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Articles 61 - 90 of 100
Full-Text Articles in Health Economics
The Role Of Peer Influence On Oral Health Knowledge And Behaviors Among Adolescents, Maryam Sadeghipour Roudsari, Seyed Peyman Shariatpanahi, Mahshid Namdari, Mohammad Hossein Khoshnevisan, Mahsa Malek-Mohammadi, Mohammad Hadi Foroughmand
The Role Of Peer Influence On Oral Health Knowledge And Behaviors Among Adolescents, Maryam Sadeghipour Roudsari, Seyed Peyman Shariatpanahi, Mahshid Namdari, Mohammad Hossein Khoshnevisan, Mahsa Malek-Mohammadi, Mohammad Hadi Foroughmand
Journal of Dentistry Indonesia
Although many researchers, in different social sciences fields, are being attracted to the new potential promotional phenomenon, the influence of peer connections, the literature in dental public health is very poor. Objective: This article investigates the role of peer influence on individuals’ oral health knowledge and behavior among adolescents. Methods: The purpose of the study was to explore the correlation between secondary school students’ oral health u and knowledge within friendship groups. A valid and reliable questionnaire was developed. A total of 421 students (228 boys and 193 girls) aged between 12-13 years old participated in the study. …
Multiple Oral Ulcerations In A Seizure Patient With Undiagnosed Brain Arteriovenous Malformation, Ambar Kusuma Astuti, Febrina Rahmayanti
Multiple Oral Ulcerations In A Seizure Patient With Undiagnosed Brain Arteriovenous Malformation, Ambar Kusuma Astuti, Febrina Rahmayanti
Journal of Dentistry Indonesia
Multiple ulcerations are rarely caused by a traumatic event, but seizures can induce repeated injury to the oral mucosa. A patient with a seizure history possesses a challenge in their dental management. Objective: In order to describe a case of multiple oral ulceration in a post-seizure patient with undiagnosed arteriovenous malformation (AVM) in the left parietal lobe and provide short guidelines for dentists in managing patient with a seizure history. Case report: A 23-years old female had multiple oral ulceration in the right and left buccal mucosa and her tongue. She reported having a seizure attack six days before. …
210— Factors Affecting Teenage Pregnancy In The Philippines, Tashi Sherpa
210— Factors Affecting Teenage Pregnancy In The Philippines, Tashi Sherpa
GREAT Day Posters
The Philippines has one of the highest adolescent birth rates among the Southeast Asian countries. In 2019, the Philippines National Economic and Development Authority (NEDA) declared the number of teenage pregnancies a "national social emergency". Rodrigo Duterte, the President of the Philippines, realized the urgency as the Commission on Population and Development in 2019 recorded that almost seven girls, aged ten to fourteen, gave birth everyday- 2,411 girls that year. Teenage pregnancy prevents the opportunity for women to escape from poverty and improve their human development levels. Increased risk of these outcomes are predominantly caused by inadequate sex education, lack …
Assessing The Patient-Perceived Monetary Value Of Patient-Reported Outcome Improvement For Patients With Chronic Knee Conditions, Sarah B. Floyd, Alicia Oostdyk, Melanie Cozad, John M. Brooks, Paul Siffri, Brian Burnikel
Assessing The Patient-Perceived Monetary Value Of Patient-Reported Outcome Improvement For Patients With Chronic Knee Conditions, Sarah B. Floyd, Alicia Oostdyk, Melanie Cozad, John M. Brooks, Paul Siffri, Brian Burnikel
Journal of Patient-Centered Research and Reviews
Purpose: The high cost of orthopaedic care has attracted criticism in the current value-based health care environment. The objective of this work was to assess the properties of a willingness to pay (WTP)-based approach to estimate the monetary value that patients place on health improvements in chronic knee conditions following orthopaedic treatment.
