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        <idAbs>&lt;p&gt;&lt;span style='color:#000000;'&gt;This data is included as part of the Environmental Health Disparities Version 3.0 map. To see this map, visit &lt;/span&gt;&lt;a target='_blank' href='https://doh.wa.gov/data-and-statistical-reports/washington-tracking-network-wtn/washington-environmental-health-disparities-map' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;our webpage&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;. For more technical information on this map and the model used, visit our &lt;/span&gt;&lt;a target='_blank' href='https://doh.wa.gov/sites/default/files/2026-04/EHDMapReport.pdf' rel='nofollow ugc noopener noreferrer'&gt;Environmental Health Disparities Map Report Version 3.0&lt;/a&gt;.&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Background&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;Transportation expenses are a key social determinant of health. For many, transportation takes up a large part of their budget. This can make it harder for people to afford other important things, like housing, food, or services such as healthcare.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;People in rural areas often face bigger challenges with transportation costs. These areas have longer distances and fewer public transportation options, so people rely more on private vehicles. Owning a car is more expensive than using public transportation and creates more pollution. Driving longer distances also costs more and produces more emissions. Rural areas may already have pollution from nearby highways and agricultural operations. Emissions from long drives add to this concern. Limited transportation options in rural areas also impacts safety. Transportation infrastructure gaps can make it harder to evacuate in emergencies like wildfires or floods. This puts people in rural areas at greater risk from environmental threats.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;Less financially supported households may live farther away from cities because that's where they can find cheaper housing. But living farther away means they also spend more on transportation, even though they are less likely to have the means to afford it.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;Transportation costs also affect health directly. When people can’t afford transportation, they may not get the medical care they need or may delay it. This can lead to long-term health problems, like chronic conditions, stress, and depression.&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Evidence&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;In the U.S., transportation is the second-largest household expense. People in rural areas spend more on transportation than those in cities [1]. Less financially supported households in rural areas tend to be located closer to highways, exposing residents to more air pollution [2]. High transportation costs can cause delays in medical care and worsen health problems [3, 4]. In rural areas, people may face more risk from things like wildfires, which can lead to respiratory problems and even death [5].&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Data source&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;This measure utilizes the transportation expense component, variable “T_80ami”, of the Housing and Transportation Index from the &lt;/span&gt;&lt;a target='_blank' href='https://htaindex.cnt.org/download/data.php' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;2019 data release from the Center for Neighborhood Technology (CNT)&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Methods&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;The U.S. Census Bureau’s American Community Survey (ACS) asks detailed questions on social and economic topics. This measure shows transportation costs as a percentage of income for a region’s average household. It incorporates data on auto ownership, auto use, and transit use from the 2019 ACS. ACS data is collected and processed, refer to &lt;/span&gt;&lt;a target='_blank' href='https://www.census.gov/programs-surveys/acs/library/handbooks.html' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;ACS General Data Users Handbooks&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;.&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;For more information, refer to &lt;/span&gt;&lt;a target='_blank' href='https://htaindex.cnt.org/about/method-2022.pdf' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;CNT Methodology documentation&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Caveats&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;The index is intended for use by researchers, developers, planners, and policymakers to enhance their understanding of the cost burden of transportation. Factors such as car ownership can change quickly, so this measure be less accurate than measures that change more slowly. Additionally, this measure relies on the median household income for the entire census tract, which makes it less likely to identify tracts with significant income disparities.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;This measure uses data from the ACS. The ACS is known to undercount some populations, especially people who do not have stable housing.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;This measure is aggregated across the census tract and does not represent each individual community within the tract. These data should always be supplemented with local data and equitable engagement for more accurate insights.&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Sources&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;ol&gt;&lt;li&gt;&lt;span style='color:#000000;'&gt;Bureau of Transportation Statistics. (2023). Transportation Economic Trends: Transportation expenditures by household income and geography. U.S. Department of Transportation. Retrieved from &lt;/span&gt;&lt;a target='_blank' href='https://data.bts.gov/stories/s/ida7-k95k' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;https://data.bts.gov/stories/s/ida7-k95k&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;&amp;nbsp;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span style='color:#000000;'&gt;American Lung Association. (2024). Who is at risk from air pollution? Retrieved from &lt;/span&gt;&lt;a target='_blank' href='https://www.lung.org/clean-air/outdoors/who-is-at-risk' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;https://www.lung.org/clean-air/outdoors/who-is-at-risk&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span style='color:#000000;'&gt;World Health Organization (WHO). (2012). Health and environmental impacts of transportation. WHO Regional Office for Europe.&amp;nbsp;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span style='color:#000000;'&gt;Cristancho, S., Peters, R., &amp;amp; Manderson, L. (2008). Transportation barriers to health care in rural areas: A case study. Journal of Rural Health, 24(4), 387-394.&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span style='color:#000000;'&gt;Giving Compass. (2024). The physical and mental toll of wildfire smoke on rural communities. Giving Compass. &lt;/span&gt;&lt;a target='_blank' href='https://givingcompass.org/article/the-physical-and-mental-toll-of-wildfire-smoke-on-rural-communities' rel='nofollow ugc noopener noreferrer'&gt;&lt;span style='color:#000000;'&gt;https://givingcompass.org/article/the-physical-and-mental-toll-of-wildfire-smoke-on-rural-communities&lt;/span&gt;&lt;/a&gt;&lt;span style='color:#000000;'&gt;&amp;nbsp;&lt;/span&gt;&lt;/li&gt;&lt;/ol&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;&lt;strong&gt;Citation&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&lt;span style='color:#000000;'&gt;Washington Tracking Network, Washington State Department of Health. Web. "Transportation Expense". Data obtained from the Center for Neighborhood Technology, 2022.&amp;nbsp;Published September 2025.&lt;/span&gt;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;</idAbs>
