Health Economics Commons^™

Barriers To Immunity: Understanding Covid-19 Vaccine Uptake In Africa, Emilia Blechschmidt

Honors Theses

This thesis examines the factors influencing COVID-19 vaccine uptake across African countries, with a focus on structural, informational, and behavioral barriers to immunization. Drawing on cross-country data, the study analyzes how access to transportation, reliable information, and healthcare resources shape vaccination rates, alongside the effect of demographics and institutional factors in shaping individual perceptions of risk and vaccine safety.

The findings emphasize that the broader strength and preparedness of national health systems strongly influence vaccine uptake. Countries that demonstrated higher coverage of routine childhood immunizations, such as polio and hepatitis B, also tended to perform better in COVID-19 uptake efficiency …

Mucking Up Public Health: A Geospatial Analysis Of Agricultural Sludge Application And Cancer Prevalence In Maine, Sarah A. Bassett

Honors Theses

This study investigates the impact of per- and polyfluoroalkyl substances (PFAS) on cancer prevalence throughout Maine. The main contribution of this project is the database constructed to examine cancer rates at a novel aggregation area: watersheds. By using a watershed as the aggregation area, this study gains insight into the threat that spreading sludge as fertilizer on agricultural fields poses to human health through groundwater pathways. Using geospatial analysis and an ordinary least squares regression model, this study estimates the effect of the presence of PFAS in a watershed from 2017 to 2021, in addition to estimating the impact of …

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 …

The Effect Of Postpartum Depression On New Mothers' Return To Work Decisions, Nicole Walutes

Honors Theses

Postpartum depression rates in the United States have doubled since 2010, with potentially significant economic consequences. In this study, I examine the relationship between postpartum depression and new mothers’ labor force participation using a national longitudinal dataset of 738 new mothers. I examine two labor force participation outcomes: whether or not a new mother returned to work postpartum, and the number of days it took for her to do so if she returned. I include a detailed set of demographic and social control factors. I find that conditional on these controls, having postpartum depression relates to a statistically insignificant 4.73 …

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 …

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, …

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.

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 …

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 …