Health Economics Commons^™

Attitudes, Behaviours, And The Well-Being Of Older Singaporeans In The Time Of Covid-19: Perspectives From The Singapore Life Panel, Paulin T. Straughan, William Tov, Seonghoon Kim, Terence Cheng, Stephen Hoskins, Micah Tan

ROSA Research Briefs

COVID-19 has affected all Singaporeans, regardless of age and socioeconomic status (SES). Many measures have been implemented by the government to control the spread of this disease, including restrictions on social gatherings, restrictions on overseas travel, and making it compulsory to wear a mask. Measures have also included a partial lockdown – known as the ‘circuit breaker’ – which began in April 2020. This forced Singaporeans to quickly adapt to a new normal with some doing better than others. This research brief provides an overview of how COVID-19 and its related measures have affected seniors in Singapore using data from …

The Full Impact Of The Affordable Care Act On Political Participation, Charles J. Courtemanche, James Marton, Aaron Yelowitz

Economics Faculty Publications

This article examines the impact of both the Medicaid expansion and the private insurance-related components of the Affordable Care Act (ACA) on voter turnout and registration. We employ a difference-in-difference-in-differences identification strategy exploiting variation over time, state Medicaid expansion status, and within-state local area pre-ACA uninsured rates. Using data between 2006 and 2016 from the November Current Population Survey and the Census Bureau's Small Area Health Insurance Estimates, our results suggest little effect of the ACA on voter turnout or registration.

Urban-Rural Gaps In The Prevalence Of Hypertension, Obesity And Diabetes In Malaysia, Thangiah Govindamal

Student Works (2020-2029)

Rapid economic growth has driven urbanization in developed and developing economies. However, it also created several problems, such as a deterioration in health conditions worldwide and widening of urban-rural and income inequality. A major consequence of urbanization include the rising prevalence of non-communicable diseases, cardiovascular disease (CVD) and its risk factors, such as hypertension, obesity and diabetes. The rapid nutrient and physical activity transition due to urbanization and the peculiar form of economic transformation has impacted the CVD risk factors. Rising urban-rural differences in health profiles and CVD risk factors in both locations over years in Malaysia prompted this research …

Medical Resource Use And Costs Of Treating Sickle Cell-Related Vaso-Occlusive Crisis Episodes: A Retrospective Claims Study, Nirmish Shah, Menaka Bhor, Lin Xie, Jincy Paulose, Huseyin Yuce

Publications and Research

Background: The study investigated the economic burden of vaso-occlusive crisis (VOC) among sickle cell disease (SCD) patients, through assessment of overall utilization and costs and costs per VOC episode (regarding the number of VOC episodes and health care setting, respectively).

Methods: Using the Medicaid Analytic Extracts database, the first SCD-related diagnosis claim (index claim) between June 1, 2009–December 31, 2012 was identified among eligible adults. Patients were required to have continuous medical and pharmacy benefits for 6 months pre- and 12 months post-index. Discrete VOC claims identified within a 3-day gap were combined as a single VOC episode. Annual all-cause …

Rationing Social Contact During The Covid-19 Pandemic: Transmission Risk And Social Benefits Of Us Locations, Seth G. Benzell, Avinash Collis, Christos Nicolaides

Economics Faculty Articles and Research

To prevent the spread of coronavirus disease 2019 (COVID-19), some types of public spaces have been shut down while others remain open. These decisions constitute a judgment about the relative danger and benefits of those locations. Using mobility data from a large sample of smartphones, nationally representative consumer preference surveys, and economic statistics, we measure the relative transmission reduction benefit and social cost of closing 26 categories of US locations. Our categories include types of shops, entertainments, and service providers. We rank categories by their trade-off of social benefits and transmission risk via dominance across 13 dimensions of risk and …

Impacts Of Rift Valley Fever Virus: A One Health Approach To Assess Burden And Inform Prevention And Control Options, Catherine Machalaba

