scholarly journals Increasing access to allotransplants in the United States: the impact of race, geography, and socioeconomics

Hematology ◽  
2021 ◽  
Vol 2021 (1) ◽  
pp. 275-280
Author(s):  
Sanghee Hong ◽  
Navneet S. Majhail
Keyword(s):  
United States ◽  
Hematopoietic Cell Transplantation ◽  
Unmet Need ◽  
The United States ◽  
Future Research ◽  
Potential Donor ◽  
Geographic Disparities ◽  
Allogeneic Hct ◽  
Barriers To Access ◽  
The Impact

Abstract Allogeneic hematopoietic cell transplantation (HCT) is particularly susceptible to racial, socioeconomic, and geographic disparities in access and outcomes given its specialized nature and its availability in select centers in the United States. Nearly all patients who need HCT have a potential donor in the current era, but racial minority populations are less likely to have an optimal donor and often rely on alternative donor sources. Furthermore, prevalent health care disparity factors are further accentuated and can be barriers to access and referral to a transplant center. Research has primarily focused on defining and quantifying a variety of social determinants of health and their association with access to allogeneic HCT, with a focus on race/ethnicity and socioeconomic status. However, research on interventions is lacking and is an urgent unmet need. We discuss the role of racial, socioeconomic, and geographic disparities in access to allogeneic HCT, along with policy changes to address and mitigate them and opportunities for future research.

Adolescent Birth Rates and Rural–Urban Differences by Levels of Deprivation and Health Professional Shortage Areas in the United States, 2017–2018

2021 ◽  
Vol 111 (1) ◽  
pp. 136-144
Author(s):  
Sylvester O. Orimaye ◽  
Nathan Hale ◽  
Edward Leinaar ◽  
Michael G. Smith ◽  
Amal Khoury
Keyword(s):  
United States ◽  
Rural Communities ◽  
Health Professional ◽  
Health Resources ◽  
The United States ◽  
Future Research ◽  
Birth Rates ◽  
Rural Counties ◽  
Adolescent Birth ◽  
The Impact

Objectives. To examine the differences in adolescent birth rates by deprivation and Health Professional Shortage Areas (HPSAs) in rural and urban counties of the United States in 2017 and 2018. Methods. We analyzed available data on birth rates for females aged 15 to 19 years in the United States using the restricted-use natality files from the National Center for Health Statistics, American Community Survey 5-year population estimates, and the Area Health Resources Files. Results. Rural counties had an additional 7.8 births per 1000 females aged 15 to 19 years (b = 7.84; 95% confidence interval [CI] = 7.13, 8.55) compared with urban counties. Counties with the highest deprivation had an additional 23.1 births per 1000 females aged 15 to 19 years (b = 23.12; 95% CI = 22.30, 23.93), compared with less deprived counties. Rural counties with whole shortage designation had an additional 8.3 births per 1000 females aged 15 to 19 years (b = 8.27; 95% CI = 6.86, 9.67) compared with their urban counterparts. Conclusions. Rural communities across deprivation and HPSA categories showed disproportionately high adolescent birth rates. Future research should examine the extent to which contraceptive access differs among deprived and HPSA-designated rural communities and the impact of policies that may create barriers for rural communities.

scholarly journals Federal, State, and Local Nutrition Policies for Cancer Prevention: Perceived Impact and Feasibility, United States, 2018

2020 ◽  
Vol 110 (7) ◽  
pp. 1006-1008
Author(s):  
Lauren Lizewski ◽  
Grace Flaherty ◽  
Parke Wilde ◽  
Ross Brownson ◽  
Claire Wang ◽  
...  
Keyword(s):  
United States ◽  
Cancer Prevention ◽  
The United States ◽  
Federal State ◽  
Future Research ◽  
Assistance Program ◽  
Nutrition Policies ◽  
Perceived Impact ◽  
State And Local ◽  
The Impact

Objectives. To assess stakeholder perceptions of the impact and feasibility of 21 national, state, and local nutrition policies for cancer prevention across 5 domains in the United States. Methods. We conducted an online survey from October through December 2018. Participants were invited to take the survey via direct e-mail contact or an organizational e-newsletter. Results. Federal or state Medicare/Medicaid coverage of nutrition counseling and federal or state subsidies on fruits, vegetables, and whole grains for participants in the Supplemental Nutrition Assistance Program were the policies rated as having the highest perceived impact and feasibility. Overall, the 170 respondents rated policy impact higher than policy feasibility. Polices at the federal or state level had a higher perceived impact, whereas local policies had higher perceived feasibility. Conclusions. Our findings might guide future research and advocacy that can ultimately motivate and target policy actions to reduce cancer burdens and disparities in the United States.

