Abstract

We argue that the use of American Community Survey (ACS) data in spatial autocorrelation statistics without considering error margins is critically problematic. Public health and geographical research has been slow to recognize high data uncertainty of ACS estimates, even though ACS data are widely accepted data sources in neighborhood health studies and health policies. Detecting spatial autocorrelation patterns of health indicators on ACS data can be distorted to the point that scholars may have difficulty in perceiving the true pattern. We examine the statistical properties of spatial autocorrelation statistics of areal incidence rates based on ACS data. In a case study of teen birth rates in Mecklenburg County, North Carolina, in 2010, Global and Local Moran’s I statistics estimated on 5-year ACS estimates (2006–2010) are compared to ground truth rate estimates on actual counts of births certificate records and decennial-census data (2010). Detected spatial autocorrelation patterns are found to be significantly different between the two data sources so that actual spatial structures are misrepresented. We warn of the possibility of misjudgment of the reality and of policy failure and argue for new spatially explicit methods that mitigate the biasedness of statistical estimations imposed by the uncertainty of ACS data.

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