Estimands and decision rules
Each estimand answers a different part of the geographic-resolution question. No single statistic is treated as definitive by itself.
Within-community variance share
For tract value in community area , the observed-scale method-of-moments decomposition estimates between-area variance and within-area variance . The reported within-community share is:
A value near 0 indicates that community-area labels retain most observed tract variation. A larger value indicates more heterogeneity among tracts assigned to the same community area.
Percentile-rank gap
Within each condition-specific eligible tract population, average ranks were scaled to . The absolute rank gap was:
This compares relative position, not absolute percentage-point agreement.
Quartile disagreement
Fixed rank boundaries defined Q1 through Q4 at 0.25, 0.50, and 0.75. Exact agreement required the tract and linked coarser-area label to fall in the same quartile. The disagreement proportion was:
Average ranks resolved ties before applying the fixed boundaries.
Highest-quartile movement
The analysis counted tracts that moved into or out of Q4 after applying the coarser-area label. This was prespecified because the highest category is often used for prioritization. It remains a classification consequence, not a service need or intervention rule.
Concordance measures
- Spearman correlation described rank alignment.
- Quadratic weighted kappa described ordinal quartile agreement.
- Exact agreement reported the directly interpretable matched proportion.
- Unweighted Gwet AC1 was retained as a nominal sensitivity.
Area-label AUC
Leave-one-tract-out area-label AUC described whether tract values separated area labels after removing each tract from its own area summary. It was exploratory. It did not evaluate patient prediction, clinical discrimination, or external validity.