Housing Quality Research Articles

Comparative Statistical Analysis of Changes in Average Asking Prices for Housing in the Administrative Districts of Moscow

The article presents the results of a comparative analysis of the residential real estate market in nine administrative districts of Moscow in 2016 and 2024. The paper focuses on the features of housing price formation and considers factors influencing pricing, including socio-economic conditions and transport infrastructure. The study outlines the role of housing construction and the investment attractiveness of various districts of the capital.The authors used official data from Russia's largest real estate technology service (CIAN) on asking prices for apartments for sale depending on their parameters. The article draws on such indicators as the local average price per square meter of the total area of dwellings and the number of offers of apartments for sale. It is shown that apartment prices in two administrative districts (AO) of Moscow have a stable growth trend in 2024, which was not observed in 2016. It is concluded that the real estate markets in the districts of Moscow in 2016 (exception for the Central AO) were strongly differentiated in price offers in 2024, and, therefore, it is incorrect to use the average price per square meter of Moscow residential real estate as a characteristic of housing quality in 2024.The article lists events that influenced changes in the Moscow residential real estate market without specifying the relative strength of their impact. According to the authors, each event had its causes, but their almost simultaneous appearance led to tension in the housing market for all participants.In conclusion, the significant impact of inflation and the restoration of residential premises (after renting) on the growth of residential property values and the potential for using housing as an investment object is emphasized

Public perceptions of the health impacts of climate change: a survey study in Greece

Abstract Background Climate change is the biggest global health threat of the 21st century. Despite the tremendous challenges, many people remain unaware of the human health implications of climate change. People perceptions about the health harms of climate change can increase public support for the action needed to reduce climate change. The aim of this study was to examine the public perception of climate change as a human health issue in Greece. Methods A population survey study was conducted from October to December 2023 in the municipalities of Messini and Alexandroupoli, Greece, following proportional quota sampling. A questionnaire was developed and included measures about the socio-demographic background of participants, their understanding of key facts about climate change and their views about climate change thread to human health. Results 406 individuals with a mean age 37.7 (sd = 14.8) participated in the study. Participants understood that climate change is happening (93.6%) and 54% of them think climate change is mostly or entirely caused by human activities, whereas 38% think it is caused equally by human activities and natural causes, and about 8% think climate change is mostly or entirely caused by natural causes. A majority of participants reported that climate change has adversely affected the health of people in various way, either a moderate amount or a great deal, including physical or mental harm from forest fires (90%), physical or mental harm from storms and floods (87%), heat-related illnesses (82%), illness due to reduced outdoor air quality (70%) and loss of housing for residents displaced by extreme weather events (70%). Conclusions Participants viewed climate change as an important cause of health harm, however they partially understood that climate change is caused by humans. Public health authorities should educate the public and policymakers about the climate change and advocate for policies to address the human health challenges of climate change. Key messages • Public health authorities should educate the public and policymakers about the climate change problem and its impact to human health. • Providing people with information about the health harms of climate change can increase public support for the actions needed to reduce emissions.

Fostering long-term conviviality for refugees in the city: Inclusive, collaborative housing in Vienna

Vienna faces a ‘twofold housing and refugee crisis’ amid ongoing migration to Europe. As housing options become increasingly limited, refugees, migrants, and asylum seekers often struggle to find adequate housing, spending a disproportionate share of their income on substandard options. This research highlights progressive trends in Vienna’s refugee housing sector, particularly following the 2009 introduction of ‘Social Sustainability’ in building competitions by the City Council. This initiative has fostered several collaborative housing communities that support inclusive living. By analyzing four of these projects, the study identifies key factors that facilitate newcomers' social and spatial integration. Ultimately, the paper aims to advocate for newcomers’ right to quality housing, emphasizing the everyday and long-term challenges faced by inclusive communities striving for conviviality in a state of thrown togetherness.

