Exploring Spatial Inequities and Livability: A Mixed-Methods Study Using Artificial Intelligence and Community Insights

Rapid urbanization has intensified health and social inequities through the uneven distribution of infrastructure, services, and public space. In St. Louis, Missouri (USA), these disparities remain geographically concentrated and rooted in long-standing patterns of racial segregation and disinvestment. This study examines how spatial inequities shape urban livability by integrating scalable artificial intelligence (AI) methods with community-based insights. We applied a vision-language model (VLM), supported by a large language model (LLM), to classify micro-scale built-environment features from 7848 Google Street View segments, and conducted semi-structured interviews with residents and stakeholders. The AI analysis revealed baseline infrastructure such as street lighting (84.9%) and continuous pavements (77%), but very low coverage of universal design features such as curb ramps (9.7%) and pedestrian crossings (7.1%). These deficits were significantly associated with lower median incomes and higher proportions of non-Hispanic Black residents. Qualitative findings confirmed and contextualized these patterns, linking them to historical redlining, fragmented governance, and everyday experiences of constrained mobility and safety. By combining scalable AI tools with community narratives, this study demonstrates that spatial inequities are both visible in the physical streetscape and embodied in daily life. Methodologically, it advances the use of VLM and LLM-enabled pipelines for urban audits; conceptually, it reframes livability metrics through the lens of spatial equity; and practically, it provides a replicable framework for equity-centered planning.

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Publication Details

Journal
Journal of Urban Health
Published
2026-11-02
DOI
https://doi.org/10.1007/s11524-026-01170-3
Primary Topic
Urban Transport and Accessibility
Type
article
Field-Weighted Citation Impact
0.00

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article

Exploring Spatial Inequities and Livability: A Mixed-Methods Study Using Artificial Intelligence and Community Insights

Rodrigo Siqueira Reis, Ana Luiza Favarão Leão, Eric P. Xing, S. P Kumar Gudapati et al.
5 links
Journal of Urban Health
Urban Transport and Accessibility
article

Exploring Spatial Inequities and Livability: A Mixed-Methods Study Using Artificial Intelligence and Community Insights

Rodrigo Siqueira Reis, Ana Luiza Favarão Leão, Eric P. Xing, S. P Kumar Gudapati, Nathan Jacobs, Mariam Balogun, Bernard F. Banda, Maryse Rios-Hernandez, Yi Wang
article en

Abstract

Rapid urbanization has intensified health and social inequities through the uneven distribution of infrastructure, services, and public space. In St. Louis, Missouri (USA), these disparities remain geographically concentrated and rooted in long-standing patterns of racial segregation and disinvestment. This study examines how spatial inequities shape urban livability by integrating scalable artificial intelligence (AI) methods with community-based insights. We applied a vision-language model (VLM), supported by a large language model (LLM), to classify micro-scale built-environment features from 7848 Google Street View segments, and conducted semi-structured interviews with residents and stakeholders. The AI analysis revealed baseline infrastructure such as street lighting (84.9%) and continuous pavements (77%), but very low coverage of universal design features such as curb ramps (9.7%) and pedestrian crossings (7.1%). These deficits were significantly associated with lower median incomes and higher proportions of non-Hispanic Black residents. Qualitative findings confirmed and contextualized these patterns, linking them to historical redlining, fragmented governance, and everyday experiences of constrained mobility and safety. By combining scalable AI tools with community narratives, this study demonstrates that spatial inequities are both visible in the physical streetscape and embodied in daily life. Methodologically, it advances the use of VLM and LLM-enabled pipelines for urban audits; conceptually, it reframes livability metrics through the lens of spatial equity; and practically, it provides a replicable framework for equity-centered planning.

Journal of Urban Health
Universidade Estadual de Londrina (BR), Washington University in St. Louis (US), Carnegie Mellon University (US)
Universidade Estadual de Londrina
Reduced inequalities, Sustainable cities and communities
Openalex Percentile: Top 89%
Urban Transport and Accessibility
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