Health Economics Commons^™

Bridging Fiscal Sustainability And Health Equity: A Policy Analysis Of California’S Healthcare Coverage Safeguards, Guadalupe Castaneda Martinez

Master's Projects and Capstones

Without structural policy intervention, approximately 4.6 million Californians remain at risk of being uninsured by 2030, worsening racial and ethnic health disparities and hospital uncompensated care burdens. This policy analysis advocates for a hybrid universal coverage model combining sliding-scale subsidies (California Senate Bill 78) with full-scope Medi-Cal expansion for all income-eligible residents regardless of legal status (California Assembly Bill 133). The framework relies on existing funding mechanisms, including the Managed Care Organization tax and the Health Care Affordability Reserve Fund. Comparative analysis indicates that market-only subsidies leave severe equity gaps, whereas immediate single-payer transitions pose substantial fiscal and administrative risks. …

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …

Cooling Deserts For Renters: Heat Equity Inside The Nyc Housing System, Tahreem Ashraf

Dissertations, Theses, and Capstone Projects

This study introduces the Cooling Desert Index (CDI), a composite spatial measure designed to identify census tracts in New York City where extreme heat vulnerability and structural barriers to adaptive cooling converge. Drawing on five publicly available datasets and a seven phase statistical pipeline, the CDI scores all 2,231 NYC census tracts on a continuous 0 to 100 scale by integrating heat exposure, severe rent burden, household income, racial composition, language access, disability status, and housing crowding. The analysis identifies 557 cooling deserts, defined as tracts where environmental heat risk is high and financial constraints make effective cooling structurally inaccessible, …

Statute Meets Custom: Explaining Provincial Variation In Child Marriage After Indonesia’S 2019 Reform, I Made Yudisthira, Diahhadi Setyonaluri

Jurnal Ekonomi Kependudukan dan Keluarga

This study investigates whether Indonesia’s 2019 Marriage Law reform, which raised the minimum legal age of marriage to 19, has been associated with lower child marriage prevalence. Using province-level aggregates from the 2022 Indonesian National Socio-Economic Survey (SUSENAS, N = 1,237,946), we distinguish documented and undocumented unions and estimate Ordinary Least Squares models with controls for poverty, education, assets, rural residence, religious composition, and marriage dispensations. Descriptive maps show prevalence is highest in South Kalimantan (18%), East Java (17%), and West Java (17%), with undocumented unions concentrated in West Nusa Tenggara (7%), Banten (5%), Papua (5%), and West Sulawesi (5%). …

Bibliometric Analysis Of Research On Women’S Labor Force Participation And Household Economics, Muhamad Dupi, Inayat Ullah Baloch

Jurnal Ekonomi Kependudukan dan Keluarga

Studies of women labor participation (WLFP) and household economics have grown in size in the last two decades and more research and policy focus are given to gender equality, labor markets and household welfare. Nevertheless, the available literature is still in pieces by region, theme, and institutional settings and a complete bibliometric review of this area of study is yet to be done. The objective of the proposed study is to trace the world-wide literature on the topic of women participation in the labor force and household economics through the analysis of the patterns of publications, networks of cooperations, and …

Bukan Hanya Tugas Istri: Pengaruh Penggunaan Kontrasepsi Suami Terhadap Kesehatan Mental Istri, Aldo Savira Adha Saputra, Elda L. Pardede

Jurnal Ekonomi Kependudukan dan Keluarga

Male participation in contraceptive use in Indonesia remains very low, while women continue to bear a disproportionate reproductive burden, including mental health impacts from contraceptive side effects. This study aims to examine the effect of husbands’ contraceptive use on wives’ mental health. The analysis utilizes data from the fifth wave of the Indonesia Family Life Survey conducted in 2014. Wives’ mental health is measured using the Center for Epidemiologic Studies Depression Scale - 10. The results of the binary logistic regression model indicate that husbands’ contraceptive use lowers the likelihood of wives experiencing depression. Additionally, being aged 25-49, having good …

Trading Posts And "Old Pawn": Diné Navajo Trade And The Native Art Industry, Dustin Roberto

