Geographically specific associations between county-level socioeconomic and household distress and mortality from drug poisoning, suicide, alcohol, and homicide among working-age adults in the United States

Zhang, Xue; Monnat, Shannon M.

doi:10.1016/j.ssmph.2023.101595

Cited by 3 publications

(1 citation statement)

References 61 publications

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“…A Community Guide systematic review points to a research gap in SBHC effectiveness in "rural areas with low population density." [3] Rural residents face health disparities, including higher mortality rates [11,12], and socioecological risk factors that adversely impact health, such as high levels of family poverty and disruption of family structures [13][14][15][16]. Children living in rural communities have higher rates of exposures to Adverse Childhood Experiences, which are associated with poor health outcomes in adulthood [17].…”

Section: Introductionmentioning

confidence: 99%

School-based health centers as an approach to address health disparities among rural youth: A study protocol for a multilevel research framework

Zhang,

Warner,

Tennyson

et al. 2024

PLoS ONE

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School-Based Health Centers (SBHCs) are important healthcare providers for children in medically underserved communities. While most existing research on SBHCs has focused on urban environments, this study protocol proposes a mixed-methods, multi-level research framework to evaluate the role of SBHCs in addressing health disparities among underserved children and adolescents in rural communities. The study area includes four high-poverty rural counties in New York State served by Bassett Healthcare Network that permits a comparison of school districts with SBHCs to those without SBHCs, all served by providers within the Bassett Healthcare Network. We employ a human ecological framework that integrates the micro layer of individuals and families, the meso layer of school districts and community institutions, and the macro layer of local and state policies. Our research framework first identifies the socioecological health risk factors, and then proposes innovative strategies to investigate how SBHCs impact them. We propose evaluating the impact of SBHCs on the individual (micro) level of child healthcare utilization using patient records data. At the meso level, we propose to investigate how School-SBHCs partnership may facilitate greater cross-agency collaboration and broader structural and social determinist of health to address health disparities. At the macro level, we propose to assess the impact of SBHCs and cross-agency collaboration on outcomes associated with a culture of community health. This study protocol will enable researchers to assess how SBHCs reduce rural health disparities, and provide evidence for organizational and public policy change.

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Section: Introductionmentioning

confidence: 99%

School-based health centers as an approach to address health disparities among rural youth: A study protocol for a multilevel research framework

Zhang,

Warner,

Tennyson

et al. 2024

PLoS ONE

Self Cite

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Intersection of adverse childhood experiences, suicide and overdose prevention

Austin,

DePadilla,

Niolon

et al. 2024

Inj Prev

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Adverse childhood experiences (ACEs), suicide and overdose are linked across the life course and across generations and share common individual-, interpersonal-, community- and societal-level risk factors. The purpose of this review is to summarise the shared aetiology of these public health issues, synthesise evidence regarding potential community- and societal-level prevention strategies and discuss future research and practice directions.Growing evidence shows the potential for community- and societal-level programmes and policies, including higher minimum wage; expanded Medicaid eligibility; increased earned income tax credits, child tax credits and temporary assistance for needy families benefits; Paid Family Leave; greater availability of affordable housing and rental assistance; and increased participation in the Supplemental Nutrition Assistance Program (SNAP), to contribute to ACEs, suicide and overdose prevention. Considerations for future prevention efforts include (1) expanding the evidence base through rigorous research and evaluation; (2) assessing the implications of prevention strategies for equity; (3) incorporating a relational health perspective; (4) enhancing community capacity to implement, scale and sustain evidenced-informed prevention strategies; and (5) acknowledging that community- and societal-level prevention strategies are longer-term strategies.

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Social Infrastructure Availability and Suicide Rates among Working-Age Adults in the United States

Zhang,

Rhubart,

Monnat

2024

Socius: Sociological Research for a Dynamic World

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Social infrastructure (SI) may buffer against suicide risk by improving social cohesion, social support, and information and resource sharing. The authors use an ecological approach to examine the relationship between county-level SI availability and suicide rates among working-age adults (25–64 years) in the United States, a population among which suicide rates are high, rising, and geographically unequal. Mortality data are from the National Vital Statistics System for 2016 to 2019. SI data are from the National Neighborhood Data Archive for 2013 to 2015 and capture the availability of typically free SI (e.g., libraries, community centers) and commercial SI (e.g., coffee shops, diners, entertainment venues). Results from negative binomial models show that suicide rates are significantly lower in counties with more SI availability, net of county demographic, socioeconomic, and health care factors. This relationship held for both typically free and commercial SI. Policy makers should consider strengthening existing and developing new SI as part of a broader strategy to reduce suicide rates in the United States.

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Geographically specific associations between county-level socioeconomic and household distress and mortality from drug poisoning, suicide, alcohol, and homicide among working-age adults in the United States

Cited by 3 publications

References 61 publications

School-based health centers as an approach to address health disparities among rural youth: A study protocol for a multilevel research framework

School-based health centers as an approach to address health disparities among rural youth: A study protocol for a multilevel research framework

Intersection of adverse childhood experiences, suicide and overdose prevention

Social Infrastructure Availability and Suicide Rates among Working-Age Adults in the United States

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