Health Policy Commons^™

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

An Analysis Of Georgia Mothers Who Gave Birth In 2015 And 2016 Without Receiving Prenatal Care, Joncel Stephens, Shanta R. Dube, Merrilee Gober

Journal of the Georgia Public Health Association

Background: The present study characterizes the population of women residing in the state of Georgia who did not receive prenatal care before giving birth to a live infant. The association between mother’s place of residence (rural/non-rural) and preterm delivery was also examined.

Methods: This study examined data obtained from the Georgia Department of Public Health which includes data for 7,062 mothers who did not receive prenatal care before giving birth to a live infant in Georgia in the years 2015 and 2016. Data on the resulting births was also studied. Descriptive analyses of the following variables were used …

Reducing Opioid Related Deaths And Improving Rehabilitation Access Through The Elk Grove Village Cares Program: A Program Evaluation, Rebecca Barron

Doctor of Nursing Practice (DNP) Manuscripts

Abstract The goal of the Elk Grove Village Cares program is to decrease the deaths and overdoses of those who abuse opioids through harm reduction strategies and provide access to treatment. The article is a program evaluation of the Elk Grove Village Cares program. Surveys, interviews and the synthesis of program data is used to evaluate the efficacy of program activities. Results: The rate of death from opioid use has decreased an average of 1.7 deaths since program implementation in 2018. Law enforcement officers (LEO) and the community responded similarly to many survey questions regarding attitudes surrounding addiction. Within the …

Reproductive Freedom For All: A Policy Brief, Noa J. Cook

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

Reproductive freedom in the United States has been a source of controversy throughout history and current legislation places these rights under attack. Divided into three parts, this policy brief seeks to address the lack of accessible reproductive healthcare for women, with special attention to economic, racial, and ethnic disparities. Part 1 includes a historical overview of abortion access and significant legislation in the U.S., describes the present status of the problem, and the populations affected. In Part 2, the pros and cons of current policies such as the federal contraceptive guarantee of the Affordable Care Act (ACA), Hyde Amendment, and …

Representation And Recommendations: Participation Of People Who Use Drugs In Un-Level Policy-Making, Lily Knudsen

Independent Study Project (ISP) Collection

Although participation in health policy-making is a popular topic in the literature and a stated priority of the United Nations, very little research has been published examining the full spectrum of participation by people who use drugs (PWUD) at the UN level. This study aims to describe and evaluate this participation through a combination of a literature review that looks at academic sources, UN publications, and publications by organizations of PWUD, and a series of interviews with representatives of organizations of PWUD who have participated in UN level policy-making.

Data collected demonstrates that there is no comprehensive system for the …

Vaccine Hesitancy Within Nevada Counties, June 2021, Kelliann Beavers, Madison Frazee-Bench, William E. Brown Jr.

Health

This fact sheet highlights estimated rates of vaccine hesitancy, vaccination rates, the index of social vulnerability, and the level of concern for 17 Nevada counties as of June, 2021. The data are reported in the U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation (ASPE) estimates.

Cdc Social Vulnerability Index (Svi): Nevada Counties, Vanessa Booth, Ally M. Beckwith, Kelliann Beavers, William E. Brown Jr.

Demography

This fact sheet highlights how Nevada counties rank on the Social Vulnerability Index (SVI) as defined by the Center for Disease Control (CDC) and the Agency for Toxic Substances and Disease Registry (ASTDR). Socially vulnerable populations are often disproportionately harmed during public health emergencies such as natural disasters and infectious disease outbreaks. The Geospatial Research, Analysis, and Services Program (GRASP) created the CDC/ATSDR Social Vulnerability Index (CDC/ATSDR SCI) to help public health officials and emergency response planners meet community health needs during response and recovery efforts (ATSDR, 2020).

