For Policy & Planning

Evidence for Action

Identify communities that succeed against the odds. Target resources where they're needed most. Evaluate geographic health equity at scale.

Policy-Relevant Insights

4 SD

Education vs. Incarceration Gap

College communities average +2.95 resilience; prison communities average -0.98. This 4 standard deviation gap raises questions about resource allocation and the health impacts of different institutional investments.

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9+ pts

Intra-County Inequality

Within single counties, resilience scores vary by 9+ points. County-wide policies may miss hyperlocal variation. Neighborhood-level targeting may be more effective.

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WV

Protective Factors in High-Burden Areas

West Virginia has America's highest health burden but near-average resilience. Understanding what works in challenging conditions can inform interventions elsewhere.

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New Research
0.43

Health Equity Gap (Modifiable)

Majority-minority communities average 0.43 SD lower resilience—but state variation from +1.87 SD (DC) to -0.89 SD (Mississippi) proves structural factors determine outcomes.

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New Research
2.6

Hispanic Paradox Is an Artifact

Aggregate Hispanic data masks 2.6 SD gap within Texas. South American communities thrive (+0.147) while Mexican-American border communities struggle (-1.08 SD). Policy implications differ.

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Policy Applications

Appropriate Uses

  • Identifying communities for qualitative follow-up research
  • Asset-based community development planning
  • Geographic targeting of health interventions
  • Evaluating community health equity across regions
  • Understanding variation within counties/states

Use with Caution

  • Justifying disinvestment from "resilient" communities
  • Making predictions about individual health
  • Punitive comparisons between communities
  • Replacing qualitative community input
  • Definitive claims about causation

Suggested Priority Areas

Based on our analysis, these intervention categories show the highest potential impact:

1

Education-Based Resilience

College towns demonstrate that educational infrastructure creates health spillovers. Community college expansion, workforce training, and early childhood education may produce long-term community health benefits.

2

Reentry Support Networks

Prison communities show dramatic resilience deficits. Investing in reentry support, community integration, and alternatives to incarceration could address the widest gaps in our data.

3

Hyperlocal Targeting

The 9+ point gaps within counties suggest that neighborhood-level interventions may be more effective than county-wide programs. Precision targeting of resources could improve outcomes.

4

Learning from High-Burden Successes

Communities like those in West Virginia that maintain resilience despite high burden may offer lessons. Qualitative research to understand protective factors could inform interventions.

Access the Data

All data is freely available for policy research. No registration or approval required. Download the full dataset or use our API for programmatic access.