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Full-Text Articles in Sociology

Bridging The Gap: Reducing Disparities In Reproductive Healthcare For Black And White Women, Emma Weiden Dec 2023

Bridging The Gap: Reducing Disparities In Reproductive Healthcare For Black And White Women, Emma Weiden

Population Health Research Brief Series

A woman’s reproductive healthcare experience in the United States can vary dramatically depending on her race. In 2020, the pregnancy-related mortality rate in the U.S. was 40.8 deaths per 100,000 live births for Black women, which is more than three times the rate among White women (12.7 per 100,000). This brief summarizes disparities in reproductive healthcare outcomes for Black women compared to White women in the U.S., advocates for policy changes, and provides recommendations for addressing racial disparities to create more equitable reproductive healthcare.


Stronger Regulations On Air Pollution Could Reduce Cardiovascular Disease Mortality Rates, Yue Sun Dec 2023

Stronger Regulations On Air Pollution Could Reduce Cardiovascular Disease Mortality Rates, Yue Sun

Population Health Research Brief Series

Cardiovascular disease (CVD) is the leading cause of death in the United States, but there are large disparities in CVD death rates across the country. Air pollution also plays an important role in shaping geographic disparities in CVD mortality, as air pollutants can become absorbed in human circulation systems, and cause inflammation, damage nervous systems, and trigger poor CVD outcomes. This brief reports the results of a study that used data on air pollution and from death certificates to estimate the association between fine particulate matter and cardiovascular disease mortality rates in the U.S. in 2016-2018. Results show that cutting …


Sexual Minorities Are More Depressed And Anxious Than Heterosexuals In The U.S., Especially Among Women, Joshua Grove Nov 2023

Sexual Minorities Are More Depressed And Anxious Than Heterosexuals In The U.S., Especially Among Women, Joshua Grove

Population Health Research Brief Series

Depression and anxiety are harmful to health. People who suffer from depression or anxiety are more likely to engage in risky health behaviors and have higher risk of various chronic diseases and premature death. This data slice uses data from the 2022 National Wellbeing Survey to explore the prevalence of depression and anxiety among U.S. adults ages 18-64. The results show that sexual minority adults are significantly more likely than those who identify as heterosexual to suffer from depression and anxiety, and differences in prevalence rates between sexual minority and heterosexual women are larger than the differences between men.


Aca Medicaid Expansions Did Not Significantly Improve Maternal Morbidity, Pinka Chatterji, Hanna Glenn, Sara Markowitz, Jennifer Karas Montez Aug 2023

Aca Medicaid Expansions Did Not Significantly Improve Maternal Morbidity, Pinka Chatterji, Hanna Glenn, Sara Markowitz, Jennifer Karas Montez

Population Health Research Brief Series

Rising rates of severe maternal morbidity in the U.S. highlight the unmet need for continuous and comprehensive health care for women before, during, and after pregnancy. This data slice summarizes findings from a study that tested whether ACA Medicaid expansions helped reduce severe maternal morbidity, including transfusion, ruptured uterus, unplanned hysterectomy, eclampsia, and the need for intensive care. Results show little evidence that the ACA expansions improved maternal morbidity, other than reducing the need for blood transfusions.


Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi Jul 2023

Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi

Population Health Research Brief Series

Having psychiatric conditions (such as bipolar disorder, schizophrenia, and major depressive disorder) throughout one’s life can lead to faster rates of cognitive decline as one ages. This data slice explores the associations between psychiatric history and cognitive function among U.S. White, Black, and Hispanic adults ages 65 and older from 1995-2014. Findings demonstrate that having a history of psychiatric problems is related to lower cognitive functioning and a faster rate of cognitive decline for all three groups, but Black and Hispanic adults experience steeper declines compared with White adults.


Democratic Erosion Predicts Rising Deaths From Drug Poisoning And Infectious Disease, Jennifer Karas Montez, Kent Jason G. Cheng, Jacob M. Grumbach Jun 2023

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.


