"The Status of Women in North Carolina: Poverty and Opportunity" is the final publication in a four-part series of publications on women's status in North Carolina. The report builds on the Institute for Women's Policy Research's "Status of Women in the States" initiative, which has sought to measure women's economic, social,…

House Republicans passed a bill that would dismantle the Affordable Care Act (ACA), the current health care insurance plan provided to low income families. The non-Partisan Congressional Budget Office reviewed the legislation, and has determined that if some portion of the legislation is also passed by the Senate, it would leave 14 million more…

For more than 30 years, Medicaid has paid for eligible school health services included in student's Individualized Education Programs (IEP) or Individualized Family Service Plan (IFSP). Seventy-nine percent of low-income, school aged children receive health coverage through Medicaid and Child Health Plan (CHIP) which is 37% of all school-aged…

For Germany, no data on trends in autism spectrum disorder diagnoses are available. The primary aim of this study was to establish the time trends in the administrative prevalence of autism spectrum disorder diagnoses. The second aim was to assess the stability of autism spectrum disorder diagnoses over time. We analysed administrative outpatient…

This study compared Medicaid service utilization and expenditures among adolescents with autism spectrum disorder (ASD) to adolescents with intellectual disability (ID) as they aged into adulthood. Medicaid Analytic eXtract (MAX) data was used to identify a national cohort. Winsorization was utilized to control for expenditure outliers. A greater…

Background: The patient-centered medical home (PCMH) is promoted as a way to improve access to care, health care outcomes, and control costs. The organizational, environmental, and patient characteristics associated with school-based health centers (SBHCs) obtaining PCMH recognition is currently unknown. A multitheoretical approach was used to…

This article describes the progression of the Health Insurance Literacy (HIL) Action Team's efforts from the initial charge by the Extension Committee on Organization and Policy (ECOP) of identifying priorities for Cooperative Extension health programming to developing and testing a national mobile messaging campaign designed to change health…

This study examined psychotropic medication use among 7901 children aged 1-17 with autism spectrum disorder (ASD) in five health systems, comparing to matched cohorts with no ASD. Nearly half (48.5%) of children with ASD received psychotropics in the year observed; the most common classes were stimulants, alpha-agonists, or atomoxetine (30.2%),…

A retrospective data analysis using 2000-2008 three state Medicaid Analytic eXtract was conducted to examine the prevalence and association of comorbidities (psychiatric and non-psychiatric) with healthcare utilization and expenditures of fee-for-service enrolled adults (22-64 years) with and without autism spectrum disorders (International…

Utilizing the 2016 National Survey of Children's Health, this study illustrates that children with ASD have nearly 4 times higher odds of unmet health care needs compared to children without disabilities, whereas children with other disabilities had nearly 2 times higher odds of unmet health care needs compared to children without disabilities.…

To measure the outcomes of youth transitioning out of foster care, states are required to administer the National Youth in Transition Database (NYTD) survey to cohorts of youth at ages 17, 19, and 21. With this second cohort of youth having completed all three waves of data collection, researchers are beginning to better understand the experiences…

Background: Given the amount of time children and adolescents spend in school, these locations may be ideal for simultaneously supporting young people's health and academic achievement. School-based health centers (SBHCs) not only bring care to students in accessible and familiar locations, these centers also provide guidance for young people…

Background: Health initiatives have been established in many workplaces to promote healthy behaviors among employees. Health Self-Empowerment Theory (HSET) suggests that personal, modifiable factors, such as motivation to engage in healthy behaviors, are pathways to increasing such behaviors. Purpose: The present study examined the effects of the…

When the coronavirus pandemic arrived, the United States was already deeply unequal. Before the pandemic, 140 million Americans were poor or near poor, living just one emergency above the poverty line. Inequality in the United States did not happen suddenly and cannot be explained as the consequence of individual failures; rather, decades of…

Among all children under 18 years in the United States, 38 percent live in low-income families and 17 percent--approximately one in five--are poor. This means that children are overrepresented among the nation's poor; they represent 23 percent of the population but comprise 32 percent of all people in poverty. Many more children live in families…