How Did Homelessness Change During The Great Recession And Recovery?, Jenny Schuetz, Matthew Ring

Policy Briefs and Reports

Job losses from the COVID-19 pandemic have exacerbated housing insecurity among low-income renters over the past year. Federal, state, and local policymakers have created temporary measures to help reduce displacement among people who have lost their jobs, but there is considerable uncertainty about what will happen when these temporary measures end. To gain insight into how homelessness changes over macroeconomic cycles, we examine changes in homelessness rates from 2007 to 2020. Our analysis focuses on four metro areas that were particularly hard-hit by the foreclosure crisis: Las Vegas, Los Angeles, Phoenix, and Riverside. Overall homelessness rates declined in all metros …

Student Loans And Health-Related Financial Hardship, Sophia T. Anong, Robin Henager

Journal of Student Financial Aid

Research has shown that student loan borrowers in repayment exhibit physical and mental health problems. These can be exacerbated by and contribute to health-related financial hardship. We use the 2015 U.S. National Financial Capability Study to examine the likelihood of having past due medical bills and of avoiding health care services by not purchasing prescribed medication, skipping tests or follow-up with a doctor or not seeking care for a medical problem. Borrowers on income-driven repayment plans and those who made late payments are found to be more likely to have unpaid medical bills and to have avoided required medical attention. …

Job Satisfaction And Stressors: The Direct Support Professional's Experience, Saralynn Emery

Master's Theses

The current service system for individuals with intellectual and developmental disabilities is provided in the form of community-based support. This support is carried out by Direct Support Professionals (DSPs) who provide one-on-one services to individuals in their homes, workplaces, and communities. The current system is undergoing a turnover crisis and there is an enormous need for a quality and reliable workforce of DSPs to continue to carry out services. Previous research has explored factors that contribute to DSP burnout and ultimately turnover. By researching the DSP role from the DSP experience directly, this study examines other factors that contribute to …

Understanding Modern History Of International Food Law Is Key To Building A More Resilient And Improved Global Food System, Michael T. Roberts

Journal of Food Law & Policy

This article advocates the need for a history of the development of modern international food law and suggests an analytical approach to complement the chronicling of events. Comprehension of this history will help elucidate the evolution of a complicated modern global food system, including its resiliency and vulnerability as demonstrated by Covid-19, thereby providing valuable context for change in the system where needed. This essay makes the case for such a history in three parts. First, it briefly demonstrates the need for a historical perspective through a critical examination of a journal article that speaks to Covid-19 food security in …

Marketing To Food Insecure College Students: An Investigation Into The University Of Mississippi’S Food Pantry, Dandridge Parks

Honors Theses

College students are documented to suffer food insecurity at a high rate, and student-run food pantries have aimed to alleviate some of this burden. However, these pantries operate inefficiently and struggle to adequately meet student needs. In particular, many students are unaware of the pantry or have barriers to use. Research has found that only 14% of food insecure college students use their campus food pantries. The objective of the following work is to improve future marketing for campus run food pantries, with a specific focus on the University of Mississippi’s pantry.

In the last year, the University of Mississippi’s …

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 …

Healthcare Protection Policies During The Covid-19 Pandemic: Lessons Towards The Implementation Of The New Egyptian Universal Health Insurance Law, Alaa Ghannam, Ayman Sebae

Faculty Journal Articles

On March 11th 2020, the World Health Organization (WHO) declared the coronavirus a global pandemic. The spread of the virus in many countries has exceeded the capabilities of the traditional healthcare systems and has challenged government plans to contain it.

The COVID-19 pandemic arrived in Egypt at a time when the first steps in the implementation of the newly ratified law on social health insurance were taking place. Law number 2 for the year 2018 saw the first steps of its implementation in Port Said governorate. As the realisation of the law is proceeding in other governorates, the pandemic and …

Executive Summary- Social Protection In Egypt: Mitigating The Socio-Economic Effects Of The Covid-19 Pandemic On Vulnerable Employment, Dina Makram-Ebeid, Amr Adly, Nadine Sika, Hania M Sholkamy, Samer Atallah

Faculty Journal Articles

This is the executive summary of an interdisciplinary project between the fields of development economics, political economy, labor sociology, development anthropology and public health. It reviews the social protection available to vulnerable employees and their households in Egypt and suggests ways to adapt them in light of the COVID 19 pandemic. The research focuses on four areas a) employment security b) social assistance c) health insurance d) gendered mitigations. The project will map the impact of the crisis on vulnerable employees and their households and propose policy interventions to alleviate the socio-economic effects of the pandemic through the publication of …

Covid-19: Event Size Risk By Nevada County, January 2021, Olivia K. Cheche, Madison Frazee-Bench, Katie M. Gilbertson, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet presents data on Nevada counties, drawing from the Georgia Institute of Technology’s “COVID-19 Event Risk Assessment Planning Tool,” as of January 14th, 2021. Various risk scenarios are displayed based on event size for the rate of COVID-19 transmission in Nevada’s 17 counties.

