Sims Kendra D, Glymour M Maria, Ncube Collette N, Willis Mary D
Department of Epidemiology, School of Public Health, Boston University, Boston, MA 02118, United States.
Am J Epidemiol. 2025 Mar 4;194(3):573-577. doi: 10.1093/aje/kwae244.
Measuring age-specific, contextual exposures is crucial for life-course epidemiology research. Longitudinal residential data offer a "golden ticket" to cumulative exposure metrics and can enhance our understanding of health disparities. Residential history can be linked to myriad spatiotemporal databases to characterize environmental, socioeconomic, and policy contexts that a person has experienced throughout life. However, obtaining accurate residential history is challenging in the United States due to the limitations of administrative registries and self-reports. In a recent article, Xu et al (Am J Epidemiol. 2024;193(2):348-359) detailed an approach to linking residential history sourced from LexisNexis Accurint to a Wisconsin-based research cohort, offering insights into challenges with collection of residential history data. Researchers must analyze the magnitude of selection and misclassification biases inherent to ascertaining residential history from cohort data. A life-course framework can provide insights into why the frequency and distance of moves is patterned by age, birth cohort, racial/ethnic identity, socioeconomic status, and urbanicity. Historical and contemporary migration patterns of marginalized people seeking economic and political opportunities must guide interpretations of residential history data. In this commentary, we outline methodological priorities for use of residential history in health disparities research, including contextualizing residential history data with determinants of residential moves, triangulating spatial exposure assessment methods, and transparently quantifying measurement error.
测量特定年龄的背景暴露对于生命历程流行病学研究至关重要。纵向居住数据为累积暴露指标提供了“黄金门票”,并能增进我们对健康差异的理解。居住史可以与众多时空数据库相链接,以描绘一个人一生中所经历的环境、社会经济和政策背景。然而,由于行政登记和自我报告的局限性,在美国获取准确的居住史具有挑战性。在最近的一篇文章中,Xu等人(《美国流行病学杂志》。2024年;193(2):348 - 359)详细介绍了一种将来自LexisNexis Accurint的居住史与一个基于威斯康星州的研究队列相链接的方法,为居住史数据收集方面的挑战提供了见解。研究人员必须分析从队列数据中确定居住史所固有的选择偏差和错误分类偏差的程度。一个生命历程框架可以提供见解,以解释为何搬家的频率和距离会因年龄、出生队列、种族/族裔身份、社会经济地位和城市化程度而呈现出特定模式。边缘化人群寻求经济和政治机会的历史和当代移民模式必须指导对居住史数据的解读。在这篇评论中,我们概述了在健康差异研究中使用居住史的方法学重点,包括将居住史数据与居住迁移的决定因素相结合、对空间暴露评估方法进行三角测量,以及透明地量化测量误差。