Methods: A sample of patients with a chronic knee condition were surveyed between January and May of 2018 at a large orthopaedic practice. Each patient provided their WTP for restoration to ideal knee health and completed the Single Assessment Numerical Evaluation (SANE) to describe their baseline knee state. …
Pandemic Emotions: The Good, The Bad, And The Unconscious —Implications For Public Health, Financial Economics, Law, And Leadership, Peter H. Huang
Pandemic Emotions: The Good, The Bad, And The Unconscious —Implications For Public Health, Financial Economics, Law, And Leadership, Peter H. Huang
Northwestern Journal of Law & Social Policy
Pandemics lead to emotions that can be good, bad, and unconscious. This Article offers an interdisciplinary analysis of how emotions during pandemics affect people’s responses to pandemics, public health, financial economics, law, and leadership. Pandemics are heart-breaking health crises. Crises produce emotions that impact decision-making. This Article analyzes how fear and anger over COVID-19 fueled anti-Asian and anti-Asian American hatred and racism. COVID-19 caused massive tragic economic, emotional, mental, physical, and psychological suffering. These difficulties are interconnected and lead to vicious cycles. Fear distorts people’s decision readiness, deliberation, information acquisition, risk perception, and thinking. Distortions affect people’s financial, health, and …
Investigating The Economic Effects Of Food Affordability, Food Access, And Education On Obesity Rates In Mississippi Counties, Youssef Osman
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 …
The Beef Industry: The Social Costs From An Ecological, Economic, And Social Perspective, Timothy Keathley
The Beef Industry: The Social Costs From An Ecological, Economic, And Social Perspective, Timothy Keathley
Student Papers in Local and Global Regional Economies
Beef products are a staple of western diets and are quickly becoming normalized in more parts of the world. Americans from 1910 to present day have consumed an average of 60 pounds of beef each year, with total beef consumption annually over 27 billion pounds (Beef, 2005). Red meat is a tempestuous topic of discussion. Red meat is a product that has nutritional benefits, is a symbol of status, and has a favored taste for many of its consumers. It can also be said that red meat is associated with health issues, animal cruelty, and environmental sustainability concerns. Jochimsen said …
Government Management Capacities And The Containment Of Covid-19: A Repeated Cross-Sectional Study Across Chinese Cities, Wenchao Li, Jing Li, Junjian Yi
Government Management Capacities And The Containment Of Covid-19: A Repeated Cross-Sectional Study Across Chinese Cities, Wenchao Li, Jing Li, Junjian Yi
Research Collection School Of Economics
Objectives: Better understanding of the dynamics of the COVID-19 (2019 novel coronavirus disease) pandemic to curb its spread is now a global imperative. While travel restrictions and control measures have been shown to limit the spread of the disease, the effectiveness of the enforcement of those measures should depend on the strength of the government. Whether, and how, the government plays a role in fighting the disease, however, has not been investigated. Here, we show that government management capacities are critical to the containment of the disease. Setting: We conducted a statistical analysis based on cross-city comparisons within China. China …
Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady
Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady
National Youth Advocacy & Resilience Conference
This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.
