Social and Behavioral Sciences Commons^™

Disease Prevalence And Health Determinants In Nevada, Takashi Yamashita, Roberto Millar

Social Health of Nevada Reports

In this report, we use recent data to describe the health of Nevada and update the previous report (Monnat, 2012) on health outcomes and health determinants in the Silver State. Data for this report are mainly obtained from the County Health Rankings, America’s Health Rankings, and the 2016 Center for Disease Control and Prevention’s Division of Nutrition, Physical Activity, and Obesity report.

In line with the previous report by Monnat (2012), we reference Nevada’s disease prevalence in relation to the U.S. average and other states, as well as disease distribution among counties in Nevada. We also compaire health indicators in …

Nonprofits And Philanthropy In Nevada, Jessica Word

Social Health of Nevada Reports

The state of Nevada changed rapidly in recent decades enjoying one of the longest and most sustained population and economic growth periods in the nation followed by a severe period of economic contraction and recession (Brookings Mountain West, 2011). Nearly a decade after the Silver State was hit by the Great Recession, the overall economic indicators for 2018 suggest Nevada’s economy is now on solid ground with steady growth predicted for the near future (Banning 2018). The picture for Nevada’s nonprofit sector is not nearly as clear with some indicators suggesting growth and other suggesting struggle.

This chapter explores the …

Problem Gambling And Treatment In Nevada, Sarah A. St. John, Andrea Dassopoulos, Bo Bernhard

Social Health of Nevada Reports

This chapter defines problem gambling and provides a history and overview of community and state-led initiatives to address the harms associated with problem gambling. We outline research conducted in the state of Nevada in the past two decades, with both adults and teens, and with the general population and the treatment population, specifically. After presenting a demographic snapshot of the population that has received state-subsidized treatment, we discuss some common challenges they face.

The chapter provides data on treatment effectiveness as measured by improvements in the lives and wellbeing of problem gamblers and reduction of their gambling behaviors. Finally, we …

Environment And Sustainability In Nevada, Jennifer Stevens, Genevieve Minter, Robert Futrell

Social Health of Nevada Reports

When the inaugural Earth Day launched the first environmental decade in the U.S. more than forty years ago, protecting our air, water, land and other natural resources seemed a relatively straightforward task. Environmental polluters and exploiters would be brought to heel by tough laws. The U.S. and other industrialized nations responded to quality of life concerns associated with environmental degradation by adopting dozens of major environmental and resource policies and creating new institutions such as the U.S. Environmental Protection Agency to manage environmental programs. Following these national developments, states and local communities began systematic efforts to address environmental problems.

What …

Teen Sexuality And Pregnancy In Nevada, Sandra D. Owens, Marya Shegog

Social Health of Nevada Reports

We begin this report by examining recent data regarding the national and Nevada specific trends in teen sexuality and pregnancy and discuss the socioeconomic determinants and disparities in teen pregnancy. Next, we focus on the national and local policies and programs designed to reduce teen pregnancy and to promote health equity among teenage youth. We conclude with a survey of programs that provide housing, case management, mental health services, life skills, career counseling and teen parenting education in Las Vegas and in Henderson, NV.

Appendix provides information about local and national community resources that readers can use to further their …

Sex Industry And Sex Workers In Nevada, Rachel T. Macfarlane, Celene Fuller, Chris Wakefield, Barbara G. Brents

Social Health of Nevada Reports

Las Vegas has long been known as the symbolic center of the commercial sex industry. Nevada is host to the only legal system of prostitution in the United States. From the early legalization of quickie divorce and marriage to the marketing of its large resorts, sexuality has been a key component of Nevada’s tourist economy. If trends continue, for good or for ill, the sex industry will be an even larger part of the economy in the future.

The sex industry refers to all legal and illegal adult businesses that sell sexual products, sexual services, sexual fantasies, and actual sexual …

Prevalence And Patterns Of Injury-Related Mortality In Nevada, Elizabeth M. Lawrence, Aiemie Pace

Social Health of Nevada Reports

Too many lives are lost to injury in the United States and in Nevada. Nearly 200,000 people in our country die each year from injuries, which is equivalent to one death every three minutes (CDC 2017b). Each of these deaths not only extinguishes a life, but also affects the friends, family, and community of the deceased. And deaths from injury are costly: researchers estimate that costs from fatal injuries exceed $200 billion (CDC 2017b).

