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Full-Text Articles in Social and Behavioral Sciences

States’ Covid-19 Restrictions Were Associated With Increases In Drug Overdose Deaths In 2020, Douglas A. Wolf, Shannon M. Monnat, Jennifer Karas Montez, Emily E. Wiemers, Elyse Grossman May 2024

States’ Covid-19 Restrictions Were Associated With Increases In Drug Overdose Deaths In 2020, Douglas A. Wolf, Shannon M. Monnat, Jennifer Karas Montez, Emily E. Wiemers, Elyse Grossman

Center for Policy Research

Drug overdoses surged in the U.S. during the COVID-19 pandemic. Public health experts raised concerns in the pandemic’s early months about how the pandemic and the policies enacted to stem it might increase overdose risk. This brief summarizes the findings of a paper that used national data to identify how states’ COVID-19 policies affected drug overdose rates among U.S. adults ages 25-64 during the first year of the pandemic. Results show that counties located in states that adopted more aggressive in-person activity restrictions experienced larger increases in 2020 than counties located in states with fewer limitations. State economic support policies …


Suicide Rates Are Lower In Places With More Social Infrastructure, Xue Zhang, Danielle Rhubart, Shannon M. Monnat May 2024

Suicide Rates Are Lower In Places With More Social Infrastructure, Xue Zhang, Danielle Rhubart, Shannon M. Monnat

Population Health Research Brief Series

Suicide rates among working-age adults (ages 25-64) in the United States are high, rising, and unequal across the country. Social infrastructure (SI), such as libraries, community centers, coffee shops, and entertainment venues, may reduce suicide risk by improving social cohesion, social support, and information and resource sharing. This data slice shows that suicide rates among working-age adults in 2016-2019 were significantly lower in counties with more SI, even after accounting for county-level differences in demographic composition (e.g., age, race/ethnicity, education), health care availability, and metropolitan status.


States’ Covid-19 Restrictions Were Associated With Increases In Drug Overdose Deaths In 2020, Douglas A. Wolf, Shannon M. Monnat, Jennifer Karas Montez, Emily E. Wiemers, Elyse Grossman May 2024

States’ Covid-19 Restrictions Were Associated With Increases In Drug Overdose Deaths In 2020, Douglas A. Wolf, Shannon M. Monnat, Jennifer Karas Montez, Emily E. Wiemers, Elyse Grossman

Population Health Research Brief Series

Drug overdoses surged in the U.S. during the COVID-19 pandemic. Public health experts raised concerns in the pandemic’s early months about how the pandemic and the policies enacted to stem it might increase overdose risk. This brief summarizes the findings of a paper that used national data to identify how states’ COVID-19 policies affected drug overdose rates among U.S. adults ages 25-64 during the first year of the pandemic. Results show that counties located in states that adopted more aggressive in-person activity restrictions experienced larger increases in 2020 than counties located in states with fewer limitations. State economic support policies …


Which Demographic Groups And Which Places Have The Highest Drug Overdose Rates In The U.S.?, Shannon M. Monnat Mar 2023

Which Demographic Groups And Which Places Have The Highest Drug Overdose Rates In The U.S.?, Shannon M. Monnat

Population Health Research Brief Series

Although the drug overdose crisis has affected all demographic groups and places in the United States, overdose rates are much higher in some sub-populations and places than others. This brief describes demographic and geographic differences in fatal drug overdose rates from 1999-2020. Throughout most of this period, fatal drug overdose rates were highest among young and middle-aged adult White and Native American males and middle-aged and older Black males. Rates have been consistently highest in Appalachia, but in recent years have spread throughout several regions in urban and rural areas alike. Although opioids have been the main contributor, cocaine- and …


U.S. Counties With Higher Drug Overdose Rates Have Lower School Test Scores, Rajeev Darolia, Sam Owens, John Tyler Mar 2023

U.S. Counties With Higher Drug Overdose Rates Have Lower School Test Scores, Rajeev Darolia, Sam Owens, John Tyler

Population Health Research Brief Series

The impacts of the contemporary U.S. drug overdose crisis on child and family wellbeing have been profound. This brief describes the link between county-level opioid overdose rates and children’s test scores, finding that counties with higher overdose rates have lower average 3rd and 8th-grade test scores than counties with lower overdose rates. The relationship between higher overdose rates and lower test scores is particularly strong in rural counties. The places with the highest overdose rates and lowest test scores tend to be economically-disadvantaged, suggesting that economic investments may be needed to address the issue.