Change In Outbreak Epicentre And Its Impact On The Importation Risks Of Covid-19 Progression: A Modelling Study, Oyelola A. Adegboye, Adeshina I. Adekunle, Anton Pak, Ezra Gayawan, Denis H. Y. Leung, Diana P. Rojas, Emma S. Mcbryde, Damon P. Eisen
Change In Outbreak Epicentre And Its Impact On The Importation Risks Of Covid-19 Progression: A Modelling Study, Oyelola A. Adegboye, Adeshina I. Adekunle, Anton Pak, Ezra Gayawan, Denis H. Y. Leung, Diana P. Rojas, Emma S. Mcbryde, Damon P. Eisen
Research Collection School Of Economics
Background: The outbreak of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) that was first detected in the city of Wuhan, China has now spread to every inhabitable continent, but now the attention has shifted from China to other epicentres. This study explored early assessment of the influence of spatial proximities and travel patterns from Italy on the further spread of SARS-CoV-2 worldwide. Methods: Using data on the number of confirmed cases of COVID-19 and air travel data between countries, we applied a stochastic meta-population model to estimate the global spread of COVID-19. Pearson's correlation, semi-variogram, and Moran's Index were used to …
The Effects Of Income On Health: Evidence From Lottery Wins In Singapore, Seonghoon Kim, Kanghyock Koh
The Effects Of Income On Health: Evidence From Lottery Wins In Singapore, Seonghoon Kim, Kanghyock Koh
Research Collection School Of Economics
We estimate the causal effects of household income on self-reported health status by exploiting random variations in the amount of lottery prizes won. We find that a S$10,000 (US$7,245) increase in income via lottery wins improves individuals’ health by a standard deviation of 0.18. As possible mechanisms, we find that lottery wins increase household consumption spending and improve overall life satisfaction, but do not change healthcare spending, labor supply, and risky health behavior. Previous studies, which focused on the health effects of lottery prizes in Western European countries with strong social safety nets, do not find positive effects other than …
The Case For Public Investment In Higher Pay For New York State Home Care Workers: Estimated Costs And Savings, Isaac Jabola-Carolus, Stephanie Luce, Ruth Milkman
The Case For Public Investment In Higher Pay For New York State Home Care Workers: Estimated Costs And Savings, Isaac Jabola-Carolus, Stephanie Luce, Ruth Milkman
Publications and Research
This report explores one potential solution to the mounting home care labor shortage in New York State: substantially raising wages for the state's home care workers. The analysis presents detailed projections, based on the best available data, of the economic effects of such an intervention, estimating the costs and benefits that would result. We find that public funding to raise home care wages would require significant resources, but those costs would be surpassed by the resulting savings, tax revenues, and economic spillover effects. The net economic gain would total at least $3.7 billion. Lifting wages would also help fill nearly …
What Is The Impact Of Economic Stimulus Measures On Covid-19 Mortality Rates?, Stephanie C. Santaguida
What Is The Impact Of Economic Stimulus Measures On Covid-19 Mortality Rates?, Stephanie C. Santaguida
University Honors Theses
This inquiry seeks to establish the degree to which economic stimulus measures impact COVID-19 mortality rates. There appears to be an inverse correlation between domestic social spending and COVID-19 deaths. While confirmed infections are the most reliable predictor of mortality rates, trust in government is an important factor to consider when public compliance with health directives determines the degree of epidemiological risk in each country. Although most economists agree that stimulus monies directed to low-income individuals to prevent financial collapse were appropriate, there is some dissention with regard to the type and size of such cash infusions. Nonetheless, behavioral economists …
Corona's Bio-Economic Crisis And The Post-Corona World, Cyrus Bina
Corona's Bio-Economic Crisis And The Post-Corona World, Cyrus Bina
Economics & Management Publications
While pandemics are pervasive, this is for the first time that the capitalist mode of production reached the outer limits of biology, biosphere, ecology, economy, geography, and international relations in unison resulting in an all-encompassing crises that devastated the entire planet. The upshot of this pandemic has overwhelmed the infrastructure of public health across the globe with stunning speed and with infections in millions in just a few months and the velocity of economic damage and devastation much worse than the Great Depression of the last century. It is also the “proof of the pudding” for the “conquest of mode …
Measuring Environmental (Dis)Amenity Value During A Pandemic: Early Evidence From Maryland, Nicholas B. Irwin, Mitchell R. Livy
Measuring Environmental (Dis)Amenity Value During A Pandemic: Early Evidence From Maryland, Nicholas B. Irwin, Mitchell R. Livy
Molasky Family Department of Economics and Real Estate Faculty Research
© 2021 The Authors With the outbreak of COVID-19 and the implementation of stay-at-home (SAH) orders aimed to mitigate its spread, households became less mobile and sheltered in place. This behavior has potential implications for how households’ value environmental (dis)amenities, especially those that are underutilized during the pandemic. In this paper, we explore changes in the valuation of two prominent environmental (dis)amenities – major roadway and open space proximity – by households within the Baltimore metropolitan region. We find evidence that the housing price capitalization of immediate major roadway proximity changes due to the SAH order and associated policies that …
Connected: Using A Novel In-House Communication System To Efficiently Deliver Imaging Results, Daniel Greentree, Brendan R. Calhoun, Steven Farraher
Connected: Using A Novel In-House Communication System To Efficiently Deliver Imaging Results, Daniel Greentree, Brendan R. Calhoun, Steven Farraher
Journal of Maine Medical Center
Introduction: The primary objective was to investigate the effectiveness of a fully staffed electronic communication system (1Connect) in delivering timely critical imaging results and incidental findings. The secondary objective was to evaluate the financial impact of this system on a radiology practice.