Native American Studies Student Publications

"Old pawn" is widely used to describe antique Native American jewelry and goods once pawned for credit at trading posts in the Four Corners region. This article traces how the trading post pawn system influenced Diné Navajo economic life from 1868 through the 1970s, when federal regulators documented exploitative practices such as inflated interest, withheld mail, and items sold without notice. Weavers and individuals pawning jewelry typically received store credit or overvalued commodities instead of cash, a result of the power dynamics of the setting. Today, "old pawn" functions as a marketing label for vintage goods, often without documentation. The …

The Motherhood Penalty On Health: Evidence From China, Ang Sun, Fang Xia, Xuan Zhang

Research Collection School Of Economics

Understanding women’s physical and mental well-being following childbirth is critical for informing policies on labor market equity, family support, and fertility. Using event study methods and panel data from China, we document a persistent motherhood penalty in both physical and mental health, whereas the health impacts on fathers are minimal. While mothers experience a temporary reduction in paid work hours, they face a sustained increase in unpaid domestic labor — housework and childcare — resulting in a net increase in total work time. This additional workload likely contributes to deterioration in health. Mothers are also more likely to engage in …

Validation Of The Jefferson Health-Related Social Needs Screener, Sara Beachy, Kristin L. Rising, Richard W. Hass, Terry Hyslop, Isabella Muti, Mackenzie Kemp, Rhea E. Powell, Cara Martino, Baligh R. Yehia, Joseph G. Cacchione, Patricia C. Henwood

Jefferson Hospital Staff Papers and Presentations

INTRODUCTION: Screening for health-related social needs (HRSN) is a growing national health priority. While multiple HRSN screening tools currently exist, none to our knowledge have been evaluated using robust statistical analyses. The goal of this work is to provide results from a validation study of the Jefferson HRSN screener conducted across inpatient and outpatient settings.

METHODS: This retrospective cross-sectional psychometric study included HRSN assessments conducted across inpatient and outpatient settings with adult patients from March 2023 to May 2024. The study was conducted across a 17-hospital academic health system serving a diverse community in a 9-county area crossing two states …

More Schooling Can Delay The Onset Of Dementia Later In Life, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Employment Research Newsletter

No abstract provided.

Urban-Rural Divide In Inequality’S Impact On Substance Abuse, Jonathan E. Flores

Undergraduate Theses, Capstones, and Recitals

This thesis focuses on investigating the relationship between income inequality, measured through the Gini coefficient, and drug addiction, proxied through substance-related mortality. Specifically, this thesis focuses on how these dynamics vary across rural and urban counties in the United States, using population size as a proxy. County-level data from 2016 to 2020 were collected through both the CDC and the Census Bureau and subsequently analyzed using Stata, with crude death rates from drug and alcohol causes serving as a function of the Gini coefficient, labor force participation, racial composition, and other socioeconomic indicators. Through a quadratic version of the model, …

Does Schooling Improve Cognitive Abilities At Older Ages? Causal Evidence From Nonparametric Bounds, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler

Upjohn Institute Working Papers

We revisit much-investigated relationships between schooling and health, focusing on schooling impacts on cognitive abilities at older ages using the Harmonized Cognition Assessment Protocol in the Health & Retirement Study (HRS) and a bounding approach that requires relatively weak assumptions. Our estimated upper bounds on the population average effects indicate potentially large causal effects of increasing schooling from primary to secondary; yet, these upper bounds are smaller than many estimates from the literature on causal schooling impacts on cognition using compulsory-schooling laws. We also cannot rule out small and null effects at this margin. We do, however, find evidence for …

More Schooling Can Delay The Onset Of Dementia Later In Life, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Policy and Research Briefs

No abstract provided.

Causal Effects Of Schooling On Memory At Older Ages In Six Low-And-Middle-Income Countries: Nonparametric Evidence With Harmonized Datasets, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Working Papers

Higher schooling attainment is associated with better cognitive function at older ages, but it remains unclear whether the relationship is causal. We estimate causal effects of schooling on performances on the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) word-recall (memory) test at older ages in China, Ghana, India, Mexico, Russia, and South Africa. We used harmonized data (n=30,896) on older adults (≥50 years) from the World Health Organization Study on Global Ageing and Adult Health. We applied an established nonparametric partialidentification approach that bounds causal effects of increasing schooling attainment at different parts of the schooling distributions under …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

Exploring Anticoagulant Prescription Disparities: A Focus On Hispanic Patient Care, Michael Acevedo, Vanessa Veltre

