Social and Behavioral Sciences Commons^™

Searching For The Fulcrum: Can Accountable Care Organizations Lower Spending By Balancing Specialists-To-Primary Care Providers?, Vishal Shetty

Masters Theses

Background:

While value-based payment models emphasizing care coordination have been widely implemented to improve quality and lower expenditures, supporting empirical evidence is sparse. Our objective was to quantify the impact of specialist-to-primary care physician involvement within accountable care organization (ACO) and its association with lower spending.

Methods:

We conducted a retrospective cohort study of Medicare Shared Savings Program ACOs from 2012-2016 using publicly available data provided by the Centers for Medicare and Medicaid Services at the ACO level. We examined the association between the proportion of primary care services delivered by specialists versus other types of care providers and ACO …

Food Insecurity At A Four-Year College Campus, Danielle Corrado

School of Public Policy Capstones

This paper, through an adaption of the United States Department of Agriculture Adult Food Security survey tool, aims to identify food insecurity rates at the University of Massachusetts Amherst, the demographic characteristics associated with food insecurity, potential financial factors that contribute and predict food insecurity rates, and the relationship between food insecurity and academic performance. Lastly, this paper examines on and off campus resources available to students and students perception of food insecurity before college as compared to actual food security status in college.

Promoting Healthy Diets: Challenges And Opportunities Of Nutrition Policy Implementation In Food Banks, Sarah Brown-Anson, Elizabeth Leibinger, Hadassah Masudi Minga

School of Public Policy Capstones

In recent years, food banks have grown increasingly aware of the role diet plays in wide-spread public health issues such as cardiovascular disease, diabetes, and obesity. Food banks already purchase healthy foods directly and select nutritious items distributed by government programs such as The Emergency Food Assistance Program (TEFAP). Recently, some banks have implemented nutrition policies to regulate donations made by businesses and individuals to further decrease the volume of less healthy options in their warehouses.

This study explores the challenges and opportunities associated to the implementation of nutrition policies for donated food items by Food Banks in the USA. …

Alcohol Policy Best Practices In Franklin And Hampshire Counties, Massachusetts, Lauren Coakley, Reily Connaughton, Ghida El-Banna

School of Public Policy Capstones

Research question: What are "efficient" policies and best practices to reduce youth alcohol consumption in Franklin and Hampshire counties, Massachusetts?

Motivation: Excessive alcohol consumption leads to monetary and societal costs.

Methodology: A hybrid of quantitative (multiple linear regression) and qualitative (policy evaluation, case studies, phone and in-person interviews) methods.

Adolescents’ Soda Consumption In Mexico Before And After The Sugar-Sweetened Beverages Tax: Results From National Health And Nutrition Surveys, Estefania Martí Malvido

School of Public Policy Capstones

In 2014 Mexico implemented a national tax on sugar-sweetened beverages (SSBs) as a public health strategy. Over the last decades, obesity has significantly increased among adolescents (12-19 years). In addition, the consumption of high-energy beverages among adolescents more than doubled from 1999 to 2006. The current study investigates the relationship between the SSBs tax and the caloric soda consumption in the Mexican adolescent population utilizing cross-sectional data from two nationally representative nutrition surveys. One from 2012 which took place before the tax was implemented and one conducted in 2016, two years after tax implementation.

Results show a positive association between …

Outreach Strategies To Recruit Low-Income African American Men To Participate In Health Promotion Programs And Research: Lessons From The Men Of Color Health Awareness (Mocha) Project, Louis F. Graham, Lamont Scott, Erus Lopeyok, Henry Douglas, Aline Gubrium, David Buchanan

Health Promotion and Policy Faculty Publication Series

African American men continue to bear a disproportionate share of the burden of disease. Engaging these men in health research and health promotion programs—especially lower-income, African American men who are vulnerable to chronic disease conditions such as obesity and heart disease—has historically proven quite difficult for researchers and public health practitioners. The few effective outreach strategies identified in the literature to date are largely limited to recruiting through hospital clinics, churches, and barbershops. The Men of Color Health Awareness (MOCHA) project is a grassroots, community-driven initiative that has developed a number of innovative outreach strategies. After describing these strategies, we …

Vitamin D Status Is Not Associated With Risk Of Early Menopause, Alexandra C. Purdue-Smith, Brian W. Whitcomb, Joann E. Manson, Susan E. Hankinson, Lisa M. Troy, Bernard A. Rosner, Elizabeth R. Bertone-Johnson

Biostatistics and Epidemiology Faculty Publications Series

Background: Early natural menopause, the cessation of ovarian function before age 45 y, is positively associated with cardiovascular disease and other conditions. Dietary vitamin D intake has been inversely associated with early menopause; however, no previous studies have evaluated risk with regard to plasma 25-hydroxyvitamin D [25(OH)D] concentrations.

Objective: We prospectively evaluated associations of total and free 25(OH)D and vitamin D–binding protein (VDBP) concentrations and the risk of early menopause in a case-control study nested within the Nurses’ Health Study II (NHS2). We also considered associations of 25(OH)D and VDBP with anti-Müllerian hormone (AMH) concentrations.

Methods: The NHS2 is a …

The Importance Of Friends And Family To Recreational Gambling, At-Risk Gambling, And Problem Gambling, Alissa Mazar, Robert J. Williams, Edward J. Stanek Iii, Martha Zorn, Rachel A. Volberg

Biostatistics and Epidemiology Faculty Publications Series

Background

The variables correlated with problem gambling are routinely assessed and fairly well established. However, problem gamblers were all ‘at-risk’ and ‘recreational’ gamblers at some point. Thus, it is instructive from a prevention perspective to also understand the variables which discriminate between recreational gambling and at-risk gambling and whether they are similar or different to the ones correlated with problem gambling. This is the purpose of the present study.

Method

Between September 2013 to May 2014, a representative sample of 9,523 Massachusetts adults was administered a comprehensive survey of their past year gambling behavior and problem gambling symptomatology. Based on …