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The most socially vulnerable population in Downtown Boston was older women who had disabilities, limited English proficiency, rented, had a medical illness, no vehicle, and children in the household (r ≥ 0.765, P < 0.01). It should be noted that the Downtown area planning district includes Chinatown, West End, North End, and the Financial District. It is a mixture of residential and commercial and has the third largest Chinese neighborhood in the country (City of Boston, 2014). Downtown had the second largest percentage of older adults, renters, medical illness, and renters.