Healthy people
Russ Clay
Social Psychological and Personality Science, forthcoming
Abstract:
The present research utilized evolutionary theory to examine the relation between the behavioral immune system (i.e., disgust sensitivity) and attitudes about vaccines. The findings from the studies suggest that higher levels of dispositional disgust sensitivity is predictive of more negative attitudes toward vaccines. These findings are consistent with several recent publications and thus have broad implications for public health research associated with vaccines. In Study 1, participants reporting higher dispositional disgust sensitivity (specifically, contamination disgust) tended to report more negative attitudes about vaccines. Study 2 replicated this result in a nonstudent sample using additional measures of disgust sensitivity more closely associated with aversion to perceived sources of contamination. Study 2 also revealed that beliefs about the likelihood of contracting illness in the future were unrelated to vaccine attitudes. Implications for the observed relation between intuitive aversion to contamination and vaccine attitudes are discussed.
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State-Level Voting Patterns and Adolescent Vaccination Coverage in the United States, 2014
Steven Bernstein et al.
American Journal of Public Health, October 2016, Pages 1879-1881
Objectives. To examine state-level associations between voting patterns and adolescent coverage for at least 1 dose of human papillomavirus (HPV), tetanus-containing (Tdap), and meningococcal (MCV4) vaccination.
Methods. We classified states as “blue” (Democratic affiliation) or “red” (Republican affiliation) based on the Presidential election results in 2012. We used multivariable models to adjust for potential confounding by sociodemographic and health care access characteristics and vaccination policies. For HPV, separate models were fitted for boys and girls.
Results. Adolescent vaccination coverage was significantly higher in blue states than red states for each vaccine (P < .05). The adjusted percent differences between blue and red states were 10.2% for HPV among girls, 24.9% for HPV among boys, 6.2% for tetanus-containing vaccine, and 14.1% for MCV4.
Conclusions. State-level voting patterns are independently and significantly associated with coverage for routinely recommended adolescent vaccines. These differences may reflect population-level differences in cultural norms and social values.
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Did the Great Recession keep bad drivers off the road?
Vikram Maheshri & Clifford Winston
Journal of Risk and Uncertainty, June 2016, Pages 255–280
Abstract:
Motorists’ fatalities and the fatality rate (roadway deaths per vehicle-mile traveled (VMT)) tend to decrease during recessions. Using a novel data set of individual drivers, we establish that recessions have differential impacts on driving behavior by decreasing the VMT of observably risky drivers, such as those over age 60, and by increasing the VMT of observably safer drivers. The compositional shift toward safer drivers associated with a one percentage point increase in unemployment would save nearly 5000 lives per year nationwide. This finding suggests that policymakers could generate large benefits by targeting new driver-assistance technology at vulnerable groups.
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Worked To Death: The Relationships of Job Demands and Job Control With Mortality
Erik Gonzalez-Mulé & Bethany Cockburn
Personnel Psychology, forthcoming
Abstract:
Despite recent calls in the literature to examine the effects of the occupational context on physiological outcomes, such as mortality, little research has accumulated on this front. Thus, the purpose of this study is to investigate the interactive relationship between job demands and control and death. Drawing from the job design, stress, and epidemiology literatures, we argue that job demands will be positively related to mortality under conditions of low control, and negatively related to mortality under conditions of high control. We tested our hypothesis using a seven year time-lagged design in a sample of 2,363 individuals from the Wisconsin Longitudinal Study. Our results supported our hypothesis, with results showing that for individuals in low control jobs, high job demands are associated with a 15.4% increase in the odds of death compared to low job demands. For those in high control jobs, high job demands are associated with a 34% decrease in the odds of death compared to low job demands. Supplementary analyses revealed a similar pattern predicting body mass index in the group of surviving individuals. We discuss the implications of these findings for theory and practice, while proposing several avenues for future research.