The housing environment and its effect on Hispanic children with asthma

IntroductionSubstandard housing in Hispanic minority communities has been associated with detrimental effects on children with asthma that is affected by diverse indoor triggers. Identifying those triggers and offering adequate medical treatment and ways to prevent exposure to triggers will help reduce the number of asthma attacks among children who reside in Hispanic minority communities.ObjectiveOur study aimed to identify the influence of substandard housing quality and its effect on asthma symptoms. Our objectives included assessing the impact of building, flooring types, heating sources, window shading, parental smoking behaviors, moisture and mold in the home, ventilation, and owning a pet on asthma symptom occurrence.Materials and methodsOur study was based on a cross-sectional analytical study involving 353 individuals, their parents, and their homes. Logistic regression modeling was conducted to explain the dependence of each asthma symptom on the investigated independent variables, with child age and sex being investigated as covariables. A post hoc test was employed to ensure goodness of fit, and a pseudo-R square was calculated for each regression model. The Hosmer-Lemenshow test was performed post hoc to ensure goodness of fit, and models were preserved if p > 0.05.ResultsThe overall prevalence of asthma-related symptoms in our study sample was 19.37%, and sleeping quality was affected due to asthma in 23% of participating children. We also found that children living with asthma near agricultural fields were more prone to asthma-related symptoms, as well as those children living in homes with excessive moisture and those who kept stuffed toys or pets inside their rooms.ConclusionsOur study highlights how a variety of environmental factors, such as living near an agricultural area and having curtains, increases shortness of breath. Having leaks and excessive moisture in houses increases shortness of breath, wheezing, coughing, and rates of colds. Another important exposure is having a pet inside the house which increases chest tightness. A comprehensive understanding of these factors and how they impacted targeted participants, especially those who are Hispanic minorities and living in substandard housing, is essential for informing the design of effective interventions and improving respiratory health in the home environment.

The ecology of opportunity: connecting socioecological health and school achievement in Alabama

ABSTRACT This study investigates the association between school-level achievement and the relative health of the social environment in which children are embedded, to gain a more comprehensive understanding of how behavioural, social, physical, and socio-emotional contexts may holistically impact learning. While research has recognised how specific aspects of a child’s environment can impact learning, what is less understood is how multiple facets of socioecological conditions may holistically contribute to learning advantages or disadvantages. To address this, we combine seven years and over 9,000 observations of school-level achievement scores from the U.S. state of Alabama with a comprehensive scale of “socioecological health” – a measure that includes multiple indicators such as nutrition access, housing quality, neighbourhood violence, social supports, income inequality, and mental health access. We then employ a three-level hierarchical linear modelling approach to assess the association between socioecological health and school achievement. Results suggest that (1) higher levels of socioecological health are associated with higher levels of school achievement; (2) effects are strongest for older students and rural students; and (3) healthy behaviours, social supports, and positive physical environment correspond with higher school achievement. These results highlight the breadth to which social and environmental determinants may influence learning opportunities and underscores the need for a more holistic and inclusive approach to educational leadership and social policy.

Little disease but lots of bites: social, urbanistic, and entomological risk factors of human exposure to Aedes aegypti in South Texas, U.S.

