Ssm-Population Health最新文献

{"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}

{"title":"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","authors":"Eggleton Phoebe ,&nbsp;Boden Joseph ,&nbsp;Harvet Anne ,&nbsp;Deng Bingyu ,&nbsp;McLeod Geraldine ,&nbsp;Campbell Malcolm ,&nbsp;Hobbs Matthew","doi":"10.1016/j.ssmph.2025.101781","DOIUrl":"10.1016/j.ssmph.2025.101781","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101781"},"PeriodicalIF":3.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679829","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":"Making sense of MAIHDA’s history and goals: A response to “Variance partition that eludes intuition”","authors":"Luisa N. Borrell ,&nbsp;Christina I. Nieves ,&nbsp;Clare R. Evans","doi":"10.1016/j.ssmph.2025.101779","DOIUrl":"10.1016/j.ssmph.2025.101779","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101779"},"PeriodicalIF":3.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679948","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":"Inequality trajectories in avoidable under-5 mortality in Colombia: A 23-year analysis of inequities (2000–2022)","authors":"Maylen Liseth Rojas-Botero ,&nbsp;Julián Alfredo Fernández-Niño ,&nbsp;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}

{"title":"Physician-patient sex concordance and patient outcomes: Evidence from China","authors":"Shasha Yuan ,&nbsp;Xiaojuan Sha ,&nbsp;Kexin Xiao ,&nbsp;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}

{"title":"The association between sports social capital and cognitive health: A longitudinal study of middle-aged and elderly adults in China","authors":"Yutao Li,&nbsp;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}

{"title":"The impact of increased telehealth use on the treatment of substance use disorder during the COVID-19 pandemic","authors":"Fares Qeadan ,&nbsp;Sydney Shimizu ,&nbsp;Benjamin Tingey ,&nbsp;Philip J. Kroth ,&nbsp;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}

{"title":"Relative socio-economic position and meaning and purpose in life in adolescents: An intangible cost of social inequalities","authors":"William Pickett ,&nbsp;Nathan King ,&nbsp;Frank J Elgar ,&nbsp;Valerie E. Michaelson","doi":"10.1016/j.ssmph.2025.101776","DOIUrl":"10.1016/j.ssmph.2025.101776","url":null,"abstract":"<div><div>Having a sense of meaning in life supports adolescent health but is affected by experiences of wealth or poverty. We examined its associations with relative advantage (RA) and relative deprivation (RD) in a sample of Canadian adolescents (n = 17,634) using survey data from the Health Behaviour in School-aged Children study. We calculated RA and RD using all other schoolmates as reference groups in 238 schools. Descriptively, RA was associated with greater meaning and purpose and RD was associated with less. Regression-based estimates of prevalence ratios (PR) revealed more nuanced patterns. RD was associated with less of a sense of meaning and purpose in females and gender-diverse youth only. RA was associated with a reduced risk of low meaning and purpose in females (PR 0.77; 95 % CI: 0.61 to 0.98), with similar trends in males and gender diverse students that did not achieve significance. Although the association was not pronounced at the ecological (school) level, the negative associations with RD were stronger in more unequal schools. To illustrate, in schools of high wealth inequality, RD was most strongly associated with having low meaning and purpose in females (PR 1.59; 95 % CI: 1.20 to 2.11) and gender diverse adolescents (PR 1.97, 95 % CI: 0.90 to 4.33), with no statistically significant effect in males. These patterns reveal the salience of proximal socioeconomic reference cues for adolescents and offer new insights into why inequalities in health and wellbeing are so challenging to address in youth populations. They also underscore the importance of both socioeconomic position and wealth distribution within school settings, providing impetus for thought and change.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101776"},"PeriodicalIF":3.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644382","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":"Why gender and sex matter in infectious disease modelling: A conceptual framework","authors":"Diane Auderset ,&nbsp;Julien Riou ,&nbsp;Carole Clair ,&nbsp;Matthieu Perreau ,&nbsp;Yolanda Mueller ,&nbsp;Joëlle Schwarz","doi":"10.1016/j.ssmph.2025.101775","DOIUrl":"10.1016/j.ssmph.2025.101775","url":null,"abstract":"<div><div>The COVID-19 pandemic underscored the differential impact of infectious diseases across population groups, with gender and sex identified as important dimensions influencing transmission and health outcomes. Sex-related biological factors, such as differences in immune response and comorbidities, contribute to men's heightened severity risks, while gender norms and roles influence exposure patterns, adherence to prevention measures, and healthcare access, influencing women's higher reported infection rates in certain contexts. Despite widely observed gender/sex disparities, infectious disease models frequently overlook gender and sex as key dimensions, leading to gaps in understanding and potential blind spots in public health interventions. This paper develops a conceptual framework based on the Susceptible-Exposed-Infectious-Recovered/Deceased (SEIR/D) compartmental model to map pathways through which gender and sex may influence susceptibility, exposure, transmission, recovery, and mortality. Using a narrative review of modelling, epidemiological, and clinical studies, this framework identifies and characterises the main social and biological mechanisms on this matter—including gendered occupational exposure, differential adherence to preventive measures, and disparities in healthcare-seeking behaviour—alongside sex-based differences in immune response and disease severity. The framework also examines potential gender-related variations in epidemiological surveillance data, highlighting disparities in testing uptake and hospitalisation referrals that could influence model outputs. By synthesising these insights, this paper provides a theoretical foundation for integrating gender and sex into infectious disease models. It advocates for interdisciplinary collaboration between modellers, social scientists, and clinicians to advance gender- and sex-sensitive modelling approaches. Accounting for gender and sex can enhance predictive accuracy, inform intervention strategies, and promote health equity in pandemic response.</div></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"30 ","pages":"Article 101775"},"PeriodicalIF":3.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637308","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}