Estimating the accuracy of geographical imputation
Open accessAbstract
BACKGROUND: To reduce the number of non-geocoded cases researchers and organizations sometimes include cases geocoded to postal code centroids along with cases geocoded with the greater precision of a full street address. Some analysts then use the postal code to assign information to the cases from finer-level geographies such as a census tract. Assignment is commonly completed using either a postal centroid or by a geographical imputation method which assigns a location by using both the demographic characteristics of the case and the population characteristics of the postal delivery area. To date no systematic evaluation of geographical imputation methods ("geo-imputation") has been completed. The objective of this study was to determine the accuracy of census tract assignment using geo-imputation. METHODS: Using a large dataset of breast, prostate and colorectal cancer cases reported to the New Jersey Cancer Registry, we determined how often cases were assigned to the correct census tract using alternate strategies of demographic based geo-imputation, and using assignments obtained from postal code centroids. Assignment accuracy was measured by comparing the tract assigned with the tract originally identified from the full street address. RESULTS: Assigning cases to census tracts using the race/ethnicity population distribution within a postal code resulted in more correctly assigned cases than when using postal code centroids. The addition of age characteristics increased the match rates even further. Match rates were highly dependent on both the geographic distribution of race/ethnicity groups and population density. CONCLUSION: Geo-imputation appears to offer some advantages and no serious drawbacks as compared with the alternative of assigning cases to census tracts based on postal code centroids. For a specific analysis, researchers will still need to consider the potential impact of geocoding quality on their results and evaluate the possibility that it might introduce geographical bias.
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Most of these studies examined methods for imputing race/ethnicity data, although several looked at imputing geocoded patient addresses, and one looked at imputing occupational data.
“Most of these studies examined methods for imputing race/ethnicity data, although several looked at imputing geocoded patient addresses,67,69,70 and one looked at imputing occupational data.61”
From The quality of social determinants data in the electronic health record: a systematic review (2021) · cites this paper as [69]
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The quality of social determinants data in the electronic health record: a systematic review
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“suggesting that the above explanation is unlikely. A related concern about this study is that the inclusion of cases (18%) that lacked exact street addresses might result in potential misclassification of CT level characteristics, especially among rural CTs. Alternative approach such as “geo-imputation” would increase…”
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Self-citationSocial Determinants of Health Mediate COVID-19 Disparities in South Florida
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“We assigned Black race to cases residing in all ZIP codes with > 30% Black residents and cases in all other distributions were considered non-Hispanic White.(6) We used 2010 census data to describe median household income, race, and ethnicity distributions by ZIP code.”
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“Henry and Boscoe [17] saw a similar accuracy of 25.9% using total population as a weighting mechanism.”
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“To obtain cancer data with a high resolution and reduce spatial aggregation error, Henry and Boscoe (2008) used demographically-based geo-imputation to assign cancer cases from zip codes to census tracts [15].”
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“Henry and Boscoe (2008) cite eight studies that used the demographic characteristics of finer level census geographies to assign geographic locations to cases for which only their larger geographic areas were known [28].”
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“The 15% (300) of addresses that were geocodable to zip code level only were allocated to Census tract by a random assignment based imputation method and process which was weighted by demographic information (Henry & Boscoe, 2008; Hibbert et al., 2009).”
Turkish street addressing system and geocoding challenges
Yıldırım, V., Yomralıoğlu, T., Nişanci, R., & Inan, H. (2014) · doi:10.1680/muen.13.00008 · Cited by 16
“…national and international information infrastructures and determining geographical location features (Boqiu et al., 2010; Coetzee and Bishop, 2009; Coetzee and Cooper, 2007; Coetzee et al., 2008; Geymen et al., 2008; Henry and Boscoe, 2008; Lind, 2008; Zandbergen, 2008; Zandbergen, 2010).”
