Health Policy Commons^™

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 ...

Pregnant Women With Substance Use Disorders Deserve Plans Of Safe Care, Alexandra E. Punch, Monika Taylor

Lerner Center for Public Health Promotion: Population Health Research Brief Series

Substance use among women who are pregnant is a growing U.S public health issue. Approximately 340,000 infants are affected by prenatal exposure to illicit drugs annually, leading to an increase in Neonatal Abstinence Syndrome (NAS), and Child Protective Services involvement. This issue brief describes the current state of prenatal substance use and provides guidance on the use of federally mandated Plans of Safe Care to help mothers prepare for the arrival of their baby while navigating their substance use disorder.

Experiences Of Nonbinary And Gender Nonconforming Individuals Within The Healthcare System, Chloe B. Lacey

Intuition: The BYU Undergraduate Journal of Psychology

Though nonbinary and gender nonconforming people are becoming increasingly recognized in North America, specialized healthcare—specifically gender-affirming procedures—are not becoming available to them. Researchers have examined the subjective experiences of these individuals as they have navigated the healthcare system in order to further understand possible limitations for nonbinary and gender nonconforming populations. Methods include assessing the procedures available to participants and their interpersonal experiences with healthcare professionals and family members. Scientific resources on this topic are limited, and the results are overwhelmingly represented by self-report. Furthermore, the content of the results is majorly negative toward the participants’ experiences. Participants ...

Entitled To Property: Inheritance Laws, Female Bargaining Power, And Child Health In India, Plamen Nikolov, Shahadath Hossain

Economics Faculty Scholarship

Child height is a significant predictor of human capital and economic status throughout adulthood. Moreover, non-unitary household models of family behavior posit that an increase in women’s bargaining power can influence child health. We study the effects of an inheritance policy change, the Hindu Succession Act (HSA), which conferred enhanced inheritance rights to unmarried women in rural India, on child height. We find robust evidence that the HSA improved the height and weight of children. In addition, we find evidence consistent with a channel that the policy improved the women’s intrahousehold bargaining power within the household, leading to ...

The U.S. Department Of Agriculture As A Public Health Agency? A "Health In All Policies" Case Study, Lindsay F. Wiley

Journal of Food Law & Policy

The "war on obesity" is now well into its second decade. What began as an effort to encourage medical doctors to screen and treat patients whose weight put them at risk for health problems has transformed into a much broader public health campaign to address the root causes of obesity. A growing number of state, territorial and local health departments are currently exploring new ways to promote healthy eating and physical activity. At the federal level, the U.S. Centers for Disease Control and Prevention (CDC) has made "nutrition, physical activity and obesity" a top priority.

The Forgotten Half Of Food System Reform: Using Food And Agricultural Law To Foster Healthy Food Production, Emily Broad Leib

Journal of Food Law & Policy

America is facing widespread problems with its food system, including environmental harms due to externalities from industrial farms; the increasing amount of "food _miles" traveled by the products that make up our daily meals; and the growing size and complexity of recent outbreaks of foodborne illnesses. Indeed, the entire system that covers the life cycle of food, through production, processing, distribution, consumption, and food waste management, is in crisis. One of the most disturbing of these well-documented problems with the industrial food system is the increase in rates of obesity and diet-related illnesses. Obesity rates in the U.S. have ...

Food Insecurity Among Military And Veteran Families, Colleen Heflin

Lerner Center for Public Health Promotion: Population Health Research Brief Series

Food insecurity is a growing U.S. problem among military and veteran families. Data from 2020-21 suggest that between 1 in 5 and 1 in 3 military families experienced food insecurity in the last year: with disabled veterans experiencing even greater risks. This issue brief describes the policy revisions needed to programs such as SNAP, the Social Security Administration’s Disability Insurance Program, and the Veterans Affairs Disability Compensation Program to ensure our military members are food secure.

Global Journey To Post-Pandemic Normalcy And Revival, Andrzej Sankowski

Journal of Global Awareness

After a year of COVID-19, countries, societies, and individuals are longing for normalcy and beginning to consider what life will be like post-pandemic. Efforts and experiences of countries in the European Union, Asia, Asia-Pacific, Australia, Africa, Latin America, the Caribbean, and the United States are examined as they face challenges to end the pandemic and prepare for the post-pandemic reality. What will be the post-pandemic "new normalcy"? What changes caused by the pandemic are permanent in societies and the world? What are the necessary reforms that have to take place as part of normalcy? Reflections on the impacts of vaccinations ...

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 ...

How Should We Set Pandemic Capacity Limits For Restaurants And Bars?, Eric A. Schiff

Lerner Center for Public Health Promotion: Population Health Research Brief Series

Restaurants and bars are places where airborne diseases like COVID-19 are easily transmitted from one patron to another. However, the connection between the capacity limits and the community infection rate has not been quantified and can appear arbitrary. This data slice describes calculations that could be used to help government officials determine restaurant and bar capacity limits to help limit risk.

Measuring The Impact Of The Affordable Care Act Medicaid Expansion On Access To Primary Care Using An Interrupted Time Series Approach, Elizabeth A. Brown, Brandi M. White, Walter J. Jones, Mulugeta Gebregziabher, Kit N. Simpson

Health and Clinical Sciences Faculty Publications

BACKGROUND: The Patient Protection and Affordable Care Act of 2010, commonly referred to as the Affordable Care Act (ACA), was created to increase access to primary care, improve quality of care, and decrease healthcare costs. A key provision in the law that mandated expansion of state Medicaid programme changed when states were given the option to voluntarily expand Medicaid. Our study sought to measure the impact of ACA Medicaid expansion on preventable hospitalization (PH) rates, a measure of access to primary care.

METHODS: We performed an interrupted time series analysis of quarterly hospitalization rates across eight states from 2012 to ...

Medicare Support For Dental And Podiatry Graduate Medical Education Programs., Candice Chen, Yoonkyung Chung, Geoffrey Broadbent, Elizabeth Mertz

Health Policy and Management Faculty Publications

Importance: Oral health care faces ongoing workforce challenges that affect patient access and outcomes. While the Medicare program provides an estimated $14.6 billion annually in graduate medical education (GME) payments to teaching hospitals, including explicit support for dental and podiatry programs, little is known about the level or distribution of this public investment in the oral health and podiatry workforce.

Objective: To examine Medicare GME payments to teaching hospitals for dental and podiatry residents from 1998 to 2018, as well as the distribution of federal support among states, territories, and the District of Columbia.

Design, Setting, and Participants: This ...

Small-Family Mindset: An Analysis Of The Impact Of China's Family Planning Policies On Family Culture, Sarah Ansley Croft

Honors Theses

This thesis examines the impact of China’s family planning policies on women’s attitudes towards family culture and the implications on China today. The family planning policies began in the 1970s as an emergency measure intended to create a short-term voluntary small-family culture by decreasing fertility rates. My research, comprised primarily of primary and secondary qualitative sources, discusses the development and implementation of the policies, the economic reforms beginning in the 1980s, and their joint effects on fertility rates, sex ratio at birth, women’s liberation, and changes in family culture, particularly in rural areas. This study found that ...

Uri And Its Students: A Contract For The Provision Of A Safe Environment, Danielle Joan Beatrice

Senior Honors Projects

DANIELLE BEATRICE (English; Philosophy; Business) URI and Its Students: A Contract for the Provision of a Safe Environment

Sponsor: Judith Swift (Communication Studies, Coastal Institute)

When students begin to attend college, they expect to be consumed with busy schedules, heavy workloads, and an exciting social life. Students do not anticipate being in dangerous situations. However, this does not mean that such situations do not occur. Therefore, it is essential to teach students to be active participants in educating themselves and their peers regarding prevention and response to emergency situations. My Honors Project aims to increase the awareness of safety-related issues ...

Contextualizing The Health Of U.S. Farmworkers, Gabrielle Hyde

Undergraduate Theses, Capstones, and Recitals

Farmworkers often exist in vulnerable social and occupational positions that make accessing health care a challenge. This literature review seeks to outline the health of U.S. farmworkers in the context of these vulnerabilities through a review of the existing literature. It provides a short background to understand how we have become reliant on immigration to feed our nation and to give a snapshot of where these farmworkers come from and what their health concerns are. A key topic in this literature review is the social context of these health burdens including the attitudes of providers, farmworker’s perceptions of ...

Addressing Maternal Mortality Rates Of Black Women In The Us: California's Example, Selah Laigo

Humanities & Cultural Studies | Senior Theses

This essay examines California’s legislation, activism, and the role of women’s clinics in serving Black communities in the fight against maternal mortality. Maternal mortality is a death related to pregnancy or childbirth. In the United States, maternal mortality rates have been increasing since the beginning of the 21st century and there is a significant racial disparity with Black women being at greater risk. Despite national rates increasing, California has managed to decrease maternal mortality rates (MMR) since the early 2000s by adopting legislation and policies that work to decrease preventable deaths, multidisciplinary maternity care for the protection of ...

Dance/Movement Therapy And A Search For Wholeness Under Capitalism, Autumn Wright

Dance/Movement Therapy Theses

Wellness, as it is currently defined in late capitalism, is a luxury good for the ruling class. Capitalism and the commodification of wellness go largely unaddressed in current dance/movement therapy research. In the United States, dance/movement therapists operate within the for-profit healthcare system. The United States is the only industrialized democracy in the world without a national health insurance program. Despite the access to state licensure for the past 20 years, dance/movement therapists still have no guarantee that health insurance companies will pay for their services. Concurrently, there has been a surgency of self-proclaimed wellness coaches ...

The Battle Between Expertise And Misinformation To Influence Public Opinion: A Focus On The Anti-Vaccination Movement, Alexandra Bongiorno

Undergraduate Honors Theses

How do experts and anti-vaccination advocates effectively influence public opinion? This study examines the role of experts and non-experts in influencing public opinion. It uses the anti-vaccination movement as a case study to observe the antagonism between expert opinion and misinformation and how they are perceived by and influence the public. In particular, I examine the relationships between social media, misinformation, and expert opinion and how these relationships impact individuals to form their opinions. Additionally, I measure individual components such as science education background, ideology, and social media use to determine the effects of personal factors on opinion formation. I ...

Mental Illness Economics In The United States: A Comparison With Foreign Countries, Christopher Odum

Economics Undergraduate Honors Theses

In 2018, suicide was the tenth leading cause of death in the United States, claiming the lives of over forty-eight thousand people.1 Globally, eight-hundred thousand people die from suicide every year, which is twice the number from homicide.2 For years, there has been a stigma around mental illness causing it to be a taboo topic, but recently there has been more of a focus and acceptance in our society. Along with the stigma, throughout most of history there has not been a focus on innovating and curing mental health diseases. In many cases, these diseases left unchecked lead ...

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 ...