Methods for retrospective geocoding in population studies: the Jackson Heart Study.

The increasing use of geographic information systems (GIS) in epidemiological population studies requires careful attention to the methods employed in accomplishing geocoding and creating a GIS. Studies have provided limited details,hampering the ability to assess validity of spatial data. The purpose of this paper is to describe the multiphase geocoding methods used to retrospectively create a GIS in the Jackson Heart Study (JHS). We used baseline data from 5,302 participants enrolled in the JHS between 2000 and 2004 in a multiphase process to accomplish geocoding2 years after participant enrollment. After initial deletion of ungeocodable addresses(n=52), 96% were geocoded using ArcGIS. An interactive method using data abstraction from participant records, use of additional maps and street reference files,and verification of existence of address, yielded successful geocoding of all but 13 addresses. Overall, nearly 99% (n=5,237) of the JHS cohort was geocoded retrospectively using the multiple strategies for improving and locating geocodable addresses. Geocoding validation procedures revealed highly accurate and reliable geographic data. Using the methods and protocol developed provided a reliable spatial database that can be used for further investigation of spatial epidemiology. Baseline results were used to describe participants by select geographic indicators, including residence in urban or rural areas, as well as to validate the effectiveness of the study's sampling plan. Further, our results indicate that retrospectively developing a reliable GIS for a large, epidemiological study is feasible. This paper describes some of the challenges in retrospectively creating a GIS and provides practical tips that enhanced the success.

Geostatistical modeling of the spatial distribution of soil dioxin in the vicinity of an incinerator. 2. Verification and calibration study.

A key component in any investigation of cause-effect relationships between point source pollution, such as an incinerator, and human health is the availability of measurements and/or accurate models of exposure at the same scale or geography as the health data. Geostatistics allows one to simulate the spatial distribution of pollutant concentrations over various spatial supports while incorporating both field data and predictions of deterministic dispersion models. This methodology was used in a companion paper to identify the census blocks that have a high probability of exceeding a given level of dioxin TEQ (toxic equivalents) around an incinerator in Midland, MI. This geostatistical model, along with population data, provided guidance for the collection of 51 new soil data, which permits the verification of the geostatistical predictions, and calibration of the model. Each new soil measurement was compared to the set of 100 TEQ values simulated at the closest grid node. The correlation between the measured concentration and the averaged simulated value is moderate (0.44), and the actual concentrations are clearly overestimated in the vicinity of the plant property line. Nevertheless, probability intervals computed from simulated TEQ values provide an accurate model of uncertainty: the proportion of observations that fall within these intervals exceeds what is expected from the model. Simulation-based probability intervals are also narrower than the intervals derived from the global histogram of the data, which demonstrates the greater precision of the geostatistical approach. Log-normal ordinary kriging provided fairly similar estimation results for the small and well-sampled area used in this validation study; however, the model of uncertainty was not always accurate. The regression analysis and geostatistical simulation were then conducted using the combined set of 53 original and 51 new soil samples, leading to an updated model for the spatial distribution of TEQ in Midland, MI.