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Gene–Environment Interaction in the Intergenerational Transmission of Asthma
Owen Thompson
Health Economics, forthcoming
Abstract:
Researchers have found strong linkages between parent and child health, but the mechanisms underlying intergenerational health transmission are not well understood. This paper investigates how the importance of genetic health transmission mechanisms varies by environmental conditions in the case of pediatric asthma, the single most common chronic health condition among American children. Using a sample that includes approximately 2000 adoptees and a large number of similar biological families, I find that the relative importance of genetic transmission differs strongly by socioeconomic status (SES). In high SES families, parent–child asthma associations are approximately 75% weaker among adoptees than biological children, suggesting a dominant role for genetic transmission. In lower SES families, parent–child asthma associations are virtually identical across biological and adoptive children, suggesting a negligible role for genetic transmission. A potential interpretation of this difference is that as environmental conditions affecting asthma improve among higher SES children, an increasingly large share of asthma variation is due to genetics.
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Harnessing adolescent values to motivate healthier eating
Christopher Bryan et al.
Proceedings of the National Academy of Sciences, 27 September 2016, Pages 10830–10835
Abstract:
What can be done to reduce unhealthy eating among adolescents? It was hypothesized that aligning healthy eating with important and widely shared adolescent values would produce the needed motivation. A double-blind, randomized, placebo-controlled experiment with eighth graders (total n = 536) evaluated the impact of a treatment that framed healthy eating as consistent with the adolescent values of autonomy from adult control and the pursuit of social justice. Healthy eating was suggested as a way to take a stand against manipulative and unfair practices of the food industry, such as engineering junk food to make it addictive and marketing it to young children. Compared with traditional health education materials or to a non–food-related control, this treatment led eighth graders to see healthy eating as more autonomy-assertive and social justice-oriented behavior and to forgo sugary snacks and drinks in favor of healthier options a day later in an unrelated context. Public health interventions for adolescents may be more effective when they harness the motivational power of that group’s existing strongly held values.
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Explaining inequalities in women's mortality between U.S. States
Jennifer Karas Montez, Anna Zajacova & Mark Hayward
SSM - Population Health, December 2016, Pages 561–571
Abstract:
Inequalities in women's mortality between U.S. states are large and growing. It is unknown whether they reflect differences between states in their population characteristics, contextual characteristics, or both. This study systematically examines the large inequalities in women's mortality between U.S. states using a multilevel approach. It focuses on “fundamental” social determinants of mortality at the individual and state levels as potential explanations. We analyze data from the 2013 public-use National Longitudinal Mortality Study on women aged 45–89 years and estimate multilevel logistic regression models. The models include women's personal characteristics (age, race/ethnicity, education, employment, income, and marriage) and states’ contextual characteristics (economic environment, social cohesion, sociopolitical orientation, physical infrastructure, and tobacco environment). We found that variation in women's mortality across states was significant (p<0.001). Adjusting for women's personal characteristics explained 30% of the variation. Additionally adjusting for states’ contextual characteristics explained 62% of the variation; the most important characteristics were social cohesion and economic conditions. No significant mortality differences between any two states remained after accounting for individual and contextual characteristics. Supplementary analyses of men indicate that state contexts have stronger and more pernicious consequences for women than men. Taken together, the findings underscore the importance of ‘bringing context back in’ and taking a multilevel approach when investigating geographic inequalities in U.S. mortality.
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Suboptimal breastfeeding in the United States: Maternal and pediatric health outcomes and costs
Melissa Bartick et al.