Counties With Higher Prescription Opioid Presence Have Slower Student Learning Rates, Jessica Drescher, Carrie Townley-Flores Mar 2023

Counties With Higher Prescription Opioid Presence Have Slower Student Learning Rates, Jessica Drescher, Carrie Townley-Flores

Population Health Research Brief Series

The adverse impacts of the U.S. opioid crisis have been documented in many domains, but surprisingly little attention has been directed to understanding how the opioid crisis has affected children’s educational outcomes. This brief shows that students in counties with high levels of opioid prescribing are learning more slowly over time than their peers in counties with low levels of opioid prescribing. In addition to directing more support to schools, the authors advocate for policies that address the underlying social conditions that lead to prescription opioid misuse.


State Covid-19 Policies That Restricted In-Person Interaction And Provided Economic Support Saved Lives During The First Year Of The Pandemic, Yue Sun, Erin Bisesti Feb 2023

State Covid-19 Policies That Restricted In-Person Interaction And Provided Economic Support Saved Lives During The First Year Of The Pandemic, Yue Sun, Erin Bisesti

Population Health Research Brief Series

States varied dramatically in their implementation of policies to mitigate coronavirus spread and provide financial safety nets to residents who may have been struggling with the pandemic’s economic fallout. These differences may have contributed to variations in COVID-19 mortality rates between states. This brief summarizes the results of a recent study examining how U.S. states’ COVID-19 policies were related to COVID-19 mortality rates from April to December 2020. The findings show that states that enacted policies restricting in-person interaction and providing economic support to residents had lower COVID-19 death rates than states without these policies. Over 29,000 lives could have …


State Policy & Politics Database (Sppd), Jennifer Karas Montez Nov 2022

State Policy & Politics Database (Sppd), Jennifer Karas Montez

Center For Aging and Policy Studies

The State Policy & Politics Database (SPPD) is a compilation of annual data on state policies and politics that are particularly relevant for population health. The SPPD includes several categories of policies, including labor and economic policies (e.g., minimum wage levels, right to work laws), social safety net policies (e.g., earned income tax credits, SNAP), behavior-related policies (e.g., tobacco taxes, opioid prescribing), as well as the political ideology of the states’ government and citizens. Most measures are available annually from 1980 to 2021.


State Policy & Politics Database (Sppd), Jennifer Karas Montez Nov 2022

State Policy & Politics Database (Sppd), Jennifer Karas Montez

Center For Aging and Policy Studies

The State Policy & Politics Database (SPPD) is a compilation of annual data on state policies and politics that are particularly relevant for population health. The SPPD includes several categories of policies, including labor and economic policies (e.g., minimum wage levels, right to work laws), social safety net policies (e.g., earned income tax credits, SNAP), behavior-related policies (e.g., tobacco taxes, opioid prescribing), as well as the political ideology of the states’ government and citizens. Most measures are available annually from 1980 to 2021.


The Chances Of Dying Young Differ Dramatically Across U.S. States, Nader Mehri, Jennifer Karas Montez Jun 2022

The Chances Of Dying Young Differ Dramatically Across U.S. States, Nader Mehri, Jennifer Karas Montez

Population Health Research Brief Series

The chances of dying young differ dramatically across U.S. states. This data slice shows state-level differences in rates of death by ages 30, 50, and 65. Individuals living in Minnesota, California, New York, and Massachusetts have the lowest rates of death by age 65, whereas those living in Southern states, including West Virginia, Mississippi, Alabama, Kentucky, Tennessee, Louisiana, Arkansas, and Oklahoma have the highest rates of premature death. If current conditions remain constant in these states, more than 1 in 5 people born in them will not survive to age 65.


