Policy brief (UCLA Center for Health Policy Research)最新文献

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The link between intimate partner violence, substance abuse and mental health in California. 加州亲密伴侣暴力、药物滥用和心理健康之间的联系。
Elaine Zahnd, May Aydin, David Grant, Sue Holtby
{"title":"The link between intimate partner violence, substance abuse and mental health in California.","authors":"Elaine Zahnd,&nbsp;May Aydin,&nbsp;David Grant,&nbsp;Sue Holtby","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This policy brief presents findings on the linkages between intimate partner violence (IPV), emotional health and substance use among adults ages 18-65 in California. Among the 3.5 million Californians who have ever been victimized by IPV as adults, over half a million report serious psychological distress (SPD) in the past year. Almost half of all adult IPV victims indicate that their partner was under the influence of alcohol or other drugs during the most recent incident. Two-fifths of adult IPV victims report past-year binge drinking and 7% report daily or weekly binge drinking. One in three IPV victims expressed a need for mental health, alcohol or other drug (AOD) services and almost one-fourth used mental health or AOD services during the past year. These disturbing findings can aid strategies to identify, intervene with and assist IPV victims who experience emotional and/or substance use problems.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-10","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30168309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food environments near home and school related to consumption of soda and fast food. 家庭和学校附近的食物环境与苏打水和快餐的消费有关。
Susan H Babey, Joelle Wolstein, Allison L Diamant
{"title":"Food environments near home and school related to consumption of soda and fast food.","authors":"Susan H Babey,&nbsp;Joelle Wolstein,&nbsp;Allison L Diamant","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In California, more than 2 million adolescents (58%) drink soda or other sugar-sweetened beverages every day, and more than 1.6 million adolescents (46%) eat fast food at least twice a week. Adolescents who live and go to school in areas with more fast food restaurants and convenience stores than healthier food outlets such as grocery stores are more likely to consume soda and fast food than teens who live and go to school in areas with healthier food environments. State and local policy efforts to improve the retail food environment may be effective in improving adolescents' dietary behaviors.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-6","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30068395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of health care reform on California's children in immigrant families. 医疗改革对加州移民家庭儿童的影响。
Ninez Ponce, Shana Alex Lavarreda, Livier Cabezas
{"title":"The impact of health care reform on California's children in immigrant families.","authors":"Ninez Ponce,&nbsp;Shana Alex Lavarreda,&nbsp;Livier Cabezas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Patient Protection and Affordable Care Act of 2010 (ACA) restricts its health insurance expansions in ways that exclude many uninsured children in California who are immigrants or have immigrant parents. These exclusions directly limit coverage options for noncitizen children. And immigrant parents, potentially misinterpreting eligibility requirements for these new programs, may not enroll their citizen children. Using the 2007 California Health Interview Survey (CHIS 2007), this policy brief estimates that of the 1.08 million children in California who were uninsured all or part of the year, between 180,000 to 220,000 will be excluded from the health care reform expansions due to the combined direct and potential indirect effects of these exclusions. This \"left-out\" group comprises between 17% and 20% of all uninsured children in California. In light of these exclusions, California's community clinics and public hospitals could continue to serve a significant number of uninsured immigrant children even after full implementation of ACA.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-8","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30168311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The health status and unique health challenges of rural older adults in California. 加州农村老年人的健康状况和独特的健康挑战。
Eva M Durazo, Melissa R Jones, Steven P Wallace, Jessica Van Arsdal, May Aydin, Connie Stewart
{"title":"The health status and unique health challenges of rural older adults in California.","authors":"Eva M Durazo,&nbsp;Melissa R Jones,&nbsp;Steven P Wallace,&nbsp;Jessica Van Arsdal,&nbsp;May Aydin,&nbsp;Connie Stewart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite living in the countryside where open space is plentiful and there is often significant agricultural production, rural older adults have higher rates of overweight/obesity, physical inactivity and food insecurity than older adults living in suburban areas. All three conditions are risk factors for heart disease, diabetes and repeated falls. This policy brief examines the health of rural elders and, by contrast, their urban counterparts, and finds that both groups are more likely to be unhealthy than suburban older adults. Yet rural elders, because of their geographical isolation and lack of proximity to health care providers, experience unique environmental and other risk factors that require context-specific solutions to these health issues. In both policies and programs that impact health, policymakers need to take into account the distinctive environmental and social context of older adults living in California's countryside.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-7","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29949220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent physical education and physical activity in California. 加州青少年体育教育和体育活动。
Alllison L Diamant, Susan H Babey, Joelle Wolstein
{"title":"Adolescent physical education and physical activity in California.","authors":"Alllison L Diamant,&nbsp;Susan H Babey,&nbsp;Joelle Wolstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In California, more than 1.3 million adolescents (38%) do not participate in physical education (PE) at school, and this rate increases dramatically with age, from just 5% at age 12 to 77% at age 17. In addition, only 19% of teens meet current physical activity recommendations. Participation in PE at school is associated with more overall physical activity. Policies that promote more opportunities for physical activity, including those that help schools meet or exceed current PE requirements, can contribute to greater levels of physical activity for adolescents.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-5","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29948569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Californians newly eligible for Medi-Cal under health care reform. 在医疗改革下,加州人有资格申请加州医保。
Nadereh Pourat, Ana E Martinez, Gerald F Kominski