scholarly journals Employer costs of mental health claims and how psychologically healthy workplaces align with successful DM programs

2014 ◽  
Vol 9 ◽  
Author(s):  
Wendy Coduti
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Illness ◽  
Emotional Disorders ◽  
Psychological Health ◽  
Work Performance ◽  
The United States ◽  
Health Claims ◽  
Future Research ◽  
The Impact

Mental health (MH) and disability management (DM) businesses and DM professionals are proficient at addressing employee physical health, yet promoting employee MH is often ignored. Individuals claiming long-term disability (LTD), 85% identified MH conditions as their primary disability (Carls et al., 2012). Mental health LTD expenses are often higher due to longer recovery and challenges in return to work (Salkever, Goldman, Purushothaman, & Shinogle, 2000). Financial burdens of depression, anxiety, and emotional disorders are among the greatest of any disease condition in the workforce (Johnston et al., 2009). Globally, a fifth to a quarter of employees go to work everyday with a mental illness (Lorenzo-Romanella, 2011). Health care research has shown the impact of mental illness on work performance, however many employers and researchers are unaware of the value quality MH care has on employees and costs (Langlieb, & Kahn, 2005). The American Psychological Association (APA) identified five categories of workplace practices that promote psychological health in employees including: employee involvement; work-life balance; employee growth and development; health and safety; and employee recognition (APA, 2014). Organizational benefits of the five elements include: improved quality, performance and productivity; reduced absenteeism, presenteeism and turnover; fewer accidents and injuries; improved ability to attract and retain quality employees; improved customer service and satisfaction; and lower healthcare costs (APA, 2014). The presenters will discuss employer costs of MH claims and how psychologically healthy workplaces align with successful DM programs, decreasing MH claims and costs. Opportunities for future research include the United States Affordable Care Act (ACA) and its impact on MH (Mechanic, 2012) through provisions that encourage employers to adopt health promotion programs (Goetzel et al., 2012) and opportunities for research including comparisons of multinational employers regarding MH costs in countries with single payer systems, and in those without (United States), (Tanner, 2013).

Immigration and Neighborhood Change: Methodological Possibilities for Future Research

2017 ◽  
Vol 16 (3) ◽  
pp. 244-251 ◽  
Author(s):  
Ariela Schachter ◽  
Max Besbris
Keyword(s):  
United States ◽  
Rental Housing ◽  
The United States ◽  
Neighborhood Change ◽  
Future Research ◽  
Online Data ◽  
Race Ethnicity ◽  
The Impact ◽  
Housing Options ◽  
Racial Ethnic

The recent settlement of immigrant populations into a wider range of geographies and communities across the United States raises new questions about the dynamics of residential segregation and complicates assumptions about how neighborhoods change—or don't—and why. While multiple theories attempt to explain the relationship between race/ethnicity, immigration, and neighborhood change, sociological examinations have been limited by the lack of systematic and frequently collected data. That is, the residential churn of neighborhoods, particularly in the market for rental housing where racial/ethnic minorities and immigrants predominate, often outpaces analysts’ ability to gather cross–neighborhood and cross–city data. In this essay we describe how online sources can help answer questions about race/ethnicity, immigration, and neighborhoods by providing large amounts of readily updatable data. An array of platforms designed to provide homeseekers with information about their housing options can also be used by sociologists for making claims about neighborhood change across multiple geographies. We review recent research that uses online data and describe an ongoing study by the authors that examines trends in the settlement patterns of immigrants and the rental housing market across the 50 largest MSAs in the United States. Online data sources can more accurately capture immigration and neighborhood processes, yielding better theories about the impact of immigration on neighborhood change.

scholarly journals Disentangling Race, Poverty, and Place in Disparities in Physical Activity

2019 ◽  
Vol 16 (7) ◽  
pp. 1193 ◽  
Author(s):  
Armani Hawes ◽  
Genee Smith ◽  
Emma McGinty ◽  
Caryn Bell ◽  
Kelly Bower ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Social Context ◽  
Racial Disparities ◽  
The United States ◽  
Future Research ◽  
Physically Active ◽  
Individual Level ◽  
Using Data ◽  
The Impact

Significant racial disparities in physical activity—a key protective health factor against obesity and cardiovascular disease—exist in the United States. Using data from the 1999–2004 National Health and Nutrition Examination Survey and the 2000 United States (US) Census, we estimated the impact of race, individual-level poverty, neighborhood-level poverty, and neighborhood racial composition on the odds of being physically active for 19,678 adults. Compared to whites, blacks had lower odds of being physically active. Individual poverty and neighborhood poverty were associated with decreased odds of being physically active among both whites and blacks. These findings underscore the importance of social context in understanding racial disparities in physical activity and suggest the need for future research to determine specific elements of the social context that drive disparities.

