The Long-term Impact of Preventative Public Health Programs

2020 ◽  
Author(s):  
Lauren Hoehn-Velasco

Abstract This paper estimates the long-term impact of childhood exposure to a preventative public health programme on adult human capital. From 1908 to 1933, local governments in the United States instituted county-level health departments (CHDs) that provided preventative health services geared towards children. This paper estimates the long-term benefits of childhood exposure to this public programme using variation in CHD location, timing and age of exposure. CHD operation before the age of 5 increases men’s later-life earnings by 2% to 5%. Exposed boys not only perform better than later- and never-treated groups, but, after adding household fixed effects, exposed men earn more than their brothers.

Author(s):  
Lawrence T. Brown ◽  
Ashley Bachelder ◽  
Marisela B. Gomez ◽  
Alicia Sherrell ◽  
Imani Bryan

Academic institutions are increasingly playing pivotal roles in economic development and community redevelopment in cities around the United States. Many are functioning in the role of anchor institutions and building technology, biotechnology, or research parks to facilitate biomedical research. In the process, universities often partner with local governments, implementing policies that displace entire communities and families, thereby inducing a type of trauma that researcher Mindy Thompson Fullilove has termed “root shock.” We argue that displacement is a threat to public health and explore the ethical implications of university-led displacement on public health research, especially the inclusion of vulnerable populations into health-related research. We further explicate how the legal system has sanctioned the exercise of eminent domain by private entities such as universities and developers.Strategies that communities have employed in order to counter such threats are highlighted and recommended for communities that may be under the threat of university-led displacement. We also offer a critical look at the three dominant assumptions underlying university-sponsored development: that research parks are engines of economic development, that deconcentrating poverty via displacement is effective, and that poverty is simply the lack of economic or financial means. Understanding these fallacies will help communities under the threat of university-sponsored displacement to protect community wealth, build power, and improve health.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 444-445
Author(s):  
Naomi Meinertz ◽  
Pi-Ju Liu ◽  
Ron Acierno

Abstract Abuse in later life could potentially lead to lower levels of social support, especially when perpetrated by family members who are charged with protecting the older adult in their care. Using both waves of the National Elder Mistreatment longitudinal data (wave one collected in 2008 and wave two in 2015; N=774), long-term effects of abuse (i.e., physical, emotional, sexual, and financial) on levels of social support, physical health, and clinical depressive symptoms for respondents at or above the age of 60 years were analyzed. A multivariate analysis of variance showed that respondents abused at wave one (n=261) by a family member (B=-0.55, p≤0.001), a spouse or ex-partner (B=-0.349, p=0.02), or a non-relative or stranger (B=-0.301, p=0.026) had lower levels of social support eight years later at wave two. Those abused by a family member at wave one also experienced higher levels of depressive symptoms at wave two (B=-0.187, p=0.01). Perpetrator type did not predict general health at wave two. These results emphasize the long-term impact of abuse on the lives of older adults and highlight the importance trusted relationships, such as with family members, have on older adult health and wellbeing.


2017 ◽  
Vol 6 (4) ◽  
pp. 323-328
Author(s):  
Sheri J. Brock ◽  
Danielle Wadsworth ◽  
Shelby Foote ◽  
Mary E. Rudisill

Institutions of higher education have a responsibility to prioritize the needs of society and local communities. One essential need prevalent in all communities is to address the rise of obesity and health risks due to lack of participation in physical activity. In the United States, children spend a small percentage of time engaged in physical activity, and engagement decreases further in adolescence and adulthood. Collaborative partnerships between kinesiology faculty at universities and community organizations are one avenue for engaging children in physical activity. Partnerships must be multilevel and community wide to evoke change and have long-term impact and sustainability. Within the context of community-based research, we propose a three-step framework for establishing collaborative partnerships: (1) determining the needs of partners; (2) discussing expertise, services, and philosophy; and (3) providing a quality product. In addition, we outline and illustrate our experiences when collaborating with community partners to promote physical activity.


2021 ◽  
Author(s):  
James Steele ◽  
James Fisher ◽  
Jürgen Giessing ◽  
Patroklos Androulakis-Korakakis ◽  
Milo Wolf ◽  
...  

Objective: Public health guidelines for resistance training typically emphasize a minimal effective dose approach. The intention for such guidelines is that individuals engage in these behaviors over the long-term. However, relatively few studies have examined the longitudinal time-course of strength adaptations to resistance training and those which have typically utilize small samples and/or athletic populations. Further, no studies have employed approaches to incorporate participant level random factors into modelling. Thus, the aim of this study was to examine the time-course of strength development resulting from continued participation in minimal dose resistance training in a large sample through retrospective training records. Methods: Data was available for analysis from 14,690 participants who had undergone minimal dose resistance training (1x/week, single sets to momentary failure of six exercises) with records ranging up to 352 weeks (~6.8 years) in length. Linear-log growth models examining the development of strength over time were fit allowing random intercepts and slopes by participant. In addition, the interaction of sex and age were examined as fixed effects. Results: All models demonstrated a robust linear-log relationship which on the untransformed time scale clearly demonstrated the presence of a plateau in strength development around ~1 year into training after which strength was essentially maintained with minimal growth. Sex and age had minimal interaction effects. Conclusions: Substantial strength gains are possible with the use of a minimal dose resistance training approach. Though, these begin to plateau after ~1 year of training with little impact from sex or age on the emergence of this plateau. It is unclear if this plateau can be overcome through alternative approaches. Considering this, our results support public health recommendations for minimal dose resistance training to induce and maintain strength adaptations in adults.


2021 ◽  
pp. e1-e3
Author(s):  
R. Tamara Konetzka

Approximately 40% of all COVID-19 deaths in the United States have been linked to long-term care facilities.1 Early in the pandemic, as the scope of the problem became apparent, the nursing home sector generated significant media attention and public alarm. A New York Times article in mid-April referred to nursing homes as “death pits”2 because of the seemingly uncontrollable spread of the virus through these facilities. This devastation continued during subsequent surges,3 but there is a role for policy to change this trajectory. (Am J Public Health. Published online ahead of print January 28, 2021: e1–e3. https://doi.org/10.2105/AJPH.2020.306107 )


Economies ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 107
Author(s):  
Mirzosaid Sultonov

Russia’s international comportment and geostrategic moves, particularly the invasion of Ukraine and the annexation of Crimea in 2014, caused a substantial change in its international economic and political relations. In response to Russia’s invasion, the United States of America, the European Union, and their allies imposed a series of sanctions. In this study, by applying an exponential generalized autoregressive conditional heteroscedasticity model to daily logarithmic returns of the ruble exchange rate and the closing price index of the Russian Trading System, we analyze how the returns and volatility of the exchange rate and the stock price index responded to the sanctions and oil price changes. The estimation results show that the sanctions have a significant positive short-term impact on exchange rate returns. Economic sanctions have a significant negative long-term impact on the returns and variance of the exchange rate and a significant positive long-term impact on the returns of the stock price index. Financial sanctions have a positive/negative long-term impact on the returns of the exchange rate/stock price index and a positive long-term impact on the variance of the exchange rate and the stock price index. Corporate sanctions have a positive long-term impact on exchange rate returns.


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