Journal of Health Politics Policy and Law最新文献

Despair and Voter Turnout in the United States. 美国的绝望情绪与投票率。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-11-15 DOI: 10.1215/03616878-11670168

William Franko, Julianna Pacheco

{"title":"Despair and Voter Turnout in the United States.","authors":"William Franko, Julianna Pacheco","doi":"10.1215/03616878-11670168","DOIUrl":"https://doi.org/10.1215/03616878-11670168","url":null,"abstract":"Context: Deaths of despair, a term used to capture rising mortality rates among Americans who appear to be suffering from growing mental and physical distress, have received added attention from those seeking to understand this disturbing trend. Yet it is unclear how, if at all, despair influences the political behavior of the people and communities where it is most prominent. The authors contribute to the health and politics literature by examining whether personal and community-level despair shapes political participation.Methods: The authors examine the relationship between despair and voter turnout using novel data at both the aggregate and individual levels. First, a custom survey is used to test whether despair is associated with individual-level voter participation in several recent elections. Second, a new measure of community despair is developed at the county level that spans nearly 20 years to assess whether there is a relationship between despair and voter turnout in U.S counties.Findings: The results suggest that higher levels of despair lead to lower turnout rates at both the individual and community levels.Conclusions: This study suggests that the effects of experiencing despair are far reaching and shape political behavior among individuals and within communities.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Experience of Vaccination Improve Vaccine Confidence and Trust? Policy Feedback Effects of Mass COVID-19 Vaccination in the United States. 接种疫苗的经历是否会增强对疫苗的信心和信任？美国大规模接种 COVID-19 疫苗的政策反馈效应。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-11-15 DOI: 10.1215/03616878-11670176

Yongjin Choi, Ashley Fox

{"title":"Does Experience of Vaccination Improve Vaccine Confidence and Trust? Policy Feedback Effects of Mass COVID-19 Vaccination in the United States.","authors":"Yongjin Choi, Ashley Fox","doi":"10.1215/03616878-11670176","DOIUrl":"https://doi.org/10.1215/03616878-11670176","url":null,"abstract":"Context: Policy feedback research has demonstrated that a highly tangible policy that shapes public attitudes through direct and day-to-day experiences often reshapes public opinion, with the effect of generating supportive or skeptical constituencies that determine the sustainability of future programs. This paper examines the impact of mass vaccination efforts on attitudes towards vaccines in a context of high vaccine hesitancy in the U.S.Methods: We analyzed 73,092 survey responses from 9,229 participants in the longitudinal data from the Understanding America Study project, covering December 2020 to July 2023. Using two-way fixed-effects ordinary least squares regression and ordinal logistic regression, we estimated the changes in attitudes towards vaccines, including trust in vaccine manufacturing and approval processes, following COVID-19 vaccinations.Findings: COVID-19 vaccination was associated with improved perceptions of vaccine effectiveness and social benefits and reduced mistrust in vaccine-related processes. However, it did not significantly alleviate concerns regarding vaccine side effects and illness. The strongest effects were observed among respondents initially hesitant but who eventually vaccinated.Conclusions: The experience of COVID-19 vaccination generally improved attitudes and confidence in COVID-19 vaccines among the U.S. public, particularly among vaccine-hesitant people. These effects could have positive impacts on future immunization programs by mitigating vaccine hesitancy.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medicaid Waivers to Address Homelessness: Political Development and Policy Trajectories. 解决无家可归问题的医疗补助豁免：政治发展与政策轨迹。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-11-15 DOI: 10.1215/03616878-11670160

