{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T18:27:01Z","timestamp":1787336821752,"version":"build-2736575974"},"reference-count":51,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>The Social Vulnerability Index (SVI), a measure designed to gauge a community\u2019s resilience to natural disasters, such as hurricanes or wildfires, has been increasingly adopted in community violence research to identify places at risk of firearm-related harms. We take stock of recent research on social vulnerability and critically assess the conceptual and empirical validity of the SVI in the context of community firearm violence. We first compare the measurement properties of the SVI with a conventional index of concentrated disadvantage (CDI) commonplace in social science research on community violence. We then compare the empirical associations between firearm violence and the SVI and CDI in a series of tract-level, cross-sectional models in 84 American cities. Our results demonstrate that the SVI consistently underperforms relative to the traditional measure of CDI and that the SVI\u2019s explanatory power derives almost entirely from its socioeconomic status subtheme. Conceptually, the SVI measures a community\u2019s capacity to absorb exogenous shocks, not the structural determinants of violence. Methodologically, its rank-based equal-weighting scheme weakens construct validity. We argue that the reliance on SVI in the realm of firearm research represents a form of conceptual drift that risks misdirecting prevention resources and mischaracterizing the community-level origins of firearm harms in the United States.<\/jats:p>","DOI":"10.1371\/journal.pone.0355673","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T17:32:06Z","timestamp":1787333526000},"page":"e0355673","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Misappropriating vulnerability: Assessing the utility of the social vulnerability index as a predictor of firearm violence"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3996-2237","authenticated-orcid":true,"given":"Matt","family":"Vogel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heeyoung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Kaser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoobin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"pone.0355673.ref001","unstructured":"Centers for Disease Control and Prevention. CDC WISQARS - web-based injury statistics query and reporting system. https:\/\/wisqars.cdc.gov\/. 2024. Accessed 2026 June 2."},{"key":"pone.0355673.ref002","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ypmed.2019.02.026","article-title":"Violent death rates in the US compared to those of the other high-income countries, 2015","volume":"123","author":"E Grinshteyn","year":"2019","journal-title":"Prev Med"},{"key":"pone.0355673.ref003","volume-title":"Divergent social worlds: neighborhood crime and the racial-spatial divide","author":"RD Peterson","year":"2012","edition":"1"},{"issue":"3","key":"pone.0355673.ref004","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1097\/TA.0000000000003896","article-title":"Social Vulnerability Index is strongly associated with urban pediatric firearm violence: An analysis of five major US cities","volume":"95","author":"AM Polcari","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"pone.0355673.ref005","doi-asserted-by":"crossref","first-page":"100130","DOI":"10.1016\/j.sipas.2022.100130","article-title":"Social vulnerability index and firearms: How neighborhood health disparities affect trauma outcomes","volume":"11","author":"S Spitzer","year":"2022","journal-title":"Surg Pract Sci"},{"key":"pone.0355673.ref006","doi-asserted-by":"crossref","first-page":"100155","DOI":"10.1016\/j.glmedi.2024.100155","article-title":"Social factors related to gun violence in urban United States","volume":"4","author":"JA McMillan","year":"2024","journal-title":"Journal of Medicine, Surgery, and Public Health"},{"issue":"5","key":"pone.0355673.ref007","article-title":"Association of community vulnerability and state gun laws with firearm deaths in children and adolescents aged 10 to 19 years","volume":"6","author":"EG Kwon","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"12","key":"pone.0355673.ref008","doi-asserted-by":"crossref","first-page":"112016","DOI":"10.1016\/j.injury.2024.112016","article-title":"\u201cUtility of social vulnerability index in trauma: A systematic review\u201d","volume":"55","author":"AJ Duncan","year":"2024","journal-title":"Injury"},{"issue":"1","key":"pone.0355673.ref009","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s40621-024-00539-9","article-title":"Using EMS data to explore community-level factors associated with firearm violence in North Carolina","volume":"11","author":"Y Tang","year":"2024","journal-title":"Inj Epidemiol"},{"issue":"2","key":"pone.0355673.ref010","article-title":"Community-level social vulnerability and patterns of adolescent injury","volume":"4","author":"EG Kwon","year":"2023","journal-title":"Annals of Surgery Open"},{"issue":"27","key":"pone.0355673.ref011","doi-asserted-by":"crossref","first-page":"873","DOI":"10.15585\/mmwr.mm7127a1","article-title":"County-Level Social Vulnerability and Emergency Department Visits for Firearm Injuries - 10 U.S. Jurisdictions, January 1, 2018-December 31, 2021","volume":"71","author":"ME Van Dyke","year":"2022","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"10","key":"pone.0355673.ref012","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.7326\/M24-0430","article-title":"Factors Associated with recurrent pediatric firearm injury: A 10-year retrospective cohort