Social and Behavioral Sciences Commons^™

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 …

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 …

Democratic Erosion Predicts Rising Deaths From Drug Poisoning And Infectious Disease, Jennifer Karas Montez, Kent Jason G. Cheng, Jacob M. Grumbach

Population Health Research Brief Series

Strong democratic functioning is good for population health. However, democratic functioning eroded in many U.S. states in recent decades. The erosion was especially pronounced for one aspect of democratic functioning—electoral democracy, which refers to free and fair elections. This brief summarizes findings from a study examining how changes in electoral democracy in the 50 states predicted changes in the risk of death among adults ages 25-64 during 2000-2019. Findings demonstrate that democratic erosion strongly predicts rising deaths from drug poisoning, infectious disease, suicide, and homicide.

Association Of Prenatal Depression With New Cardiovascular Disease Within 24 Months Postpartum., Christina M Ackerman-Banks, Heather S Lipkind, Kristin Palmsten, Mariah Pfeiffer Rn, Mph, Catherine Gelsinger Rn, Katherine Ahrens Mph, Phd

Population Health

No abstract provided.

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 …

How Has The Opioid Crisis Affected Health, Health Care Use, And Crime In The United States?, Johanna Catherine Maclean, Justine Mallatt, Christopher J. Ruhm, Kosali Simon

Population Health Research Brief Series

The U.S. opioid crisis is the deadliest drug crisis in the nation’s history and is not abating. This brief summarizes what is known about the relationships between opioid misuse, health, healthcare use, and crime. The authors show that the opioid crisis has led to worsening health, increased mortality, increased healthcare use, and modest increases in crime. In addition, the policies designed to curb opioid misuse and its associated harms have had only limited success.

Cdc Guidelines Hide The Alzheimer Disease Mortality Burden Among Adults With Down Syndrome, Scott D. Landes

Population Health Research Brief Series

Alzheimer's disease is much more common among adults with than without Down syndrome. While an estimated 11.3% of adults in the general population over age 65 have Alzheimer's disease, nearly all adults with Down syndrome have Alzheimer's neuropathology by age 40, and half develop Alzheimer's disease by age 60. However, CDC guidelines for completing death certificates hide the actual Alzheimer's disease mortality burden among adults with Down syndrome. This brief summarizes results from a recent study seeking to accurately measure the disparity in the Alzheimer's disease mortality burden between adults with versus without Down syndrome for the years 2005-2019.

Conservative State Policies Contribute To Higher Mortality Rates Among Working-Age Americans, Jennifer Karas Montez, Nader Mehri, Shannon M. Monnat

Population Health Research Brief Series

The risk of dying during working ages (25 to 64) is high, rising, and unequal in the United States. Working-age mortality rates are much higher in some states than others. Part of the explanation may relate to differing policies across states that affect health. While some states enact policies that invest in people’s economic, social, and behavioral wellbeing, others enact policies that are potentially harmful to health. Using mortality data from the U.S. Centers for Disease Control and Prevention, this study examined how state policies on criminal justice, taxes, environment, firearms, marijuana, health care, labor, and tobacco were associated with …

Sociocultural And Demographic Drivers Of Latino Population Health In New York State, Marc A. Garcia, Mara G. Sheftel, Adriana M. Reyes, Catherine Garcia

Population Health Research Brief Series

Latinos are the largest racial/ethnic minority group in the United States and are among the fastest-growing populations in New York State. However, there is variation across Latino sub-groups in educational attainment, income, and access to health insurance. This research brief explores the diversity within the Latino population living in New York State and describes inequities in key sociocultural and demographic drivers of Latino population health.

Allowing Cities To Mandate Employer Paid Sick Leave Could Reduce Deaths Among Working-Age Adults, Douglas A. Wolf, Jennifer Karas Montez, Shannon M. Monnat

Population Health Research Brief Series

Paid sick leave is good for health, yet there is no federal paid sick leave mandate, and U.S. states are increasingly preempting their city and county governments from mandating employer paid sick leave. This brief describes how working-age (ages 25-64) mortality rates from several external causes of premature death (suicide, homicide, drug overdose, alcohol poisoning, and transport accidents) from 1999 to 2019 may have been lower if states had not preempted cities and counties from mandating paid sick leave. The authors find that working-age mortality rates could have been over 7.5% lower in 2019 in cities and counties that were …

Covid-19 Negatively Impacted Health And Social Relationships Among Working-Age Adults With Disabilities, Claire Pendergrast, Shannon M. Monnat

Population Health Research Brief Series

Activities of Daily Living (ADLs) are related to personal care and mobility. COVID-19 disrupted access to care for many working-age adults with ADL difficulties, potentially creating negative health and social impacts. This research brief shows that working-age adults (18-64) with ADL difficulty faced worse health and social impacts than their peers without ADL difficulty during the first year of the COVID-19 pandemic. The needs of people with disabilities must be prioritized in policy decisions to increase equity and reduce health disparities during the ongoing COVID-19 response and in future public health emergencies.

Civil Rights, Firearm Safety, And Environmental Protection Policies Predict Better Health Among U.S. Midlife Adults, Blakelee R. Kemp, Jacob M. Grumbach, Jennifer Karas Montez

Population Health Research Brief Series

Americans suffer worse health and shorter lives than do people in most other high-income countries. The poor health and early death of many Americans are pronounced in certain states. One explanation may be the dramatic changes in the policy environment in recent decades, particularly the polarization in state policies. This research brief examines the association between several state policies and self-rated health among adults ages 45-64 from 1993 to 2016. Findings show that more liberal versions of certain state policies, namely civil rights, firearm safety, and environmental protection are associated with better health.

