Ssm-Population Health最新文献

{"title":"The power of the family in times of pandemic: Cross-country evidence from 93 countries","authors":"Ming Gu","doi":"10.1016/j.ssmph.2024.101698","DOIUrl":"10.1016/j.ssmph.2024.101698","url":null,"abstract":"<div><p>The majority of the hospitalizations and deaths associated with COVID-19 occurred in people over the age of 65. In addition, previous studies have shown that intergenerational contacts played a key role in COVID-19-related infection and fatality. This paper utilized two large-scale multinational surveys to uncover the important role of family ties in infection prevention across 93 countries. Using the World Values Survey, we measured country-level family ties emphasizing respondents’ view of their parents. We elicited individual willingness to uptake infection prevention measures from a panel study conducted each month in the early phase of the COVID-19 pandemic between March 2020 and July 2021. We find that in countries with stronger family ties, people show more support for non-pharmaceutical interventions and higher vaccine acceptance; moreover, young people are more supportive of mandatory vaccination. The association between strength of family ties and compliance with infection prevention measures was salient before COVID-19 vaccines became available and was persistent before the global vaccination coverage reached 25%.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101698"},"PeriodicalIF":3.6,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000995/pdfft?md5=2fab93425be0d222630b515ff36f7750&pid=1-s2.0-S2352827324000995-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695910","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":"Trends in mental health and smoking disparities between sexual minority and heterosexual adults in Canada, 2003–2020","authors":"Travis Salway ,&nbsp;Jorge Andrés Delgado-Ron ,&nbsp;Ashleigh J. Rich ,&nbsp;Christoffer Dharma ,&nbsp;Laura Baams ,&nbsp;Jessica Fish","doi":"10.1016/j.ssmph.2024.101697","DOIUrl":"10.1016/j.ssmph.2024.101697","url":null,"abstract":"<div><p>Sexual minority populations experience a higher burden of mental health and substance use/misuse conditions than heterosexual comparators—a health inequality that has predominantly been attributed to forms of minority stress experienced by the former group. Sexual minority-affirming legislative and policy advances, as well as improvements in social attitudes toward sexual minorities in recent decades, should presumably reduce experiences of minority stress, thereby attenuating these disparities. We conducted temporal trend analyses of annual prevalence of anxiety, depression, poor self-rated mental health, and cigarette smoking, stratified by sexual orientation and gender/sex subgroups using the Canadian Community Health Survey, 2003–2020. Descriptive analyses were used to display temporal trends; joinpoint regression was used to identify significant changes in prevalence data during 2003–2020; and prevalence ratios were estimated by year to detect any reduction in disparities. The prevalence of self-rated mental health and mood and anxiety disorders increased, whereas the prevalence of smoking decreased, between 2003 and 2020, among both sexual minority and heterosexual people in Canada. We observed a significant inflection point in 2009 in the self-rated mental health trend among bisexual women, where rates of poor mental health initially decreased from 2003 but then increased drastically from 2009 to 2020. Significant inflection points in current smoking trends were observed in 2012 among bisexual and heterosexual women and in 2013 among heterosexual men; in all three groups, both segments demonstrated decreasing trends, however, the slope of the trend became more pronounced in the latter period. Consistent with other North American studies, we found that relative differences between sexual minority and heterosexual groups for all four outcomes remained the same or increased during this 18-year period. Findings highlight the need to better understand mechanisms bolstering sexual orientation health disparities.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101697"},"PeriodicalIF":3.6,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000983/pdfft?md5=c516a350869da767d75398930d524ce4&pid=1-s2.0-S2352827324000983-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141570759","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":"Familial transmission of mental health help-seeking: Does it “run in the family”?","authors":"Melissa J. DuPont-Reyes ,&nbsp;Alice P. Villatoro ,&nbsp;Jo C. Phelan ,&nbsp;Kris Painter ,&nbsp;Bruce G. Link","doi":"10.1016/j.ssmph.2024.101695","DOIUrl":"10.1016/j.ssmph.2024.101695","url":null,"abstract":"<div><p>Familial transmission of mental illnesses and health behaviors is well established. However, little research has examined familial transmission of mental health help-seeking behaviors despite social science theoretical traditions that support its occurrence including social learning theory and the network episode model. Among parent-adolescent dyads, extant literature supports consideration of adolescent-autonomy versus parent-gatekeeping according to whether or not parents recognize a mental health problem in their adolescent. Given this, we examined familial transmission of self-reported mental health help-seeking among parent-adolescent dyads over an 18-month period from a school-based study (N = 422; Texas, USA). Generalized estimating equations tested the effect of multiple forms of parent help-seeking on similar forms of adolescent help-seeking, controlling for personal/family characteristics. We also examined interaction by parent recognition of a mental health problem in their adolescent to discern unique intergenerational