analysis","volume":"177","author":"ZM Miller","year":"2024","journal-title":"Ann Intern Med"},{"issue":"8","key":"pone.0355673.ref013","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.7326\/ANNALS-24-01576","article-title":"Evaluation of a region-wide hospital-based violence intervention program: A pilot cohort study","volume":"178","author":"KL Mueller","year":"2025","journal-title":"Ann Intern Med"},{"key":"pone.0355673.ref014","volume-title":"Recherches sur le penchant au crime aux diff\u00e9rens \u00e2ges","author":"A Quetelet","year":"1831"},{"key":"pone.0355673.ref015","volume-title":"Essai sur la statistique morale de la France","author":"AM Guerry","year":"1833"},{"key":"pone.0355673.ref016","volume-title":"Juvenile delinquency and urban areas: a study of rates of delinquents in relation to differential characteristics of local communities in american cities","author":"CR Shaw","year":"1942"},{"key":"pone.0355673.ref017","volume-title":"Neighborhoods and crime: the dimensions of effective community control","author":"RJ Bursik","year":"1993"},{"key":"pone.0355673.ref018","volume-title":"Great american city: Chicago and the enduring neighborhood effect","author":"RJ Sampson","year":"2013"},{"issue":"1","key":"pone.0355673.ref019","doi-asserted-by":"crossref","DOI":"10.2202\/1547-7355.1792","article-title":"A Social vulnerability index for disaster management","volume":"8","author":"BE Flanagan","year":"2011","journal-title":"Journal of Homeland Security and Emergency Management"},{"issue":"2","key":"pone.0355673.ref020","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/FCH.0000000000000421","article-title":"Social vulnerability index and health outcomes in the United States: A systematic review","volume":"48","author":"JK Higginbotham","year":"2025","journal-title":"Fam Community Health"},{"issue":"3","key":"pone.0355673.ref021","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1177\/10887679241252438","article-title":"Social vulnerability and firearm violence: An examination of the correlates of fatal and nonfatal shootings","volume":"30","author":"L Gill","year":"2024","journal-title":"Homicide Studies"},{"key":"pone.0355673.ref022","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jss.2023.08.058","article-title":"Geospatial analysis of social vulnerability, race, and firearm violence in Chicago","volume":"294","author":"C Dirago","year":"2024","journal-title":"J Surg Res"},{"issue":"5","key":"pone.0355673.ref023","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.amjmed.2024.01.030","article-title":"The potential influence of firearm violence on physical inactivity in the United States","volume":"137","author":"TE Kottke","year":"2024","journal-title":"Am J Med"},{"issue":"2","key":"pone.0355673.ref024","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1097\/TA.0000000000003228","article-title":"Can social vulnerability indices predict county trauma fatality rates?","volume":"91","author":"HM Phelos","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"pone.0355673.ref025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jsr.2024.05.012","article-title":"Association between social vulnerability factors and homicide and suicide rates - United States, 2016 - 2020","volume":"90","author":"AR Wulz","year":"2024","journal-title":"J Safety Res"},{"key":"pone.0355673.ref026","doi-asserted-by":"crossref","first-page":"117035","DOI":"10.1016\/j.socscimed.2024.117035","article-title":"Examining the role of social vulnerability, neighborhood characteristics, and geospatial patterns of firearm-related injuries and clinical outcomes in Milwaukee county","volume":"352","author":"CW Tomas","year":"2024","journal-title":"Soc Sci Med"},{"key":"pone.0355673.ref027","unstructured":"Sadecki EJ, Cronholm PF. RE: Using vulnerability indices to improve our measurement of structural racism in health services research. 2026."},{"key":"pone.0355673.ref028","doi-asserted-by":"crossref","DOI":"10.7208\/chicago\/9780226924656.001.0001","volume-title":"The truly disadvantaged: The inner city, the underclass, and public policy","author":"WJ Wilson","year":"2012"},{"key":"pone.0355673.ref029","volume-title":"Uneasy peace: The great crime decline, the renewal of city life, and the next war on violence","author":"P Sharkey","year":"2019"},{"issue":"1","key":"pone.0355673.ref030","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1146\/annurev-criminol-111523-122521","article-title":"Turning toward the community: Theory and evidence for the role of community-oriented organizations in the effort to confront violence","volume":"9","author":"P Sharkey","year":"2026","journal-title":"Annual Review of Criminology"},{"issue":"5328","key":"pone.0355673.ref031","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1126\/science.277.5328.918","article-title":"Neighborhoods and violent crime: A multilevel study of collective efficacy","volume":"277","author":"RJ Sampson","year":"1997","journal-title":"Science"},{"key":"pone.0355673.ref032","article-title":"WITHDRAWN: Relative deprivation, absolute deprivation, and homicide: Testing an interaction between income inequality and disadvantage","author":"B Burraston","year":"2018","journal-title":"Homicide Studies"},{"issue":"1","key":"pone.0355673.ref033","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1533-8525.2005.00009.x","article-title":"Evidence for elite convergence in cross-national homicide victimization trends, 1956 to 2000","volume":"46","author":"G LaFree","year":"2005","journal-title":"The Sociological Quarterly"},{"issue":"4","key":"pone.0355673.ref034","first-page":"1393","article-title":"Political Restraint of the Market and Levels