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Full-Text Articles in Medicine and Health

Unemployment And Opioid-Related Mortality Rates In U.S. Counties: Investigating Social Capital And Social Isolation–Smoking Pathways, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews May 2023

Unemployment And Opioid-Related Mortality Rates In U.S. Counties: Investigating Social Capital And Social Isolation–Smoking Pathways, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews

Department of Sociology: Faculty Publications

We examine two mechanisms—social capital and sociobehavior—potentially linking unemployment rates to opioid-related mortality and investigate whether the mechanisms differ geographically by the pace of the opioid crisis. Applying path analysis techniques to 2015–2017 opioid-related mortality in U.S. counties (N = 2,648), we find that (1) high unemployment rates are not directly associated with opioid-related mortality rates; (2) high unemployment rates are negatively associated with social capital, and low social capital contributes to high opioid-related mortality; (3) high unemployment rates increase social isolation and the prevalence of smoking, which is positively related to opioid-related mortality; and (4) the pathways are stronger …


Living Alone During Old Age And The Risk Of Dementia: Assessing The Cumulative Risk Of Living Alone, Benjamin A. Shaw, Tse-Chuan Yang, Seulki Kim Jan 2023

Living Alone During Old Age And The Risk Of Dementia: Assessing The Cumulative Risk Of Living Alone, Benjamin A. Shaw, Tse-Chuan Yang, Seulki Kim

Department of Sociology: Faculty Publications

Objectives: This study examines the association between living alone during old age and dementia. Whereas most previous studies on this topic utilize measures of living alone status that were obtained at a single point in time, we compare this typical approach to one that measures long-term exposure to living alone among older adults and assesses whether dementia is more likely to occur within individuals with more accumulated time living alone. Methods: Data come from the Health and Retirement Study, with a follow-up period of 2000–2018. A total of 18,171 older adults were followed during this period, resulting in 78,490 person-waves …


Social Vulnerability And The Prevalence Of Opioid Use Disorder Among Older Medicare Beneficiaries In U.S. Counties, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff Jan 2023

Social Vulnerability And The Prevalence Of Opioid Use Disorder Among Older Medicare Beneficiaries In U.S. Counties, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Department of Sociology: Faculty Publications

Objectives: Recent research has investigated the factors associated with the prevalence of opioid use disorder (OUD) among older adults (65+), which has rapidly increased in the past decade. However, little is known about the relationship between social vulnerability and the prevalence of OUD, and even less about whether the correlates of the prevalence of OUD vary across the social vulnerability spectrum. This study aims to fill these gaps. Methods: We assemble a county-level data set in the contiguous United States (U.S.) by merging 2021 Medicare claims with the CDC’s social vulnerability index and other covariates. Using the total number of …