How Did Healthcare Affordability Change For U.S. Adults With Intellectual Disability After The Implementation Of The Affordable Care Act?, Nastassia Vaitsiakhovich May 2023

How Did Healthcare Affordability Change For U.S. Adults With Intellectual Disability After The Implementation Of The Affordable Care Act?, Nastassia Vaitsiakhovich

Population Health Research Brief Series

Individuals with intellectual disabilities are marginalized in the United States and have worse health outcomes than their peers without disabilities. Lower socioeconomic status and a reliance on social welfare benefits and public health insurance programs often create barriers to access to care. In 2010, the Affordable Care Act (ACA) aimed to make healthcare services more accessible. This brief summarizes the findings from a recent study that examined patterns in healthcare affordability under the ACA or noninstitutionalized adults ages 18-64 with intellectual disabilities. The findings suggest that the ACA increased the likelihood that adults with intellectual disabilities would access medical, specialty, …


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 …


Over Two-Thirds Of Opioid Overdose Victims In Canada Were Employed Before They Died, Alexander Cheung, Joseph Marchand, Patricia Mark Mar 2023

Over Two-Thirds Of Opioid Overdose Victims In Canada Were Employed Before They Died, Alexander Cheung, Joseph Marchand, Patricia Mark

Population Health Research Brief Series

As in the United States, drug overdose is the leading cause of unnatural death in Canada, with most overdoses involving opioids. The authors of this brief quantify the lost labor productivity from opioid overdoses in Canada. They show that from 2016 to 2019, over two-thirds of opioid overdose victims were working and contributing to the economy before they died, with those employed in construction, trades, and transportation having the highest opioid overdose rates. The authors argue that destigmatizing drug use, ensuring a safe supply, and improving access to medical care and take-home Naloxone kits are critical for reducing overdose deaths.


The Opioid Epidemic Has Disrupted Children’S Living Arrangements, Mónica L. Caudillo, Andres Villarreal, Philip N. Cohen Mar 2023

The Opioid Epidemic Has Disrupted Children’S Living Arrangements, Mónica L. Caudillo, Andres Villarreal, Philip N. Cohen

Population Health Research Brief Series

The contemporary drug overdose crisis has had profound impacts on children and families in the United States. This brief summarizes how children’s living arrangements have changed during the opioid epidemic. The authors find that opioid overdose deaths are associated with decreasing shares of children living with two married parents and increases in shares of children living with unmarried but cohabiting parents, single fathers, and adults other than their parents. These changes have been most pronounced among White children.


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.


Children In Economically Disadvantaged Households Have Lower Early Literacy Skills Than Their Higher-Income Peers, Michah W. Rothbart, Colleen Heflin, Gabriella Alphonso Mar 2023

Children In Economically Disadvantaged Households Have Lower Early Literacy Skills Than Their Higher-Income Peers, Michah W. Rothbart, Colleen Heflin, Gabriella Alphonso

Population Health Research Brief Series

Literacy is critical for numerous developmental outcomes and wellbeing among children. Low literacy skills in childhood can also negatively affect individuals in adulthood. Using data from nearly 300,000 kindergarten students in Virginia (2014-2017), this study finds that children in households that participate in more than one social assistance program (such as Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Programs, and Free or Reduced-Price Lunch) have lower literacy skills when they enter kindergarten than children whose households participate in fewer or no social programs.


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 …


Cdc Guidelines Hide The Alzheimer Disease Mortality Burden Among Adults With Down Syndrome, Scott D. Landes Feb 2023

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.


How Did Covid-19 School Closures Affect Adolescents With Adhd?, Nandini Jhawar, Ashley Schiros, Andrew S. London, Kevin Antshel Jan 2023

How Did Covid-19 School Closures Affect Adolescents With Adhd?, Nandini Jhawar, Ashley Schiros, Andrew S. London, Kevin Antshel

Population Health Research Brief Series

COVID-19 school closures drastically affected school-aged youth and their parents, with greater challenges among youth with Attention Deficit/Hyperactivity Disorder (ADHD). This brief summarizes results from a recent study examining the risks, protective factors, and family processes that shaped well-being among adolescents during COVID-19-related school closures. Findings show that adolescents with ADHD were more likely to experience negative consequences from school closures, including difficulty adjusting to online learning, reduced socialization, and increased mental distress. However, youth and families also experienced some benefits, including increased family reconnection and reduced school-related anxiety.