Comparing Chronic Pain In Urban And Rural Canadian Adults, Alyssa T. Jensen

MA Research Paper

Previous literature has found that rural Canadians are at a health disadvantage compared to their urban counterparts across a number of health outcomes. Less is known, however, about whether this pattern extends to chronic pain, especially in a Canadian context. Using a sample of 1820 Canadian adults aged 25 and older from the Recovery and Resilience COVID-19 Survey, this study explores the relationship between rurality and chronic pain. A series of nested negative binominal regression models were estimated. It was found that rurality is associated with significantly higher pain, though three measures of socioeconomic status explained some of rural disadvantage. …

Proper Medication Adherence Is A Challenge For Older Snap Participants With Chronic Health Conditions, Colleen Heflin, Chinedum O. Ojinnaka, Irma Arteaga, Lauryn Quick

Population Health Research Brief Series

Diabetes and hypertension are among the leading causes of poor health and mortality in the United States. Properly taking prescribed medications to manage these conditions is critical for maintaining health and preventing complications. This is especially true for older adults, who are more likely to live with these chronic conditions. This brief summarizes findings from a study of an older adults in Missouri who participated in the Supplemental Nutrition Assistance Program (SNAP) between 2006 and 2014. On average, 1 in 4 individuals with hypertension and 1 in 3 with diabetes did not properly take prescribed medications to manage their health …

Misconduct-Related Discharge From Active Duty Military Service: An Examination Of Precipitating Factors And Post-Deployment Health Outcomes, Emily Brignone

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

U.S. military service members who are discharged from service for misconduct are at high risk for mental health and substance use disorders, homelessness, mortality, and incarceration. The purpose of this dissertation was to investigate the pre- and post-discharge experiences and characteristics of this highly vulnerable population in order to inform improved prevention and intervention strategies.

Administrative data from the Department of Defense and Veterans Health Administration for veterans of recent conflicts were used to conduct 3 related retrospective cohort studies. These included (1) an evaluation of the demographic and military service characteristics and service-connected disabilities associated with discharge for misconduct; …

What “Community Building” Activities Are Nonprofit Hospitals Reporting As Community Benefit?, Erik Bakken, David Kindig, Jo Ivey Boufford

Frontiers in Public Health Services and Systems Research

In 2008, the Internal Revenue Service (IRS) revised and standardized the reporting policy for community benefit expenses for nonprofit hospitals. These expenses are required for tax exemption. At that time, the IRS designated some categories of activities as non-eligible as a community benefit, but still mandated their reporting on hospitals’ Form 990, the annual tax filing for nonprofit organizations. One such category was community building, which encompasses a broad range of nonmedical determinants of health and an important potential source of population health revenue. This is the first study to analyze community-building dollars at any level, examining New York State’s …

The Use Of Geospatial Clustering In Analysing Health Risk Profile, Sue-Mae Yeo, Tin Seong Kam, Kai Xin Thia, Dan Wu

Research Collection School Of Computing and Information Systems

Background & Hypothesis: The first law of geography states that “everything is related to everything else, but near things are more related than distant things”. This study aims to demonstrate how local indicator of spatial association (LISA) statistics are used to group patients with similar chronic diseases into natural clusters of hotspots found within northern Singapore by incorporating the proximity of their home locations explicitly. Methods: Anonymised chronic patient data collected from Khoo Teck Puat Hospital in 2013 were used for analyses. The data was mapped based on patients' residential addresses. A layer of hexagonal grid objects, each with a …

The Practitioner's Corner: An Exploration Of Municipal Active Living Charter Development And Advocacy, M. Blair Evans, Alex J. Benson, Terry L. Mitchell, Jennifer Robertson-Wilson, Mark Eys

Kinesiology and Physical Education Faculty Publications

Background: Numerous municipal active living-­‐related charters have been adopted to promote physical activity in Canada throughout the past decade. Despite this trend, there are few published critical examinations of the process through which charters are developed and used.

Purpose: Thus, the purpose of this study was to establish greater understanding of active living charter development and advocacy.

Methods: Semi-­‐structured interviews were conducted with eight primary contributors to different active living-­‐related charters across Ontario, Canada. Interview questions explored participants’ experiences developing and advocating for an active living charter. Interviews were analyzed using open, axial, and selective coding.

Results and Conclusions: Participants …

Public Health Delivery Systems And Population Health: What We Know And Need To Learn, Glen P. Mays

Health Management and Policy Presentations

Despite high overall health expenditures, the U.S. continues to fall behind other high-income countries on many measures of population health. While health care delivery systems are now studied intensively for solutions to U.S. cost and quality problems, the nation's delivery systems for public health programs and policies are only now becoming the subject of rigorous empirical study. This presentation examines recent studies of public health delivery systems and important directions for future inquiry.

Public Health Expenditures, Public Health Delivery Systems, And Population Health, Glen P. Mays

Health Management and Policy Presentations

This seminar examines a series of approaches for estimating the health and economic effects attributable to public health expenditures in the U.S., along with a novel method for estimating economies of scale and scope in the delivery of public health services. The use of instrumental-variables techniques and network analytic methods are described in these research approaches.

Imprisonment And (Inequality In) Population Health, Christopher Wildeman

University of Kentucky Center for Poverty Research Discussion Paper Series

This article extends research on the consequences of mass imprisonment and the factors shaping population health and health inequities by considering the effects of the imprisonment rate on population health and black-white inequality in population health using state-level panel data from the United States (1980-2004). My results imply that increases in the imprisonment rate harm population health, though the effects on the infant mortality rate and female life expectancy are more consistent than are the effects on male life expectancy. My results also imply that these health effects are concentrated among blacks, implicating mass imprisonment in the persistence of black-white …