Digital Commons Network^™

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

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

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 …

How Does Educational Attainment Influence The Perceived Need For Future Assistance With Activities Of Daily Living?, Julia M. Finan

Population Health Research Brief Series

Adults often underestimate whether they will need assistance with activities of daily living (ADLs) as they age. This brief summarizes the results of a recent study that used data from the 2011-2014 National Health Interview Survey (NHIS) to examine educational differences in perceived need for future ADL assistance among 54,946 adults aged 40 to 65 years in the United States. Even though adults with less education are more likely to require long-term ADL care services and supports, results show that they are less likely than their more highly educated peers to perceive the need for future ADL assistance.

An Ecology Against The Right. Learning Uncertainty And Humility From Ecosystems, Pierre L. Ibisch, Mona Eikel-Pohen, Elias Iceman, Jake Snelling

Languages, Literatures, and Linguistics - All Scholarship

This article is a translation from the German to English. The title of the original is:

Ibisch, P.L. (2020): Eine Ökologie gegen rechts. Von Ökosystemen Unsicherheit und Demut lernen. In: Leitschuh, H., A. Brunnengräber, P.L. Ibisch, R. Loske, M. Müller, J. Sommer & E.-U. v. Weizsäcker (eds. J. Sommer, P.L. Ibisch, A. Brunnengräber): Ökologie und Heimat. Jahrbuch Ökologie 2021. Hirzel-Verlag, Stuttgart, 191-205.

Spending Time Socializing In Bars Increases The Risk Of Heavy Drinking, Danielle Rhubart, Jennifer Kowalkowski, Yiping Li

Population Health Research Brief Series

Bars, pubs, and taverns can provide important spaces for creating and maintaining relationships in a community. This is especially true in rural areas where social infrastructure may be limited. However, bars, pubs, and taverns can also facilitate and normalize alcohol misuse – a health behavior linked to numerous poor health outcomes. This brief uses data from the 2022 Rural Health and Engagement Survey to examine relationships between time spent in bars and heavy drinking. The authors show that individuals who spend time in bars are at greater risk of heavy drinking than those who spend no time in bars, and …

Older Adults Are At Greater Risk Of Opioid Use Disorder In Communities With High Social Vulnerability, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Population Health Research Brief Series

The prevalence of opioid use disorder (OUD) among older adults has increased and imposes a heavy burden on the health care system in the United States. This brief summarizes findings from a study that used data from the Centers for Medicare and Medicaid Services to examine how county characteristics contributed to the prevalence of OUD among Medicare beneficiaries age 65+ in U.S. counties in 2021. They found that the prevalence of OUD among these adults is higher in counties with more place-level social vulnerability (e.g., socioeconomic disadvantage, high housing cost burden).

A Fork In The Road: Uncovering The Impact Of Industrial Animal Agriculture On The Physical Health Of Communities Of Color, Mariana Zepeda

Population Health Research Brief Series

Nearly all (99%) farmed animals in the U.S. come from Concentrated Animal Feeding Operations (CAFOs). CAFOs are industrial agriculture facilities defined by the U.S. Environmental Protection Agency (EPA) as operations where animals are raised in confinement and meet animal size and waste material thresholds. Communities located near CAFOs, which tend to have high shares of low-income and racial/ethnic minority residents, are at risk of exposure to CAFO-related air and water pollutants. This brief summarizes the health risks for communities located near CAFOs. Additionally, it calls for government regulations that improve transparency, management, and consumer empowerment.

Cognitive Functioning Is Higher Among Older Adults In Walkable Neighborhoods That Have Low Economic Disadvantage, Tse-Chuan Yang, Seulki Kim, Seung-Won Emily Choi, Shannon Halloway, Uchechi A. Mitchell, Benjamin A. Shaw

Population Health Research Brief Series

Living in neighborhoods with poor built and social environments, such as low walkability and high concentrations of low-income populations, is associated with low levels of cognitive functioning among older adults. This brief summarizes findings from a study that aims to understand how U.S. older adults’ (age 65+) exposures to residential neighborhood environments – specifically walkability and concentrated socioeconomic disadvantage – are associated with their cognitive functioning between 2010 and 2018. The authors also examined how these associations vary by older adults’ education level and household income level.

