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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 …


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 Mar 2024

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 Mar 2024

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.


Infant Mortality Rates Vary Substantially Across Regions Of The United States, Marissa Merrifield Feb 2024

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 Feb 2024

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 Feb 2024

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.


Asian Americans Have Relatively Low Anxiety But Experienced Large Increases In Anxiety Between 2020 And 2022, Tianqi Zhou Jan 2024

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.


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.


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.


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.


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.


The Unequal Burden Of Long Covid, Marc A. Garcia, Catherine Garcia, Erin Bisesti Nov 2022

The Unequal Burden Of Long Covid, Marc A. Garcia, Catherine Garcia, Erin Bisesti

Population Health Research Brief Series

Racial/ethnic disparities in U.S. COVID-19 infections, hospitalizations, and deaths have been well documented. However, less research has focused on racial/ethnic disparities in long COVID. This data slice summarizes data from the U.S. Census Household Pulse Survey and reports that although there are no significant racial/ethnic differences in overall activity limitations from long COVID, a higher percentage of Black and Hispanic/Latino adults report experiencing “significant” activity limitations compared to Whites.


Native American Mental Health: Adding Culture To The Conversation, Margaret Rose Aug 2022

Native American Mental Health: Adding Culture To The Conversation, Margaret Rose

Population Health Research Brief Series

American Indians/Alaska Natives (AI/ANs) experience higher rates of depression, suicide, and psychological distress compared to other communities in the United States. Despite this, they are less likely to receive mental health services due to barriers such as lack of resources, limited mental health service access, stigma, and mistrust of providers. This issue brief describes the influence of colonialism on AI/AN mental health and discusses how barriers to mental health treatment can be addressed by integrating AI/AN culture into traditional mental health services and increasing AI/AN presence in mental health occupations.


Social Support Protected Mental Health During The Covid-19 Pandemic, Jennifer Kowalkowski, Danielle C. Rhubart Aug 2022

Social Support Protected Mental Health During The Covid-19 Pandemic, Jennifer Kowalkowski, Danielle C. Rhubart

Population Health Research Brief Series

Social support can protect mental health from the stressors of life during times of widespread crisis, like the COVID-19 pandemic. Using nationally representative data on U.S. working-age adults (18-64), this brief shows that those who reported having emotional support from family and friends were less likely to report negative mental health effects from the COVID-19 pandemic (32.9%) compared to those without emotional support (50.2%). Adults with higher levels of instrumental support – being able to count on someone for a $200 loan or for a place to live - were also less likely than those without those types of support …


Resilience Is Low Among Both Military And Non-Military Populations With Post-Traumatic Stress Disorder, Kelsey Roberts, Janet Wilmoth, Shannon M. Monnat Jun 2022

Resilience Is Low Among Both Military And Non-Military Populations With Post-Traumatic Stress Disorder, Kelsey Roberts, Janet Wilmoth, Shannon M. Monnat

Population Health Research Brief Series

Post-traumatic stress disorder (PTSD) affects the lives of 12 million people in the United States. While commonly thought of in relation to military personnel and veterans, PTSD is also common among the general public. Resilience - the ability to cope with stressful events - is essential for recovering from PTSD. This data slice uses data from the National Wellbeing Survey to examine resilience among U.S. working-age adults with and without PTSD by their relationship to the military. Results show that those with PTSD have less resilience than those who have not experienced PTSD. In addition, those with military experience are …


Unhealthy Workplace Conditions Contribute To Physician Suicide, Mariah Brennan Nanni, Alexandra Punch Mar 2022

Unhealthy Workplace Conditions Contribute To Physician Suicide, Mariah Brennan Nanni, Alexandra Punch

Population Health Research Brief Series

Physicians have the highest suicide rate of all professions. High-stress working environments, long hours, burnout, substance use, and financial stress all contribute to high physician suicide rates. Adding fuel to the fire, COVID-19 has intensified this long-term problem. This issue brief describes the unhealthy workplace conditions that contribute to poor mental health among physicians and calls for policies that encourage physicians to seek help and rest without the fear of punishment.


What Do Epidemic History And Sexual Minority Men’S Experiences Of Hiv And Covid-19 Teach Us About Pandemic Preparedness?, Amy Braksmajer, Andrew London Jan 2022

What Do Epidemic History And Sexual Minority Men’S Experiences Of Hiv And Covid-19 Teach Us About Pandemic Preparedness?, Amy Braksmajer, Andrew London

Population Health Research Brief Series

For many, COVID-19 feels like the first, massive, life-threatening epidemic of infectious disease they have faced. However, for sexual minority individuals who have experienced trauma and loss stemming from the HIV epidemic, there are many similarities. This brief summarizes findings from interviews with men who have lived through both pandemics as a way to gain insights into the commonalities and differences of their experiences. Findings show that men who lived through both epidemics believe the government did not do enough to respond to either crisis. To better prepare for future epidemics, public health efforts must be less fragmented, including a …