BackgroundBozigar, M., Lawson, A., Pearce, J., King, K., & Svendsen, E. (2020) · International Journal of Health Geographics · doi:10.1186/s12942-020-00203-7 · Cited by 13 · see citing works
Mennis, J., Mason, M., Coffman, D., & Henry, K. A. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15122740 · Cited by 12 · see citing works
Self-citationAvanasi, R., Shin, H.-M., Vieira, V., & Bartell, S. (2016) · Environmental Research · doi:10.1016/j.envres.2016.08.019 · Cited by 12 · see citing works
“Such imputation or geocoding at a coarse spatial resolution can introduce geographic bias/positional errors in the exposure classification (Henry and Boscoe, 2008; Zandbergen, 2009).”
BackgroundProcessing aggregated data: the location of clusters in health data
Buchin, K., Buchin, M., van Kreveld, M. V., Löffler, M., Luo, J., & Silveira, R. I. (2012) · GeoInformatica · doi:10.1007/s10707-011-0143-6 · Cited by 12
“[10, 19]).”
Goovaerts, P., Xiao, H., Gwede, C., Tan, F., Huang, Y.-J. X., Adunlin, G., & Ali, A. (2015) · Spatial Statistics · doi:10.1016/j.spasta.2015.07.002 · Cited by 11
“Geographical imputation (Henry & Boscoe, 2008; Sheehan et al., 2004) was used to allocate each of the 24,100 cases to a census tract based on the relative proportion of the ZIP code’s male population accounted for by each census tract for the decade when the case was diagnosed.”
MethodJünger, S. (2019) · doi:10.21241/ssoar.63688 · Cited by 11
“…Federation and the Länder (2016) Figure 5.3: Spatial Linking by Location with Immigrant Rates Data This method of spatial linking yet is prone to inaccuracy errors for the following reasons: First, geospatial data can be inaccurate through measurement errors or missing data (Henry & Boscoe, 2008).”
MethodInfluentialMulrooney, T., Foster, R., Jha, M., Beni, L., Kurkalova, L., Liang, C., Haoran, M., & Monty, G. (2021) · Applied Geography · doi:10.1016/j.apgeog.2021.102415 · Cited by 9 · see citing works
Stephens, J. M., Bensink, M., Bowers, C., & Hollenbeak, C. (2018) · Current Medical Research and Opinion · doi:10.1080/03007995.2017.1358158 · Cited by 9
Evaluation of geoimputation strategies in a large case study
Dilekli, N., Janitz, A. E., Campbell, J., & de Beurs, K. D. (2018) · International Journal of Health Geographics · doi:10.1186/s12942-018-0151-y · Cited by 9
Walter, S. R., & Rose, N. (2013) · Spatial and Spatio-temporal Epidemiology · doi:10.1016/j.sste.2013.04.005 · Cited by 9
Cappelletti, G., Chiara, F., Russo, C., Russo, P., D'Emilio, A., Costagliola, A., & Liguori, G. (2025) · Sustainability · doi:10.3390/su17072984 · Cited by 7
Sultan, T. I., Nasr, M. M., Khedr, A. E., & Abdou, R. (2013) · International Journal of Advanced Computer Science and Applications · doi:10.14569/ijacsa.2013.040127 · Cited by 5 · see citing works
A Multi-Constraint Monte Carlo Simulation Approach to Downscaling Cancer Data
Liu, L.-B., Cowan, L., Wang, F.-H., & Onega, T. (2025) · Health and Place · doi:10.1016/j.healthplace.2024.103411 · Cited by 6
Calculating census tract-based life expectancy in New York state: a generalizable approach
Talbot, T., Done, D. H., & Babcock, G. D. (2018) · Population Health Metrics · doi:10.1186/s12963-018-0159-3 · Cited by 6
“For the remaining records, we used the ZIP code or town or county along with race, ethnicity, and age to impute the 2010 census tract following the method of Henry and Boscoe [20].”
MethodInfluentialBetween national trends and local realities: Spatializing energy vulnerability in 16 EU countries
Lieth, J., Abel, D., & Jünger, S. (2025) · Energy Policy · doi:10.1016/j.enpol.2025.114695 · Cited by 6 · see citing works
Freeman, V. L., Boylan, E. E., Pugach, O., McLafferty, S., Tossas, K. Y., Watson, K. S., & Winn, R. A. (2017) · Cancer Causes & Control · doi:10.1007/s10552-017-0941-8 · Cited by 5 · see citing works
“of cancer rates estimated via areal interpolation [32, 34].”
