Although recent declines in life expectancy among non-Hispanic Whites, coined “deaths of despair,” grabbed the headlines of most major media outlets, this is neither a recent problem nor is it confined to Whites. The decline in America’s health has been described in the public health literature for decades and has long been hypothesized to be attributable to an array of worsening psychosocial problems that are not specific to Whites. To test some of the dominant hypotheses, we show how various measures of despair have been increasing in the United States since 1980 and how these trends relate to changes in health and longevity. We show that mortality increases among Whites caused by the opioid epidemic come on the heels of the crack and HIV syndemic among Blacks. Both occurred on top of already higher mortality rates among all Americans relative to people in other nations, and both occurred among declines in measures of well-being. We believe that the attention given to Whites is distracting researchers and policymakers from much more serious, longer-term structural problems that affect all Americans. (Am J Public Health. Published online ahead of print September 25, 2018: e1–e6. doi:10.2105/AJPH. 2018.304585)

Improving the patient experience through nurse leader rounds Cover Page Footnote We would first like to acknowledge the incredible work and leadership of the teams and leaders of the regions, hospitals and emergency departments who implemented nurse leader rounds and achieved such positive results. Without their dedication and effort, this article could not have been written. We would also like to express our appreciation to the board and executive leaders whose oversight and guidance maintains patient experience and the work related to it as a high priority. We are particularly thankful to librarians Kathryn Gibbs and Basia Delawska-Elliott for their assistance in securing literature needed to inform this research. Advice provided by Tom French regarding statistical analyses was most valuable, and we are extremely grateful to have benefited from it. Michele Bedford deserves our eternal gratitude for her constant assistance to coordinate, support, and improve our efforts. Special thanks are extended to Michele Nafziger and Press Ganey for generous and ongoing support of our data analysis, reporting, and improvement work. This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework.

The U.S. life expectancy lag could be considerably smaller if U.S. expenditures on education and incapacity programs were comparable with those in other high-income countries.

Link and Phelan’s pioneering 1995 theory of fundamental causes urged health scholars to consider the macro-level contexts that “put people at risk of risks.” Allied research on the political economy of health has since aptly demonstrated how institutions contextualize risk factors for health. Yet scant research has fully capitalized on either fundamental cause or political economy of health’s allusion to power relations as a determinant of persistent inequalities in population health. I address this oversight by advancing a theory of health power resources that contends that power relations distribute and translate the meaning (i.e., necessity, value, and utility) of socioeconomic and health-relevant resources. This occurs through stratification, commodification, discrimination, and devitalization. Resurrecting historical sociological emphases on power relations provides an avenue through which scholars can more fully understand the patterning of population health and better connect the sociology of health and illness to the central tenets of the discipline.

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Focusing on two major strands of research on gender stratification, labor market inequality and health disparities, we argue that cisnormativity and heteronormativity obscure the rich variation in how people experience their own sense of gender and sexuality, as well as how others perceive them. Although researchers' reliance on static notions of gender and sexuality is starting to shift, there is room for improvement, especially in the area of gender inequality.To highlight the advancements in researchers' thinking, we spotlight exemplary work that incorporates gender expansive realities using empirically and/or theoretically grounded approaches. We conclude by outlining best practices to measure gender identity, sexual identity, gender expression, gender conformity, and other facets of gender and sexuality.

Objectives: Since the US Supreme Court′s 1973 Roe v. Wade decision legalizing abortion, states have enacted laws restricting access to abortion services. Previous studies suggest that restricting access to abortion is a risk factor for adverse maternal and infant health. The objective of this investigation is to study the relationship between the type and the number of state-level restrictive abortion laws and infant mortality risk. Methods: We used data on 11,972,629 infants and mothers from the US Cohort Linked Birth/Infant Death Data Files 2008–2010. State-level abortion laws included Medicaid funding restrictions, mandatory parental involvement, mandatory counseling, mandatory waiting period, and two-visit laws. Multilevel logistic regression was used to determine whether type or number of state-level restrictive abortion laws during year of birth were associated with odds of infant mortality. Results: Compared to infants living in states with no restrictive laws, infants living in states with one or two restrictive laws (adjusted odds ratio (AOR) = 1.08; 95% confidence interval [CI] = 0.99–1.18) and those living in states with 3 to 5 restrictive laws (AOR = 1.10; 95% CI = 1.01–1.20) were more likely to die. Separate analyses examining the relationship between parental involvement laws and infant mortality risk, stratified by maternal age, indicated that significant associations were observed among mothers aged ≤19 years (AOR = 1.09, 95% CI = 1.00–1.19), and 20 to 25 years (AOR = 1.10, 95% CI = 1.03–1.17). No significant association was observed among infants born to older mothers. Conclusion: Restricting access to abortion services may increase the risk for infant mortality.

Administrative burden in social welfare programs is increasingly recognized as a barrier to eligible individuals' access to their legally entitled benefits. Using composite indices of administrative rules for three major safety‐net programs (Temporary Assistance to Needy Families, Supplemental Nutrition Assistance Program, and Medicaid) that vary in the degree and type of costs conferred on claimants across states between 2000 and 2016, we examine the effect of rule burden on program participation using two‐way fixed effects models. We find that each program contained numerous rules that confer a high degree of learning and compliance costs, and psychological costs to a lesser extent, though to varying degrees. Reducing costs associated with burdensome administrative rules was associated with higher program inclusivity across the programs, with relaxing some rules contributing more than others. Rules that automate enrollment/renewal, link eligibility with other programs and reduce asset tests seem especially promising. Easing burdensome administrative rules can increase access to services to which claimants are legally entitled.