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In the mortality information, distances are measured from the geographic centroid of each SEA to the centroid of Macon County, Alabama For the NHIS outcomes, which are available at the state degree, we use county level black adult inhabitants statistics and geographic county centroids to create black population weighted state centroids which are used to assemble proximity as above These centroids characterize the typical latitude and longitude of black people in each state based mostly on the black inhabitants of counties 14We accessed the IHIS harmonized information, with location based treatment variables attached, inside Census Research Data Centers at Atlanta and Stanford In later years, the NHIS data have been linked to mortality information, however these linked knowledge usually are not available for our examine period.