Socioeconomic Drivers of Physical Morbidity Across U.S. Counties: A Spatial Causal Inference Approach

Fuente: arXiv
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Main Authors: Daw, Ranadeep, Evans, Hunter, Bhattacharya, Indrabati
Format: Preprint
Published: 2026
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author Daw, Ranadeep
Evans, Hunter
Bhattacharya, Indrabati
author_facet Daw, Ranadeep
Evans, Hunter
Bhattacharya, Indrabati
contents Identifying the causal effects of socioeconomic determinants on population health is of many great interests - from statistical methodology development to public health practitioners and policy developments. The statistical side of the problem needs to address several questions: spatial autocorrelation in both exposures and outcomes, confounding between treatments and covariates, and the need for geographically logical inference. We address these jointly by using spectral basis functions - Moran Eigenvector Maps and ICAR precision matrix eigenvectors - within a doubly robust generalized propensity score estimator for continuous treatments. Applied to 2022 county health data across the U.S. counties, the framework identifies the effect of six chosen predictors on the average physically unhealthy days per month. Possible further applications and methodological extensions are also discussed as future directions from this research.
format Preprint
id arxiv_https___arxiv_org_abs_2603_27095
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Socioeconomic Drivers of Physical Morbidity Across U.S. Counties: A Spatial Causal Inference Approach
Daw, Ranadeep
Evans, Hunter
Bhattacharya, Indrabati
Applications
Identifying the causal effects of socioeconomic determinants on population health is of many great interests - from statistical methodology development to public health practitioners and policy developments. The statistical side of the problem needs to address several questions: spatial autocorrelation in both exposures and outcomes, confounding between treatments and covariates, and the need for geographically logical inference. We address these jointly by using spectral basis functions - Moran Eigenvector Maps and ICAR precision matrix eigenvectors - within a doubly robust generalized propensity score estimator for continuous treatments. Applied to 2022 county health data across the U.S. counties, the framework identifies the effect of six chosen predictors on the average physically unhealthy days per month. Possible further applications and methodological extensions are also discussed as future directions from this research.
title Socioeconomic Drivers of Physical Morbidity Across U.S. Counties: A Spatial Causal Inference Approach
topic Applications
url https://arxiv.org/abs/2603.27095