Social Infrastructure (“Third Places”) Is Not Distributed Equally Across The U.S., Danielle Rhubart, Yue Sun, Claire Pendergrast, Shannon M. Monnat May 2022

Social Infrastructure (“Third Places”) Is Not Distributed Equally Across The U.S., Danielle Rhubart, Yue Sun, Claire Pendergrast, Shannon M. Monnat

Population Health Research Brief Series

Third places are the physical spaces in a community where people can gather to connect and share resources, support, and information. They can help support health because they promote social interaction, community trust, and resource and information sharing. This data slice shows that third places are not evenly distributed across the U.S. Results show less availability of third places per capita in neighborhoods (Census tracts) with larger shares of non-Hispanic Blacks and Hispanics and larger shares of residents in poverty. The authors also found that third places are in shorter supply in rural neighborhoods than in urban neighborhoods, with the …


White Covid-19 Deaths Increased More In Red States Than In Blue States In 2021, Rogelio Sáenz, Marc A. Garcia Apr 2022

White Covid-19 Deaths Increased More In Red States Than In Blue States In 2021, Rogelio Sáenz, Marc A. Garcia

Population Health Research Brief Series

COVID-19 mortality rates increased 70% between 2020 and 2021. While the early months of the pandemic were marked by higher mortality rates among Whites in blue (Democratic governor) states, red states (Republican governor) experienced larger increases in 2021.


Rural Adults Report Worse Covid-19 Impacts Than Urban Adults, Shannon M. Monnat Mar 2022

Rural Adults Report Worse Covid-19 Impacts Than Urban Adults, Shannon M. Monnat

Population Health Research Brief Series

COVID-19 infection and mortality rates have been higher in rural than in urban America since late-2020. However, the consequences of COVID-19 extend far beyond the deaths that it has caused. This brief uses data from a national survey of working-age adults (ages 18-64) collected in February and March of 2021 to describe rural-urban differences in reported impacts of COVID-19 on physical and mental health, employment, financial wellbeing, and social relationships. Nearly 3 out of 5 respondents (58%) reported that COVID-19 has had a negative impact on their lives. Across most outcomes, rural residents fared worse than their urban peers. Recovery …


Aging And Disability Services Are Unequally Distributed Across The United States, Claire Pendergrast, Danielle Rhubart Feb 2022

Aging And Disability Services Are Unequally Distributed Across The United States, Claire Pendergrast, Danielle Rhubart

Population Health Research Brief Series

As the U.S. population ages, demand for aging and disability services will increase, but 15% of U.S. counties have no aging and disability services organizations. This brief shows that rural counties and counties with the highest rates of poverty, highest shares of older adults, and highest shares of non-Hispanic Blacks are most likely to be aging and disability services deserts. To support healthy aging across the country, policymakers should invest in aging services infrastructure and should prioritize resources for places that are aging and disability services deserts.


Rural Working-Age Adults Report Worse Health Than Their Urban Peers, Shannon M. Monnat, Danielle Rhubart Feb 2022

Rural Working-Age Adults Report Worse Health Than Their Urban Peers, Shannon M. Monnat, Danielle Rhubart

Population Health Research Brief Series

Self-rated health is considered a strong predictor of chronic disease risk and premature mortality. This brief analyzes data from the National Wellbeing Survey (NWS), a sample of approximately 4,000 U.S. working-aged adults (ages 18-64) conducted in Feb-March 2021 to examine differences in self-rated physical health among residents of large urban counties (counties in a metro area of 1+ million people), medium/small urban counties, rural counties that neighbor a metro area (metro-adjacent), and rural counties that do not neighbor a metro area (remote rural). Results show higher shares of poor/fair self-rated health among residents of rural and small urban counties than …


Billions In Covid-19 Rental Assistance Fails To Reach Tenants, William Clay Fannin Dec 2021

Billions In Covid-19 Rental Assistance Fails To Reach Tenants, William Clay Fannin

Population Health Research Brief Series

COVID-19 exacerbated existing problems with housing affordability in the United States, particularly for Black and Hispanic renters. To curb these financial hardships, Congress created the Emergency Rental Assistance (ERA) program, but ERA rollout has been slow and inconsistent. This brief describes geographic differences in ERA spending across the U.S. and encourages states and localities to adopt policies that increase program eligibility and streamline fund disbursement.