Methods: From January 2014 through June 2016, the 1Connect database was retrospectively reviewed and sorted by category of submission type: Critical (1-hour communication time), STAT (2 hours), or Unexpected finding (3 business days). The percent of successful communications completed within the appropriate time frame was calculated for each priority category and used as a measure of the system’s …
The Social Determinants Of Diabetes And Coronary Heart Disease In South Asian American Immigrants, Mishal Ayaz
The Social Determinants Of Diabetes And Coronary Heart Disease In South Asian American Immigrants, Mishal Ayaz
Electronic Theses and Dissertations
An astounding 20% of South Asian Americans have diabetes (Matthews and Zachariah 2008). Conventional risk factors for coronary heart disease includes: age older than 65, sedentary lifestyle, cigarette smoking, hypertension, elevated low-density lipoprotein (LDL), cholesterol, and type 2 diabetes, all factors beyond health care (italicized for emphasis) (Mathews and Zachariah 2008). But conventional risk factors alone are not sufficient to predict the alarmingly high rates of coronary heart disease (“CHD”) for South Asian Americans. In fact, the only conventional risk factor more prevalent in this community than others is diabetes. So, the question remains, what factors are contributing to the …
Children’S Health And Maternal Work Activities, Termeh Tavangar
Children’S Health And Maternal Work Activities, Termeh Tavangar
Electronic Theses and Dissertations
I estimate the effect of poor child health on maternal labor force participation. Mothers of health-impaired children may decide not to work and stay at home to take care of their children. Alternatively, mothers may choose to enter the labor force to pay for these children’s additional resources. Which action dominates is the empirical question I answer in this paper. I control for the potential endogeneity of a child’s health status by using an instrumental variables approach. I find that if mothers have a child in poor health, the probability that the mother works is decreased by thirteen percentage points, …
An Impact Evaluation Of Covid-19 Training Program: Knowledge And Awareness Of Public Health Professionals Of Province Five, Nepal, Alok K. Bohara, Swati Thapa, Siobhan K. Yilmaz, Spencer H. Mcbee
An Impact Evaluation Of Covid-19 Training Program: Knowledge And Awareness Of Public Health Professionals Of Province Five, Nepal, Alok K. Bohara, Swati Thapa, Siobhan K. Yilmaz, Spencer H. Mcbee
Himalayan Research Papers Archive
With the declaration of a worldwide pandemic in March 2020 (World Health Organization 2020), COVID-19 has become a primary focus of governments and public health systems across the world with increases in infection and death rates. By mid-April 2020, more than 80% of countries had imposed containment and mitigation measures. But for developing nations, the threats of this global pandemic are more acute given the lack of resources and the capacity to deal with a shock of this magnitude (Loayza 2020). Despite calling for a lockdown on March 24th, 2020 (Pradhan 2020), Nepal faces several public health challenges including limited …
An Evaluation Of Databases Drawn From The National Survey Of Substance Abuse Treatment Services (N-Ssats), Brian Cushing, Elham Erfanian
An Evaluation Of Databases Drawn From The National Survey Of Substance Abuse Treatment Services (N-Ssats), Brian Cushing, Elham Erfanian
Other
Appalachia has been at the center of the drug crisis that has now exploded across the United States, wreaking havoc on communities and destroying lives. Other than a brief, hopeful leveling off in 2018, drug use and overdose deaths have continued to accelerate. One key focus of policies aimed at dealing with the crisis has been treatment and recovery resources, which provide critical support for those struggling with addiction. The Appalachian Regional Commission wishes to document the distribution of treatment and recovery resources within Appalachia, which is critical to assessing unmet needs. The following report describes, reviews, and evaluates the …
Essays On The Role Of Policies In Major Public Health Issues, Anh Le
Essays On The Role Of Policies In Major Public Health Issues, Anh Le
Theses and Dissertations--Economics
This dissertation explores the role of policy on health outcomes and behaviors that relate to major public health concerns. Essay 1 and Essay 2 investigate the effects of Medicaid expansions on substance-use outcomes. Essay 3 examines the impacts of school reopenings in Texas on COVID-19 and mobility outcomes.