Dissertations and Theses

Background: Rift Valley Fever (RVF) is a climate-sensitive emerging zoonotic disease associated with large-scale livestock production losses and human disease burden in Sub-Saharan Africa and the Middle East. While recognized as a key One Health issue based on its transmission dynamics involving human, animal and environmental determinants, there has been poor coordination between sectors to reduce the risk and impact of RVF. Efforts to counter the disease remain largely reactive, presenting an ongoing threat to local and global health security. The intent of this dissertation was to improve understanding of the burden of RVF across society and to identify entry …

Do Rural Health Worker Incentive Schemes Work? Evidence From Thailand, Pallavi Panda, Pasita Chaijaroen

School of Business

This paper studies supply-side health interventions, which increased the monetary incentives and number of health professionals in the Deep South provinces of Thailand, and provides evidence on the effectiveness of provision of primary care providers on the health care utilization of the community. We use a difference-in-differences approach to estimate effects of this policy on child health by evaluating the probability of immunizations in the policy affected areas using two rounds of the Multiple Indicator Cluster Surveys (MICS). We find that after the policy implementation, there is a decrease in immunizations that are given to children within 2 months and …

Professional Sporting Events Increase Seasonal Influenza Mortality In Us Cities, Alexander Cardazzi, Brad Humphreys, Jane E. Ruseski, Brian P. Soebbing, Nicholas Watanabe

Economics Faculty Working Papers Series

The COVID-19 pandemic shut down sporting events worldwide. Local policy makers and league officials face important decisions about restarting play, especially in professional leagues that draw large numbers of spectators to games. We analyze the impact of professional sporting events on local seasonal influenza mortality to develop evidence that will help inform sports league reopening policy decisions. Results from a difference-in-differences model applied to data from a sample of US cities that gained new professional sports teams over the period 1962-2016 show that the presence of games in these cities increased local influenza mortality by between 4% and 24%, depending …

The Effect Of Hurricane Sandy On Mental Health Outcomes Of New Yorkers, Kacper Perkowski

Theses and Dissertations

This study’s objective is to evaluate the effect of Hurricane Sandy on the long-term mental health of New Yorkers. Health data spanning from 2010-2014 was obtained through the Community Health Survey. Difference-in-differences regressions were employed to evaluate the relationship. The results show Hurricane Sandy had no statistically significant effect on any key mental health variables.

Estimating Predictors Of Mental Well-Being Through Analysis Of Children’S Drawings: The Case Of Syrian Refugees, Stephanie Smith

Master's Theses

There are currently over 65 million individuals that have been forcibly displaced globally. The cumulative trauma that comes from the refugee experience and exposure to violence has proven to have long-term negative psychological outcomes and thus negative impacts on human capital in the long run. Given that over 50% percent of the global refugee population are children, the ability to efficiently and accurately assess their mental well-being is of critical importance. Using data from over 2000 refugee children in Jordan, I use machine learning techniques to find key predictors of psychological distress, PTSD, and exposure to violence found in children’s …

The Effect Of Sex Of Firstborn Children On Attitudes Towards Intimate Partner Violence, Shuvam Rizal

Master's Theses

What are the different ways in which one’s life is influenced by the sex of their children? Is there an effect on how they view Intimate Partner Violence? If so, is there a difference in how the male parent is affected by the sex of his child than the female parent? Bodies of conflicting Social Sciences literature suggest having a daughter makes one both more and less likely to engage in Intimate Partner Violence. In this paper, I approach this question through the use of a Linear Probability Fixed-Effects model on Demographic Health Surveys (DHS) datasets, using data from the …

Wellbeing And Marriage: Does Marriage Improve Mental Health?, Maranda L. (Kahl) Joyce

Undergraduate Economic Review

With the decline in marriage rates and the rise in mental health issues, understanding the potential correlation between marital status and overall mental health is of economic importance. This research explores the potential effects of marital status on mental health in the U.S., using microdata from the 2016 Behavior Risk Factor Surveillance System. The role of marital status is examined on three different dependent variables. My results suggest that marriage is associated with a decrease in number of days of poor mental health, a decrease in the likelihood of a depressive disorder diagnosis, and an increase in overall life satisfaction.