The U.S. Should Expand Access To Dental Care For Older Adults, Madonna Harrington Meyer, Sarah Reilly, Julia Finan Nov 2021

The U.S. Should Expand Access To Dental Care For Older Adults, Madonna Harrington Meyer, Sarah Reilly, Julia Finan

Population Health Research Brief Series

Older adult Medicare recipients face high out-of-pocket dental expenses due to a lack of appropriate dental care coverage. Older adults with lower socioeconomic status tend to have worse oral health, less dental insurance coverage, greater difficulties finding a dentist, and low-quality care. This brief details the experiences socioeconomically disadvantaged older adults face in obtaining appropriate and affordable dental care and calls on Congress to include preventative and restorative dental care as part of the federal funding agenda.


How Are Parental And Sibling Military Service Related To Adolescent Depression And Mental Health Service Use?, Andrew London Oct 2021

How Are Parental And Sibling Military Service Related To Adolescent Depression And Mental Health Service Use?, Andrew London

Population Health Research Brief Series

Having a parent or sibling serving in the military may lead to distress and mental health problems among adolescents. This research brief examines differences in depression and mental health service use among U.S. adolescents ages 12-17, comparing those who have parents or siblings currently serving in the military to those who do not. The study shows that adolescents are more likely to have an older sibling than a parent in the military. Although current parental military service is not associated with major depression among adolescents, having an older sibling in the military is associated with an increased probability of major …


Pregnant Women With Substance Use Disorders Deserve Plans Of Safe Care, Alexandra E. Punch, Monika Taylor Jun 2021

Pregnant Women With Substance Use Disorders Deserve Plans Of Safe Care, Alexandra E. Punch, Monika Taylor

Population Health Research Brief Series

Substance use among women who are pregnant is a growing U.S public health issue. Approximately 340,000 infants are affected by prenatal exposure to illicit drugs annually, leading to an increase in Neonatal Abstinence Syndrome (NAS), and Child Protective Services involvement. This issue brief describes the current state of prenatal substance use and provides guidance on the use of federally mandated Plans of Safe Care to help mothers prepare for the arrival of their baby while navigating their substance use disorder.


Rates Of Anxiety And Depression Are High Among Young Adults During Covid-19, Xiaoyan Zhang May 2021

Rates Of Anxiety And Depression Are High Among Young Adults During Covid-19, Xiaoyan Zhang

Population Health Research Brief Series

This data slice uses data from the U.S. Census Bureau Household Pulse Survey to compare the percentage of U.S. young adults (ages 18-29) who reported experiencing anxiety or depression during a two-week period in late March 2021 by race/ethnicity. The brief shows much lower rates of self-reported anxiety among Non-Hispanic Blacks than among other racial/ethnic groups but no significant racial/ethnic differences in self-reported depression.


Lyme Disease In The U.S.: Where Is Risk Highest?, Mary E. Helander Apr 2021

Lyme Disease In The U.S.: Where Is Risk Highest?, Mary E. Helander

Population Health Research Brief Series

Over 30,000 Lyme disease cases are reported to the CDC annually. Lyme disease, which is carried by ticks, can lead to numerous debilitating health conditions and even death. This data slice describes the geographic distribution of Lyme disease in the U.S. from 2009-2018 and summarizes prevention strategies.


Stroke: Identifying Symptoms And Acting Fast To Save Lives And Prevent Permanent Disabilities, Mary E. Helander, Bernard Appiah, Miriam Mutambudzi Mar 2021

Stroke: Identifying Symptoms And Acting Fast To Save Lives And Prevent Permanent Disabilities, Mary E. Helander, Bernard Appiah, Miriam Mutambudzi

Population Health Research Brief Series

Stroke is the 5th leading cause of death in the United States. Strokes and their long-term effects are preventable. Recognizing the symptoms of stroke and acting quickly can prevent death and minimize long-term disabilities. Family members and bystanders have an important role to play. This issue brief describes stroke symptoms and prevention guidelines, summarizes the information 9-1-1 callers should be prepared to provide when someone is having a stroke, and discusses the importance of acting quickly to save lives and long-term damage.


Unmet Needs Are Associated With Increased Stress And Poor Physical And Mental Health In Early Adulthood, Colleen Heflin, Katie Green, Ying Huang, Asiya Validova Feb 2021

Unmet Needs Are Associated With Increased Stress And Poor Physical And Mental Health In Early Adulthood, Colleen Heflin, Katie Green, Ying Huang, Asiya Validova

Population Health Research Brief Series

Material hardship, such as not being able to pay bills, negatively affects both physical and mental health. This research brief examines how different types of material hardship (difficulty paying for food, bills, and health care) are associated with self-rated health, depression, sleep problems, and suicidal thoughts among U.S. young adults (ages 24-32).