Park, Y., & Ghosh, J. (2013) · ACM Transactions on Intelligent Systems and Technology · doi:10.1145/2508037.2508047 · Cited by 4
Spatial health effects analysis with uncertain residential locations
Reich, B., Chang, H. H., & Strickland, M. (2012) · Statistical Methods in Medical Research · doi:10.1177/0962280212447151 · Cited by 4
“The predictions are based on a Bayesian space–time hierarchical model that combines (1) observed PM2.”
InfluentialAccessibility of HIV Services in Philadelphia: Location-Allocation Analysis
Webster, J. L., Thorpe, L., Duncan, D., & Goldstein, N. D. (2022) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2022.06.011 · Cited by 3 · see citing works
Xu, X.-H., Hu, H., Ha, S., & Han, D. (2016) · Geospatial Health · doi:10.4081/gh.2016.482 · Cited by 3
Panagiotoglou, D. (2016) · doi:10.14288/1.0320896 · Cited by 3
“Since street blocks can support multiple complexes, the opportunity for overlap between centroids when precision is broadened is quite high and explains the significant drop in unique coordinates.(178,180) Conversely, in rural communities where individual postal codes span much larger geographic areas, the opportunity…”
BackgroundFang, X.-M., Sun, P., & Zimmerman, D. (2012) · doi:10.4310/sii.2012.v5.n2.a6 · Cited by 3
“These coarser locations may be combined with point-level and/or demographic data to make valid inferences for intensity or risk in the presence of geographic bias via either (a) coarseneddata maximum likelihood estimation procedures (Zimmerman, 2008b; Zimmerman and Fang, 2012), or (b) imputation of a surrogate point l…”
MethodLiu, L.-B., Wang, F.-H., & Onega, T. (2025) · Scientific Data · doi:10.1038/s41597-025-05254-8 · Cited by 2 · see citing works
“Various methods, such as multiple imputation (MI) 9,10 , geo-imputation 11,12 , dasymetric mapping 13–16 , geo-statistical interpolation 17 , and machine learning-based approaches 18,19 , have been employed for missing data handling and data downscaling.”
Community search signatures as foundation features for human-centered geospatial modeling
Sun, M.-M., Kamath, C., Agarwal, M., Muslim, A., Yee, H., Schottlander, D., Bavadekar, S., Efron, N., Shetty, S., & Prasad, G. (2024) · arXiv.org · doi:10.48550/arxiv.2410.22721 · Cited by 2
“Switching to using population weighted centroids may improve the performance on some tasks (Henry & Boscoe, 2008).”
MethodThe geography of COVID-19 vaccine completion by age in North Carolina, U.S.
Sandborn, H., Delamater, P., Brewer, N. T., Gilkey, M., & Emch, M. (2024) · PLoS ONE · doi:10.1371/journal.pone.0304812 · Cited by 2
Klaus, C. A., Henry, K. A., & Il'yasova, D. (2023) · International Journal of Health Geographics · doi:10.1186/s12942-023-00347-2 · Cited by 2
Self-citationOglesbee, S., Schafer, K. R., Kadish, M. P., Orozco, R., Chao, Z., & Sapién, R. (2022) · Journal of Emergency Nursing · doi:10.1016/j.jen.2022.02.002 · Cited by 2
Jones, R. R., Boscoe, F., Medgyesi, D., Fitzgerald, E., Hwang, S.-A., & Lin, S. (2020) · Spatial and Spatio-temporal Epidemiology · doi:10.1016/j.sste.2019.100322 · Cited by 2
Self-citationDilekli, N., Janitz, A. E., Martinez, S., Gopalani, S., Dougherty, T. M., Williams, A., Sabzi, H. Z., & Campbell, J. (2019) · Journal of Public Health Management and Practice · doi:10.1097/phh.0000000000000996 · Cited by 2
“Selecting a random point as opposed to a centroid avoids generating artificial clusters.(5) The same procedures were repeated for the AI population using the additional Census information to identify the proportion of AI in each census tract from the 2010 Tiger Maps.”