Evaluation Of Health Intervention: A Case Of Preschool Children In Egypt, Rania Megally, Hebatallah Ghoneim

Economics

“Good health and well-being” is the third of the Sustainable Development Goals, but it cannot be achieved without achieving goal two, “No Hunger.” Nutrition status is the foundation for healthy individuals, especially children. Developing countries have to set policies to solve malnutrition in order to ensure better health and well-being. This led the researchers to evaluate the impact of nutrition intervention on health outcomes in preschool children in Egypt, a lower middle-income country with high levels of poverty, food insecurity, and anemia. The prevalence of anemia represents a major public health problem in the country; reaching 39.6%.The analysis is based …

Adolescent Health, Future Outcomes, And Mechanisms Linking Health And Education, Nannan Peng

Behavioral and Computational Economics (MS) Theses

Even though the relationship between the health of infants/children and future outcomes has been established in many studies, little evidence has shown the impact of adolescent health. We extend the literature by exploiting the data from Add Health. We show that poor adolescent health has a significantly negative influence on adulthood outcomes. Among the health problems, mental illnesses have significantly persistent effects. Though specific diagnoses can predict general health measure, they are to some extent independent. We further explore the mediators linking health measures and educational attainment. The validity and effect size of the hypothesized mediators are also tested.

Health-Related Anxiety In The Management Of Oral Soreness In An Hivseropositive Patient, Masita Mandasari, Zulvia Oktanida Syarif, Febrina Rahmayanti

Journal of Dentistry Indonesia

The number of people living with HIV (PLHIV) has been increasing since the first known case in the early 1980s. However, PLHIV can also experience comorbidities, such as health anxiety. In the oral cavity, anxiety is often associated with the etiology of parafunctional habits. Anxiety can be measured using self-administered instruments, such as the Hospital Anxiety and Depression Scale (HADS) and Short-Health Anxiety Inventory (SHAI), which is specifically used in the medical setting. Objectives: We are describing a case of HIV positive patient with health anxiety who presented to the oral medicine clinic in our hospital with a complaint of …

Differential Diagnosis And Histopathological Analysis Of Localized Gingival Overgrowths: Study Of 218 Cases From Northeast Thailand, Lordjie Marr Morilla, Ajiravudh Subarnbhesaj, Poramaporn Klanrit

Journal of Dentistry Indonesia

Localized gingival overgrowths (LGOs) are relatively common clinical findings. These lesions can be associated with chronic irritation, infections, or they can represent benign or malignant tumors that can either be primary or metastatic. The etiology of these lesions is multifactorial, but the most prevalent cause is reactive hyperplasia and inflammation induced by dental plaque. Objective: This study presents the prevalence of LGOs in Northeast Thailand and identifies the most common LGOs in the region. Methods: A series of 218 LGO cases was studied. Results: Pyogenic granuloma (PG), gingival squamous cell carcinoma (GSCC), and peripheral ossifying fibroma (POF) were the three …

Evaluation Of Clinical Single Dental Implants Made Between 2013 And 2017, Zozan Erdoğmuş

Journal of Dentistry Indonesia

Objective: This retrospective study aimed to determine the profile of patients who underwent single tooth implants between 2013 and 1017 and to evaluate long-term follow-up and success. Methods: The results of 79 patients who underwent single dental intra-bone dental implantation in Diyarbakır Oral and Dental Health Hospital between 2013 and 2017 were evaluated separately in terms of gender, age, implanted area and number, systemic diseases affecting implant health, and missing implants. Results: In this study, single tooth implants were evaluated in 79 patients with a mean age of 39.55 years in men and 30.44 years in women. …

298— Rural Economic Growth And Disease Intervention In Ghana; The Edward Pettinella '73 Endowed Ambassadorship In Business, Lucas Sutton

GREAT Day Posters

Schistosomiasis is a leading parasitic infection that debilitates many individuals in sub Saharan Africa. Because this parasitic infection involves a snail as an intermediate host, we use a native prawn species as a natural predator to decrease the population of this snail community. This study focuses on Tomefa, a primarily fishing peri-urban community located oi the outskirts of Accra, the capital city of Ghana. A survey was also given to the local community measuring economic characteristics. In the laboratory, Macrobrachium spp prawn exhibit preference of Bulinus snails over Biomphalaria snails while non-parasitic snails were consumed in higher proportion to parasitized …