Rural Counties Lost More Years Of Life Than Urban Counties In 2020, Yue Sun Nov 2021

Rural Counties Lost More Years Of Life Than Urban Counties In 2020, Yue Sun

Population Health Research Brief Series

Rural mortality rates have been higher than urban mortality rates for decades in the United States. Now, higher COVID-19 mortality rates in rural areas threaten to exacerbate the existing rural mortality penalty. This brief shows that rural counties had higher average years of potential life lost than urban counties in both 2019 and 2020. However, the increase in YPLL between 2019 and 2020 was largest in small rural counties and large rural counties adjacent to metro areas. Federal, state, and local governments must target social, structural, and policy determinants of health and premature mortality that disproportionately affect rural residents.


Older Adult Vaccination Rates Lag In Rural Areas And The South, Claire Pendergrast, Yue Sun Oct 2021

Older Adult Vaccination Rates Lag In Rural Areas And The South, Claire Pendergrast, Yue Sun

Population Health Research Brief Series

Older adults face especially severe health risks from COVID-19 compared to other age groups. Getting vaccinated is the most effective way for older adults to reduce their risk of serious illness or death. This brief examines geographic trends in COVID-19 vaccination rates for adults age 65+. The authors find that older adult vaccination rates are low in rural areas and especially low in the South.


Why Are Covid-19 Vaccination Rates Lower In Rural Than In Urban Areas Of The U.S.?, Shannon M. Monnat, Yue Sun Sep 2021

Why Are Covid-19 Vaccination Rates Lower In Rural Than In Urban Areas Of The U.S.?, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

Achieving high vaccination coverage is the best way to prevent coronavirus spread, but COVID-19 vaccination rates vary substantially across the U.S. This brief compares COVID-19 vaccination rates across the U.S. rural-urban continuum and identifies the major contributors to lower rates of vaccination in rural counties. The authors find that higher Trump vote share in the 2020 Presidential election and lower educational attainment collectively explain lower rural vaccination rates.


Flood Risk Is Higher In Rural And Disadvantaged Communities, Danielle Rhubart, Yue Sun Jul 2021

Flood Risk Is Higher In Rural And Disadvantaged Communities, Danielle Rhubart, Yue Sun

Population Health Research Brief Series

Flooding has become more common in the U.S. and poses health risks to individuals, families, and communities. However, not all places face the same risk of flooding. This brief describes how flood risk varies across places with different demographic and social characteristics. It shows that rural Census tracts and tracts with larger shares of socioeconomically vulnerable populations have larger relative shares of properties at risk of flooding.


Domestic Violence Is Prevalent Among U.S. Adolescents And Young Adults, Mary E. Helander, Xiaoyan Zhang Jun 2021

Domestic Violence Is Prevalent Among U.S. Adolescents And Young Adults, Mary E. Helander, Xiaoyan Zhang

Population Health Research Brief Series

Rates of domestic violence are high among adolescents and young adults in the U.S. This data slice describes the geographic distribution of reported domestic violence incidents among adolescents and young adults in the U.S in 2019 and identifies the most common types of incidents.


Socializing Vacancy: An Architectural Thesis, Greg Winawer May 2021

Socializing Vacancy: An Architectural Thesis, Greg Winawer

Architecture Senior Theses

A large portion of office space has been left vacant, and thus provides no beneficial program to its remaining occupants or the local urbanity it is surrounded by. When considering what can be done with this vacant space, the primary motivation should be to integrate a program which does the opposite: a program which positively disrupts its existing context to hybridize and improve the current outdated programmatic arrangement. To insert a residential program into an existing office tower both disrupts and enhances the rigorous flows of our working and our domestic lives. The predefined universal concept of the ‘working-day’ is …


New York State’S Counties Have Different Trends In Population Aging, Nader Mehri Mar 2021

New York State’S Counties Have Different Trends In Population Aging, Nader Mehri

Population Health Research Brief Series

The percentage of the population age 60+ is growing faster in NY than in the U.S. overall.


