Ssm-Population Health最新文献_第4页

Measuring county-level immigration policy contexts that may influence Latino health in California 衡量可能影响加州拉丁裔健康的县级移民政策背景

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-20 DOI: 10.1016/j.ssmph.2025.101790

Fabiola M. Perez-Lua , Gabriela E. Lazalde , Corbin Farias , Clara B. Barajas , Jessie Kemmick Pintor , Ninez A. Ponce , Alexander N. Ortega , Maria-Elena De Trinidad Young

{"title":"Measuring county-level immigration policy contexts that may influence Latino health in California","authors":"Fabiola M. Perez-Lua , Gabriela E. Lazalde , Corbin Farias , Clara B. Barajas , Jessie Kemmick Pintor , Ninez A. Ponce , Alexander N. Ortega , 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}

引用次数: 0

Community-level social capital and polypharmacy among public assistance recipients in Japan: A multilevel cross-sectional study 日本公共援助受助人的社区层面社会资本与多元用药：一项多层次横断面研究

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-20 DOI: 10.1016/j.ssmph.2025.101788

Masayuki Kasahara , Haruna Kawachi , Keiko Ueno , Shiho Kino , Naoki Kondo , Shunya Ikeda , Daisuke Nishioka

引用次数: 0

Effects of refundable state earned income tax credits on access to medical and dental services of low-income mothers 可退还的国家所得税抵免对低收入母亲获得医疗和牙科服务的影响

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-19 DOI: 10.1016/j.ssmph.2025.101787

Haobing Qian , George L. Wehby

{"title":"Effects of refundable state earned income tax credits on access to medical and dental services of low-income mothers","authors":"Haobing Qian , 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}

引用次数: 0

Advancing health equity in wastewater-based epidemiology: A global critical review and conceptual framework 促进基于废水的流行病学中的卫生公平：全球批判性审查和概念框架

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-19 DOI: 10.1016/j.ssmph.2025.101786

Soroush Moallef , Ruchita Balasubramanian , Nancy Krieger , Loni P. Tabb , Jarvis T. Chen , William P. Hanage , Mary T. Bassett , Tori L. Cowger

{"title":"Advancing health equity in wastewater-based epidemiology: A global critical review and conceptual framework","authors":"Soroush Moallef , Ruchita Balasubramanian , Nancy Krieger , Loni P. Tabb , Jarvis T. Chen , William P. Hanage , Mary T. Bassett , 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}

引用次数: 0

Investigating the long-term impact of experiencing a major disaster in mid-adulthood on body mass index and waist circumference: A prospective birth cohort study 调查中年经历重大灾难对体重指数和腰围的长期影响：一项前瞻性出生队列研究

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-18 DOI: 10.1016/j.ssmph.2025.101781

Eggleton Phoebe , Boden Joseph , Harvet Anne , Deng Bingyu , McLeod Geraldine , Campbell Malcolm , Hobbs Matthew

引用次数: 0

Making sense of MAIHDA’s history and goals: A response to “Variance partition that eludes intuition” 理解MAIHDA的历史和目标：对“逃避直觉的方差划分”的回应

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-17 DOI: 10.1016/j.ssmph.2025.101779

Luisa N. Borrell , Christina I. Nieves , Clare R. Evans

引用次数: 0

Inequality trajectories in avoidable under-5 mortality in Colombia: A 23-year analysis of inequities (2000–2022) 哥伦比亚可避免的5岁以下儿童死亡率的不平等轨迹：对23年不平等现象的分析（2000-2022）

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-15 DOI: 10.1016/j.ssmph.2025.101782

Maylen Liseth Rojas-Botero , Julián Alfredo Fernández-Niño , Yadira Eugenia Borrero-Ramírez

{"title":"Inequality trajectories in avoidable under-5 mortality in Colombia: A 23-year analysis of inequities (2000–2022)","authors":"Maylen Liseth Rojas-Botero , Julián Alfredo Fernández-Niño , Yadira Eugenia Borrero-Ramírez","doi":"10.1016/j.ssmph.2025.101782","DOIUrl":"10.1016/j.ssmph.2025.101782","url":null,"abstract":"<div><div>Despite progress in Colombia's overall health indicators, substantial inequalities in avoidable under-five mortality persist across its regions. This study examines the trajectories of avoidable mortality rate in childhood (AMRC) across Colombian departments from 2000 to 2022, highlighting territorial inequalities and their socioeconomic determinants. A group-based trajectory analysis was applied to avoidable under-five mortality rates across 33 Colombian departments over a 23-year period. Additionally, multinomial logistic regression models were used to identify the socioeconomic, demographic, and health system factors associated with trajectory group membership. Three distinct mortality trajectories were identified: lower (57.6 % of departments), mid-range (30.3 %), and upper (12.1 %). Departments in the upper trajectory had consistently higher AMRC and were characterized by higher rates of unmet basic needs, poverty, rurality, illiteracy in women, and births to adolescent mothers. Despite overall declines in AMRC, relative inequalities between trajectory groups remained significant. Territorial inequalities in avoidable child mortality in Colombia are deeply rooted in socioeconomic determinants. Regions with higher poverty and less access to timely, quality healthcare experience higher avoidable mortality rates. These findings underscore the need for targeted policy interventions to address persistent health inequities.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101782"},"PeriodicalIF":3.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679950","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}

引用次数: 0

Physician-patient sex concordance and patient outcomes: Evidence from China 医患性别一致性和患者结局：来自中国的证据

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-15 DOI: 10.1016/j.ssmph.2025.101783

