Lerner Center Research Publications

Childhood Speech Impairment Is Linked to Increased Dementia Risk Later in Life

Haowei Wang, Shu Xu, and Yalian Pei
This brief describes how speech impairment before age 16 is linked to the risk of developing dementia in later life. The authors find that adults who had speech impairment as children had a 63% higher risk of developing dementia than adults who did not have speech impairment as children.
October 29, 2026

Most Violence Against Emergency Medical Service Workers Goes Unreported

Lauren Bailey and Bryce Hruska
This brief describes the absence of a national reporting system for EMS and the workplace culture that discourages workers from speaking up. The authors describe how, unlike law enforcement, EMS workers lack federal legal protections and a standardized way to report violent incidents, leaving agencies and policymakers without the data needed to protect them.
October 27, 2026

When Every Second Counts: Racial and Ethnic Gaps in Bystander CPR for Opioid-Related Cardiac Arrests

Dessa K. Bergen-Cico, Alexandra Punch, and Mary E. Helander

This brief describes racial and ethnic gaps in bystander CPR for opioid-related cardiac arrests. The authors find that Black patients were 30 percent less likely, and Hispanic patients 19 percent less likely, than White patients to receive bystander CPR. Rates rose across all groups when 911 dispatchers walked callers through CPR instructions, though that benefit was strongest for White patients.

October 22, 2026

State Policies and County Contexts Collectively Shape Working‑Age Mortality

Iliya Gutin, Jennifer Karas Montez, Shannon M. Monnat, Emily E. Wiemers, and Douglas A. Wolf
This brief describes how state policy contexts and local economic conditions jointly shape working-age mortality across roughly 3,000 U.S. counties from 1990 to 2019. The authors find that death rates were lowest in economically secure counties located in states with more liberal policy contexts (i.e., states that take a more active role in shaping the economy and supporting residents' material and physical wellbeing). 
October 20, 2026

Sicker Americans Are More Likely to Misuse Prescription Medications

Esther Oshaji and Andrew S. London
Prescription medication misuse is a long-term population heath problem in the United States. This data slice explores how the number of chronic health conditions a person has is related to their likelihood of misusing prescription opioids, tranquilizers, sedatives, or stimulants in the past 12 months. 
June 16, 2026

Disability Rates Among South Asian Immigrants in the U.S. Vary by Country of Origin

Sobia Mushtaq and Marc A. Garcia
Health data in the U.S. often groups South Asian immigrants into a single pan-ethnic category, masking important differences across subgroups. This brief describes how disability rates vary by country of origin among immigrants from India, Pakistan, and Bangladesh, and what gets hidden when these populations are combined. 
June 9, 2026

US State Policy Index for Population Health Analyses

Jennifer Karas Montez, Iliya Gutin, Shannon Monnat

The article, co-authored by Maxwell professors Jennifer Karas Montez, Iliya Gutin and Shannon Monnat, was published in The Milbank Quarterly.

May 4, 2026

See related: Longevity, State & Local Government, U.S. Health Policy, United States

Differences in COVID-19 Experiences Between US Working Age Adults With and Without ADHD

Nastassia Vaitsiakhovich, Shannon M. Monnat, Andrew S. London, Scott D. Landes

Co-authored by sociologists Shannon Monnat, Andrew London and Scott Landes, the study was published in SSM - Mental Health.

April 7, 2026

See related: COVID-19, Mental Health, Substance Use and Addiction, United States

Is Home Birth a Choice? Racial and Geographic Differences in Unintended Home Births in the U.S.

Anna De La Paz
The U.S. hit a 30-year high for home births in 2023. Unintended home births (i.e., those without planning or medical support) carry a higher likelihood of adverse outcomes. Rates of unintended home births are low among non-Hispanic White women (6–8%) but range from 33–61% among non-Hispanic Black women, depending on region and metro status. 
April 7, 2026

How Does Striving Against Adversity Impact Emotional Well-being and Cardiovascular Risk in Children?