Maternal & Child Nutrition, forthcoming
Abstract:
The aim of this study was to quantify the excess cases of pediatric and maternal disease, death, and costs attributable to suboptimal breastfeeding rates in the United States. Using the current literature on the associations between breastfeeding and health outcomes for nine pediatric and five maternal diseases, we created Monte Carlo simulations modeling a hypothetical cohort of U.S. women followed from age 15 to age 70 years and their children from birth to age 20 years. We examined disease outcomes using (a) 2012 breastfeeding rates and (b) assuming that 90% of infants were breastfed according to medical recommendations. We measured annual excess cases, deaths, and associated costs, in 2014 dollars, using a 2% discount rate. Annual excess deaths attributable to suboptimal breastfeeding total 3,340 (95% confidence interval [1,886 to 4,785]), 78% of which are maternal due to myocardial infarction (n = 986), breast cancer (n = 838), and diabetes (n = 473). Excess pediatric deaths total 721, mostly due to Sudden Infant Death Syndrome (n = 492) and necrotizing enterocolitis (n = 190). Medical costs total $3.0 billion, 79% of which are maternal. Costs of premature death total $14.2 billion. The number of women needed to breastfeed as medically recommended to prevent an infant gastrointestinal infection is 0.8; acute otitis media, 3; hospitalization for lower respiratory tract infection, 95; maternal hypertension, 55; diabetes, 162; and myocardial infarction, 235. For every 597 women who optimally breastfeed, one maternal or child death is prevented. Policies to increase optimal breastfeeding could result in substantial public health gains. Breastfeeding has a larger impact on women's health than previously appreciated.
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Stefan Pichler & Nicolas Ziebarth
NBER Working Paper, August 2016
Abstract:
This paper provides an analytical framework and uses data from the US and Germany to test for the existence of contagious presenteeism and negative externalities in sickness insurance schemes. The first part exploits high-frequency Google Flu data and the staggered implementation of U.S. sick leave reforms to show in a reduced-from framework that population-level influenza-like disease rates decrease after employees gain access to paid sick leave. Next, a simple theoretical framework provides evidence on the underlying behavioral mechanisms. The model theoretically decomposes overall behavioral labor supply adjustments ('moral hazard') into contagious presenteeism and noncontagious absenteeism behavior and derives testable conditions. The last part illustrates how to implement the model exploiting German sick pay reforms and administrative industry-level data on certified sick leave by diagnoses. It finds that the labor supply elasticity for contagious diseases is significantly smaller than for noncontagious diseases. Under the identifying assumptions of the model, in addition to the evidence from the U.S., this finding provides indirect evidence for the existence of contagious presenteeism.
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Earnings Growth and Movements in Self-Reported Health
Timothy Halliday
Review of Income and Wealth, forthcoming
Abstract:
We employ data from the Panel Study of Income Dynamics to investigate income to health causality. To account for unobserved heterogeneity, we focus on the relationship between earnings growth and changes in self-reported health status. Causal claims are predicated upon appropriate moment restrictions and specification tests of their validity. We find evidence of causality running from income to health for married women and men. In addition, spousal income appears to be protective for married women.
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Booster Seats and Traffic Fatalities Among Children
Mark Anderson & Sina Sandholt
University of Washington Working Paper, July 2016
Abstract:
In an effort to increase booster seat use among children, the National Highway Traffic Safety Administration is encouraging state legislators to promote stricter booster seat laws, yet there is a paucity of information on booster seat efficacy relative to other forms of restraint. Using data from the Fatality Analysis Reporting System for the period 2008-2014 and the sample selection correction proposed by Levitt and Porter (2001), the current study examines the effectiveness of booster seats relative to child safety seats and adult seat belts. For children 6 to 8 years of age, we find that booster seats are more than twice as effective as child safety seats and over 30 percent more effective than standard seat belts at decreasing the likelihood of fatality in a motor vehicle accident. For children 2 to 5 years of age, all three forms of restraint appear equally effective.
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Economic Conditions and Mortality: Evidence from 200 Years of Data
David Cutler, Wei Huang & Adriana Lleras-Muney
NBER Working Paper, September 2016
Abstract:
Using data covering over 100 birth-cohorts in 32 countries, we examine the short- and long-term effects of economic conditions on mortality. We find that small, but not large, booms increase contemporary mortality. Yet booms from birth to age 25, particularly those during adolescence, lower adult mortality. A simple model can rationalize these findings if economic conditions differentially affect the level and trajectory of both good and bad inputs into health. Indeed, air pollution and alcohol consumption increase in booms. In contrast, booms in adolescence raise adult incomes and improve social relations and mental health, suggesting these mechanisms dominate in the long run.