Aedes aegypti presence, human-vector contact rates, and Aedes-borne virus transmission are highly variable through time and space. The Lower Rio Grande Valley (LRGV), Texas, is one of the few regions in the U.S. where local transmission of Aedes-borne viruses occurs, presenting an opportunity to evaluate social, urbanistic, entomological, and mobility-based factors that modulate human exposure to Ae. aegypti. Mosquitoes were collected using BG-Sentinel 2 traps during November 2021 as part of an intervention trial, with knowledge, attitudes, and practices (KAP) and housing quality surveys to gather environmental and demographic data. Human blood samples were taken from individuals and a Bitemark Assay (ELISA) was conducted to quantify human antibodies to the Ae. aegypti Nterm-34kDa salivary peptide as a measure of human exposure to bites. In total, 64 houses were surveyed with 142 blood samples collected. More than 80% of participants had knowledge of mosquito-borne diseases and believed mosquitoes to be a health risk in their community. Our best fit generalized linear mixed effects model found four fixed effects contributed significantly to explaining the variation in exposure to Ae. aegypti bites: higher annual household income, younger age, larger lot area, and higher female Ae. aegypti abundance per trap night averaged over 5 weeks prior to human blood sampling. Most surveyed residents recognized mosquitoes and the threat they pose to individual and public health. Urbanistic (i.e., lot size), social (i.e., income within a low-income community and age), and entomological (i.e., adult female Ae. aegypti abundance) factors modulate the risk of human exposure to Ae. aegypti bites. The use of serological biomarker assays, such as the Bitemark Assay, are valuable tools for surveillance and risk assessment of mosquito-borne disease, especially in areas like the LRGV where the transmission of target pathogens is low or intermittent.

Factors Influencing Teachers’ Turnover from Government Secondary Schools in Makete District, Tanzania

This study investigated about factors influencing teachers’ turnover from government secondary schools in Makete District, Tanzania. The study employed the descriptive design. The design was chosen because it is the best for fact finding studies. While the number of schools in Makete district was 120, only five schools were selected through simple random sampling. The target sample included 16 participants: five heads of schools, 10 teachers and one District Education Officer. The study used interviews as source of data. The researchers used a smart phone to record participants’ responses during interview sessions and then, the responses were transcribed verbatim. The study analyzed the data according to themes. The study concludes that there are various factors that cause teachers’ turnover from Secondary schools in Makete District. Such reasons include low salary, lack of teachers’ houses, misunderstanding at work place, heavy workload, lack of support from school administration and delayed promotion. In order to curb these, challenges, the government needs to recruit more teachers to meet the requirement of teachers in government secondary schools, especially in rural areas. There is a need to build teachers’ houses in order to accommodate them in quality houses. Finally, the government needs to provide special allowances for teachers working in remote areas like Makete.

The risk of energy hardship increases with extreme heat and cold in Australia

Climate change is shifting the experience of energy hardship. Here we examine the effect of the intensity, frequency, and duration of temperature extremes on energy hardship, and how this risk is shaped by individual, housing and neighbourhood resiliencies across Australia, using nationally representative data (269,500 observations) on energy hardship linked to temperature records between 2005 and 2021. Findings suggest that the risk of energy hardship increases with more intense extreme heat and cold, with greater risks for older individuals, lone-person or single-parent households, and rental tenants. These vulnerabilities can be offset by quality housing and renewable energy installations. Energy hardship risks under moderate and high emissions global warming scenarios are projected to increase by 0.1%−2.6% and 0.6%−3.3% respectively in the long run. Energy hardship will remain a concern despite raising temperatures, especially for colder regions less prepared for heat and populations with individual vulnerabilities and lacking housing and neighbourhood adaptations.

AnFiS-MoH: Systematic exploration of hybrid ANFIS frameworks via metaheuristic optimization hybridization with evolutionary and swarm-based algorithms

The adaptive neuro-fuzzy inference system (ANFIS) has shown promising performance in modeling nonlinear problems, leveraging the strengths of both neural networks and fuzzy inference systems. However, as the problem scale increases, the growing number of tunable parameters in ANFIS can make it challenging to optimize via traditional gradient-based methods alone. This study introduces AnFiS-MoH, a novel framework that synergistically integrates ANFIS with metaheuristic optimization algorithms to address these challenges. By leveraging the global search capabilities of metaheuristics such as ant colony optimization (ACO), particle swarm optimization (PSO), genetic algorithm (GA), and simulated annealing (SA), ANFIS-MOH enhances the parameter tuning process of ANFIS models. We evaluate ANFIS-MOH on benchmark datasets including Boston Housing and Wine Quality, demonstrating significant improvements in prediction accuracy and generalization compared to traditional ANFIS and neural network approaches. The proposed framework achieves up to 20% reduction in Mean Squared Error and 15% increase in R2 scores, particularly excelling in handling high-dimensional, noisy data. This work contributes to the field of hybrid intelligent systems by introducing effective ways to combine the strengths of ANFIS with powerful metaheuristic optimization algorithms. The findings suggest that such hybrid approaches can be effective in tackling challenging nonlinear modeling problems. Our code is available at https://github.com/AmbitYuki/Metaheuristic-Adaptive-ANFIS.