Brooks B. Gump, Stefanie Pilkay, Xiafei Wang, Sara Vasilenko, Nader H. Attallah-Yunes, Sarah Woolf-King, Stephen Maisto, Edith Chen, and Craig K. Ewart
Working hard and persisting through challenges (i.e., striving) are often encouraged for children who face adversity, but these coping strategies come with hidden costs. This brief describes how striving in the face of adversity influences mental wellbeing and cardiovascular health.
March 24, 2026

Living in Liberal Areas Reduced COVID-19 Vaccine Hesitancy Among Conservatives

Brittany L. Kmush and Rachel E. Dinero
This brief describes how residential political climate influenced COVID-19 vaccination decisions among liberals and conservatives. The authors found that while liberals had low vaccine hesitancy and high vaccine uptake regardless of the politics in their communities, conservatives’ vaccine hesitancy and uptake varied by the political climate of their community.
March 17, 2026

US State Policy Contexts and Mental Health Among Working-Age Adults

Iliya Gutin, Jennifer Karas Montez, Emily Wiemers, Shannon M. Monnat, Douglas A. Wolf

The article, co-authored by Maxwell faculty members Iliya Gutin, Jennifer Karas Montez, Emily Wiemers, Shannon Monnat and Douglas Wolf, was published in The Milbank Quarterly.

March 11, 2026

See related: COVID-19, Mental Health, State & Local Government, U.S. Health Policy, United States

How Do State Labor Policies Impact Disability for Latino Adults in the U.S.?

Marc A. Garcia, Blakelee Kemp, and Erin Bisesti
This brief describes how these policies influence disability rates among Latino adults aged 45-85 in the United States. The authors find that, from 2000 to 2016, Latino disability rates were lower in states with more worker-friendly labor protections. The disability rate among Latinos was 21.6% in states with the most conservative labor policies compared to 17.6% in states with the most liberal policies. 
March 3, 2026

See related: United States

A New Tool for Handling Multiracial and Multi-Identity Data in Health Research

Gabriel J. Merrin
This brief introduces CATAcode, a free software tool that helps researchers handle check-all-that-apply demographic data more thoughtfully. The tool reveals how coding decisions dramatically affect who is represented in research—decisions that inform health policy and resource allocation. 
February 3, 2026

See related: United States

Pandemic Mask Mandates and Closures Were Linked to Increased Gun Violence

Douglas A. Wolf, Emily W. Wiemers, Iliya Gutin, Jennifer Karas Montez, and Shannon M. Monnat
This brief examines how masking requirements and activity restrictions were associated with gun violence across U.S. counties. The authors find that counties’ indoor masking requirements were linked to a 28% increase in gun violence, while business closures and restrictions were associated with a 4.2% increase. 
January 27, 2026

See related: United States

Latin American Refugees to the U.S. Experience More Discrimination than Refugees from other Regions

Sobia Mushtaq and Janet M. Wilmoth
Discrimination poses serious challenges for refugees rebuilding their lives in the U.S., but not all refugee groups face the same risks. A new survey reveals stark differences by region of origin, with Latin American refugees experiencing substantially higher rates of discrimination than refugees from other regions.
January 6, 2026

See related: United States

Is AI Replacing Human Mental Health Professionals?

Michiko Ueda
An increasing number of Americans are turning to artificial intelligence (AI) chatbots for mental health support. A new survey of U.S. adults found that nearly 35% use AI tools more than once a week to manage mental health concerns. The findings raise important questions about whether AI is supplementing or replacing traditional mental health care.
December 16, 2025

See related: United States

How Does County Educational Composition Affect Mortality?

Heeyoung Lee and Tse-Chuanang
This brief examines how a county's educational makeup affects mortality rates for both BA holders and non-BA holders. The authors find a troubling pattern: as the share of BA holders in a county increases, mortality declines for BA holders but increases for non-BA holders. 
December 9, 2025

More Girls in the Classroom Improves Adolescent Mental Health

Monica Deza and Maria Zhu
What role does the school environment play in shaping adolescent mental health? This brief examines how the mix of boys and girls in a classroom affects student mental health and wellbeing. The authors find that classrooms with more girls have better mental health outcomes for both boys and girls. 
December 2, 2025

See related: United States

How Does County Industry Mix Matter for Working-Age Mortality?

Xue Zhang, Iliya Gutin, Shannon M. Monnat, and Jennifer Karas Montez
This brief summarizes findings of a study that examined how five major employment sectors—agriculture, manufacturing, mining and construction, services, and professional services—are associated with working-age mortality rates across U.S. counties from 2000 to 2022. The authors find that the effects of local industries vary across time and cause of death. 
October 28, 2025

See related: United States

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