Covid-19: Hospital Bed Capacity In Nevada Counties, January 2021, Marie A. Falcone, Madison Frazee-Bench, Caitlin J. Saladino, William E. Brown Jr.

Health

This Fact Sheet presents data on hospital bed use during the COVID-19 pandemic in Nevada for the week of January 4 - 11, 2021. The data indicate the percentage of adult inpatient and intensive care unit (ICU) beds used in each hospital and clarify what percentage of those bed occupancies are COVID-19 patients. Information is available on 45 hospitals throughout Nevada located in the following counties: Clark, Nye, Douglas, Washoe, Churchill, Humboldt, Elko, and Carson. Other Nevada counties did not report relevant statistics, or the sample size was fewer than four.

Drug Treatment Providers In Nevada, Vanessa Booth, Peter Grema, Caitlin J. Saladino, William E. Brown

Health

This fact sheet reports data from Behavioral Health Nevada’s drug treatment provider database for May 2020. The data focuses on the number of drug treatment providers in Nevada counties and municipalities, how the facilities are funded, and if the facilities accept Medicaid. A breakdown of the number of clinics, the facilities that provide adult services, and the clinics that attain above standard ratings in Clark County are also provided.

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 …

Recent Trends In Heat-Related Mortality In The United States: An Update Through 2018, Scott C. Sheridan, P. Grady Dixon, Adam J. Kalkstein, Michael J. Allen

Political Science & Geography Faculty Publications

Much research has shown a general decrease in the negative health response to extreme heat events in recent decades. With a society that is growing older, and a climate that is warming, whether this trend can continue is an open question. Using eight additional years of mortality data, we extend our previous research to explore trends in heat-related mortality across the United States. For the period 1975–2018, we examined the mortality associated with extreme-heat-event days across the 107 largest metropolitan areas. Mortality response was assessed over a cumulative 10-day lag period following events that were defined using thresholds of the …

Introduction: The Future Of Global Health Governance, Elizabeth Weeks, Anish Patel

Scholarly Works

CONFERENCE: The Future of Global Health Governance

Hosted by the Dean Rusk International Law Center and the Georgia Journal of International and Comparative Law on January 25, 2021 in Athens, Georgia

When we began developing this topic last winter and early spring, the global pandemic in which we still find ourselves deeply entrenched, a year later, was just emerging. For many in the United States, including our former President, the threat seemed distant, even hypothetical.' Few imagined the devastating loss of life, health, economic security, home, family, companionship, and "normal" ways of life that we would come to experience over …

Assessing The Vulnerability Of Monterey Bay Area Seniors To Covid-19, Ethan A. Quaranta, Gerhard L. Gross

Culture, Society, and Praxis

This paper assesses the vulnerability of seniors residing in the Monterey Bay Tri-County Region to the COVID-19 pandemic. Due to weakened immune systems, seniors are the most at-risk members of our community to COVID-19, and have a death rate that is three times higher than the overall death rate to COVID-19. Using standard ambulance response times from each hospital throughout the area, our objective is to determine what proportion of Tri-County seniors aged 65 and over, including those who are in nursing homes, are living independently, and cannot afford health care, were within an adequate travel time to the hospital. …

Survivor: An Analysis Of The Term From India, Pravin Patkar

Dignity: A Journal of Analysis of Exploitation and Violence

This article discusses the need for greater conceptual clarity of the term survivor. It raises questions about the propriety of the term to refer to the victims of sex trafficking. It points out that in the Indian context, the term victim is legally and operationally defined. It cautions against the hasty incorporation of the term survivor into public policies addressing the trafficked victims' problems. Different social platforms use the term survivor differently, and the difference is not nominal. The use of the term survivor is both casual as well as intentional. The term survivor trivializes the exploitation and makes invisible …