In Utero Nutritional Shocks And Non-Cognitive Skills: Evidence From Ramadan Fasting In Indonesia, Timothy M. Kell-Fien

Theses and Dissertations

This paper estimates the effects of prenatal exposure to maternal Ramadan fasting on the development of non-cognitive skills. To study this relationship, I employ a general structural equation model (GSEM) on a sample of Muslims from the fifth wave of the Indonesian Life and Family Survey (IFLS). The results of this study find that in utero exposure to Ramadan is associated with lower levels of agreeableness and conscientiousness, and higher levels of neuroticism. The impacts I find on agreeableness and conscientiousness are driven by third trimester exposure and the sub-sample of women. The impacts on neuroticism are driven by exposure …

Did Social-Distancing Measures In Kentucky Help To Flatten The Covid-19 Curve?, Charles J. Courtemanche, Joseph Garuccio, Anh Le, Joshua C. Pinkston, Aaron Yelowitz

Institute for the Study of Free Enterprise Working Papers

In the absence of a vaccine or more effective treatment options, containing the spread of novel coronavirus disease 2019 (COVID-19) must rely on non-pharmaceutical interventions. All U.S. states adopted social-distancing measures in March and April of 2020, though they varied in both timing and scope. Kentucky began by closing public schools and restaurant dining rooms on March 16th before progressing to closing other non-essential businesses and eventually issuing a “Healthy at Home” order with restrictions similar to the shelter-in-place (SIPO) orders adopted by other states. We aim to quantify the impact of these measures on COVID-19 case growth in the …

A Pragmatic Randomized Controlled Trial Of A Cardiac Hospital-To-Home Transitional Care Program In A Singapore Academic Medical Center, Yanying @ Tan Yanying Chen, Yi Jin Tan, Ya Sun, Cheng Zhan Chua

PhD Student’s Publications Collection

BackgroundRehospitalizations are common in healthcare. They are costly for hospitals and patients and a substantial percentage are preventable, partly because hospital-to-community transitions are often unmanaged or poorly managed. In this study, we conducted a pragmatic randomized, controlled trial to evaluate the effectiveness of a new nurse–practitioner-led transitional care program called CareHub, piloted in Singapore’s National University Hospital.MethodsStudy population included all eligible cardiac patients admitted between July 2016 and November 2016. Patients were followed for six months post-discharge. Primary outcomes other than emergency department visits were all cardiac-related: number of readmissions, specialist visits, emergency department visits, and total days readmitted. Secondary …

Policy Impact Evaluations On Labour And Health, Junxing Chay

Dissertations and Theses Collection (Open Access)

This dissertation consists of three chapters that evaluate the impacts of public policies on labour and health.

The first chapter studies a wage supplement scheme in Singapore, called the Workfare Income Supplement, which targets older low-income workers. I exploit differences in maximum benefits across age and over time to find that increasing benefits generosity encourages labour market participation and selfemployment. I also find improved life satisfaction and happiness among those with low education, who are likely to be eligible for the scheme. These results suggest that wage supplements can ease some burdens of an ageing population.

The second chapter investigates …

Does Trade Reduce Infant Mortality? Evidence From Sub-Saharan Africa, Pallavi Panda

School of Business

Trade can affect the development process of a country via various direct and indirect mechanisms. Empirically, it is difficult to identify causal effects, as trade is likely to be endogenous to other socio-economic factors that also affect development. To overcome this problem, this study uses a trade policy experiment called the African Growth and Opportunity Act (AGOA) which conferred many sub-Saharan African countries largely duty-free and quota-free access to US markets. Using retrospective birth histories from Demographic and Health Survey (DHS), I develop a large micro panel dataset that spans 30 sub-Saharan African countries and carry out a within-mother variation …

Socio-Economic Implications Of Genetic Testing, Hailey Lane

Student Papers in Local and Global Regional Economies

This paper examines the ecological, sociological, and economic impacts of genetic testing offered commercially by companies like 23andMe. It applies genetic testing to the Veblenian Dichotomy, discusses the application of genetic testing to the UN’s Sustainable Development Goals, and provides commentary on the ethical implications of genetic testing and the impossibility to detract normative and positive approaches from the potential effects of further innovation within genetic testing.

