Research
kkrisberg | June 10, 2016In 2014, more than 28,000 people in the U.S. died from an opioid overdose. That same year, more Americans died from drug overdoses than during any other year on record, with the escalating numbers fueled by opioid abuse. Solutions to the problem are as complex as the epidemic itself, however a recent study pointed to one tool that can make a significant difference: prescription drug monitoring programs.
In a study published this month in Health Affairs, researchers found that implementation of a prescription drug monitoring program was linked to a more than 30 percent reduction in the rate of…
kkrisberg | June 3, 2016In the first large-scale study of its kind, researchers report that sexual trauma is indeed a risk factor for suicide among military veterans and are calling on veteran health providers to continue including such trauma in suicide prevention strategies.
Published in June in the American Journal of Preventive Medicine, the study is the first large-scale, population-based investigation into whether military sexual trauma is a risk factor in suicide-related mortality. To conduct the study, researchers with the Veterans Affairs system analyzed data on millions of veterans who received outpatient…
kkrisberg | May 31, 2016Everything’s bigger in Texas — including the number of Texans without health insurance. But thanks to the Affordable Care Act, the percentage of uninsured Texas residents has dropped by 30 percent. That means the Texas uninsured rate has hit its lowest point in nearly two decades.
In a new issue brief from Rice University’s Baker Institute for Public Policy, researchers report that the Texas uninsured rate dropped from 26 percent in September 2013 — before the ACA’s first open enrollment period — to 18 percent as of March 2016. The decline was observed among every age, income and ethnic group…
kkrisberg | May 17, 2016Hardly a day goes by lately without another story on companies like Uber and their model of classifying workers as independent contractors while treating them more like traditional employees and sidestepping traditional employer responsibilities. It’s a model that has serious implications for workers’ rights and wages. However, there’s another form of employment that may be even more damaging to hard-fought labor standards: subcontracting.
In March, the University of California-Berkely Labor Center released “Race to the Bottom: How Low-Road Subcontracting Affects Working Conditions in…
kkrisberg | May 5, 2016Just in time for Mother’s Day comes more good news from the Affordable Care Act: the rate of uninsured moms caring for kids younger than 19 has dropped to its lowest rate in nearly 20 years.
According to a new analysis from the Urban Institute released this month, the rate of uninsured moms fell 3.8 percentage points between 2013 and 2014 — that’s a decline about three times as large as any of the previous year-to-year changes observed since 1997. In sheer numbers, that means about 1.6 million moms gained health insurance. To give you even more perspective, consider that uninsurance rates…
kkrisberg | May 3, 2016If you’re pregnant and live in Cleveland, Ohio, it’s likely you’ll pay about $522 for an ultrasound. If you live about 60 miles south in Canton, Ohio, it costs about $183 for the same procedure, a recent study found. Why such a significant price difference? Researchers couldn’t single out one overriding factor. But the study does tell us this: place matters when it comes to how much you pay for health care.
The study was published last week in Health Affairs and was based on data from the Health Care Cost Institute, a commercial claims database that includes nearly 3 billion paid claim lines…
kkrisberg | April 22, 2016When President Obama signed the Healthy, Hunger-Free Kids Act in 2010, he also ushered in the first major nutrition changes in the school meal program in 15 years. Perhaps, not surprisingly, the changes received a good bit of pushback, with many arguing that healthier foods would mean fewer kids buying school lunches and big revenue losses for schools. But a new study shows otherwise.
Last week, a study published in the American Journal of Preventive Medicine and that focused on 11 Massachusetts school districts found that while schools experienced initial losses following the meal changes,…
kkrisberg | April 20, 2016Just a few weeks ago, legislators in New York reached a deal to raise the minimum wage to $15. And while that’s certainly a big boost for incomes, it could also turn out to be a literal lifesaver.
Published this month in the American Journal of Public Health, a new study found that if $15 had been New York City’s minimum wage from 2008 to 2012, 2,800 to 5,500 premature deaths could have been averted, with the bulk of such avoided deaths occurring in low-income communities. To conduct the study, researchers used U.S. Census data to calculate how the proportion of low-income residents in each…
kkrisberg | April 15, 2016Lead isn’t the only toxin threatening the safety of community drinking water. A recent study on water located downstream from a West Virginia fracking disposal site uncovered levels of endocrine-disrupting chemicals high enough to adversely impact the aquatic animals living there. And that means human health could be at risk too.
“We can’t make any direct (human health) assumptions about this particular water,” said study co-author Susan Nagel, an associate professor in the University of Missouri School of Medicine’s Division of Obstetrics, Gynecology and Women’s Health. “But we certainly…
kkrisberg | April 4, 2016In debates over air pollution control, it’s always a tug-of-war between the cost to business and the cost to public health. Late last month, a study emerged with new data for the public health column: the cost of the nation’s nearly 16,000 annual preterm births linked to air pollution is more than a whopping $5 billion.
