Social and Behavioral Sciences Commons^™

Better Understanding The Risks And Costs Of Motherhood In The Post-Roe United States, Mackayla Wall

Honors Theses

This paper reviews the literature on the risks and costs of motherhood. The paper compares and analyzes various studies conducted between 1990 and 2023 relating to family planning, pregnancy, and maternal health in America. Changes in healthcare legislation and policies, as well as access to contraception and abortion, have all had an impact on the economic costs of pregnancy and motherhood. These changes emphasize the importance of better understanding the economic costs of pregnancy and motherhood in all its stages— from timing pregnancy to recovering from pregnancy and birth and experiencing childrearing costs. When analyzing previous studies, I discovered that …

Equality In Times Of Uncertainty: Economic Downturn And Body Image Messaging Toward Women, Ritsa Giannakas

Honors Theses

A vast body of literature indicates that the economy and the status of women are interlinked, with higher levels of economic well-being tending to correspond with advancements in women’s rights. However, little of this research has investigated the changes in the wellbeing of women as it pertains to their physical and mental health, especially as it pertains to exploring the impacts of economics on eating disorder rates and societal messaging toward women. This thesis investigates a novel theory linking economic uncertainty and downturn to the spread of pro-eating disorder content online, positing that economic uncertainty may coincide with a “conservative …

Debt And The Medicare Eligibility Discontinuity: Disparate Effects Across Households, Olivia Falck

Honors Theses

Public health insurance programs like Medicare and Medicaid have been shown to help reduce household debt caused by healthcare costs. The impact of health insurance literacy makes the relationship between public health programs and debt more ambiguous. The increasing complexity of Medicare raises the question of whether cost savings associated with enrollment might be mitigated by the complexity of choosing the ideal plan for those with low health insurance literacy. In this study, I utilize the Medicare eligibility cutoff at age 65 to implement a regression discontinuity design that analyzes the impact of Medicare eligibility on household debt and out …

Redlining And Opioid Overdose Outcomes: Do Historical Housing Policies Still Impact Health Today?, Sahana Paravantavida

Honors Theses

This study examines the relationship between historical housing policies and current health outcomes, specifically the impact of redlining on opioid overdose rates. Using data collected from the state of New Jersey, neighborhoods with a history of redlining have higher rates of opioid overdose deaths. My findings suggest that historical housing policies, which systematically excluded certain populations from accessing affordable housing and resources, continue to impact health outcomes today.

Food As A Vector For Change: Lessons From The Third Sector On Improving Livelihoods With Nutritional Knowledge In Medellín And Bogotá, Solomon Treister

Honors Theses

In this thesis I argue that improving diet in communities depends on building nutritional knowledge. In examining the role of community level organizations, I look specifically at how knowledge is conveyed through agriculture and gastronomy. This project analyzes how civil society organizations work to reintegrate individuals into food systems, compelling consumers to take agency over their diets and pursue better livelihoods. The industrialization of food systems has fundamentally changed the way humans connect with food and diet. In Colombia, internal displacements and urban migration have accelerated a loss of connection with the land and food processes. At the same time, …

Mental Health Is Wealth Too: Did The Affordable Care Act Medicaid Expansion Improve Mental Health Outcomes?, Dereck Wang

Honors Theses

The ongoing COVID-19 pandemic has greatly exacerbated mental health, which has long been a growing problem in the United States; poor mental health not only jeopardizes the well-being of Americans but also has severe implications for America’s economy. Not only do mental health conditions have significant costs of treatment, but the absenteeism, presenteeism, early retirement, and mortality stemming from poor mental health also severely impact productivity. One health policy that could alleviate this problem is Medicaid expansion. The Affordable Care Act gave states the choice to expand Medicaid eligibility for individuals with incomes up to 138% of the federal poverty …

The Effects Of Recreational Marijuana Dispensaries On Local Opioid Mortality, Patrick Morrison

Honors Theses

This study examines how recreational marijuana dispensaries in Colorado affect opioid mortality at the county level. Using a difference-in-difference model with county and year fixed effects, I estimate the impact of recreational marijuana dispensary access on fatal opioid overdoses. Additionally, I employ distance from a major roadway and border as two instrumental variables to help limit the endogeneity associated with the location of dispensaries. Previous studies have shown that medical and recreational marijuana dispensary access decreases opioid mortality at the state level. Still, no study has explored the connection between recreational marijuana dispensaries and overdoses at the county level. Using …

Population Aging And Healthcare Costs In China And Japan, Sean Brown

Honors Theses

This study focuses on the natural demographic phenomenon known as population aging and its intersection with healthcare expenditures. Healthcare spending can be a major burden on a country’s economy, so it is important to accurately assess the connection between these two factors. Population aging occurs when countries reach a point in their demographic transitions characterized by declining total fertility rates and high life expectancy. This natural but undesirable position has implications for virtually all aspects of society, and all countries are trending towards aging. This study examines the cases of China and Japan in an effort to assess the validity …

Indie Illness: An Evaluation Of The Orphan Drug Act, Nicholas Castellanos

Honors Theses

The purpose of this study is to evaluate the Orphan Drug Act of 1983 by subtracting the cost of incentives for drug development from the estimated value created by each drug in the form of quality-adjusted life-year gains. Data regarding costs of incentives is retrieved from the FDA as well as a report released by the National Organization for Rare Disorders. Data regarding value created by each drug is retrieved from a Freedom of Information Act request to the FDA, the CEA registry, and a report released by the US Department of Health and Human Sciences. Sufficient data was available …