Injury refers to damage to the body from some external force, such as from a car crash or a fall, including kinetic, chemical, electrical, thermal or …

Behavioral And Mental Health In Nevada, Ruth Condray, Kyle Devine

Social Health of Nevada Reports

The Nevada Division of Public and Behavioral Health is responsible for providing public and mental health services to people living in or visiting the State. The Division is organized into four branches: Community Services Branch, Regulatory and Planning Services Branch, Clinical Services Branch and Administrative Services Branch. The Clinical Services Branch provides statewide inpatient, outpatient, and community-based public and mental health services. State employees provide mental health services, and contract providers deliver substance use services. Mental health services are additionally organized by age and geography. Adults with mental disorders are treated statewide through the Division of Public and Behavioral Health. …

Religion And Spirituality In Nevada, Josiah Kidwell, Michael Ian Borer

Social Health of Nevada Reports

Across the world, religion is integral to society insofar it shapes people’s thoughts, behaviors, and interactions. What exactly the term “religion” means, however, is far from clear-cut, as it continues to be a highly charged topic of discussion and debate, a subject that many hold dear and near to their hearts.

There seem to be just as many ways to define religion as there are groups and denominations that claim to hold the key to the “meaning of life” and even solve humanity’s woes. For many people, the word religion evokes shared ideas of church, gatherings, worship, prayer, music, traditions, …

Aging Trends & Challenges In Nevada, Jennifer R. Keene, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

By the year 2020, the percent of the U.S. population over age …

Immigration And Ethnic Diversity In Nevada, Tiffiany Howard, Roman Lewis

Social Health of Nevada Reports

In a few decades, non-Hispanic whites will constitute a majority in the United States. If current demographic trends continue, the Hispanic/Latino population will double or even triple in size by 2050, the Asian population will double, and the African-American population will grow at a faster pace than non-Hispanic whites. The last group is expected to start declining by 2025. These developments promise to bring profound changes to the country’s ethnic and racial landscape.

Nowhere in the U.S. are national population trends more evident than in the state of Nevada. Within the last decade, Nevada has experienced the largest population increase …

Family Life And Divorce In Nevada, Katherine Hertlein Ph.D., Anita Horvath, Julia Seyferth-Smith

Social Health of Nevada Reports

This chapter surveys family life and divorce in Nevada. Its main goal is to provide readers with a broad understanding of marriage patterns and divorce trends in the Silver State. After presenting history and marriage dynamics in the United Sates, the authors review wedding-related expenses and present data illuminating the differences between Nevada and other states, as well as provide cross-county comparisons.

This report discusses legal grounds for divorce in Nevada, the no-fault procedures governing the divorce process, the custody issues facing the divorcing spouses, and the circumstances under which alimony may be due to parties involved in a divorce …

Child Abuse And Neglect In Nevada, Ramona W. Denby-Brinson, Hanna Haran

Social Health of Nevada Reports

Child maltreatment in Nevada reflects the general social, economic, and health conditions within the state and its local communities. This chapter starts with various definitions of child abuse and neglect, focusing on the approach adopted by Nevada legislators and comparing it with competing definitions. Next, this report examines child abuse and neglect rates in Nevada and tracks the progress the state has made toward achieving its goals related to child welfare outcomes, including child protection and safety, child permanency, and child well-being. The discussion then moves to the most promising child welfare intervention practices and approaches. Finally, the chapter outlines …

Addiction And Substance Abuse In Nevada, Andrea Blin

Social Health of Nevada Reports

Substance abuse is an issue with serious health and societal consequences in Nevada and throughout the nation. In 2016, drug overdoses were responsible for approximately 64,000 deaths in the United States, surpassing motor vehicle deaths by 60 percent (National Institute on Drug Abuse, 2018). Recent attention has been focused on the spike in opioid use and its implications for public health. Nationally, deaths from opioid overdoses increased from 6.1 per 100,000 in 1999 to 19.8 per 100,000 in 2016. Nevada’s experience has mirrored national trends, with the drug overdose death rate in the state increasing from 11.5 per 100,000 in …

Behavioral And Mental Health In Nevada, David Caloiaro, Luana Ritch

Social Health of Nevada Reports

Until recently, the Nevada Division of Mental Health and Developmental Services (MHDS) was the public provider of mental health, substance abuse and developmental services. On July 1, 2013, the delivery of the mental health, substance abuse and developmental services in Nevada was restructured on several levels. With this reorganization, Developmental Services for persons with intellectual disabilities was transitioned into the Aging and Disability Services Division (ADSD), while mental health and substance abuse services were integrated to become Behavioral Health. Behavioral Health was then merged with the public health from the State Health Division to form the new Division of Public …