Health sciences training for disability inclusion: the need to engage with emotion

Material aspects of disability inequality, such as access to quality services, housing and employment, are an urgent, worldwide concern. Less recognised though, are psychological layers of prejudice and discrimination, which...

Impact of natural ventilation and outdoor environment on indoor air quality and occupant health in low-income tropical housing

Ventilation is pivotal in mitigating indoor pollutants and ensuring comfortable Indoor Air Quality (IAQ) levels globally. The outdoor environment and ventilation mechanisms significantly impact indoor air quality and occupant health. This research investigated the impact of natural ventilation (NV) and outdoor environment (OE) on indoor air quality (AQ) and occupant health (HI) in low-income housing in Kampala City, Uganda. The study followed a mixed methodology approach by employing self-administered questionnaires and statistical modeling using IBM® SPSS® Amos V24 to analyze the relationships between Natural Ventilation (NV), indoor Air Quality (AQ), Outdoor Environment (OE), and occupant health (HI). The research reveals a strong correlation (0.76) between NV and AQ. In contrast, correlations between AQ and OE (0.16) and NV and OE (0.08) are weak. Model comparative fit indices (CFI: 0.984, SRMR: 0.029, RMSEA: 0.053) indicate an excellent fit. Reliability is high with Cronbach's alpha (NV: 0.800, AQ: 0.862, OE: 0.782) and AVE values (NV: 0.832, AQ: 0.869, OE: 0.786). Significant positive relationships were found between NV and AQ and AQ and HI, highlighting the importance of natural ventilation in improving indoor air quality and occupant health. The study supports SDGs 3, 11, and 13, promoting sustainable building practices and promoting health, enhanced living conditions, and lower greenhouse gas emissions.

DESIGN ELEMENTS THAT QUALIFY HOUSING FOR SOCIAL INTEREST: CASE STUDY IN THE MUNICIPALITY OF CURIONÓPOLIS-PA

This article presents a study about the design limitations regarding Social Housing, observing approaches of flexibility, functionality, and adaptability included in the context of project aspects for family residences. These project elements can expand the perspectives for proposals of adapting the residences according to real families' demands and needs. This way, this research aims to carry out an approach about the main project elements to potentialize the quality of social housing from a bibliographical review, which grounded analyses in case studies carried out in Curionópolis-PA. The results comprise a synthesis of the fundamental concepts for the proposition of an alternative that comprehends the performance of these residences directed to the low-income public.

Analysing Delhi’s Prosperity: A Brief Commentary

Delhi is a historical hub for regional, national and international commerce and a place for the socio-political elites. The city is widely considered to be prosperous. This study is an attempt at understanding Delhi’s affluence using both existing literature and data from Aspirational India, Consumer Pyramids Household Survey, 2024, Economic Survey of Delhi, 2023–2024 and Multiple Indicator Survey, 2020–2021. The city of Delhi faces significant challenges in terms of housing quality, access to clean drinking water, electricity connections and asset ownership among different socio-economic groups. It is essential to work towards making these facilities and assets more equitable and accessible to all its residents. Furthermore, enhancing coordination among various levels of government is crucial to ensure a better quality of life for all individuals living in the city. Addressing the pressing issue of limited prosperity in Delhi requires urgent attention and action, given the financial struggles faced by its residents on a daily basis.

