1/11
New paper alert
"Association of US state policy orientation with adverse birth outcomes: a longitudinal analysis" @JECH_BMJ
w/ Daniel Collin, @JakeMGrumbach @jackie_m_torres @DrRitaHamad
https://jech.bmj.com/content/early/2021/01/06/jech-2020-214858
And a thread about why this matters


"Association of US state policy orientation with adverse birth outcomes: a longitudinal analysis" @JECH_BMJ
w/ Daniel Collin, @JakeMGrumbach @jackie_m_torres @DrRitaHamad
https://jech.bmj.com/content/early/2021/01/06/jech-2020-214858
And a thread about why this matters

2/11
The pandemic has highlighted the policy differences between states. We have seen that for COVID-19 risk , there are consequences to living in a right-leaning state vs. a left-leaning state.
But what about other domains of health?
The pandemic has highlighted the policy differences between states. We have seen that for COVID-19 risk , there are consequences to living in a right-leaning state vs. a left-leaning state.
But what about other domains of health?
3/11
In this new study, we ask: Does a state's policy orientation (right-leaning or left-leaning) have consequences for infant health in the US?
In this new study, we ask: Does a state's policy orientation (right-leaning or left-leaning) have consequences for infant health in the US?
4/11
Our analysis is built on the brilliant work of Political Scientist @JakeMGrumbach, who constructed a holistic measure of state policy orientation from data on 150 unique policies, across 16 domains, spanning over 3 decades.
Check out his work: https://bit.ly/3hSU1uo
Our analysis is built on the brilliant work of Political Scientist @JakeMGrumbach, who constructed a holistic measure of state policy orientation from data on 150 unique policies, across 16 domains, spanning over 3 decades.
Check out his work: https://bit.ly/3hSU1uo
5/11
We also build on the intuition that runs through much of the work by senior author @DrRitaHamad that policies matter for population health inequalities.
For example: "Association of Revised WIC Food Package on Perinatal and Birth Outcomes" https://ja.ma/39hkuy6
We also build on the intuition that runs through much of the work by senior author @DrRitaHamad that policies matter for population health inequalities.
For example: "Association of Revised WIC Food Package on Perinatal and Birth Outcomes" https://ja.ma/39hkuy6
6/11
And our study extends the groundbreaking work by @jennkarasmontez @AnnaZajacova @mdhayward and colleagues pointing to the importance of STATE level policy, in particular, in shaping U.S. population health https://doi.org/10.1177/2378023119835345
And our study extends the groundbreaking work by @jennkarasmontez @AnnaZajacova @mdhayward and colleagues pointing to the importance of STATE level policy, in particular, in shaping U.S. population health https://doi.org/10.1177/2378023119835345
7/11
Indeed, we find infant health is associated with the holistic state policy environment. There is a higher likelihood of preterm birth and low birth-weight among infants born in more right-leaning states.
Indeed, we find infant health is associated with the holistic state policy environment. There is a higher likelihood of preterm birth and low birth-weight among infants born in more right-leaning states.
8/11
Unfortunately, mothers in the U.S. experience a differential risk of adverse birth outcomes simply due to their state of residence.
Unfortunately, mothers in the U.S. experience a differential risk of adverse birth outcomes simply due to their state of residence.
9/11
But further research is needed to clarify the basis of the association. States have been polarized for a while now so it is hard to distinguish state policy effects from other enduring aspects of state context in order to tell a causal story.
But further research is needed to clarify the basis of the association. States have been polarized for a while now so it is hard to distinguish state policy effects from other enduring aspects of state context in order to tell a causal story.
10/11
Regardless, this work makes one thing clear: understanding the role of state policy orientation is ESSENTIAL to understanding population health and health disparities across the USA. State context matters for mother's & infant's health. @ia4phs #pophealth
Regardless, this work makes one thing clear: understanding the role of state policy orientation is ESSENTIAL to understanding population health and health disparities across the USA. State context matters for mother's & infant's health. @ia4phs #pophealth
11/11
Finally, thank you to my smart, passionate colleagues! @DrRitaHamad, Daniel Collin, @JakeMGrumbach and @jackie_m_torres - I learned so much from working with you on this!

Finally, thank you to my smart, passionate colleagues! @DrRitaHamad, Daniel Collin, @JakeMGrumbach and @jackie_m_torres - I learned so much from working with you on this!