Shasha Yuan , Xiaojuan Sha , Kexin Xiao , Mingwei Fu

{"title":"Physician-patient sex concordance and patient outcomes: Evidence from China","authors":"Shasha Yuan , Xiaojuan Sha , Kexin Xiao , Mingwei Fu","doi":"10.1016/j.ssmph.2025.101783","DOIUrl":"10.1016/j.ssmph.2025.101783","url":null,"abstract":"<div><div>The growing body of research on the effects of physician-patient sex concordance on healthcare delivery across various medical settings has yielded highly heterogeneous results, with limited evidence from low- and middle-income countries (LMICs). This study aims to examine the impact of physician-patient sex concordance on both the quality of care (treatment outcomes and 30-day readmission rates) and medical expenditure (total expenditure and specific fee categories) among hospitalized patients with acute myocardial infarctions (AMI) in China. Using hospital administrative data (2018–2022) from a tertiary general hospital in Eastern China, we focus on the patients with a primary discharge diagnosis of AMI to achieve the random matching between physicians and patients (n = 1299). Our findings indicate that 70 % of AMI patients were treated by surgeons of the same sex. The patients in the physician-patient sex concordance group incurred significantly higher hospitalized expenditure, primarily in medication and surgery expenditure, with no significant increase in diagnostic expenditure. Physician-patient sex concordance was associated with an average increase of 2.3 days of hospitalization and a 4.37 percentage point increase in the copayment rate. However, no significant improvement in quality of care was observed. These findings provide a foundation for future research on the underlying mechanisms driving disparities in healthcare delivery due to physician-patient sex concordance, which is critical for the deep understanding of gender equity in health care.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101783"},"PeriodicalIF":3.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679949","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}

引用次数: 0

The association between sports social capital and cognitive health: A longitudinal study of middle-aged and elderly adults in China 体育社会资本与认知健康的关系：中国中老年人的纵向研究

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-14 DOI: 10.1016/j.ssmph.2025.101778

Yutao Li, Hengguo Song

{"title":"The association between sports social capital and cognitive health: A longitudinal study of middle-aged and elderly adults in China","authors":"Yutao Li, Hengguo Song","doi":"10.1016/j.ssmph.2025.101778","DOIUrl":"10.1016/j.ssmph.2025.101778","url":null,"abstract":"<div><div>This study examines the association between sports social capital and cognitive health in middle-aged and elderly individuals in China. Using data from the China Health and Retirement Longitudinal Study (CHARLS) and deep learning methods, we analyze interactions between sports social capital, cognitive function, and various health behaviors across multiple time points. Findings reveal that baseline cognitive scores and education are key predictors of cognitive health, consistent with cognitive reserve theory. Importantly, education amplifies the benefits of sports social capital, suggesting a synergistic effect that supports cognitive function. Results further show that sports social capital exerts a cumulative effect on cognition, with its influence increasing over time. Unlike general physical activity, sports social capital—formed through social engagement in sports—plays a unique role in sustaining cognitive function. Additionally, it is associated with a reduction in the cognitive risks of smoking and other behaviors, highlighting its potential role as a buffer against health risks. This research extends social capital theory in health contexts and suggests that promoting group sports activities that foster social support networks could serve as an effective intervention. Such policies, particularly among lower-education groups, may help preserve cognitive health within aging populations.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101778"},"PeriodicalIF":3.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679947","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}

引用次数: 0

The impact of increased telehealth use on the treatment of substance use disorder during the COVID-19 pandemic COVID-19大流行期间增加远程医疗使用对药物使用障碍治疗的影响

IF 3.6 2区医学

Ssm-Population Health Pub Date : 2025-03-14 DOI: 10.1016/j.ssmph.2025.101780

Fares Qeadan , Sydney Shimizu , Benjamin Tingey , Philip J. Kroth , Talar Markossian

{"title":"The impact of increased telehealth use on the treatment of substance use disorder during the COVID-19 pandemic","authors":"Fares Qeadan , Sydney Shimizu , Benjamin Tingey , Philip J. Kroth , Talar Markossian","doi":"10.1016/j.ssmph.2025.101780","DOIUrl":"10.1016/j.ssmph.2025.101780","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic necessitated a shift from in-person substance use disorder (SUD) treatment to virtual telehealth (TH) visits, creating opportunities to assess the impact of virtual visits on SUD treatment.</div></div><div><h3>Methods</h3><div>This study utilized retrospective, de-identified, electronic health record (EHR) data from Oracle EHR Real-World Data to examine the impact of TH on SUD treatment. Patients with a qualifying SUD diagnosis from 141 U.S. health systems were included and divided into pre-TH (January 1, 2017 through January 1, 2019) and COVID (January 1, 2020 through January 1, 2022) cohorts. This study analyzed TH utilization, medications for SUD (MSUD) prescribing, drug-related events, and mental health crises, comparing patient outcomes where the treating clinician was a high TH user versus a low TH user in both pre-COVID and COVID periods.</div></div><div><h3>Results</h3><div>Patients visiting high TH clinicians had lower MSUD prescribing rates, yet a higher MSUD day's supply, and higher rates of TH outpatient visits than those visiting low TH providers, with both groups having an increase in TH visits during the COVID period. Patients with high TH clinicians had lower rates of SUD-related hospitalizations than those with low TH providers but similar rates of drug overdoses, relapses, injection-related infections, and mental health crises.</div></div><div><h3>Conclusions</h3><div>TH modalities showed increased SUD-related outpatient visits without increasing adverse outcomes, indicating its potential as a sustainable alternative to in-person care. This study highlights the need for further research on TH efficacy for SUD-specific populations and supports the continued integration of telehealth in SUD treatment post-pandemic.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101780"},"PeriodicalIF":3.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679946","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}

引用次数: 0