for improving their health outcomes. View Full-Text
Keywords: the neighborhood effect averaging problem (NEAP); human mobility; environmental exposure; the uncertain geographic context problem; UGCoP the neighborhood effect averaging problem (NEAP); human mobility; environmental exposure; the uncertain geographic context problem; UGCoP
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Kwan, M.-P. The Neighborhood Effect Averaging Problem (NEAP): An Elusive Confounder of the Neighborhood Effect. Int. J. Environ. Res. Public Health 2018, 15, 1841.

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