processes across these subgroups of parent-adolescent dyads. Owing to effect modification by parent problem recognition (p&lt;0.01), two unique familial transmission of help-seeking pathways emerged. When parent problem recognition was present, parent self help-seeking history reduced adolescent help-seeking net of controls. In contrast, when parent problem recognition was absent, parent self help-seeking history increased adolescent help-seeking net of controls. Our findings provide evidence of familial transmission of mental health help-seeking behaviors, but the direction of influence fundamentally depends on parent recognition of a mental health problem in their adolescent in order to reveal intergenerationally transmitted processes. The findings support our hypotheses that familial transmission of help-seeking starts early in adolescence and is likely influenced by parent modeling and gatekeeping, though explanations for the patterns observed, such as short- and long-term positive and negative mixed impacts of past help-seeking experiences of parents, require further study to ascertain.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101695"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400096X/pdfft?md5=f1562636dd893aed2a70819cd839c94c&pid=1-s2.0-S235282732400096X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638648","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":"Subjective household poverty as a moderator for the association between employment precariousness and mental health across five european welfare state types","authors":"Ceciel Pauls ,&nbsp;Maria Fleischmann ,&nbsp;Michel Klein ,&nbsp;Stef Bouwhuis ,&nbsp;Judith E. Bosmans","doi":"10.1016/j.ssmph.2024.101696","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101696","url":null,"abstract":"<div><h3>Objectives</h3><p>To create better understanding of the mechanisms underlying the association between employment precariousness (EP) and mental health by considering household poverty as a moderator while stratifying for gender across welfare state types (WSTs): Scandinavian, South European, Central- and East European, Bismarckian and Anglo-Saxon.</p></div><div><h3>Methods</h3><p>Data from the sixth wave of the European Working Conditions Survey (N = 18,725) was used. The Employment Precariousness Scale was used to assess EP on a continuous scale. Mental health was measured using the WHO-5 Well-Being Index. A binary variable for subjective household poverty was created. We estimated gender-stratified, multi-level models with a random intercept at country-level for the association between EP and mental health, with an interaction term between EP and subjective household poverty, for each WST separately. Models were adjusted for age, education, having a partner and having children under age 18 in the household.</p></div><div><h3>Results</h3><p>In all WSTs, among men as well as women, we found a negative relation between EP and mental health. Among women, this relation was not moderated by household poverty. Among men in the Anglo-Saxon WST, the negative relation between EP and mental health was stronger among employees that reported household poverty compared to those who did not report household poverty.</p></div><div><h3>Conclusions</h3><p>Evidence of a moderating effect of household poverty on the association between EP and mental health was only found amongst men in the Anglo-Saxon WSTs and the combined full sample. Other factors that might affect the association between EP and mental health should be investigated.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101696"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000971/pdfft?md5=cf494f93af2ed98c7e7d00810ce3dbba&pid=1-s2.0-S2352827324000971-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539474","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":"Patterns in health care use and intensity for diagnosed and undiagnosed cognitive impairment in the older australian community: Implications for primary care management","authors":"Anam Bilgrami ,&nbsp;Mona Aghdaee ,&nbsp;Yuanyuan Gu ,&nbsp;Henry Cutler ,&nbsp;Katya Numbers ,&nbsp;Nicole A. Kochan ,&nbsp;Perminder S. Sachdev ,&nbsp;Henry Brodaty","doi":"10.1016/j.ssmph.2024.101693","DOIUrl":"10.1016/j.ssmph.2024.101693","url":null,"abstract":"<div><h3>Objectives</h3><p>While the economic burden imposed by dementia is well-documented, findings are mixed on health care use for those with mild cognitive impairment (MCI). Our objective was to analyse annual, non-hospital medical and pharmaceutical use patterns for older people with undiagnosed MCI and diagnosed dementia, living in the Australian community.</p></div><div><h3>Methods</h3><p>We analysed panel data from a community sample, the Sydney Memory and Ageing Study (Australia), linked to administrative data on health care use, using two-part models to estimate the probability of using health care and the annual costs incurred by study participants.</p></div><div><h3>Results</h3><p>People with MCI, unaware of their diagnoses, were significantly less likely to incur annual pathology and diagnostic imaging costs relative to cognitively normal individuals. This effect was concentrated in individuals with MCI who had non-amnestic symptoms, lived alone, or had limited carer support. Compared to cognitively normal individuals, people with MCI were predicted to have slightly lower annual costs for broad medical care categories related to the management and diagnosis of cognitive impairment, and people with dementia, substantially higher professional attendances, and pharmaceutical costs. These findings were consistent across estimation models adjusting for attrition over the study.