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        <idPurp>This layer, also referred to as a measure on the Environmental Health Disparities (EHD) Map, shows transportation costs as a percentage of a community’s average income. Each census tract is assigned a rank from 1 to 10 that indicates how the tract compares with other tracts, where 1 is the least impacted and 10 is the most impacted. Transportation costs directly affect how much money households have for other essentials, such as food and health care. High costs can be a burden for people with fewer financial resources. Communities with limited access to transit, such as rural areas, may have higher transportation costs. This layer was created to support the EHD Map and the Washington Tracking Network (WTN).</idPurp>
        <idCredit>This layer was created using data from the Center for Neighborhood Technology (CNT).</idCredit>
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    <mdContact>
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            <cntAddress addressType="postal">
                <city>Tumwater</city>
                <adminArea>WA</adminArea>
                <postCode>98501</postCode>
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        <role>
            <RoleCd value="006"/>
        </role>
        <rpOrgName>WADOH</rpOrgName>
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            <formatVer>Feature Layer</formatVer>
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                <enttypt Sync="TRUE">Feature Class</enttypt>
                <enttypc Sync="TRUE">0</enttypc>
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                <attalias Sync="TRUE">Shape</attalias>
                <attrtype Sync="TRUE">Geometry</attrtype>
                <attwidth Sync="TRUE">0</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="TRUE">Feature geometry.</attrdef>
                <attrdefs Sync="TRUE">Esri</attrdefs>
                <attrdomv>
                    <udom Sync="TRUE">Coordinates defining the features.</udom>
                </attrdomv>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Year</attrlabl>
                <attalias Sync="FALSE">Data Year</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">254</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="FALSE">Data year</attrdef>
            </attr>
            <attr>
                <attrlabl Sync="FALSE">CensusTract2020</attrlabl>
                <attalias Sync="FALSE">Census Tract 2020</attalias>
                <attrtype Sync="TRUE">String</attrtype>
                <attwidth Sync="TRUE">254</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="FALSE">11 digit 2020 census tract identifier</attrdef>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Households</attrlabl>
                <attalias Sync="TRUE">Households</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="FALSE">Total number of households considered in the calculation of this measure</attrdef>
            </attr>
            <attr>
                <attrlabl Sync="FALSE">TransportationCostPctIncome</attrlabl>
                <attalias Sync="FALSE">Transportation Cost Based on Percentage of Income</attalias>
                <attrtype Sync="TRUE">Integer</attrtype>
                <attwidth Sync="TRUE">4</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="FALSE">Transportation costs based on percentage of income for the regional moderate household</attrdef>
            </attr>
            <attr>
                <attrlabl Sync="FALSE">Transportation_Expense_Rank</attrlabl>
                <attalias Sync="FALSE">Transportation Expense Rank</attalias>
                <attrtype Sync="TRUE">Double</attrtype>
                <attwidth Sync="TRUE">8</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="FALSE">Decile ranking for transportation expense</attrdef>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Shape_Length</attrlabl>
                <attalias Sync="TRUE">Shape_Length</attalias>
                <attrtype Sync="TRUE">Double</attrtype>
                <attwidth Sync="TRUE">8</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="TRUE">Length of feature in internal units.</attrdef>
                <attrdefs Sync="TRUE">Esri</attrdefs>
                <attrdomv>
                    <udom Sync="TRUE">Positive real numbers that are automatically generated.</udom>
                </attrdomv>
            </attr>
            <attr>
                <attrlabl Sync="TRUE">Shape_Area</attrlabl>
                <attalias Sync="TRUE">Shape_Area</attalias>
                <attrtype Sync="TRUE">Double</attrtype>
                <attwidth Sync="TRUE">8</attwidth>
                <atprecis Sync="TRUE">0</atprecis>
                <attscale Sync="TRUE">0</attscale>
                <attrdef Sync="TRUE">Area of feature in internal units squared.</attrdef>
                <attrdefs Sync="TRUE">Esri</attrdefs>
                <attrdomv>
                    <udom Sync="TRUE">Positive real numbers that are automatically generated.</udom>
                </attrdomv>
            </attr>
        </detailed>
    </eainfo>
    <spatRepInfo>
        <VectSpatRep>
            <topLvl>
                <TopoLevCd Sync="TRUE" value="001"/>
            </topLvl>
            <geometObjs Name="TransportationExpenseV3">
                <geoObjTyp>
                    <GeoObjTypCd Sync="TRUE" value="002"/>
                </geoObjTyp>
                <geoObjCnt Sync="TRUE">0</geoObjCnt>
            </geometObjs>
        </VectSpatRep>
    </spatRepInfo>
    <spdoinfo>
        <ptvctinf>
            <esriterm Name="TransportationExpenseV3">
                <efeatyp Sync="TRUE">Simple</efeatyp>
                <efeageom Sync="TRUE" code="4"/>
                <esritopo Sync="TRUE">FALSE</esritopo>
                <efeacnt Sync="TRUE">0</efeacnt>
                <spindex Sync="TRUE">TRUE</spindex>
                <linrefer Sync="TRUE">FALSE</linrefer>
            </esriterm>
        </ptvctinf>
    </spdoinfo>
</metadata>