Refusal Bias In Hiv Data From The Demographic And Health Surveys: Evaluation, Critique And Recommendations, Oyelola A. Adegboye, Tomoki Fujii, Denis H. Y. Leung

Research Collection School Of Economics

Non-response is a commonly encountered problem in many population-based surveys. Broadly speaking, non-response can be due to refusal or failure to contact the sample units. Although both types of non-response may lead to bias, there is much evidence to indicate that it is much easier to reduce the proportion of non-contacts than to do the same with refusals. In this article, we use data collected from a nationally representative survey under the Demographic and Health Surveys program to study non-response due to refusals to HIV testing in Malawi. We review existing estimation methods and propose novel approaches to the estimation …

Welfare Consequences Of Access To Health Insurance For Rural Households: Evidence From The New Cooperative Medical Scheme In China, Jessica Ya Sun

Research Collection School Of Economics

This study evaluates the welfare benefits of the New Cooperative Medical Scheme (NCMS), the main public health insurance plan for the rural population in China. The findings show that the value of the NCMS to recipients is slightly lower than the government's costs of implementation, ranging from 0.79 to 0.97 per RMB of the resource cost of the NCMS. The estimated moral hazard costs are low compared with the total benefits. It is also estimated that the benefits originating from the NCMS's insurance function only constitute 20% of the total benefits, suggesting a need for higher generosity levels among rural …

Congenital Chagas Disease In The United States: The Effect Of Commercially Priced Benznidazole On Costs And Benefits Of Maternal Screening, Victoria Perez-Zetune, Stephanie R. Bialek, Susan P. Montgomery, Eileen Stillwaggon

Economics Faculty Publications

Chagas disease, caused by Trypanosoma cruzi, is transmitted by insect vectors, and through transfusions, transplants, insect feces in food, and mother to child during gestation. An estimated 30% of infected persons will develop lifelong, potentially fatal cardiac or digestive complications. Treatment of infants with benznidazole is highly efficacious in eliminating infection. This work evaluates the costs of maternal screening and infant testing and treatment for Chagas disease in the United States, including the cost of commercially available benznidazole. We compare costs of testing and treatment for mothers and infants with the lifetime societal costs without testing and consequent morbidity and …

Increasing Health Tourism Spending In The United States, Jorge Ridderstaat, Dipendra Singh

Rosen Research Review

An increasing number of people are taking advantage of health tourism to access medical services abroad. For the U.S. to be competitive in the lucrative health tourism environment, it is essential to target the right markets. Until now the information available to do this has been limited. This knowledge gap is being addressed by Dr. Jorge Ridderstaat and Dr. Dipendra Singh from Rosen College of Hospitality Management and colleagues. These researchers have developed a microeconomic elasticity approach that offers an understanding of the effects of individual tourism markets on the total health tourism spending in the U.S.

The Effect Of Good Samaritan Laws (Gsl) On Opioid Overdose Mortality, Tarun Ramesh

Undergraduate Economic Review

This paper investigates the effects of Good Samaritan Laws on opioid overdose mortality rates in the United States. Evaluating policy interventions in response to upticks in opioid mortality is crucial to enact federal legislation that protects communities. However, concerns about moral hazard implications could have profound impacts on current efforts to combat the epidemic. This paper will look at various policies proposed and evaluate the effects of such policies on overall mortality rates, elucidating the moral hazard effects of Good Samaritan Laws.

Treatments For Cancer Given Orally: Patients' Perceptions Of Distress Due To Financial Toxicity, Ellen Carr

Dissertations

Purpose/Aims: For adult participants who have received or are receiving treatment for hematologic and solid tumor malignancies given orally, this study describes the relationship between participants’ experience of financial toxicity (FT), the participants’ perception of distress associated with FT, and participants’ self-identified adherence to prescribed treatments in the context of FT.

Background: FT has emerged as an additional source of distress for cancer patients. The costs of treatments given orally can be prohibitively expensive for patients. Therefore, these patients may experience considerable distress and may not adhere to treatments as prescribed.

Method: Descriptive cross-sectional correlational design study of a sample …