Effect of Cash Benefits on Health Care Utilization and Health

JAMA, Год журнала: 2024, Номер 332(17), С. 1455 - 1455

Опубликована: Июль 22, 2024

Importance Poverty is associated with greater barriers to health care and worse outcomes, but it remains unclear whether income support can improve health. Objective To examine the effect of cash benefits on utilization Design, Setting, Participants The City Chelsea, Massachusetts, a low-income community near Boston, randomly assigned individuals by lottery receive benefits. Participants’ medical records were linked across multiple systems. Outcomes assessed during intervention period from November 24, 2020, August 31, 2021. Intervention Cash via debit card up $400 per month for 9 months. Main Measures primary outcome was emergency department visits. Secondary outcomes included specific types visits, outpatient use overall specialty, COVID-19 vaccination, biomarkers such as cholesterol levels. Results Among 2880 who applied lottery, mean age 45.1 years 77% female. 1746 participants randomized had significantly fewer visits compared control group (217.1 vs 317.5 1000 persons; adjusted difference, −87.0 persons [95% CI, −160.2 −13.8]). This reductions in related behavioral (−21.6 −40.2 −3.1]) substance (−12.8 −25.0 −0.6]) well those that resulted hospitalization (−27.3 −53.6 −1.1]). benefit no statistically significant total (424.3 −118.6 967.2]), (−90.4 −308.1 127.2]), or (83.5 −182.9 349.9]). Outpatient other subspecialties higher (303.1 32.9 573.2]), particularly without car. blood pressure, body weight, glycated hemoglobin, level. Conclusions Relevance In this study, received including use, admissions hospital department, increased subspecialty care. Study results suggest policies seek alleviate poverty providing may have important access

Язык: Английский

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The Potential Influence of AI on Population Mental Health

JMIR Mental Health, Год журнала: 2023, Номер 10, С. e49936 - e49936

Опубликована: Ноя. 16, 2023

The integration of artificial intelligence (AI) into everyday life has galvanized a global conversation on the possibilities and perils AI human health. In particular, there is growing need to anticipate address potential impact widely accessible, enhanced, conversational mental We propose 3 considerations frame how may influence population health: through advancement health care; by altering social economic contexts; policies that shape adoption, use, abuse AI-enhanced tools.

Язык: Английский

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Factors Associated with the Development of Depression and the Influence of Obesity on Depressive Disorders: A Narrative Review

Biomedicines, Год журнала: 2024, Номер 12(9), С. 1994 - 1994

Опубликована: Сен. 2, 2024

Depression affects several aspects of life, including socioeconomic status, relationships, behavior, emotions, and overall health. The etiology depression is complex influenced by various factors, with obesity emerging as a significant contributor. This narrative review aims to investigate the factors associated development depression, particular focus on role obesity. literature search was conducted PubMed, Embase, PsycINFO from May July 2024. highlights impact environmental conditions; lifestyle choices, physical activity dietary habits; stress; traumatic experiences; neurotransmitter imbalances; medical psychological hormone fluctuations; epigenetic depression. A key emphasis placed inflammatory processes linked obesity, which may drive bidirectional relationship between findings suggest that an increased risk potentially due chronic inflammation, neurochemical dysregulation, emotional social challenges related weight stigma management. Understanding these interconnected important for developing targeted interventions address both leading improved quality life those affected.

Язык: Английский

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Prevalence of depression and association to socioeconomic position. Results from the Lolland-Falster Health Study

Nordic Journal of Psychiatry, Год журнала: 2025, Номер unknown, С. 1 - 7

Опубликована: Янв. 17, 2025

To describe the prevalence of self-reported depression in a socioeconomically deprived area Denmark and association to socioeconomic position (SEP) defined by education, occupation, being financial strain. 13,955 adults completing Major Depression Inventory (MDI) Lolland-Falster Health Study questionnaire were included.Multivariate logistic regression on symptoms based MDI sum score ICD-10 scores, associated strain - unadjusted adjusted for sex age group. We found at 2.7% using category, 7.6% score, very strong between SEP.The odd ratios (aORs) each group compared opposite showed that having no postsecondary education was with an aOR 2.9; temporarily out job 7, 8. Using more strict criteria (ICD-10), 4 when 8 job, 10 positive Symptoms are strongly SEP. Estimations depressive disorders population studies should take this into account. estimate accurate be Denmark.

Язык: Английский

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Whose assets? Individual and household income and savings and mental health in a longitudinal cohort

Social Science & Medicine, Год журнала: 2025, Номер 370, С. 117813 - 117813

Опубликована: Фев. 6, 2025

Язык: Английский

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Community Mental Health in the Time of COVID-19: A Qualitative Assessment of Rural Providers’ Experiences

Social Work in Public Health, Год журнала: 2025, Номер unknown, С. 1 - 18

Опубликована: Фев. 24, 2025

The experiences of social and community mental health (SCMH) workers serving in rural communities during the COVID-19 pandemic are understudied. Therefore, nine SCMH were interviewed about challenges strategies for providing services wake COVID-19. Through qualitative analyses three primary themes emerged; challenges, needed resources addressing needs. Challenges included lack resources, stigma, policy barriers, but collaborating with local organizations, individualized services, improving communication suggested to overcome challenges. resilience flexibility was advantageous adapting changing landscape post-COVID-19, yet advocacy funding, training practitioners is still needed. Findings suggest offering forging connections maximizing use existing through collaborations. Moreover, utilizing online peer community-building may improve effective services.