Infant Mortality Rates Vary Substantially Across Regions Of The United States, Marissa Merrifield

Population Health Research Brief Series

Infant mortality rates are higher in the United States than in its high-income peer countries. Additionally, infant mortality rates vary within the U.S., with much higher rates in some geographic regions compared to others. This data slice uses data from the U.S. Centers for Disease Control and Prevention to compare infant mortality rates by geographic region in the U.S. between 2017-2021. The results show that the infant mortality rate was the highest in the South and lowest in the Northeast and West.

What Factors Increase Risk Of Alzheimer's Disease And Related Dementia?, Elizabeth Vásquez, Kai Zhang

Population Health Research Brief Series

Alzheimer’s disease is the most common form of dementia and ranks 7th in the leading causes of death in the United States (U.S.). This data slice uses nationwide data from 3,155 counties in the U.S. to identify the factors that best predict county-level rates of Alzheimer’s Disease and Related Dementias (ADRDs) in 2018. The results indicate that insufficient sleep, consuming less than one serving of fruits and vegetables per day, having no high school diploma, Black population percentage, and social vulnerability were among the leading factors predicting county-level ADRD prevalence.

Black Women Have The Highest Maternal Mortality Rate In The United States, Tori-Ann Haywood

Population Health Research Brief Series

The U.S. maternal mortality rate is consistently higher than its high-income peer countries. Since 2018 maternal mortality rates in the U.S. have steadily increased for all ethnoracial groups. This data slice uses data from the U.S. National Center for Health Statistics to describe U.S. maternity mortality rates for women ages 15-45 across different ethnoracial groups between 2018-2022. Results show that, except for non-Hispanic (NH) Asian women, ethnoracial minority women have higher maternal death rates than NH White women.

Are We Accurately Counting The Disabled Population In The United States?, Nastassia Vaitsiakhovich, Scott D. Landes, Bonnielin K. Swenor

Population Health Research Brief Series

Over 1 in 4 Americans are disabled (26.8%), yet health disparities for this subpopulation remain under-addressed. Tackling health disparities for people with disabilities requires effective public health and disability policies that cannot be developed without standardized and accurate disability data. The National Health Interview Survey (NHIS) annually collects data on health outcomes for the non-institutionalized U.S. population, including those with disabilities. The questions to measure disability in the NHIS have changed over time, raising concerns about how these changes affect the accuracy of the count of people with disabilities in the U.S. This brief summarizes findings from a recent study …

Pain Limits Family Caregivers’ Daily Activities, Shelbie G. Turner, Karl A. Pillemer, Jamie Robinson, M. Cary Reid

Population Health Research Brief Series

Family caregivers are the main providers of home care to older adults, especially as the prevalence of Alzheimer’s disease and related dementia rises. Caregiving can take a toll on caregivers’ physical and mental health, which impacts both their own well-being and their care recipients’ health outcomes. This brief summarizes findings from a study that used data from the 2017 National Study on Caregiving (NSOC) to estimate the prevalence of arthritis and activity-limiting pain among 1,930 family caregivers to older adults. Over half of all caregivers reported bothersome pain in the previous month, 24% of whom had pain that limited their …

Why Is Food Insecurity High Among U.S. Grandparents Who Are Caring For Grandchildren?, Madonna Harrington Meyer, Anna Delapaz

Population Health Research Brief Series

One in four grandparent-headed families report food insecurity, compared to one in seven among all families with children. Generally, the more care grandparents provide for their grandchildren, the more likely they are to be food insecure. This brief summarizes finding from interviews conducted in 2021 with U.S. adults ages 60 and older who are caring for their grandchildren. The authors summarize the factors contributing to food insecurity among grandparents and call for better policies to assist food-insecure grandparents providing care for their grandchildren as they grapple with inadequate funds, burdensome food assistance programs, inadequate transportation, shortages of fresh foods, and …