Charley E Willison, Alisa Dewald

{"title":"Medicaid Waivers to Address Homelessness: Political Development and Policy Trajectories.","authors":"Charley E Willison, Alisa Dewald","doi":"10.1215/03616878-11670160","DOIUrl":"https://doi.org/10.1215/03616878-11670160","url":null,"abstract":"This article reviews the role of Medicaid Waivers in homeless policy, and their emerging role as a mechanism to address homelessness. We evaluate the political development of Waivers in housing and homeless policy over the past thirty years, and investigate the status of current and approved Waivers targeting homelessness. We then consider how Waivers may shape homeless policy governance going forward, including the success of existing systems, and ethical questions related to the role of healthcare payers in solutions to homelessness. We find that the scope of Medicaid Waivers to address homelessness has always been present, but significantly expanded post Affordable Care Act (ACA) and more notably following the COVID-19 pandemic. These expansions brought new opportunities for states to fund responses to homelessness through Medicaid social determinants of health (SDoH) provisions providing wrap-around medical services for populations at-risk of or experiencing homelessness, and now through time-limited direct housing costs paired with essential medical services. Over one third of states have an 1115 Waiver specifically targeting homelessness, with nearly one in five states including provisions that cover direct housing costs (e.g., rent). Going forward, Medicaid's involvement in homeless policy has the potential to reshape state and local responses to homelessness.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Embracing Controversy: A Second Look at CDC Reform Efforts in the Wake of COVID-19. 拥抱争议：在 COVID-19 事件之后重新审视疾病预防控制中心的改革努力》（A Second Look at CDC Reform Efforts in the Wake of COVID-19）。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-11-15 DOI: 10.1215/03616878-11672932

Ann C Keller

引用次数: 0

Does Policy Uncertainty Boost Vaccine Hesitancy? Political Controversy, the FDA and COVID-19 Vaccine Hesitancy in Fall 2020. 政策不确定性是否会提高疫苗接种意愿？2020 年秋季的政治争议、FDA 和 COVID-19 疫苗犹豫不决。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-11-15 DOI: 10.1215/03616878-11670184

Daniel Carpenter, Matthew E Dardet, Anushka Bhaskar, Leah Z Rand, William Feldman, Aaron S Kesselheim

{"title":"Does Policy Uncertainty Boost Vaccine Hesitancy? Political Controversy, the FDA and COVID-19 Vaccine Hesitancy in Fall 2020.","authors":"Daniel Carpenter, Matthew E Dardet, Anushka Bhaskar, Leah Z Rand, William Feldman, Aaron S Kesselheim","doi":"10.1215/03616878-11670184","DOIUrl":"https://doi.org/10.1215/03616878-11670184","url":null,"abstract":"Context: Vaccine hesitancy is associated with political and institutional distrust, but there is little research on how people's trust responds to political events. We revisit the fall of 2020 when evaluation of new COVID-19 vaccines collided with an impending national election. Drawing on a political Bayesian perspective, we assess abrupt changes in attention to political events and test hypotheses on subpopulation response: (1) partisan, (2) educational, and (3) ethnic and racial.Methods: Analysis of daily changes in news reporting and social media use in 2020, combined with detailed analysis of two-large scale surveys fielded at the time, focusing on questions of COVID-19 vaccine hesitancy and safety concerns about COVID-19 vaccines.Findings: Vaccine hesitancy in the US spiked from late August to early October 2020. We identify several plausible triggers for this spike, all pertaining to the FDA and electoral politics. Heightened vaccine hesitancy occurred among Democrats, Asian and Black citizens, as well as college-educated respondents. Turbulence mainly affected those who were initially most trusting in government and vaccines. Asian-American vaccine confidence recovered; that of Black Americans did not.Conclusions: Electoral politics may destabilize citizen assumptions about vaccine authorization and boost uncertainty, thereby undermining public willingness to take approved vaccines.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Polarized Perspectives on Health Equity: Results from a Nationally Representative Survey on US Public Perceptions of COVID-19 Disparities in 2023. 关于卫生公平的两极分化观点:一项关于2023年美国公众对COVID-19差异看法的全国代表性调查的结果。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-06-01 DOI: 10.1215/03616878-11066304

Sarah E Gollust, Chloe Gansen, Erika Franklin Fowler, Steven T Moore, Rebekah H Nagler

{"title":"Polarized Perspectives on Health Equity: Results from a Nationally Representative Survey on US Public Perceptions of COVID-19 Disparities in 2023.","authors":"Sarah E Gollust, Chloe Gansen, Erika Franklin Fowler, Steven T Moore, Rebekah H Nagler","doi":"10.1215/03616878-11066304","DOIUrl":"10.1215/03616878-11066304","url":null,"abstract":"Republicans and Democrats responded to the COVID-19 pandemic in starkly different ways, from their attitudes in 2020 about whether the virus posed a threat to whether the pandemic ended in 2023. The consequences of COVID-19 for health equity have been a central concern in public health, and the concept of health equity has also been beset by partisan polarization. In this article, the authors present and discuss nationally representative survey data from 2023 on US public perceptions of disparities in COVID-19 mortality (building on a previous multiwave survey effort) as well as causal attributions for racial disparities, the contribution of structural racism, and broader attitudes about public health authority. The authors find anticipated gulfs in perspectives between Democrats on the one hand and independents and Republicans on the other. The results offer a somewhat pessimistic view of the likelihood of finding common ground in how the general public understands health inequities or the role of structural racism in perpetuating them. However, the authors show that those who acknowledge racial disparities in COVID-19 are more likely to support state public health authority to act in response to other infectious disease threats. The authors explore the implications of these public opinion data for advocacy, communication, and future needed research.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"403-427"},"PeriodicalIF":3.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138178025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Invoking Identity? Partisan Polarization in Discussions of Race, Racism, and Gender in 2022 Midterm Advertising in the United States. 调用身份?2022年美国中期广告中种族、种族主义和性别讨论中的党派分化