Investigating The Economic Effects Of Food Affordability, Food Access, And Education On Obesity Rates In Mississippi Counties, Youssef Osman

Honors Theses

The growing rate of obesity across the United States is a topic of great concern considering both the health and financial costs associated with the disease. Many researchers have sought to determine the major causes of obesity so that policy suggestions can be made to reduce its occurrence. Some of the referenced drivers of obesity include high food costs, poor access to healthy food, and a lack of knowledge regarding nutrition. This thesis seeks to find the effects of county-level food prices, income, food access, and education level on obesity rates in Mississippi counties. The analysis uses cross-sectional data from …

How Did Medicaid Expansion Affect The Provider Labor Market?, Aaron Wu

Honors Theses

One provision of the Affordable Care Act was to expand Medicaid eligibility for a greater number of low-income patients. The resulting increase in demand for care was largely explored, but the effect of the 2014 Medicaid expansion on the physician and advanced practitioner labor market has not been well researched by economists. Using pooled cross-sectional data from the 2010 – 2018 American Community Surveys, this paper examines whether the Medicaid expansion has caused notable changes in physician, physician assistant, and nurse practitioner hours, compensation, and overall employment. The literature shows that practices that employ nurse practitioners are far more likely …

The Impact Of State-Level Naloxone Access Policies On Opioid Related Mortality And Admissions, Brian Shorr

Honors Theses

Opioids, both prescription painkillers and illegal drugs, were responsible for over 33,000 deaths in the United States during 2015. Naloxone treatment to combat opioid overdoses has been used in hospital settings for decades, and during recent years legislation has expanded training and distribution to first aid responders and high risk groups. Several studies have projected the efficacy of community-based opioid overdose prevention programs (OOPPs) and prescription drug monitoring programs (PDMPs), but few have examined state naloxone access policies. This paper investigates the impact of three state policies – non-patient specific prescriptions, third-party prescriptions, and layperson legal immunity when administering naloxone …

The Business Cycle And Health: An Analysis Of How Macroeconomic Conditions Impact Health Outcomes In The U.S., Talitha Kumaresan

Honors Theses

The U.S. spends about twice as much per person on healthcare, yet the disease burden remains higher in the U.S. than in comparable countries (Sawyer and Cox 2018; Sawyer and Gonzales 2017). Although health status is perceived to be an outcome of individual decision making, the business cycle also affects health. While the effect of macroeconomic shocks on health outcomes has been studied extensively, results remain inconclusive. This analysis uses longitudinal data over 30 years and panel data models to examine the effect of macroeconomic conditions on obesity, diabetes, hypertension, depression, congestive heart failure, and heart attack or myocardial infarction. …

The Effect Of Aca Medicaid Expansion On People’S Retirement Decision, William Christopher

Honors Theses

As of January 2018, thirty-three states have adopted the Affordable Care Act (ACA) Medicaid expansion. There is an emerging literature to study the effects of ACA Medicaid expansion on various outcomes, such as insurance coverage, health status, and labor supply. For example, a study from the Congressional Box Office projects that the U.S. labor supply will decrease 1.5-2% from 2017 to 2024 because of this expansion. In a recent paper, Ayyagari (2017) argues that because employer sponsored retiree benefits are declining and Medicaid coverage is expanding, retirement age will decrease by 3.6 to 7.2 months. In this paper, I use …

Weight And Wages: The Effect Of Changing Bmi Over Time, Gregory Geisel

Honors Theses

Obesity in the United States has been growing at an alarming rate, driving up health care costs and also promoting a worsening wage penalty for overweight workers. This study explores the determinants of the wage penalty borne by overweight individuals. To investigate this phenomenon individual BMI history was obtained from the Panel Study of Income Dynamics for 1986-1999. Upon examination of the cross-sectional data from 1986, there was a wage penalty observed for males who were underweight and for females who were overweight. The analysis of panel data from 1986 and 1999 however showed that it is not the BMI …

Hospital Merger And Acquisition Effects On Healthcare Quality And Cost, Emily Su

Honors Theses

Healthcare is as much a business subject to market dynamics as it is a public service, with enormous sums of money and resources devoted to it. Since a person’s health is one of his or her most valuable assets, healthcare will always be in high demand, regardless of the price of medical goods and services. Considering healthcare’s nature as a necessary good and the irreplaceable importance of a medical facility to its service area, any changes in capacity or method of healthcare delivery may have profound effects on the dependent population. Situations in which a hospital merges with a healthcare …

Behavioral Economics And Physician Behavior, Allyssa S. Ward

Honors Theses

This study seeks to answer whether the availability heuristic leads physicians to utilize more medical care than is economically efficient. Do rare, salient events alter physicians' perceptions about the probability of patient harm? Do these events lead physicians to overutilize certain medical procedures? This study uses Pennsylvania inpatient hospital admissions data from 2009 aggregated at the physician level to investigate these questions. The data come from the 2009 Pennsylvania Health Care Cost Containment Council (PHC4).

The study is divided into two parts. In Part I, we examine whether bad outcomes during childbirth (defined as maternal mortality, an obstetric fistula or …