Asian Americans Have Relatively Low Anxiety But Experienced Large Increases In Anxiety Between 2020 And 2022, Tianqi Zhou

Population Health Research Brief Series

Anxiety has harmful effects on physical health. This new data slice uses data from the 2020-2022 National Health Interview Surveys to measure the anxiety levels among adults ages 18+ by race and ethnicity in the United States. Results show that Asian adults have lower average anxiety levels than other ethnoracial groups, but they experienced the largest increase in average anxiety levels between 2020 and 2022.

Cognitive Functioning Among U.S. Older Adults Differs By Gender And Urbanicity, Elizabeth Lawrence, Samantha John, Tirth Bhatta

Population Health Research Brief Series

There are no widely accessible and effective medical therapies to prevent or treat Alzheimer’s disease and related dementias for the U.S. older adult population, making prevention of cognitive decline particularly important. Many social factors shape cognitive functioning, leading to disparities in cognitive functioning across groups and geographic areas. This data slice uses data from the Health Retirement Study to describe how cognitive functioning among adults ages 50+ differed by gender and across urban, suburban, and ex-urban areas in the U.S. from 1999-2016. The results show that cognitive functioning was higher among women than men, but these gender differences varied by …

Social Media As Fragile State, Caroline A. Haythornthwaite, Philip Mai, Anatoliy Gruzd

School of Information Studies - Faculty Scholarship

Social media platforms are grappling with how to respond to hate speech, misinformation, and political manipulation in ways that address human rights, free speech, and equality. As independent ‘states’, they are enacting their own rules of conduct, deriving their own ‘laws’, convening their own extrajudicial self regulatory institutions, and making their own interpretations and enactments of human rights. With the rise of social states such as Facebook, TikTok, X (formerly Twitter) and Reddit, how fragile are they in their ability to achieve outcomes of fair, equitable and consistent application of their own laws? Could an assessment of the fragility of …

Research In A Closed Political Context, Covid, And Across Languages: Methodological Lessons, Messages, And Ideas, Darzhan Kazbekova, Rebecca Schewe, Davor Mondom

Center for Policy Design and Governance

The brief provides a summary of "Research in a Closed Political Context, COVID, and Across Languages: Methodological Lessons, Messages, and Ideas," co-authored by Darzhan Kazbekova and Rebecca Schewe and published in the International Journal of Qualitative Methods.

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

Center for Policy Research

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 …

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

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

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

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.

Beyond The “Model Minority” Mirage: How Does Positive Bias Affect Asian Students And Other Students Of Color?, Ying Shi, Maria Zhu

Center for Policy Research

Asian Americans are often perceived as a “model minority” in classrooms. While this stereotype seems positive, it may raise expectations for Asian students and bolster negative stereotypes for students in other minority groups due to teacher bias. This brief summarizes findings from a study that used data from the North Carolina Education Research Data Center (NCERDC) from 2007 to 2013 to identify the presence of positive bias in teachers’ assessments towards Asian American students in grades 3-8 and its effects on other minority groups. The authors find that teachers rate Asian students’ academic skills more favorably than similar White students …

Affirmative Action Is A Successful Policy For Diversity In College Graduation, Amy Lutz, Pamela R. Bennett, Rebecca Wang

Center for Policy Research

Affirmative action in higher education has become an active arena for policymaking and legal challenges in the United States. A question frequently raised about affirmative action is whether racial and ethnic minority students who benefit from affirmative action are successful in the academically demanding context of selective colleges. Using data from the Educational Longitudinal Study, the authors analyzed racial-ethnic differences in cumulative GPAs for White, Black, and Latino students who were high school seniors in 2004 and subsequently attended selective colleges and universities. Results show that Black and Latino students were more likely to graduate from selective colleges than White …

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

Center for Policy Research

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, …

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, …