Opioid overdose deaths have been called “deaths of despair” because of their possible connection to individual and community distress. This study looks at how proximity to auto plant closures — which represent large, traumatic, and culturally significant shocks to economic opportunity — affected opioid deaths among working age adults between 1999 and 2016.
Thirteen states limit alcohol purchases to state-run stores. Washington was among these states until 2011, when voters passed Initiative 1183,
which privatized liquor sales and imposed taxes and fees on them. As a result, the number of retail sites increased dramatically, and the cost of
liquor went up. The authors compared the amount of alcohol purchased by households in Washington metropolitan areas to the amount purchased by households in 10 states that retained monopoly control of alcohol sales, before and after privatization.
College affirmative action bans were associated with higher rates of smoking and drinking in underrepresented minority 11th and 12th graders, and these students continued to smoke at higher rates into young adulthood. Policymakers should consider unintended public health consequences of proposals, such as affirmative action bans, that may limit socioeconomic opportunities.
Hospital work environments that promote nurse leadership, encourage nurse participation in hospital governance and decision-making, assure adequate resources and staffing, and foster collaboration between doctors and nurses are consistently associated with better patient, quality, safety, and job outcomes. The work environment offers a powerful target for improvement efforts and warrants the resources and attention of health care administrators.
Substantial opportunities exist to prevent recurrent firearm injury. Current models must expand beyond patients presenting at trauma centers with firearm assault injuries. Evidence-based prevention programs – including firearm counseling and safe storage interventions – should be adopted across a broad range of EDs and firearm injuries.