</p></div><div><h3>Policy implications</h3><p>Diagnosis and symptom management in primary care may enable individuals with MCI to improve their quality of life and prevent more costly future health care use. However, our study found potential gaps in medical service use for people with undiagnosed <span>MCI</span> in the community, especially when they had less support or did not have memory symptoms. Primary care services may need to better diagnose and target these individuals.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101693"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000946/pdfft?md5=509f90dd0181b55eec336770524cfb8a&pid=1-s2.0-S2352827324000946-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141624063","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":"Intergenerational care and rural childhood obesity in the digital era: Based on screen exposure perspective","authors":"Xueying Wang,&nbsp;Yun Zhang","doi":"10.1016/j.ssmph.2024.101694","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101694","url":null,"abstract":"<div><h3>Background</h3><p>Rural Chinese children are experiencing increasing obesity rates, yet studies often neglect the impact of IT and screen media growth on obesity risks in the context of intergenerational care, leading to incomplete strategies for the digital era.</p></div><div><h3>Methods</h3><p>By comprehensively utilizing the data on rural children aged 6–17 from the China Family Panel Studies (CFPS) and the China Health and Nutrition Survey (CHNS), this study aims to test the logical chain and specific mechanisms regarding “intergenerational care - screen exposure - rural childhood obesity”. We employ the Propensity Score Matching (PSM) and Generalized Propensity Score Matching (GPSM) methods to respectively address the self-selection biases associated with inter-generational care and children's screen exposure behaviors.</p></div><div><h3>Results</h3><p>1) Intergenerational care significantly increases screen exposure among rural children. 2) Gender bias increases the risk of screen exposure for rural boys under intergenerational care. 3) Children with higher screen exposure levels are more affected by intergenerational care, which further undermines parental supervision. 4) Children's screen exposure leads to increased sedentary time and higher probability of purchasing unhealthy foods, thereby exacerbating obesity. This process is facilitated by enhancing preferences for snacks, fast food, and beverages, and weakening preferences for physical activity. 5) GPSM analysis indicates that children's screen exposure has an inverted “U\"-shaped impact on unhealthy dietary preferences and a “U\"-shaped impact on activity preferences. It results in a nonlinear positive impact of screen exposure on obesity. This study reveals a positive association between screen exposure and obesity, offering new insights into how intergenerational care in the digital era may elevate obesity prevalence through excessive screen time for rural children.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101694"},"PeriodicalIF":3.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000958/pdfft?md5=1aab681f81af6a8f5b9a76f8944f7246&pid=1-s2.0-S2352827324000958-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539489","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":"“Racial mortality inversion”: Black-white disparities in mortality among people experiencing homelessness in the United States","authors":"Matthew Fowle ,&nbsp;Jamie Chang ,&nbsp;Katherine Saxton","doi":"10.1016/j.ssmph.2024.101688","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101688","url":null,"abstract":"<div><p>Disparities in mortality between Black and White people have long been observed. These disparities persist at all income levels. However, similar patterns in racial mortality disparities are not observed among people experiencing homelessness. Instead, studies in a handful of cities show a reversal in the Black-White mortality disparity in the United States: Black people experiencing homelessness are less likely to die compared to White people experiencing homelessness. We propose a theory of “racial mortality inversion” and test whether inverted Black-White mortality patterns are observable in homeless populations throughout the United States. Using a novel dataset of 18,618 homeless decedents in 20 localities across 10 states and the District of Columbia, we find consistent evidence for “racial mortality inversion” across time and place. Between 2015 and 2020, the aggregate White homeless mortality rate was 67.8%–138.4% higher than the rate for the Black homeless population. Inverted racial mortality rates were observed in all 20 localities and in nearly every year. Across the entire sample, higher average ages of death were also observed for Black people compared to White people experiencing homelessness in 5 of 6 years, though racial inversion in age was not consistent across localities. These findings offer novel insight into racial health disparities among people experiencing homelessness and may inform policies and programs that seek to prevent homelessness and homeless mortality across racial groups.