Wooden Käpylä - the birth of a garden city

ABSTRACT The Finnish Housing Reform Association was set up in 1910 to promote public housing with new social ideas in housing design. After World War I, the association took the initiative to design affordable housing for the district of Käpylä in Helsinki. Construction was postponed by the years of instability that followed the Civil War of spring 1918. In early 1920, the City of Helsinki organised the subscription of shares in the People's Housing Company Ltd. Four– or two–family houses and even dwellings consisting of a room and a kitchen were a huge improvement to rental barracks. The quality of housing further enhanced by garden plots and communal saunas. Construction of the district resulted in notable stylistic variety. The scale of the area and the new efficient timber construction system that aimed at affordability and short construction times made Wooden Käpylä exceptional. In 1960, a design competition was organised that, had it gone ahead, would have meant the destruction of the Käpylä. The competition drew sharp criticism, and in 1971 Wooden Käpylä became protected in the master plan. Today, the street plan offers surprising views and a sense of freedom relative to previous as well as concurrent enclosed blocks.

Home environments in an age of precarity

Environment-behavior research prior to the 2000s often portrayed homes as relatively self-contained, insular settings that provided residents refuge from the demands and distractions of the outside world—a kind of safe haven for domestic activities and family life. Residential security was viewed largely in relation to personal assets and the nearby environment, including one's capacity to afford high quality housing, defensible space design of the dwelling, and the absence of nearby threats such as fire and flood hazards, seismic risks, and undesirable land uses like oil drilling sites, landfills, and congested roadways. These proximal sources of residential precarity still play a role in people's lives, but their impacts on people are amplified nowadays by a variety of increasingly pervasive threats situated at societal and global levels such as climate change and extreme weather events, disease pandemics, rampant cybercrime, and growing worries about the spread of nuclear weapons. Also, the modern home has become a polyfunctional hub for both household and non-domestic activities, owing to the infusion of work, educational, and recreational activities into residences via their online connections to the outside world. We offer a social ecological analysis of the changing meanings and functions of home environments in the early 21st Century, and a conception of domestic precarity that highlights its links to broader existential concerns driven by societal and global forces. Future policies and environmental interventions to effectively curb residential precarity will require collaboration among individuals from multiple fields and between diverse organizations and institutions working at municipal, state, national and international levels.

Implementasi Program Rehabilitasi Sosial Rumah Tidak Layak Huni dalam Peningkatan Kualitas Hunian Masyarakat Berpenghasilan Rendah Pada Kelurahan Rungkut Kidul Kota Surabaya

Social rehabilitation of uninhabitable houses aims to restore social function and improve the quality of housing for the poor through improving the condition of the house and/or environmental infrastructure, either in whole or in part, by applying the spirit of mutual cooperation, togetherness and social values. the value of social solidarity in society. This research examines the implementation of the Social Rehabilitation Program for Uninhabitable Houses (RS-Rutilahu) in Rungkut Kidul Village, Surabaya City, with a focus on improving the quality of housing for low-income communities through collaboration between the government and the community. The aim of this research is to determine the implementation of the RS-Rutilahu program in improving the quality of housing for low-income communities in Rungkut Kidul Village. Based on David C. Korten's program implementation theory, this research examines three main aspects: the program itself, the implementing organization, and the beneficiaries. The research results show that this program has succeeded in achieving the house improvement target, but there are still obstacles related to community participation and strict administrative requirements. It is hoped that these findings can become a reference for increasing program effectiveness in the future. Social rehabilitation of uninhabitable houses aims to restore social function and improve the quality of housing for the poor through improving the condition of the house and/or environmental infrastructure, either in whole or in part, by applying the spirit of mutual cooperation, togetherness and social values. the value of social solidarity in society. This research examines the implementation of the Social Rehabilitation Program for Uninhabitable Houses (RS-Rutilahu) in Rungkut Kidul Village, Surabaya City, with a focus on improving the quality of housing for low-income communities through collaboration between the government and the community. The aim of this research is to determine the implementation of the RS-Rutilahu program in improving the quality of housing for low-income communities in Rungkut Kidul Village. Based on David C. Korten's program implementation theory, this research examines three main aspects: the program itself, the implementing organization, and the beneficiaries. The research results show that this program has succeeded in achieving the house improvement target, but there are still obstacles related to community participation and strict administrative requirements. It is hoped that these findings can become a reference for increasing program effectiveness in the future.