The Affordable Care Act And Entrepreneurship Lock: An Updated Examination Of Employer-Based Healthcare’S Effect On Self-Employment By Demographic Group, Sean Ruddy

Undergraduate Economic Review

This paper capitalizes on a natural experiment created by differences in Medicaid expansion under The Patient Protection and Affordable Care Act (ACA). A difference and difference model comparing states that did and did not expand Medicaid is conducted to investigate if providing an alternative and low-cost source of health insurance affects self-employment rates overall and across different demographic groups. The results suggest that living in a state that expanded Medicaid was associated with a 1.4 percent increase in the likelihood that an individual will be self-employed and that this effect is heterogeneous across different demographics, being largest among African Americans.

Teletherapy Use In Children’S Advocacy Centers: An Effective Solution Amidst The Covid-19 Pandemic, Camille T. Traczek

Student Publications

The Covid-19 pandemic has affected people’s lives in unprecedented ways. Concerns about social distancing have resulted in the cancellation of therapy and doctor’s appointments, leaving those with serious mental health issues without treatment. The need for social distancing amidst the pandemic has particularly affected children seeking treatment from Children’s Advocacy Centers (CACs), many of whom have witnessed or experienced abuse. In order to treat children who cannot physically go to a center, many CACs have begun using teletherapy, which is the use of interactive, synchronous technology to provide counseling services. The Adams County Children’s Advocacy Center in Gettysburg, Pennsylvania has …

Planned Policy Action, Nicole T. Cesanek

Student Publications

Gettysburg College was built on the foundation of “doing great work,” not just for the betterment of ourselves and our education but also for others in the college and surrounding community. This project seeks to do precisely this, encourage everyone, including students, tourists, and community members, to do great work in benefiting others around them. It primarily consists of a comprehensive summary of the plans and actions required to create a community-wide tab collection bin to benefit the Ronald McDonald House Charities (RMHC). The project seeks to achieve two main goals: encourage people to collect and donate their aluminum can …

Child Injuries And The Timing Of Snap Benefits Receipt, Colleen Heflin, Irma Arteaga, Jean Felix Ndashimye, Matthew P. Rabbitt

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is an important federal resource that provides nutritional assistance to low-income families. Timing of SNAP benefits can reduce childhood injuries.

Human Trafficking And Gender Inequality In Remote Communities Of Central Vietnam, Bich Ngoc Nguyen, Mark Gordon

Journal of Sustainable Social Impact

Human trafficking crime is rising globally at an alarming rate. Vietnam has one of the highest prevalence of trafficking female victims for forced sex and marriages and of girls abandoning school for unskilled work. In this study, we explored human trafficking awareness in remote communities of central Vietnam and the factors for young girls leaving school for work at an early age. The study also investigated a link between gender inequality and child labor. Gender inequality and vulnerability theories provided theoretical constructs and context for face-to-face interviews with 19 villagers, mothers of the child labor victims, teachers, human services workers, …

Creating Comprehensive Wrap-Around Services For The Homeless Community: Exploring Network Activity Among Shelters And Service Organizations Within The South-Side Of Chicago, Gloria West

Dissertations

We may not all agree that the homeless community is increasing and that their essential needs to survive such as food, healthcare and housing are quality of life rights for everyone. We must adopt the compassion of the medical industry and understand the importance of how community programs and services impact their survival. The sense of urgency to address the issues of homelessness does not appear to be moving as fast as other government agendas hindering families and individual’s ability to achieve self-sufficiency. It is expected that the priorities within this population are addressed immediately, it should be understood that …

“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair

Theses/Capstones/Creative Projects

This paper explores possible reasons why Black women in the United States experience a higher maternal mortality rate than their white counterparts. Using books, articles, journals, documentaries, personal experiences and stories of Black women and mothers, I argue that barriers from the societal to the individual level create health and medical disparities for Black mothers in pregnancy, during delivery, and the postpartum period. The paper concludes with a multifaceted solution and call to action.