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101688"},"PeriodicalIF":3.6,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000892/pdfft?md5=2e36be8e008ff40876b525c2bb5f1f98&pid=1-s2.0-S2352827324000892-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539490","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":"Economic uncertainty and mental health: Global evidence, 1991 to 2019","authors":"Emre Sarı ,&nbsp;Buse Şencan Karakuş ,&nbsp;Ender Demir","doi":"10.1016/j.ssmph.2024.101691","DOIUrl":"10.1016/j.ssmph.2024.101691","url":null,"abstract":"<div><p>Mental health has deteriorated globally due to COVID-19, climate crisis, economic policies, and regional conflicts, requiring immediate attention. This study aims to comprehend the relationship between economic uncertainty and the prevalence of anxiety disorders, major depressive disorder, and eating disorders across various demographics and countries. Using robust fixed-effect models, we analyzed the relationship between economic uncertainty and mental disorders in 110 countries from 1991 to 2019. Our analysis also explored whether this association varies across genders and age groups. Our analysis indicates that economic uncertainty is associated with higher prevalence rates of anxiety and major depressive disorders, though no similar association is observed for eating disorders. In the subgroup analyses, while females have a significant association exclusively with anxiety disorders, males have associations with anxiety and major depressive disorders. The age-specific analyses show that economic uncertainty is associated with anxiety disorders for almost all age groups above 15 years, except for ages between 40 and 54. For major depressive disorders, this association becomes significant after the 40–44 age group. However, we see no significant association among age groups for eating disorders.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101691"},"PeriodicalIF":4.7,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000922/pdfft?md5=156ab1248329f8b8fa036210824976c3&pid=1-s2.0-S2352827324000922-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409372","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":"Contributions of causes of death to differentials in life expectancy by internal migrant status in the Netherlands. A population register based study, 2015–2019","authors":"Maximilian Frentz-Göllnitz ,&nbsp;Adrien Remund ,&nbsp;Carel Harmsen ,&nbsp;Lenny Stoeldraijer ,&nbsp;Janine van der Toorn ,&nbsp;Gabriele Doblhammer ,&nbsp;Fanny Janssen","doi":"10.1016/j.ssmph.2024.101690","DOIUrl":"10.1016/j.ssmph.2024.101690","url":null,"abstract":"<div><p>Important health differences exist in the context of international migration and residential mobility. Less is known about health differences regarding the medium-distance level of internal migration. This study examines life expectancy gaps between internal movers and stayers in the Netherlands and their underlying processes by assessing the contribution of different causes of death by age and sex. It uses individually-linked death counts and population exposures extracted from population registers, covering the native Dutch population aged 10+ from 2015 to 2019. The pooled data were disaggregated by causes-of-death group (neurodegenerative diseases, cardiovascular diseases, lifestyle-related mortality, external causes, and other causes), internal migrant status (movers and stayers, based on past 10-year residence in the 40 NUTS-3 [Nomenclature of Territorial Units for Statistics, level 3] regions), age, and sex. Comparing movers and stayers, we computed life expectancy at age 10 (e₁₀), age- and cause-specific mortality risks, and applied decomposition methods to assess contributions of causes of death to e₁₀ gaps. In the Netherlands in 2015–2019, e₁₀ was lower for movers between NUTS-3 regions than stayers (males: 2.49 years; females: 3.51 years), due to excess mortality for movers at most ages. Movers only had a lower mortality than stayers at younger working ages (males: ages 20–44; females: ages 20–34). Mortality from neurodegenerative diseases and cardiovascular diseases were the largest contributors to the e₁₀ gap, especially at ages 75+ and for females. Mortality from lifestyle-related and external causes of death contributed less, with the largest contributions for females aged 75–89 and males aged 45–69. The lower e₁₀ of movers in the Netherlands is likely explained by health selection effects–in particular care-related moves as coping behaviour–rather than by causal effects through risk accumulation. Research focusing on regional or spatial heterogeneity of the mover-stayer health gap would be insightful to further understand these processes.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101690"},"PeriodicalIF":3.6,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000910/pdfft?md5=0b47ad59a437af0009cbd48972cc7aa1&pid=1-s2.0-S2352827324000910-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400005","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":"Health insurance in the United States: A case of effectively maintained inequality?","authors":"","doi":"10.1016/j.ssmph.2024.101687","DOIUrl":"10.1016/j.ssmph.2024.101687","url":null,"abstract":"<div><div>The theory of Effectively Maintained Inequality (EMI) (Lucas, 2001) posits that goods have both quantitative (how much?) and qualitative (what kind?) dimensions. Coupled with the hypothesized mechanisms of EMI, this simple observation greatly complicates research and policy development concerning inequality. First applied to explain educational inequality in the United States, evidence for the theory has been found in education systems in over 20 countries, including Chile, China, the Czech Republic, Denmark, Egypt, Germany, Greece, Ireland, Nigeria, South Africa, and South Korea. Yet, while EMI was proposed as a general theory of inequality, to date no research has assessed its applicability to domains outside education. This work uses nearly two decades of National Health Interview Survey data (N = 451,161) to provide the first effort to assess whether EMI illuminates <em>patterns</em> of inequality outside education, by taking up the issue of health insurance in the United States.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"28 ","pages":"Article 101687"},"PeriodicalIF":3.6,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401927","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}