An assessment framework for smart and sustainable housing for older adults using analytic hierarchy process (AHP)

IntroductionWhile there is a call for smart and sustainable housing in general and for older adults in particular, little attention is paid to identifying the determinants of such housing and their extent of influence on the quality of life (QoL) of older adults. This study addresses the above gap by re-defining the criteria for house quality assessment, taking into account new needs of older inhabitants, while concerning digital assistive technologies.MethodsThis research uses various methods to identify and validate housing-related criteria and metrics, resulting in a transparent multi-criteria evaluation framework that accounts for the spatial needs of older adults. These include recommendations for multi-criteria decision-making method (MCDM/A), expert workshop to develop new metrics and validate sub-criteria, expert survey to prioritize criteria and sub-criteria and interviews with three employees in the construction-services sector in the Netherlands, to gain knowledge on smart and healthy environments.Results and DiscussionThe results show that age-friendliness of housing function is the most significant criterion, while availability of housing modifications for seniors most important sub-criterion. Our findings can benefit architects in designing improved age- friendly spaces, older adults in evaluating their dwellings and researchers from the field of architecture in selecting most relevant method for their study.

The effects of poor housing conditions on depressive symptoms in persons with disabilities: Do residence type and neighborhood resources matter?

BackgroundPoor housing conditions pose significant risks to the health of persons with disabilities. However, it is not well understood how and for whom the relationship between housing conditions and health is more pronounced. ObjectiveThis study aims to estimate the association between poor housing conditions and psychological health, and to explore whether residential characteristics, such as residence type and proximity to community resources, mitigate these risks for community-dwelling adults with disabilities. MethodsData were obtained from three waves of the Disability and Life Dynamic Panel (n = 5,165), a nationally representative study of individuals with disabilities in Korea. Our sample were limited to those aged 20 or older for the purpose of this study. Individual-level fixed effect analyses were conducted to assess the longitudinal association between poor housing conditions and depressive symptoms, accounting for individual-level heterogeneity. We also tested the moderating effects of the residential characteristics, including residence type and proximity to community resources. ResultsPoor housing conditions, characterized by structural unsafety and inadequate ventilation, lighting, and noise protection, were associated with increased depressive symptoms among adults with disabilities. The negative impact of poor housing conditions on depressive symptoms was less pronounced for those living close to community services or in apartment complexes where housing conditions are professionally managed. ConclusionsThe study indicates that the quality of housing and neighborhood environments affects the psychological health of adults with disabilities. These findings support for the need for place-based interventions aimed at improving the residential environments of community-dwelling adults with disabilities.

Radon mitigation in Native communities: A partnership between a tribal health clinic and University of Wisconsin Carbone Cancer Center.