Essay 1 studies the effect of the Affordable Care Act Medicaid expansion. Using State Drug Utilization Data 2011-2017, I find that the Medicaid expansion is associated with an increase of 40-60 Medicaid-paid opioid prescriptions per 1,000 people aged 19–64. However, the results suggest that post-expansion prescriptions are, on average, shorter or prescribed …
Protecting Life And Lung: Protected Areas Affect Fine Particulate Matter And Respiratory Hospitalizations In The Brazilian Amazon Biome., Derek Michael Sheehan
Protecting Life And Lung: Protected Areas Affect Fine Particulate Matter And Respiratory Hospitalizations In The Brazilian Amazon Biome., Derek Michael Sheehan
Graduate Student Theses, Dissertations, & Professional Papers
I assessed the impacts of upwind protected area coverage on local respiratory health within the Brazilian Amazon. A hypothesized mechanism is the legal prohibition of human ignited fires within protected areas, reducing particulate matter pollution, impacting respiratory health downwind. The connection between fires and respiratory diseases in the Amazon is well established (Smith et al. 2014; Rangel and Vogl 2019; Rocha and Sant’anna 2020). What is not well understood is the potential that government policies aimed at preventing ecosystem loss may also promote health and wellbeing, combining the UN sustainable development goals 3 and 15. Protected areas currently dominate government …
Cost-Effectiveness Analysis Of Managed Care For Osteoporotic Hip Fractures, Benchaporn Kotnarin
Cost-Effectiveness Analysis Of Managed Care For Osteoporotic Hip Fractures, Benchaporn Kotnarin
Chulalongkorn University Theses and Dissertations (Chula ETD)
Osteoporotic fracture patients are still unidentified, untreated for osteoporosis. This group of patients is likely to have recurrent fractures and has more morbidity, these problems put a burden on the high cost of taking care of patients and poor clinical outcomes. The intervention for improving the quality of osteoporosis treatment, King Chulalongkorn Memorial Hospital (KCMH) calls “Managed care”. Managed care has an orthopedist who plays a crucial role in fragility fracture and long-term osteoporosis treatment. The purpose of this study is to access the cost-effectiveness of managed care for patients aged 50 years and over with osteoporotic hip fractures compared …
Cost-Effectiveness Of Interventions Targeting Hard-To-Reach Populations Living With Hiv In Eastern And Southern Africa, Deo Mujwara
Theses and Dissertations
In Eastern and Southern Africa, hard-to-reach populations (e.g., long distance truck drivers and female sex workers), defined as populations that are difficult to interact or engage with due to their unique behaviors and characteristics, are disproportionately affected by the HIV epidemic and are at high-risk of acquiring and transmitting HIV. Further, these populations have substantially low uptake of HIV testing services, and those that have been diagnosed with HIV and on antiretroviral therapy experience high loss-to-follow-up from treatment programs.