There Are Large Disparities Between U.S. States In Cardiovascular Mortality Among Adults Aged 55 And Older, Nader Mehri Oct 2020

There Are Large Disparities Between U.S. States In Cardiovascular Mortality Among Adults Aged 55 And Older, Nader Mehri

Population Health Research Brief Series

Over the past 20 years, declines in cardiovascular disease mortality rates have been much smaller in some U.S. states than others. Rates have also started to increase in some states in recent years.


The U.S. Rural Mortality Penalty Is Wide And Growing, Shannon M. Monnat Oct 2020

The U.S. Rural Mortality Penalty Is Wide And Growing, Shannon M. Monnat

Population Health Research Brief Series

In the U.S., rural mortality rates are much higher than those in urban areas, and the gap has widened in recent years. Several causes of death are to blame.


Rural Covid-19 Mortality Rates Are Highest In Counties With The Largest Percentages Of Blacks And Hispanics, Kent Jason G. Cheng, Yue Sun, Shannon M. Monnat Sep 2020

Rural Covid-19 Mortality Rates Are Highest In Counties With The Largest Percentages Of Blacks And Hispanics, Kent Jason G. Cheng, Yue Sun, Shannon M. Monnat

Population Health Research Brief Series

COVID-19 mortality risk is not distributed equally across the U.S. Among rural counties, the average daily increase in COVID-19 mortality rates has been significantly higher in counties with the largest percentages of Black and Hispanic residents.


Housing Insecurity During The Coronavirus Response, Lauryn Quick, Colleen Heflin Aug 2020

Housing Insecurity During The Coronavirus Response, Lauryn Quick, Colleen Heflin

Population Health Research Brief Series

COVID-19 has created numerous challenges for Americans in their ability to meet their basic needs. One specific economic challenge is the ability to pay mortgage or rent.


Disparities In Vulnerability To Severe Complications From Covid-19 In The United States, Emily E. Wiemers, Scott Abrahams, Marwa Alfakhri, V. Joseph Holtz, Robert F. Schoeni, Judith A. Seltzer Jul 2020

Disparities In Vulnerability To Severe Complications From Covid-19 In The United States, Emily E. Wiemers, Scott Abrahams, Marwa Alfakhri, V. Joseph Holtz, Robert F. Schoeni, Judith A. Seltzer

Population Health Research Brief Series

Preexisting health conditions increase vulnerability to severe complications from COVID-19. Among middle-aged and older Americans, vulnerability to severe COVID-19 complications based on preexisting conditions is 2-3 times greater for those with low versus high income. Vulnerability is about 40% higher for middle-aged and older adults with a high school degree or less than adults with a four-year college degree. In every age group, Blacks are more vulnerable than Whites, but Hispanics are at lower risk based on fewer preexisting health conditions.


Rural Ohio Faces High Health Risk During The Covid-19 Pandemic, Danielle Rhubart, Shannon M. Monnat, Yue Sun Jul 2020

Rural Ohio Faces High Health Risk During The Covid-19 Pandemic, Danielle Rhubart, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

Ohio was among the first states to implement interventions to reduce community spread during the early stages of COVID-19. These actions came with strong pushback from leaders in many of the state’s rural counties. Residents of Ohio's most rural counties are at high risk of hospitalization and death due to COVID-19.


New York State’S Rural Counties Have Higher Covid-19 Mortality Risk, Shannon M. Monnat, Yue Sun Jun 2020

New York State’S Rural Counties Have Higher Covid-19 Mortality Risk, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

As New York’s regions move through their various phases of reopening businesses and recreations activities, policymakers and residents should be mindful of the underlying health vulnerabilities and the higher COVID-19 mortality risk in several of NY’s rural counties. Is your county at high risk?