of Criminal Homicide: A Cross- National Application of Institutional-Anomie Theory","volume":"75","author":"SF Messner","year":"1997","journal-title":"Social Forces"},{"issue":"1","key":"pone.0355673.ref035","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/00111287211039994","article-title":"Homicide, acquisitive crime, and inflation: A city-level longitudinal analysis","volume":"69","author":"R Rosenfeld","year":"2021","journal-title":"Crime & Delinquency"},{"issue":"1","key":"pone.0355673.ref036","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1111\/j.1745-9125.2003.tb00981.x","article-title":"Neighborhood disadvantage and the nature of violence*","volume":"41","author":"E Baumer","year":"2003","journal-title":"Criminology"},{"key":"pone.0355673.ref037","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1525\/sp.2010.57.2.205","article-title":"A dynamic view of neighborhoods: The reciprocal relationship between crime and neighborhood structural characteristics","volume":"57","author":"JR Hipp","year":"2010","journal-title":"Soc Probl"},{"issue":"4","key":"pone.0355673.ref038","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1007\/s11524-022-00656-0","article-title":"Inequities in community exposure to deadly gun violence by race\/ethnicity, poverty, and neighborhood disadvantage among youth in large US cities","volume":"99","author":"N Kravitz-Wirtz","year":"2022","journal-title":"J Urban Health"},{"key":"pone.0355673.ref039","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1177\/0003122420972323","article-title":"Triple disadvantage: Neighborhood networks of everyday urban mobility and violence in U.S. cities","volume":"85","author":"BL Levy","year":"2020","journal-title":"Am Sociol Rev"},{"issue":"6","key":"pone.0355673.ref040","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1007\/s11524-023-00796-x","article-title":"Reciprocal neighborhood dynamics in gun violence exposure, community health, and concentrated disadvantage in one hundred US cities","volume":"100","author":"DC Semenza","year":"2023","journal-title":"J Urban Health"},{"issue":"3","key":"pone.0355673.ref041","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1111\/1745-9125.12110","article-title":"SPatial dimensions of the effect of neighborhood disadvantage on delinquency*","volume":"54","author":"M VogeL","year":"2016","journal-title":"Criminology"},{"issue":"1","key":"pone.0355673.ref042","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1146\/annurev-criminol-032317-092026","article-title":"Immigration and Crime: Assessing a contentious issue","volume":"1","author":"GC Ousey","year":"2018","journal-title":"Annu Rev Criminol"},{"issue":"1","key":"pone.0355673.ref043","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s11069-019-03820-z","article-title":"Evaluating social vulnerability indicators: Criteria and their application to the social vulnerability index","volume":"100","author":"SE Spielman","year":"2020","journal-title":"Nat Hazards"},{"key":"pone.0355673.ref044","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.ijdrr.2015.09.013","article-title":"Social vulnerability to floods: Review of case studies and implications for measurement","volume":"14","author":"S Rufat","year":"2015","journal-title":"International Journal of Disaster Risk Reduction"},{"key":"pone.0355673.ref045","unstructured":"CDC. Social Vulnerability Index. Place and Health - Geospatial Research, Analysis, and Services Program (GRASP) 2024. https:\/\/www.atsdr.cdc.gov\/place-health\/php\/svi\/index.html Accessed July 28, 2026."},{"key":"pone.0355673.ref046","doi-asserted-by":"crossref","DOI":"10.4135\/9781412984256","volume-title":"Factor analysis: Statistical methods and practical issues","author":"JO Kim","year":"1978"},{"key":"pone.0355673.ref047","unstructured":"Sharkey P. American Violence. https:\/\/www.americanviolence.org\/. Accessed 2026 June 2."},{"issue":"1","key":"pone.0355673.ref048","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ssresearch.2010.04.013","article-title":"Spatial and temporal dimensions of neighborhood effects on high school graduation","volume":"40","author":"K Crowder","year":"2011","journal-title":"Soc Sci Res"},{"issue":"2","key":"pone.0355673.ref049","doi-asserted-by":"crossref","first-page":"307","DOI":"10.2307\/1912557","article-title":"Likelihood ratio tests for model selection and non-nested hypotheses","volume":"57","author":"QH Vuong","year":"1989","journal-title":"Econometrica"},{"issue":"3","key":"pone.0355673.ref050","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1080\/07418825.2024.2358018","article-title":"Neighborhood disadvantage, social groups, and adolescent violence: Assessing mechanisms in structural-cultural theories","volume":"42","author":"KJ Thomas","year":"2024","journal-title":"Justice Quarterly"},{"key":"pone.0355673.ref051","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2025-002087","article-title":"\u201cIt is nice, but it can\u2019t keep me safe\u201d: Perspectives on the effectiveness of hospital-based violence intervention programs","volume":"11","author":"W Wical","year":"2026","journal-title":"Trauma Surg Acute Care Open"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0355673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T17:32:14Z","timestamp":1787333534000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0355673"}},"subtitle":[],"editor":[{"given":"Saurav","family":"Guha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":51,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,21]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0355673","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]}}}