44 Background: Radon is the second leading cause of lung cancer in the United States, and the Native communities in Wisconsin bear an outsized burden of lung cancer. Radon testing is attainable for these communities, but the cost of one-time mitigation is high and out of reach for many. The University of Wisconsin Carbone Cancer Center (UWCCC) partnered with the Stockbridge-Munsee Band of the Mohican Nation (S-M) Health Center to test homes for radon levels and mitigate (repair) those structures when levels were high to mitigate a structural barrier of health. Prior tests had suggested 10% of homes across Wisconsin test “high” for radon (above 4 pCi/L). The mean radon level among tested homes in Wisconsin is 5.7 pCi/L (American Lung Association, Radon Testing Disparities: Wisconsin, 2022). Methods: The project was co-developed with the UW and S-M. A key partner was the Wisconsin Radon Program, housed at the Wisconsin Department of Health Services. We aimed to educate, test for radon, and mitigate all homes that tested high for radon. Education, promotion of the program and testing were done in collaboration between state, university, and tribal officials. The environmental health and community health coordinators at S-M was the key person for distributing and ensuring the return of kits. Mitigation was performed by a private certified contractor over the project. We used descriptive statistics to evaluate the percentage of Wisconsin homes that tested high for radon in our sample. We also surveyed community members about their satisfaction with the mitigation contractor. Results: This project was done from April 2023 to April 2024. Staff reported educational sessions were successful in improving their knowledge of radon and testing and mitigation procedures. The S-M had 1822 enrolled tribal members at the start of the study. A total of 85 kits were distributed, with 64 returned (75.3% return rate). Of those, 42 of 64 tested positive for high radon in the home (65.6%), much higher than the expected 10% positive rate. The mean radon level among all homes was 14.1 pCi/L (0-111.6pCi/L) and 18.7 pCi/L among homes that tested positive. All homes testing high have completed radon mitigation. All reported their homes could not have been mitigated without this collaboration. The community was satisfied with the services of the certified contractor. Conclusions: Radon levels were much higher than anticipated in Native lands in Wisconsin and may explain higher rates of lung cancer. Cancer centers are key partners in addressing high radon levels and mitigating structural determinants of health among Native communities, such as with housing quality.

Journey towards equity: Unveiling the relationship between patient travel distance and social vulnerability among patients with cancer.

158 Background: Patient travel distance is a significant barrier to accessing high-quality cancer care, impacting patient outcomes. Factors such as geographic location, transportation infrastructure, and socio-economic status contribute to variations in patient travel distance. The relationship between patient travel distance and the area deprivation index (ADI), a measure of socioeconomic disadvantage (based on income, education, employment, and housing quality) and social vulnerability of neighborhoods developed by the Health Resources & Services Administration (HRSA), remains largely unexplored. This abstract seeks to unveil the intricate relationship between patient travel distance and ADI, shedding light on the impact of social vulnerability on cancer care access. Methods: Using patient ZIP code data and practice location data from April 2023 to March 2024, we calculated the straight-line, one-way, patient-clinic travel distance (travel distance). We then derived the ADI for patient ZIP codes using geospatial mapping techniques and compared travel distances by area deprivation vulnerability categories. Results: While analyzing geographic data for 20,000 patients at 5 locations, we observed that 89% of patients traveled 15 miles or less one-way to reach the practice location, with a median travel distance of 5 miles. Median travel distance in miles for patients within 15 miles of each practice location by ADI vulnerability category is provided (Table). Median travel distances between ADI categories were statistically significant (Kruskal Wallis H-test, p <0.001). Patients from the most disadvantaged neighborhoods generally travel longer distances to access cancer care. Conclusions: Patients in socially vulnerable locales generally travel longer distances to access cancer care. By considering the ADI alongside patient travel distance, healthcare providers and policymakers can understand barriers faced by disadvantaged populations and allocate resources to reduce disparities in access to care. Targeted interventions and policies, like improving transportation services/infrastructure, empowering community-based care locations, and expanding telehealth, are necessary to address travel distance disparities for vulnerable populations. The effects of increased travel distance on timely access to care, treatment adherence, health outcomes, finances, caregivers, and patient satisfaction warrant further investigation. Location Site Category Within 15 miles of the practice location % of patients Median travel distance (in miles) by overall ADI vulnerability Highest (8, 9, 10 ADI Rank) Mid High (5, 6, 7 ADI Rank) Low (1, 2, 3, 4 ADI Rank) A Suburban Metro 89.8% 13.5 2.2 4.7 B Suburban Small Town 86.7% 12.5 13.03 8.5 C Suburban Metro 85.1% 14.9 9.4 5.9 D Suburban Metro 90.9% 12.9 9.6 4.7 E Urban Metro 93.6% 12.9 4.8 2.7 ALL 89% 12.5 6.3 5.0