Hard-to-reach populations face unique barriers in accessing and utilizing routine HIV care such as provider stigmatization towards sex workers and highly …
Quantifying The Benefits Of The Expanded Food And Nutrition Education Program (Efnep) Using Biomarkers For Chronic Disease Risk, Richard Acquah-Sarpong
Quantifying The Benefits Of The Expanded Food And Nutrition Education Program (Efnep) Using Biomarkers For Chronic Disease Risk, Richard Acquah-Sarpong
Electronic Theses and Dissertations
The Expanded Food and Nutrition Education Program (EFNEP) is among the major nutrition education programs funded by the United States Department of Agriculture (USDA) with the aim of reducing food insecurity among low-income families. The program reaches about 70,000 adults and youth of low-income families in the US, District of Columbia, and six U.S. territories. Prior studies have used self-reported data, which possesses measurement errors, to estimate the benefits of the program. This can lead to underestimation or overestimation of results. To address this limitation, I use clinically measured objective biomarkers, such as body mass index (BMI), blood sugar level …
Benefit-Cost Analysis Of Covid-19 Policy Intervention At The State And National Level, James L. Doti
Benefit-Cost Analysis Of Covid-19 Policy Intervention At The State And National Level, James L. Doti
Economics Faculty Articles and Research
This study analyzes the benefits of statewide policy intervention in reducing COVID-19 deaths and the costs of that intervention in lost jobs and lower real gross state product (RGSP). Policy interventions are measured by the Oxford stringency index which places a daily numerical value on the level of a state’s policy intervention.
Empirical evidence is provided that shows policy interventions have reduced COVID-19 deaths by 375,000 lives in 2020. On the cost side, it was found that policy intervention resulted in a loss of 7.3 million jobs and a decline of $410 billion in RGSP.
The study concludes by integrating …
The Motherhood Wage Penalty: New Evidence On Long-Run Effects And Group Heterogeneity, Vera Kratz
The Motherhood Wage Penalty: New Evidence On Long-Run Effects And Group Heterogeneity, Vera Kratz
CMC Senior Theses
This paper seeks to establish the magnitude of the long-run motherhood wage penalty. Using data from the 1997 National Longitudinal Survey of Youth, I examine the difference between the real hourly wages of mothers and non-mothers in the long run. By comparing mothers to not-yet-mothers as well as never-mothers, I am able to better isolate the true wage penalty mothers face. My findings indicate that 21 to 25 years after the birth of their first child, mothers face a 31.75 percentage point wage penalty compared to non-mothers. In addition, I examine differences in the wage penalties of mothers by marital …
Three Essays On Grocery Sales Taxes, Lingxiao Wang
Three Essays On Grocery Sales Taxes, Lingxiao Wang
Theses and Dissertations--Agricultural Economics
Grocery sales taxes represent a stable tax revenue stream for state and municipal government, but there is rare empirical evidence suggesting grocery taxes may adversely affect health. In addition, the how governments set grocery sales taxes is still unclear. Therefore, based on a novel national dataset of annual county and state-level grocery taxes from 2009 through 2016, the following three essays in the dissertation investigate the health impacts of grocery sales taxes and the causes of grocery sales taxes in a framework of tax competition.
In the first essay, we document the spatial and temporal variation in grocery taxes and …
Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman
Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman
Pitzer Senior Theses
This thesis investigates the unique interactions between pregnancy, substance involvement, and race as they relate to the War on Drugs and the hyper-incarceration of women. Using ordinary least square regression analyses and data from the Bureau of Justice Statistics’ 2016 Survey of Prison Inmates, I examine if (and how) pregnancy status, drug use, race, and their interactions influence two length of incarceration outcomes: sentence length and amount of time spent in jail between arrest and imprisonment. The results collectively indicate that pregnancy decreases length of incarceration outcomes for those offenders who are not substance-involved but not evenhandedly -- benefitting white …
A Network Pandemic: Exploring The Effects Of Social Connectedness On The Spread Of Covid-19 In The United States, Mrinalini Bhushan
A Network Pandemic: Exploring The Effects Of Social Connectedness On The Spread Of Covid-19 In The United States, Mrinalini Bhushan
CMC Senior Theses
Social interactions influence the way we think and act. Recent literature on COVID-19 and social connectedness explores how social interactions influence people’s perceptions of the risk from COVID-19 and their behaviors. This paper seeks to investigate how social connectedness, political ideologies, and physical interaction are associated with local COVID-19 case and death rates at the US county level. Social connectedness, as defined by (Bailey et al, 2018) measures connectedness between US counties based on Facebook friendship links. I examine whether a county’s average social connectedness to other counties, as determined by the Facebook index, has an impact on its own …