BackgroundMethodWang, X., Khattak, A., & Chen, J.-Y. (2013) · doi:10.3141/2382-02 · Cited by 2
A multi-source web geocoding optimization method based on road constraints
Wang, Z.-L., Zhou, W., Ding, L.-F., Zhu, X., Liu, Q., & Li, X. (2026) · International Journal of Digital Earth · doi:10.1080/17538947.2026.2677957 · Cited by 1
“These methods assume that the ‘consensus’ of multiple platforms is closer to the ground truth, effectively mitigating the influence of extreme outliers (Henry and Boscoe 2008; Yin, Ma, and Goldberg 2019).”
Carbonetti, G., Matteis, G. D., Zio, M. D., Fardelli, D., Ferrara, R., & Lipizzi, F. (2023) · Statistical Journal of the IAOS · doi:10.3233/sji-220113 · Cited by 1
“Applications on Census data and health studies can be found in [7–9] and references therein.”
Hawkins, J., & Habib, K. N. (2021) · Journal of Transport and Land Use · doi:10.5198/jtlu.2021.1854 · Cited by 1
“Such geo-imputation is common in the health sciences literature when developing models in the absence of data describing individuals (Curriero et al., 2010; Henry & Boscoe, 2008; Klassen & Platz, 2006).”
BackgroundSherman, R. L., Henry, K. A., & Lee, D. J. (2013) · HealthGIS '13 · doi:10.1145/2535708.2535714 · Cited by 1
Self-citationBurden of Infectious Diseases in War Inflicted Strip of Gaza
Hamza, M., Asif, S., Kalsoom, S., Asghar, H., & Haroon, K. (2025) · Journal of Contemporary Insights in Health Sciences · doi:10.69591/jcihs.3.1.5
“…infrastructure correlates with lower immunization coverage and contributes to the rise of diseases like malaria, polio, and measles, compounded by absent or unstable governments and poor coordination among health agencies, as seen during military conflicts in Afghanistan [19] and Ukraine [20].”
Identifying need for spay and neuter services: A GIS-based analysis
Carow, C. R., & Lindenmayer, J. M. (2023) · CABI One Health · doi:10.1079/cabionehealth.2023.0011
A mixed sampling strategy for partially geo-referenced finite populations
Dickson, M., Santi, F., Taufer, E., & Espa, G. (2021) · Spatial Statistics · doi:10.1016/j.spasta.2020.100477
Lieth, J., & Jünger, S. (2026) · Digital Geography and Society · doi:10.1016/j.diggeo.2025.100151
- Authors
- Henry, K. A., & Boscoe, F. P.
- Affiliations
- New Jersey Department of Health (US)
- New York State Department of Health (US)
- Corresponding author
- Henry, Kevin A
- Venue
- International Journal of Health Geographics
- Published
- 2008
- Volume
- 7
- Issue
- 1
- Pages
- 3
- ISSN
- 1476-072X (ISSN-L)
- PMC
- PMC2266732
- OpenAlex
- W2009389340
- Cited by
- 81
- References
- 45
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 8 · 2012: 8
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Health Geographics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- TUScholarShare (Temple University) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (n01pc54405-9-0-0)
- Centers for Disease Control and Prevention (HHSN261200544005C)
- National Cancer Institute (HHSN261200544005C, N01-PC-54405, N01 PC054405)
- National Center for Chronic Disease Prevention and Health Promotion (U58/DP000808)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Social Sciences › Decision Sciences › Management Science and Operations Research › Data Quality and Management
- Keywords
- geocoding, cancer registry data, breast cancer, prostate cancer, colorectal cancer, population density, geographic bias
- MeSH terms
- Breast Neoplasms, Demography, Female, Geography, Humans, Male, New Jersey, Population Density, Prostatic Neoplasms, Registries, Socioeconomic Factors, Colorectal Neoplasms, Topography, Medical, Geographic Information Systems
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