Integrating spatial temperature and modeled health data requires compatible geographic units and valid treatment of prevalence estimates. This Houston-area study audits an intersected dataset and examines the sensitivity of its tract-level associations. Thirty health-prevalence fields exhibited an apparent multiplicative scaling pattern with record-specific factors. Reconstruction recovered 740 source tracts, including 659 under strict quality criteria. Identifier agreement was 434/435 (99.8%) in the directly checkable subset, not validation of all records; 642 assignments remained inferred, and the findings are conditional on the reconstructed crosswalk. Excluded tracts were cooler and less socially vulnerable. The reported land surface temperature (LST) field averaged 80.83 °F (27.13 °C); it was derived from Landsat 8 imagery acquired on 27 September 2022 using single-channel processing in ArcGIS Pro. This early-autumn observation is distinct from peak-summer or long-term heat exposure. LST had weak positive correlations with lack of health insurance (r = 0.199) and overall social vulnerability (r = 0.171). After adjustment for social vulnerability and tract share aged 65 years or older, standardized LST coefficients were 0.014 for lack of health insurance, −0.088 for obesity, −0.140 for current asthma, and −0.115 for stroke. In an eight-neighbor spatial-error specification, corresponding coefficients were 0.058, 0.021, −0.002, and −0.021; confidence intervals included zero for all three chronic-disease outcomes. Sensitivity analyses demonstrate that geographic selection, age composition, and spatial dependence materially affect interpretation. The principal contribution is the reproducible audit of the archived table; these ecological results do not establish heat-related disease risk or a validated basis for intervention targeting.
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