Published in Environmental Health Perspectives, the study estimated the burden of U.S. preterm births and related costs associated with fine particulate matter (PM2.5) — a pollutant from motor vehicles and the burning of fuels such as wood and coal. While preterm birth is a…
kkrisberg | March 25, 2016Here’s what states get when they expand Medicaid: more savings, more revenue, more jobs, more access to care for their communities.
That’s the conclusion from a Robert Wood Johnson Foundation issue brief released this month that compared the differences between states that chose to expand Medicaid eligibility under the Affordable Care Act and those that opted out. Under the health reform law, the federal government will pay the entire cost of expanding state Medicaid programs up to 138 percent of the federal poverty level through 2016, phasing down to 90 percent by 2020. It’s a pretty good…
milhayser | March 24, 2016Scientists working to understand the implications of Zika's new prevalence in the Americas have found strong evidence that infection with the virus can cause fetal abnormalities and even miscarriage in pregnant women. On The Pump Handle, Liz Borkowski examines a series of studies conducted on Zika, including one which found the virus infected "most of the cortical neuron progenitors, which form the brain’s cortex" more quickly than other types of stem cell. This may be how the virus causes microcephaly, a birth defect resulting from abnormal brain development in the womb. On Discovering…
kkrisberg | March 23, 2016A recent study finds vaccine refusals have, indeed, accelerated the resurgence of whooping cough and measles here in the U.S. The findings are making headlines around the country — and comment sections are filling up with vitriol from anti-vaxxers — but it would feel amiss not to highlight the study on a blog dedicated to public health. But first, let’s remind ourselves of the pain and suffering that preceded vaccines.
Here’s a brief snapshot of what life was like before vaccines and what it’s currently like for people without access to these life-saving medicines:
Whooping cough (pertussis…
kkrisberg | March 18, 2016In another example of the value of investing in public health, a recent study finds that PulseNet, a national foodborne illness outbreak network, prevents about 276,000 illnesses every year, which translates into savings of $507 million in medical costs and lost productivity. That’s a pretty big return on investment for a system that costs just $7.3 million annually to operate.
Created 20 years ago and coordinated by the Centers for Disease Control and Prevention, PulseNet includes 83 state and federal laboratories and identifies about 1,750 disease clusters every year. It works by linking…
kkrisberg | March 8, 2016It seems obvious that workers with paid sick leave are more likely to stay home and seek out medical care when they or a family member is ill. But it’s always good to confirm a hunch with some solid data.
In this month’s issue of Health Affairs, researchers used data from the National Health Interview Survey to provide some clarity on the relationship between paid sick leave and health-related behaviors. They found that workers without paid sick leave were three times more likely to forgo medical care than workers who do get paid sick leave. Also, during 2013, both full- and part-time workers…
kkrisberg | March 4, 2016During the years that community health researcher Jill Johnston lived and worked in San Antonio, Texas was experiencing an explosion of fracking. She and the community partners she worked with on environmental health issues had a strong hunch that most of the fracking wastewater wells were being located near communities of color. So, they decided to dig a little deeper and quantify the pattern.
The results of that effort were published this month in the American Journal of Public Health. It turns out that Johnston and her colleagues were right — the study found that fracking wastewater…
kkrisberg | March 3, 2016In the U.S., just a tiny fraction of the chemicals used in consumer products have been tested for human health effects. And with the current climate in Congress, it feels unlikely that we’ll see any true reform of the nation’s terribly outdated chemical safety rules anytime soon. In the meantime, scientist Thomas Hartung may have created the next best thing.
In the simplest terms, Hartung and colleagues took what is the world’s largest and richest database of chemical toxicity research — a database produced in accordance with the European Union’s Registration, Evaluation, Authorization and…
kkrisberg | February 25, 2016Another day, another study on the potentially life-saving impact of vaccines. This time it’s a new study on the vaccine against human papillomavirus, or HPV, a sexually transmitted disease that can lead to cervical cancer. Earlier this week, researchers announced that since the vaccine came on the scene, rates of HPV among young women in the U.S. have plummeted.
Published in the journal Pediatrics, the study used data from the National Health and Nutrition Examination Survey to analyze HPV prevalence among women ages 14 to 34 in the four years before the HPV vaccine was introduced in 2006 and…
kkrisberg | February 19, 2016In the last few years, the residents of Flint, Michigan, and its surrounding suburbs lost five grocery stores. Today, within the city limits, there's just one large chain grocery store, about 10 small and often-pricier groceries, and 150 liquor stores, convenience stores and gas stations. People who have a car often travel out to the suburbs for more variety and better prices. Much of Flint is a food desert — a place where accessing healthy, affordable food is a very real challenge.
But thankfully, a recent study in Flint found that simply relocating an area farmers market is making a…
kkrisberg | February 12, 2016Manufacturers who market their products as “BPA-free” aren’t just sending consumers a message about chemical composition. The underlying message is about safety — as in, this product is safe or least more safe than products that do contain BPA. However earlier this month, another study found that a common BPA alternative — BPS — may not be safer at all.
“BPS works very similarly to BPA,” said Nancy Wayne, a reproductive endocrinologist and professor of physiology at the University of California-Los Angeles David Geffen School of Medicine. “We’re not the first to show this, but what’s captured…