{"title":"Californians newly eligible for Medi-Cal under health care reform.","authors":"Nadereh Pourat,&nbsp;Ana E Martinez,&nbsp;Gerald F Kominski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>About 2.13 million nonelderly Californians who were uninsured for all or part of 2009 are newly-eligible for Medi-Cal under the Patient Protection and Affordable Care Act (ACA) of 2010. Analysis of the 2009 California Health Interview Survey indicates that this newly-eligible population is often single, working-age and employed. Their rates of most chronic conditions are similar to those currently enrolled in Medi-Cal, but they have less access to care. The characteristics of the population of the newly-eligible for Medi-Cal under ACA are likely to change by 2014 when the major provisions of the law are fully implemented. However, coverage of this newly-eligible low-income population is likely to improve their access to health services.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-4","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29948570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who can participate in the California health benefit exchange? A profile of subsidy-eligible uninsured and individually insured. 谁可以参加加州医疗保险交换?符合补贴条件的无保险和个人保险的概况。
Nadereh Pourat, Christina M Kinane, Gerald F Kominski
{"title":"Who can participate in the California health benefit exchange? A profile of subsidy-eligible uninsured and individually insured.","authors":"Nadereh Pourat,&nbsp;Christina M Kinane,&nbsp;Gerald F Kominski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>About 1.71 million nonelderly Californians were uninsured for all or part of 2009 and are estimated to be eligible to participate and receive subsidies in the new California Health Benefit Exchange marketplace under the Patient Protection and Affordable Care Act (ACA) of 2010. Another 737,000 are currently insured with individual policies and will also be eligible for participation in the Exchange based on their employment, income and citizenship status. This policy brief examines the characteristics of these Exchange-eligible with subsidies groups, based on 2009 California Health Interview Survey data. Among the findings, these Exchange-eligible populations are often single, young working-age adults, and are employed in small firms. Most are healthy and the prevalence rates of most chronic conditions are similar to those with employment-based insurance. However, several indicators show poorer access to care for those who are uninsured. The characteristics of the Exchange-eligible with subsidies are likely to change by 2014 when the major provisions of the ACA are implemented. Nevertheless, these data indicate that the California Health Benefit Exchange is likely to improve access to care for the uninsured, and has the potential to improve coverage and access to care of those with individual policies.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29948572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The health of aging lesbian, gay and bisexual adults in California. 加州老年女同性恋、男同性恋和双性恋成年人的健康状况。
Steven P Wallace, Susan D Cochran, Eva M Durazo, Chandra L Ford
{"title":"The health of aging lesbian, gay and bisexual adults in California.","authors":"Steven P Wallace,&nbsp;Susan D Cochran,&nbsp;Eva M Durazo,&nbsp;Chandra L Ford","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Research on the health of lesbian, gay and bisexual (LGB) adults generally overlooks the chronic conditions that are the most common health concerns of older adults. This brief presents unique population-level data on aging LGB adults (ages 50-70) documenting that they have higher rates of several serious chronic physical and mental health conditions compared to similar heterosexual adults. Although access to care appears similar for aging LGB and heterosexual adults, aging LGB adults generally have higher levels of mental health services use and lesbian/bisexual women report greater delays in getting needed care. These data indicate a need for general health care and aging services to develop programs targeted to the specific needs of aging LGB adults, and for LGB-specific programs to increase attention to the chronic conditions that are common among all older adults.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698220/pdf/nihms472438.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29863002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-thirds of California's seven million uninsured may obtain coverage under health care reform. 加州700万未参保人口中有三分之二可能在医疗改革下获得保险。
Shana Alex Lavarreda, Livier Cabezas
{"title":"Two-thirds of California's seven million uninsured may obtain coverage under health care reform.","authors":"Shana Alex Lavarreda,&nbsp;Livier Cabezas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Almost 4.7 million nonelderly adults and children of the seven million Californians who were uninsured for all or part of 2009 will be eligible for insurance as a result of last year's health care reform legislation, according to new data from the 2009 California Health Interview Survey (CHIS 2009). Eligible Californians will obtain coverage either through Medi-Cal or through subsidies to purchase private health insurance in the new California Health Benefit Exchange (CHBE) starting in 2014. The CHBE will also be open to 1.2 million uninsured persons who do not qualify for subsidized premiums due to their income exceeding eligibility levels, but who will benefit from the new marketplace created through the Patient Protection and Affordable Care Act (PPACA). Just over one million uninsured persons do not qualify to participate in either the CHBE or in the Medi-Cal expansion due to their citizenship status. With seven million uninsured residents of California in 2009, the new insurance options made available by the PPACA could face challenges in enrolling these uninsured individuals.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2011-1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29708811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One-fifth of nonelderly Californians do not have access to job-based health insurance coverage. 五分之一的非老年加州人没有以工作为基础的医疗保险。
Shana Alex Lavarreda, Livier Cabezas
{"title":"One-fifth of nonelderly Californians do not have access to job-based health insurance coverage.","authors":"Shana Alex Lavarreda,&nbsp;Livier Cabezas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lack of job-based health insurance does not affect just workers, but entire families who depend on job-based coverage for their health care. This policy brief shows that in 2007 one-fifth of all Californians ages 0-64 who lived in households where at least one family member was employed did not have access to job-based coverage. Among adults with no access to job-based coverage through their own or a spouse's job, nearly two-thirds remained uninsured. In contrast, the majority of children with no access to health insurance through a parent obtained public health insurance, highlighting the importance of such programs. Low-income, Latino and small business employees were more likely to have no access to job-based insurance. Provisions enacted under national health care reform (the Patient Protection and Affordable Care Act of 2010) will aid some of these populations in accessing health insurance coverage.</p>","PeriodicalId":82329,"journal":{"name":"Policy brief (UCLA Center for Health Policy Research)","volume":" PB2010-9","pages":"1- 6"},"PeriodicalIF":0.0,"publicationDate":"2010-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29863003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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