A Dynamic Model of Rational Addiction with Stockpiling and Learning: An Empirical Examination of E-cigarettes

2020 ◽  
Vol 66 (12) ◽  
pp. 5886-5905
Author(s):  
Jialie Chen ◽  
Vithala R. Rao
Keyword(s):  
United States ◽  
Structural Model ◽  
The United States ◽  
Policy Implications ◽  
Future Research ◽  
The European Union ◽  
Empirical Examination ◽  
Cigarette Taxes ◽  
Smoking Behaviors ◽  
The Impact

Current regulations on e-cigarettes are minimal compared with cigarette regulations, despite their growing popularity globally. Advocates of e-cigarettes claim that they aid in ceasing smoking habits. However, leaving e-cigarettes unregulated has raised growing health concerns. Policymakers in several countries, including the United States and those in Europe, are considering and experimenting with policy interventions. To evaluate current policies and implement potential regulations on e-cigarettes, policymakers must understand the impact of e-cigarettes on consumers’ smoking behaviors. To address this issue, we construct a dynamic structural model that incorporates consumers’ purchases and consumption behaviors of both cigarettes and e-cigarettes. The results from our proposed model indicate that consumption of e-cigarettes promotes, rather than counteracts, smoking. This is because the less costly e-cigarettes incentivize consumers to build their addiction to nicotine, which, in return, increases future consumption of both cigarettes and e-cigarettes. This finding calls for regulations on e-cigarettes. We then conduct counterfactual analyses to evaluate two policy regulations on e-cigarettes: (1) e-cigarette taxes and (2) price regulation. Because both of these policies have been discussed extensively in both the United States and many countries in the European Union, results of our policy simulations address these policy debates. We find that both are effective in reducing overall consumption of cigarettes and e-cigarettes. We also examine the role of consumers’ heterogeneity on the simulation results as well as the policy implications. We conclude with future research directions, such as inclusion of social influence and cross-selling marketing. This paper was accepted by Matthew Shum, marketing.

New jerseys: exploring the influence of NBA team jersey sponsorships on teams and sponsors

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sara Shoffner ◽  
Mark Slavich ◽  
Gi-Yong Koo
Keyword(s):  
United States ◽  
North American ◽  
Design Methodology ◽  
The United States ◽  
National Basketball Association ◽  
Future Research ◽  
Sport Sponsorship ◽  
Content Type ◽  
Sport League ◽  
The Impact

PurposeIn 2017, the National Basketball Association (NBA) became the first major professional North American sport league to adopt jersey sponsorship. While professional leagues across the globe have allowed this practice for decades, the NBA's decision marked what may be the start of a new trend in North American sport sponsorship. With this in mind, the current study sought to assess the impact of fans' perceptions of these sponsorships on sponsor- and team-related outcomes.Design/methodology/approachAn online sample of 301 NBA fans across the United States was conducted through Amazon's MTurk.FindingsResults exhibited the importance of sponsorship authenticity, which maintained the strongest influence on sponsor- and team-related outcomes. Brand–team fit, sponsorship familiarity and sponsorship identification were also assessed, with mixed results for each factor.Originality/valueResults of these findings related to sponsorship authenticity and consequent practical and theoretical implications are discussed, and areas for future research are provided.

Psychological distress among Bhutanese refugees living in the northeast region of the United States

2021 ◽  
Author(s):  
Ramraj Gautam ◽  
Jason Rydberg ◽  
Ivy Ho ◽  
Bhola Siwakoti ◽  
William Chadbourne ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Psychological Distress ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
The United States ◽  
Future Research ◽  
Related Factors ◽  
Bhutanese Refugees ◽  
The Impact

Abstract The purpose of this study was to examine predictors of psychological distress among adult Bhutanese refugees living in the United States. We recruited 376 adult Bhutanese refugees living in the northeast US region, the majority of whom were employed, married men in their 40 s who were US citizens. Using Bayesian Negative Binomial Regression modelling, we examined the impact of sociodemographic measures, health status and refugee integration measures on psychological distress outcomes. The most common predictors of depression, stress and anxiety were social connection deficits and self-reported health conditions. Other associated factors included: health access deficits, number of years living in the US, paid employment, citizenship and living in more than one US city. The findings of our study revealed that mental health outcomes in this subset of the population of Bhutanese refugees are impacted by a variety of social and health related factors. Public policy makers and practitioners need to recognize the complex issues affecting mental health of Bhutanese refugees. Advocacy for expanded culturally congruent policies and evidence based mental health services are recommended. Future research needs to examine culturally relevant concepts and measures related to mental health and integration in this population.

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