Rowan-Virtua Research Day

Anticoagulants play a critical role in preventing thromboembolic events, yet disparities persist in their prescription among minority populations. This presentation explores inequities in anticoagulant prescribing patterns, with a specific focus on Hispanic patient care. Using retrospective electronic health record data, we analyzed the prescription rates of warfarin versus direct oral anticoagulants (DOACs) among adults with clinical indications for anticoagulation. Our findings reveal that Hispanic patients are significantly less likely to receive DOACs compared to non-Hispanic White patients, even after adjusting for demographics, comorbidities, and insurance status. Contributing factors include language barriers, lack of insurance, and potential implicit bias in provider …

The Association Between Economic Outcomes And Abortion: A Scoping Review, Larisa Nicole Stephenson

Capstone Experience: Master of Public Health

Background: Abortion access is not just an issue of autonomy, but an economic issue as well. Evidence of the intersectionality of abortion health care and economics has endured due to the financial cascading effects a denial of an abortion, or the inability to access an abortion, has on one’s personal, professional, and economic upward mobility. A change in recent policies impacting access to abortion warrants an updated synthesis examining the relationships between economic outcomes and abortion access for people of reproductive age in the United States (U.S.).

Aim: This scoping review summarizes evidence pertaining to the association …

Exploring Global Research Trends On Smoking And Mental Health: A Bibliometric Analysis, Martaria Rizky Rinaldi, Jelang Hardika

Jurnal Ekonomi Kependudukan dan Keluarga

This bibliometric analysis explores global trends, author productivity, institutional and country contributions, citation patterns, and thematic relationships in the literature linking smoking and mental health. Data from the Scopus database were retrieved using specific keyword combinations related to smoking and mental health, resulting in 1,782 eligible articles after filtering for research quality. The study examines publication trends, identifies high-impact studies, and maps thematic clusters in the field. Results indicate a notable increase in publications after 2000, driven by growing recognition of smoking's impact on mental well-being and the integration of mental health considerations in tobacco control policies. Thematic mapping reveals …

Status Perceraian Dan Kebahagiaan Pada Wanita Di Indonesia, Rafa Fayza Afrizal, Salsabila Yori Harmen, Friska Aulia Dewi Andini

Jurnal Ekonomi Kependudukan dan Keluarga

Women’s happiness can be influenced by various factors, including marital status. This study analyzes the relationship between marital status and women's happiness in Indonesia using pooled crossectional data from the Indonesia Family Life Survey (IFLS) wave 4 & 5 in 2007 and 2014. The probit regression method is applied to estimate the impact of marital status on the probability of happiness. Results show that widowed and/or divorced women have significantly lower probabilities of happiness than married women (p-value < 0.01). In addition, the probability of being happy for women who are divorced is higher than those who are widowed (p-value < 0.1). This study also emphasizes that education has an important role in improving women's happiness. The implications of this study suggest the importance of policy interventions to improve access to education for women, particularly for those who are socially and economically vulnerable.

When Dollar General Comes To Town, Benjamin Williams

ENGS 15.11: Design and Education

Since 2008, Dollar General has grown from 8,222 to 18,130 locations, becoming a staple of rural communities across America. These discount stores have had, and continue to have, a widespread impact on these communities. This lesson aims to inform students of these impacts, while also addressing how towns are responding to the entrance of Dollar Generals. The lesson will equip students to consider the different perspectives involved in this trend. Key concepts that will be discussed include food deserts, rural transportation difficulties, labor costs, and pricing competition.

Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

The Importance Of Sampling Frequency For Estimates Of Well-Being Dynamics, Stephen James Hoskins, David W. Johnston, Johannes S. Kunz, Michael A. Shields, Kevin E. Staub

ROSA Journal Articles and Publications

Using a high-frequency panel survey, we examine the sensitivity of estimated self-reported well-being (SWB) dynamics to using monthly, quarterly, and yearly data. This is an important issue if SWB is to be used to evaluate policy. Results from autoregressive models that account for individual-level heterogeneity indicate that the estimated persistence using yearly data is near zero. However, estimated persistence from monthly and quarterly data is substantial. We estimate that persistence to shocks typically lasts around six months and has a net present value of 75–80 per cent of the contemporaneous effect. Estimates are similar for different domains of SWB.