Suicide Trends And Prevention In Nevada, Matt Wray, Tatiana Poladko, Misty Vaughan

Social Health of Nevada Reports

Suicide is a leading cause of death in the United States. In 2007, nearly 35,000 Americans took their own lives, a rate of 11.5 suicides per 100,000 (Xu et al. 2010). Among 15-24 year olds, suicide is the third leading cause of death and for those aged 25-34, it is the second leading cause (CDC WISQARS 2007).

Crime And Delinquency In Nevada, Brooke M. Wagner, Andrew L. Spivak, Stephanie L. Kent, Deborah Koetzle

Social Health of Nevada Reports

Crime and justice system have received much attention from American scholars and politicians in the last than 50 years, with issues in adult criminality, delinquency, and penology emerging at the center stage of criminological inquiry. While scholarly literature now includes many studies focused on different regions and cities, there are no large-scale empirical examinations of crime and delinquency in Nevada. One exception is the Social Health of Nevada report issued in 2006 by University of Nevada, Las Vegas (UNLV) Center for Democratic Culture (CDC).

Disease Prevalence And Behavioral Risk In Nevada, Shannon M. Monnat

Social Health of Nevada Reports

Throughout the last several years, people living in the United States have engaged in intense debates about health care reform, costs, and mandates. What is often missing from these debates is arguably the key issue in American health: What is making us sick in the first place?

Health Care Access And Insurance Availability In Nevada, Douglas L. Garner, Marie A. Wakefield, Tiffany G. Tyler, A. Dexter Samuels, Roger Cleveland

Social Health of Nevada Reports

The U.S. Department of Health and Human Services (2012) defines healthcare access as “the timely use of health services to achieve the best health outcomes.” The Department specifies that efficient health care access is contingent on several steps, including (1) entry into the healthcare system, (2) availability of needed services, and (3) accessibility of providers with whom individuals can establish relationships founded on mutual communication and trust.

High School Graduation And Dropout Rates In Nevada, Tiffany G. Tyler, Sandra D. Owens

Social Health of Nevada Reports

The causes and consequences of high school dropout rates are multifaceted and of great importance to society, and that is why this problem has been the subject of close scrutiny by educators, researchers, administrators, politicians and laypersons. Experts do not always agree on the nature of this social problem, but they have pinpointed its economic and social costs, identified key risk factors, and outlined most promising policy options for improving high school graduation rates in our society.

Academic Achievement And School Resources, Tiffany G. Tyler, Douglas L. Garner, Marie A. Wakefield, Roger Cleveland, Sandra D. Owens

Social Health of Nevada Reports

This chapter examines the national and local trends in educational policy, focusing in particular on Nevada’s academic achievement, standardized test performance, available school resources, and unmet needs. The discussion begins with the concept of academic achievement and the ways it is measured. After that, we analyze the policies impacting academic achievement, most notably the No Child Left Behind (NCLB) Act. Next, we suggest the strategies to improve academic performance in the Nevada K12 System and make recommendations to increase parental involvement in education and encourage culturally competent policies of bringing together children, families, and schools. Finally, we discuss the resources …

Child Abuse And Neglect In Nevada, Ramona W. Denby

Social Health of Nevada Reports

Child maltreatment in Nevada reflects the general social, economic, and health conditions within the state and its local communities. This chapter starts with various definitions of child abuse and neglect, focusing on the approach adopted by Nevada legislators and comparing it to competing definitions. Next, this report examines child abuse and neglect rates in Nevada and tracks the progress the state has made towards achieving its goals related to child welfare outcomes, including child protection and safety, child permanency, and child well-being. After that, the discussion moves to the most promising child welfare intervention practices and approaches. Finally, the chapter …

Teen Sexuality And Pregnancy In Nevada, Tiffany G. Tyler, Marie A. Wakefield, Sandra D. Owens, Lori Smith

Social Health of Nevada Reports

The proliferation of sexually explicit materials has been the hallmark of North American culture for decades. The arrival of the Internet made access to such materials all the easier, and not only for adults but also for teenagers who learn at ever-early age that romantic relations are exciting and sexual encounters are a welcome part of life. When such exposure to sensual images is not accompanied by appropriate sex education, the consequences could be dire for teenagers and society alike.

Addiction And Substance Abuse Among Nevada Youths, An-Pyng Sun, Chih-Hsiang Ho, Larry Ashley

Social Health of Nevada Reports

Adolescence is a critical stage for substance abuse initiation, as well as for substance abuse prevention, intervention, and treatment. This report presents tobacco product use, alcohol use, and illicit drug use rates of Nevada’s youths (aged 12-17) compared with youths nationwide as a whole. Most data were retrieved from the Substance Abuse and Mental Health Services Administration (SAMHSA), including the 2008--2009 National Survey on Drug Use and Health (NSDUH) data and Treatment Episode Data Set (TEDS), supplemented with the Centers for Disease Control and Prevention (CDC)’s 2009 Youth Risk Behavior Survey (YRBS) data. Substate data were taken from SAMHSA’s 2006-2008 …

Disability Rights And Services In Nevada, Janet S. Belcove-Shalin

Social Health of Nevada Reports

For ages, people with disabilities faced hardship and condescension from the general public. As recently as the 19th century, individuals with serious physical or mental issues were singled out for pity, shunned by society, and urged to accept their afflictions as God’s will. The government offered no assistance to the impaired, relying instead on almsgiving by religious institutions and philanthropic organizations.

Prenatal Care And Infant Mortality In Nevada, Douglas L. Garner, Roger Cleveland, A. Dexter Samuels, Tiffany G. Tyler

Social Health of Nevada Reports

The U.S. outspends all other industrial countries on health care, and yet Americans hardly enjoy better health (Gorman 2010). An American baby born in 2006 can expect to live 78 years – two years less than a baby born across the Canadian border. The U.S. ranks 28th in infant mortality out of the 30 major industrial countries (Gorman 2010). A large part of the gap in infant mortality can be traced to high infant death rates in certain populations, particularly African-Americans who make up about 13% of the total population. In 2005, infant mortality for non-Hispanic blacks in the U.S. …

Aging Trends And Challenges In Nevada, Jennifer Reid Keene, Kathryn Mcclain, Jacqueline Ragin

Social Health of Nevada Reports

Societal aging is one of the most important social trends of the 21st century. It affects our political, social, and economic institutions and also the nature of our interpersonal and family relationships (Quadagno 2011). In the coming decades, both as individuals and as a society, we will have to make important decisions regarding the consequences of our aging population. Policy makers, families, businesses, local, state, and federal governments, health care providers will have to meet the growing needs of the older population in the U.S. and in Nevada.

Income Distribution And Poverty In Nevada, Danielle Ely, Christina Morales, David R. Dickens Jr.

Social Health of Nevada Reports

In his famous visit to the U.S. early in the nineteenth century, the French observer Alexis de Tocqueville was surprised by what he saw as “an equality of condition” in his travels around the country. Although he commented on the existence of wealth in the new nation, he was impressed by what he saw as its relative lack of concentration (de Tocqueville 1969). Recent studies by social historians, however, discovered that de Tocqueville was mistaken. Further research suggests that a pattern of highly unequal distributions of wealth and income persisted from the time of the Revolution up through the end …

Housing Availability And Homelessness In Nevada, Dahn Shaulis, Kathleen Fairchild, Kurt Borchard

Social Health of Nevada Reports

The first edition of Housing Availability and Homelessness in Nevada was written in 2005 amid economic boom times and rapid population growth. At the publication of this revision, in 2011, Nevadans face crisis-level economic conditions profoundly affecting how we evaluate housing conditions in the Silver State. Hundreds of thousands of people have lost their homes and tens of thousands are jobless and without benefits, putting them at greater risk of homelessness (Associated Press, 2011, Silva, 2011, Sermons and Witte, 2011). Housing availability and homelessness are social concerns looming larger than six years ago.

Immigration And Ethnic Diversity In Nevada, Thomas Wright, John P. Tuman, Maryam T. Stevenson

Social Health of Nevada Reports

In a few decades, non-Hispanic whites will constitute a bare majority in the United States. If current demographic trends continue, the Hispanic population will double or even triple in size by 2050, the Asian population will double, and the African-American population will grow at a faster pace than non-Hispanic whites, which are actually expected to begin declining by 2025. These developments promise to bring profound changes in the country’s ethnic and racial landscape.