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2024-06-01 DOI: 10.1215/03616878-11066296

Erika Franklin Fowler, Steven T Moore, Breeze Floyd, Jielu Yao, Markus Neumann, Neil A Lewis, Jeff Niederdeppe, Sarah E Gollust

{"title":"Invoking Identity? Partisan Polarization in Discussions of Race, Racism, and Gender in 2022 Midterm Advertising in the United States.","authors":"Erika Franklin Fowler, Steven T Moore, Breeze Floyd, Jielu Yao, Markus Neumann, Neil A Lewis, Jeff Niederdeppe, Sarah E Gollust","doi":"10.1215/03616878-11066296","DOIUrl":"10.1215/03616878-11066296","url":null,"abstract":"Context: Media messaging matters for public opinion and policy, and analyzing patterns of campaign strategy can provide important windows into policy priorities.Methods: The authors used content analysis supplemented with keyword-based text analysis to assess the volume, proportion, and distribution of media attention to race-related issues in comparison to gender-related issues during the general election period of the 2022 midterm campaigns for federal office in the United States.Findings: Race-related mentions in campaign advertising were overwhelmingly focused on crime and law and order, with very little attention to racism, racial injustice, and the structural barriers that lead to widespread inequities. In stark contrast to mentions of gender, racial appeals were less identity focused and were competitively contested between the parties in their messaging, but they were much more likely to be led by Republicans.Conclusions: The results suggest that discussions of race and gender were highly polarized, with consequences for public understanding of and belief in disparities and policies important to population health.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"505-537"},"PeriodicalIF":3.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138178021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ageing and Health. The Politics of Better Policies 老龄化与健康。更好政策的政治

3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-10-06 DOI: 10.1215/03616878-10992420

John W. Rowe

引用次数: 0

US Immigration Enforcement Separates and Increases Health Inequities for Mixed-Status Families 美国移民执法部门分离并加剧了混血家庭的健康不平等

3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-10-06 DOI: 10.1215/03616878-10992407

Arturo Vargas Bustamante

引用次数: 0

Abortion as a Public Health Risk in COVID-19 Antiabortion Legislation. 在反堕胎立法中，堕胎是一种公共卫生风险。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449950

Saphronia Carson, Shannon K Carter

{"title":"Abortion as a Public Health Risk in COVID-19 Antiabortion Legislation.","authors":"Saphronia Carson, Shannon K Carter","doi":"10.1215/03616878-10449950","DOIUrl":"https://doi.org/10.1215/03616878-10449950","url":null,"abstract":"During the early months of the COVID-19 pandemic, 12 states banned or restricted abortion access under elective-procedure restrictions. The rationale was preserving hospital capacity and personal protective equipment (PPE); however, abortions commonly take place in clinics and use less PPE than childbirth. This paper investigates the discursive construction of abortions, the people who get them, and the fetuses in this legislation. The authors analyzed 13 antiabortion documents using an iterative process of thematic coding and memo writing. Twenty-three percent of the legislation listed abortion as banned, whereas the remaining laws implied abortion within the terms \"elective\" or \"nonessential.\" Legislation used common antiabortion tactics, such as the trivialization of abortion, risk discourses, and constructions of motherhood and fetal personhood. Discourses delegitimized abortion providers and used quasi-medical justifications for banning abortion. Finally, legislation constructed abortion clinics as sites of contagion and waste and consequently as risks to public health. The results highlight the vulnerability of abortion and the connection between abortion policy and other conservative policies, and they gesture toward a strategic attempt to ban abortion federally. These findings have several implications for a post-Roe United States and for stakeholders wishing to increase abortion access.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"545-568"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0