Pemanfaatan Tik Dan Akses Terhadap Kebutuhan Kb Yang Tidak Terpenuhi, Maghfirah Maghfirah, Omas Bulan Samosir, Triasih Djutaharta

Jurnal Ekonomi Kependudukan dan Keluarga

The achievement of unmet need for family planning in the last two years has decreased from 14,7 percent in 2022 to 11,5 percent in 2023. However, that rate is still high because 2024 RPJMN target of unmet need for FP in Indonesia is 7,4 percent. The policies made by the government to reduce unmet need for FP are utilizing ICT and improving access to family planning services. Thus, this research aims to study the relationship between utilizing ICT and access with unmet need for FP in Indonesia. Based on data from 2017 IDHS, the analytical method used in this research …

Where Did Young Workers Go? The Increase Of Youth Neet In Indonesia During Pandemic, Fx Gugus Febri Putranto, Devanto Shasta Pratomo, M. Pudjihardjo

Jurnal Ekonomi Kependudukan dan Keluarga

The transition of young workers to youth Not in Employment, Education, and Training (NEET) is part of the problems of employment and welfare of the Indonesian population during the COVID-19 pandemic. Using the 2019 and 2020 National Labor Force Survey (Sakernas) data, this study aims to explain the characteristics and determinants of young workers transitioning to unemployed and inactive NEET compared to remaining employed using multinomial logistic regression, in all and gender model. Most of the young workers who are transitioning into youth NEET are concentrated in Java. Gender, education, digitalization, internet, skills, employment status, …

Maternal Decision Making And Children’S Nutritional Status: Evidence From Indonesia, Nadia Roswita, Teguh Dartanto

Jurnal Ekonomi Kependudukan dan Keluarga

Indonesia is encountering consecutive health problems caused by malnutrition. The latter poses long-term effects on children’s development. As this issue continue its prominence, using linear regression and binary logistic with time lag to analyze data from Indonesia Family Life Survey (IFLS) in 2007 and 2014 shall support the analysis of issue. Previous results from the models indicated that maternal decision-making in their share of food expenditure has a weak correlation for stunted children's experience. However, this study revealed different results. It suggested that involvement in from men in nutritional knowledge, skills, and financial backing to advance women's roles contributes to …

Pengaruh Orang Tua, Keluarga, Dan Lingkungan Sosial Terhadap Perilaku Merokok Remaja, Nurul Hidayati, Dwini Arianto

Jurnal Ekonomi Kependudukan dan Keluarga

The high prevalence of teenage smoking in Indonesia is a serious problem. This study aims to analyze the influence of the smoking behavior of close individuals to teenagers, including parents, family, and social environment, on the smoking behavior of teenagers in Indonesia. Using the National Socioeconomic Survey (SUSENAS) 2021 Data, with a sample of 187,277 adolescent individuals. The results of this study indicate that the smoking behavior of parents, family, and a smoking environment has a significant positive influence on teenage smoking behavior. Parents who smoke increase the likelihood of teenagers smoking by 1.61 times, while smoking family members also …

Does Higher Socioeconomic Status Associate With Better Mental Health Outcomes Among Primary Caregivers In Rural China?, Wenwen Zhang

Master's Theses

This study explores the intricate relationship between socioeconomic status (SES) and the mental health outcomes of primary caregivers in rural China, focusing on the Early Childhood Development (ECD) context in Ya'an. Anchored in a major intervention project launched in 2023, the study critically examines the hypothesis that higher socioeconomic status correlates with lower levels of negative emotions among caregivers.

Utilizing cross-sectional data, the research investigates how educational attainment and household income influence caregivers' mental health, measured through the DASS-21 score in three dimensions: stress, anxiety, and depression. The findings reveal that higher household income and educational levels are significantly associated …

Le Coût Des Lésions Psychologiques Liées Au Travail Au Québec, Martin Lebeau, Jaunathan Bilodeau, Marc-Antoine Busque

Portraits statistiques

Cette étude présente une analyse statistique des coûts des lésions psychologiques liées au travail au Québec. Les coûts financiers et humains engendrés par les lésions psychologiques acceptées à la Commission des normes, de l'équité, de la santé et de la sécurité du travail (CNESST), survenues entre 2014 et 2019, ont été évalués à 1,01 milliard de dollars. Cela correspond à un coût annuel moyen de 169 millions de dollars et un coût moyen par lésion de 121 590 $. En dollars constants, les coûts annuels de ces lésions ont augmenté de 195 % sur les six années à l’étude.

Les …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …