Ssm-Population Health最新文献

{"title":"Double vulnerability? Examining the effect of living in nonmetropolitan areas within non-expansion Medicaid states on health status among working-age adults in the United States, 2022–2024","authors":"Michael D. Segovia ,&nbsp;P. Johnelle Sparks ,&nbsp;Alexis R. Santos-Lozada","doi":"10.1016/j.ssmph.2025.101798","DOIUrl":"10.1016/j.ssmph.2025.101798","url":null,"abstract":"<div><h3>Objective</h3><div>To examine whether living in nonmetropolitan areas within a state that has not expanded Medicaid is associated with poor/fair self-reported health status among working-age adults in the United States.</div></div><div><h3>Methods</h3><div>We analyzed data from the 2022–2024 Current Population Survey (n = 220, 601, ages 25–64). Self-reported health was dichotomized as having reported poor/fair or good/very good/excellent health status. We produced a four-level measure of the overlap between residential and policy contexts indicating whether the respondent lived in a metropolitan or nonmetropolitan area within a state that had or had not expanded Medicaid coverage by 2023. Multilevel logistic regression models were fit to examine the association between our measure of residence-policy overlaps and poor/fair self-reported health status while accounting for individual and state-level characteristics.</div></div><div><h3>Results</h3><div>About 3.7 % of respondents resided in nonmetropolitan areas within non-expansion states. Approximately 11.4 % of respondents reported poor/fair self-reported health, with respondents living in nonmetropolitan areas within non-expansion states having the highest rates of poor/fair self-reported health status (18.1 %). Living in a nonmetropolitan area within non-expansion states was associated with higher odds of poor/fair self-reported health status for the overall population and by sex.</div></div><div><h3>Conclusion</h3><div>In this nationally representative and racially diverse sample, we found that individuals residing in nonmetropolitan areas in non-expansion Medicaid states were more likely to report poor/fair self-reported health status. This effect was present for the majority of the population subgroups. Our findings underscore the double vulnerability faced by populations living in these residence-policy overlaps and the need for targeted interventions.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101798"},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local government expenditure centralization and spatial variation in working-age mortality","authors":"Rourke O'Brien ,&nbsp;Manuel Schechtl ,&nbsp;Robert Manduca ,&nbsp;Atheendar Venkataramani","doi":"10.1016/j.ssmph.2025.101791","DOIUrl":"10.1016/j.ssmph.2025.101791","url":null,"abstract":"<div><div>Research finds disparities in local government spending to be one driver of place-based variation in population health outcomes in the U.S. This study asks: net of the amount of local government spending, does the <em>centralization</em> of local government expenditures shape spatial variation in working age mortality? We find that in more centralized local fiscal structures, that is, where the county government performs relatively more of the total local government spending, there is less cross-census tract variation in midlife mortality. In doing so, we reveal how the structure of local government—inherited from history and largely outside the purview of politics and policy discussion—impacts place-based variation of population health outcomes.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101791"},"PeriodicalIF":3.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A matter of measurement? A Swedish register-based study of migrant residential segregation and all-cause mortality","authors":"Agneta Cederström ,&nbsp;Andrea Dunlavy","doi":"10.1016/j.ssmph.2025.101793","DOIUrl":"10.1016/j.ssmph.2025.101793","url":null,"abstract":"<div><h3>Background</h3><div>In recent decades, Sweden has become an increasingly diverse society by origin, but one in which residential segregation by migrant background has also increased. This study examines how different aspects of migrant residential segregation are associated with all-cause mortality among native-born and migrant populations.</div></div><div><h3>Methods</h3><div>Using Swedish population-based registers, this longitudinal open cohort study assessed associations between four local level indices of migrant residential segregation and all-cause mortality among adult migrant and native-born residents of Sweden's three largest metropolitan areas (Stockholm, Gothenburg, and Malmö) between 2004 and 2016. Multilevel Poisson regression models, adjusted for individual-level sociodemographic and socioeconomic factors as well as area-level socioeconomic conditions, were used to estimate associations between these indices and all-cause mortality.</div></div><div><h3>Results</h3><div>Moderate decreased mortality risks were observed among migrants in residential areas with higher levels of migrant density, isolation, and exposure in fully adjusted models. However, isolation and exposure effects could not be distinguished due to a high degree of correlation between the isolation and exposure measures. In fully adjusted models mortality gradients were largely unobserved among native-born individuals in relation to migrant residential segregation. The evenness dimension of segregation showed limited relevance for mortality risk in both groups.</div></div><div><h3>Conclusions</h3><div>This study provides evidence that higher migrant density is associated with lower mortality risks among migrants, suggesting that residential areas with higher proportions of migrants may offer health benefits for migrants. These findings highlight the importance of residential contexts in shaping migrant health outcomes.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101793"},"PeriodicalIF":3.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impacts of Liverpool Citizen's Advice on Prescription (CAP) on mental health outcomes– an Instrumental Variable (IV) approach","authors":"Gebremariam Aregawi ,&nbsp;Piroddi Roberta ,&nbsp;Daras Konstantinos ,&nbsp;Anderson De Cuevas Rachel ,&nbsp;Abba Katharine ,&nbsp;Gabbay Mark ,&nbsp;Corcoran Rhiannon ,&nbsp;Granger Rachel ,&nbsp;Ezeofor Victory ,&nbsp;Tudor Edwards Rhiannon ,&nbsp;Mahoney Clare ,&nbsp;Barr Benjamin","doi":"10.1016/j.ssmph.2025.101785","DOIUrl":"10.1016/j.ssmph.2025.101785","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101785"},"PeriodicalIF":3.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social determinants of where people die: A study of moderators and mediators using linked UK Census and mortality data","authors":"J.M. Davies ,&nbsp;K.C. Chua ,&nbsp;M. Maddocks ,&nbsp;F.E.M. Murtagh ,&nbsp;K.E. Sleeman","doi":"10.1016/j.ssmph.2025.101784","DOIUrl":"10.1016/j.ssmph.2025.101784","url":null,"abstract":"<div><h3>Background</h3><div>Where people die depends on many factors and is important to the quality of end-of-life care. Many people prefer to avoid end-of-life hospital admissions and yet hospital remains the most common place of death across high-income countries and is more likely for people who live in more deprived areas. This study examines moderators and mediators of socioeconomic inequality in place of death.</div></div><div><h3>Methods</h3><div>We used census data linked to mortality data for people who died in England and Wales between 2011 and 2017 to investigate the association between area-based income deprivation and death in hospital versus home, hospice, and care home. We tested moderators including age, sex, ethnicity, underlying cause of death and region, and mediating pathways through housing deprivation, living alone, and worse health.</div></div><div><h3>Results</h3><div>Among 34,230 decedents, after adjusting for age and sex, the proportion of deaths in hospital was higher in more deprived areas; 52.4 % (95 % CI: 51.2 %–53.6 %) and 46.7 % (45.5 %–48.0 %) for people living in the most and least deprived areas, respectively. This association was moderated by underlying cause of death; a social gradient was observed for deaths from cancer, dementia and ‘other’ causes but not for people who died from respiratory, cardiovascular, and sudden causes (F = 43.81; df (20), p = 0.0016). In a subsample of people who died from cancer, people living in the most deprived areas were more likely to live alone (36 % (95 % CI 30 %–41 %)) than those in the least deprived areas (19 % (15 %–23 %)), and this partly explained why they were more likely to die in hospital, accounting for 12.2 % of the total effect of income deprivation on death in hospital.</div></div><div><h3>Conclusion</h3><div>This study contributes novel findings that deepen our understanding of socioeconomic inequality in place of death. Improving support for people living alone in more deprived areas is identified as a potential way to reduce inequalities in place of death.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101784"},"PeriodicalIF":3.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The complex representation and contradicting results linking sexual orientation to allostatic load","authors":"Gabriel Desjardins ,&nbsp;Névéna Chuntova ,&nbsp;Robert-Paul Juster","doi":"10.1016/j.ssmph.2025.101789","DOIUrl":"10.1016/j.ssmph.2025.101789","url":null,"abstract":"<div><div>This commentary discusses a publication by Katsuya Oi and Amanda M. Pollitt using the National Longitudinal Study of Adolescent to Adult Health to assess presumed sexual orientation effects on allostatic load, the ‘wear and tear’ of chronic stress. Their findings indicate that discordant heterosexual women—those whose sexual attractions or behaviors do not align with their heterosexual identity—experience notably higher allostatic load compared to other sub-groups. In contrast, women who identify as non-heterosexual did not exhibit significantly elevated allostatic load. Several theoretical problems, interpretative inadequacies, issues with terminology, and misrepresentation of the existing literature limit the full impact of this original work. In the spirit of collegial critique, the objective of this commentary is to offer potential resolutions and considerations for future research among sexually diverse as well as gender diverse populations.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101789"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring county-level immigration policy contexts that may influence Latino health in California","authors":"Fabiola M. Perez-Lua ,&nbsp;Gabriela E. Lazalde ,&nbsp;Corbin Farias ,&nbsp;Clara B. Barajas ,&nbsp;Jessie Kemmick Pintor ,&nbsp;Ninez A. Ponce ,&nbsp;Alexander N. Ortega ,&nbsp;Maria-Elena De Trinidad Young","doi":"10.1016/j.ssmph.2025.101790","DOIUrl":"10.1016/j.ssmph.2025.101790","url":null,"abstract":"<div><div>Studies have examined the impact of federal and state immigration policies on Latino immigrant health. Few studies have investigated the effects of local policies that shape access to services, resources, and opportunities among Latino and immigrant populations. This article presents a framework and measures to describe county-level immigration policy contexts. We developed multisectoral indicators of immigration policy contexts by linking policies and social conditions of inequity to immigration policy through mechanisms of structural racism. Using the indicators, we constructed measures of county-level immigration policy contexts in California. Two indices measured the extent of local 1) inclusive policymaking and 2) social inequity that is reinforced by immigration policy. We categorized counties into four typologies of local immigration policy contexts using the index scores. We used maps and Poisson regression analyses to examine geographic and demographic variations in the scores and typologies. We found that counties in metropolitan regions had the highest inclusive policymaking scores. Rural or agricultural counties had the highest social inequity scores. Inclusive policymaking and social inequity did not always align; some counties with many inclusive policies also had high social inequity. The counties represented in each typology of local immigration policy contexts shared unique geographic characteristics. Ultimately, our findings show that local immigration policy contexts are the product of two distinct mechanisms, and they vary across California, an inclusive state. Researchers must consider local contexts when investigating the social determinants of Latino health. State policymakers should address local conditions of inequity that are reinforced by immigration policy.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101790"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-level social capital and polypharmacy among public assistance recipients in Japan: A multilevel cross-sectional study","authors":"Masayuki Kasahara ,&nbsp;Haruna Kawachi ,&nbsp;Keiko Ueno ,&nbsp;Shiho Kino ,&nbsp;Naoki Kondo ,&nbsp;Shunya Ikeda ,&nbsp;Daisuke Nishioka","doi":"10.1016/j.ssmph.2025.101788","DOIUrl":"10.1016/j.ssmph.2025.101788","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101788"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of refundable state earned income tax credits on access to medical and dental services of low-income mothers","authors":"Haobing Qian ,&nbsp;George L. Wehby","doi":"10.1016/j.ssmph.2025.101787","DOIUrl":"10.1016/j.ssmph.2025.101787","url":null,"abstract":"<div><h3>Background</h3><div>Low-income women face constraints to timely access to medical and dental services. There is little evidence on whether refundable state earned income tax credit (EITC) programs affect access to care. We examine the effects of refundable state EITC levels on accessing medical and dental care among low-income mothers and potential interactions with state Medicaid eligibility levels.</div></div><div><h3>Methods</h3><div>We use data from 1996-2019 Behavioral Risk Factor Surveillance System (BRFSS). We focus on single mothers aged 18–44 with high school or less education and two or more children as the group that receives the most EITC payments, but also consider other subgroups. We consider the timing of EITC disbursement relative to interview month and outcome measurement. The regression analysis adjusts for state time-invariant differences, national time trends, and several individual-level and state time-varying covariates.</div></div><div><h3>Results</h3><div>There is little evidence that higher refundable state EITC affects access to medical and dental services among low-income mothers including among the group mostly likely to benefit from this policy. A small improvement in dental visits and decrease in forgone medical visits are observed in some models. However, these results are sensitive to the timing of EITC measure and included interview months. Moreover, some effects are observed among subgroups less exposed to EITC. There is also no evidence that EITC effects differ by state Medicaid eligibility.</div></div><div><h3>Conclusion</h3><div>The overall small payments from refundable state EITC do not appear to impact medical and dental care access of low-income mothers. Further research to understand potential individual-level heterogeneity by EITC amounts and timing relative to health care needs is important.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101787"},"PeriodicalIF":3.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing health equity in wastewater-based epidemiology: A global critical review and conceptual framework","authors":"Soroush Moallef ,&nbsp;Ruchita Balasubramanian ,&nbsp;Nancy Krieger ,&nbsp;Loni P. Tabb ,&nbsp;Jarvis T. Chen ,&nbsp;William P. Hanage ,&nbsp;Mary T. Bassett ,&nbsp;Tori L. Cowger","doi":"10.1016/j.ssmph.2025.101786","DOIUrl":"10.1016/j.ssmph.2025.101786","url":null,"abstract":"<div><div>Population health data from wastewater-based epidemiology (WBE) are being used at unprecedented scales worldwide, yet there is limited focus on how to advance health equity in the field. Addressing this gap, we conducted a critical review of published literature in PubMed, targeting studies at the intersection of WBE and health equity. Of 145 articles assessed in full-text screening, we identified 68 studies with health equity considerations. These studies spanned various spatial scales and biochemical targets, addressing domains such as study design and methodologies, ethical and social considerations, and the feasibility and implementation of WBE monitoring. We summarize and synthesize health equity-oriented considerations across the identified domains. We further propose five key considerations to advance health equity in WBE research and practice, and integrate these considerations into a conceptual framework to illustrate how they apply to major steps in the process of conducting WBE. These considerations include global inequities in WBE access, the need to prevent potential harms and stigma via data misuse (inappropriate reporting of data and potential use of WBE for criminal surveillance), and the importance of regulation and community engagement, particularly amidst the growing privatization of WBE, especially in the United States.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101786"},"PeriodicalIF":3.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}