scholarly journals THE ROLE OF ESTIMATED HOUSEHOLD INCOME AND INSURANCE COVERAGE ON LIVE BIRTH OUTCOMES IN INFERTILE PATIENTS RESIDING IN NEW YORK STATE

2021 ◽  
Vol 116 (3) ◽  
pp. e324-e325
Author(s):  
Alice Chung ◽  
Phillip A. Romanski ◽  
Pietro Bortoletto ◽  
Steven Spandorfer
Keyword(s):  
New York ◽  
Birth Outcomes ◽  
Live Birth ◽  
Household Income ◽  
Insurance Coverage ◽  
New York State ◽  
York State ◽  
Infertile Patients

Abstract 20: Patterns of Stroke Center Certification and the Impact on Stroke Mortality in Counties of New York State

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Emily Chapman ◽  
Kurt A Yaeger ◽  
J D Mocco
Keyword(s):  
New York ◽  
Socioeconomic Status ◽  
Household Income ◽  
New York State ◽  
Stroke Care ◽  
Stroke Mortality ◽  
Median Household Income ◽  
Stroke Incidence ◽  
York State ◽  
The Relationship

Introduction: To establish a statewide stroke system in March 2019, New York State (NYS) created the Stroke Designation Program. Stroke centers (SCs) must be certified by a state-approved certifying organization (CO), which is tasked with initial designation and ongoing re-certification. Previous research has found an association at the national level between socioeconomic status and access to higher levels of acute stroke care. Objective: This study characterizes the relationship between socioeconomic status of NYS populations and stroke care level access by comparing median household income and wealth in counties with and without certified SCs. Methods: Population and median household income from the U.S. Census (2010), stroke epidemiological data from the Center for Disease Control, and Area Deprivation Index (ADI) data (ranked within NYS) from the Neighborhood Atlas, a project that quantifies disadvantage by census tract, were collected and averaged for each county. Income has been used to assess local wealth and ADI to analyze community health risks. Certification data were mined from quality check databases for The Joint Commission and Det Norske Veritas, the most commonly used COs. Student’s t-tests compared income and ADI in counties with at least one certified SC to those without. Linear regression characterized the relationship between income and ADI with number of certified SCs, stroke incidence and stroke mortality. Results: All 62 counties in NYS were investigated to yield 40 certified SCs. Counties with at least one certified SC had a significantly higher income ($68,183.63 vs. $57,155.12; p=0.03) and lower ADI (5.90 vs. 7.37; p=0.004) compared to counties with no certified SC. Higher income (p<0.001) and lower ADI (p<0.001) were also associated with more certified SCs. Counties with fewer certified SCs had significantly higher stroke mortality (p<0.001) despite having similar stroke incidence. Conclusion: Socioeconomic heterogeneity in NYS counties is correlated to differential access to certified SCs and quality stroke care, as fewer centers are found in lower-income and disadvantaged communities. Although populations with less access experience stroke at similar rates, this study finds higher death rates in these counties.

scholarly journals The Potential Impact of the New York State Smokers’ Quitline on Population-Level Smoking Rates in New York

2019 ◽  
Vol 16 (22) ◽  
pp. 4477
Author(s):  
Nathan Mann ◽  
James Nonnemaker ◽  
Kevin Davis ◽  
LeTonya Chapman ◽  
Jesse Thompson ◽  
...  
Keyword(s):  
New York ◽  
Smoking Prevalence ◽  
New York State ◽  
State Level ◽  
Population Level ◽  
York State ◽  
Point Reduction ◽  
Effective Interventions ◽  
Current Impact

Receiving smoking cessation services from telephone quitlines significantly increases quit success compared with no intervention or other quitting methods. To affect population-level smoking, quitlines must provide a sufficient proportion of smokers with effective interventions. Nationally, quitlines reach around 1% of adult smokers annually. From 2011 through 2016, the average annual reach of the New York State Smokers’ Quitline (NYSSQL) was 2.9%. We used data on the reach and cessation outcomes of NYSSQL to estimate its current impact on population-level smoking prevalence and to estimate how much reach would have to increase to achieve population-level smoking prevalence reductions. We estimate NYSSQL is associated with a 0.02 to 0.04 percentage point reduction in smoking prevalence in New York annually. If NYSSQL achieved the recommended annual reach of 8% (CDC Best Practices) and 16% (NAQC), state-level prevalence would decrease by an estimated 0.07–0.12 and 0.13–0.24 percentage points per year, respectively. To achieve those recommended levels of reach, NYSSQL would need to provide services to approximately 3.5 to 6.9 times more smokers annually. Given their reach, quitlines are limited in their ability to affect population-level smoking. Increasing quitline reach may not be feasible and would likely be cost-prohibitive. It may be necessary to re-think the role of quitlines in tobacco control efforts. In New York, the quitline is being integrated into larger efforts to promote cessation through health systems change.

Strategic technology adoption and entry deterrence in broadband

2019 ◽  
Vol 29 (3) ◽  
pp. 713-729
Author(s):  
Tedi Skiti
Keyword(s):  
New York ◽  
Technology Adoption ◽  
Local Level ◽  
New York State ◽  
Investment Strategy ◽  
Entry Deterrence ◽  
Strategic Investment ◽  
York State ◽  
The Us

Abstract In this article, we examine the role of strategic investment in the US broadband industry. In particular, we provide evidence that cable incumbents adjust their investment strategy in response to fiber entry threat and that these deterrence strategies have been successful particularly in intermediate sized markets. We compile data on broadband deployment and exogenous franchise agreements for potential fiber entrants at the most local level in New York State. The results indicate that strategic cable investment may negatively affect optical fiber diffusion.

Building a Pro-Worker, Pro-Union Climate Movement

2020 ◽  
pp. 131-148
Author(s):  
Lara Skinner
Keyword(s):  
Climate Change ◽  
New York ◽  
Labor Unions ◽  
New York State ◽  
Environmental Movement ◽  
Energy Sector ◽  
Green Economy ◽  
Green Jobs ◽  
York State

This chapter outlines tensions among unions in the energy sector and debates about a pro-climate, pro-worker agenda. Proposals for “green jobs” that protect the environment do not ensure good, union jobs. Energy-sector unions have often been wary of such proposals, arguing correctly that green jobs are rarely available in the same quality or quantity as jobs in fossil-fuel industries. Drawing on cases from climate initiatives in New York State, this chapter argues that unions must be at the table when proposals to expand green jobs are designed and implemented. It outlines a practical plan for unions to work with politicians and communities to ensure “just transition.” The chapter explains that while climate change issues have often pitted labor unions against the environmental movement and its progressive allies, there are also examples of successful “blue–green” alliances. These coalitions strengthen the labor movement by forging new ties with important allies and allowing workers to proactively shape the role of unions and workers in the emerging green economy.

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