Язык: Английский

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Leveraging Media Monitoring to Inform Targeted Health Communications for Adolescents, Older Adults, and LGBTQ+ People

Journal of Public Health Management and Practice, Год журнала: 2025, Номер unknown

Опубликована: Фев. 28, 2025

Objective: This manuscript assesses how media monitoring can guide the tailoring of public health communications for adolescents, older adults, and LGBTQ+ individuals, addressing their unique mental challenges. Design: The study employed a thematic analysis publicly available digital social data. Setting: Research was conducted using platforms, with focus on conversations relevant to specific groups within United States. Participants: dataset included millions posts issues among communities, collected over one-year period. Main Outcome Measures: Key themes patterns discussions were identified. Results: Discussions around “youth crisis” prominent, 25% adolescent-related reflecting this sentiment, often highlighting impact academic pressures. For loneliness financial struggles recurrent, showing lack practical support resources. In conversations, there an emphasis challenges discrimination identity-related misconceptions, 28% mentions relating crises involving suicide or self-harm. These underscored critical need inclusive affirmative tailored faced by these groups. Conclusions: Media provides essential insights that improve messaging identifying trending sentiments. By acknowledging needs population groups, communicators develop more effective strategies not only highlight problems but also offer clear, actionable solutions promote better outcomes support. approach is crucial adapting evolving landscape discourse, ensuring messages are both supportive.

Язык: Английский

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A longitudinal dyadic analysis of financial strain and mental distress among different-sex couples: the role of gender division of labor in income and housework

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Март 5, 2025

Despite extensive research on the association between financial strain and mental distress, little is known about its spousal crossover effect in different-sex couples. Using nationally representative longitudinal dyadic data from UK fixed models, this study examines relationship distress among couples, different by gendered division of labor income housework. Our findings reveal that for both husband wife, not only associated with their own but also spouses' although cross-over effects have smaller sizes. Next, husband's his decreases as share couple's increases, while does significantly alleviate wife's related to her or strain. Lastly, housework modify distress. These suggest protective role traditional breadwinner alleviating strain, highlighting limited mitigating psychological toll partners. Overall, these provide valuable insights into our understanding incorporating perspective labor.

Язык: Английский

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Cyclodextrin-Based Drug Delivery Systems for Depression: Improving Antidepressant Bioavailability and Targeted Central Nervous System Delivery

Pharmaceutics, Год журнала: 2025, Номер 17(3), С. 355 - 355

Опубликована: Март 10, 2025

Cyclodextrin (CD)-based drug delivery systems have emerged as a promising strategy to overcome limitations commonly encountered in antidepressant therapy, including low bioavailability, poor solubility, and suboptimal penetration of the blood–brain barrier. This review synthesizes current evidence demonstrating that complexing various classes antidepressants—such tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants—with β-CD or its derivatives significantly enhances solubility stability. In addition, encapsulation with CDs can diminish systemic toxicity improve pharmacokinetics, thereby helping optimize dosage regimens reduce adverse effects. Analysis published vitro vivo studies indicates CD formulations not only boost therapeutic efficacy but also enable sustained targeted release, which is critical for drugs requiring precise plasma tissue concentrations. When compared other carriers (e.g., liposomes, polymeric nanoparticles, dendrimers), CD-based often stand out their ease formulation, biocompatibility, cost-effectiveness, although limited drug-loading capacity be drawback. We recommend expanding trials substantiate clinical benefits CD–antidepressant complexes, particularly treatment-resistant cases specific subpopulations elderly pediatric patients). Additional investigations should explore hybrid systems—combining advanced nano- macroparticles—to amplify advantages address any limitations. Ultimately, integrating into holds substantial potential refine therapy outcomes, events, pave way more personalized, effective interventions depression.

Язык: Английский

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Decentralised clinical trials in rural Australia: Opportunities and challenges

Australian Journal of Rural Health, Год журнала: 2024, Номер 32(3), С. 582 - 587

Опубликована: Апрель 17, 2024

Abstract Aims To present opportunities and a model to redress the under‐representation of rural communities people in Australian clinical trials. Context Clinical trials are essential for building understanding health evidence base. The lack representation is evident other countries. Examining New Zealand Trial Registry (ANZCTR) suggests this also case Australia. Approach We propose an approach that empowers rurally based academics clinicians co‐design increase Australians' participation address inequality access. A study decentralised, co‐designed trial presented support approach. Conclusion Decentralising could improve access trials, strengthen social capital help inequalities exist between metropolitan communities.

Язык: Английский

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