Many have voiced concern about the long-term survival of coastal communities in the face of increasingly intense storms and sea level rise. In this study we select indicators of key theoretical concepts from the social-ecological resilience literature, aggregate those indicators into a resilience-capacity index, and calculate an index score for each of the 52 coastal counties of Louisiana, Texa...

OBJECTIVES Of the fourteen counties and two municipalities that until recently were responsible for healthcare provision in Denmark, five introduced mammography screening (MS) programs. The objective of this research is to explain this decision-making variation and to gain insight into priority setting processes in health-care provision at the county level in Denmark. METHODS Literature on pr...

BACKGROUND Extensive geographic variation in adverse health outcomes exists, but global measures ignore differences between adjacent geographic areas, which often have very different mortality rates. We describe a novel application of advanced spatial analysis to 1) examine the extent of differences in mortality rates between adjacent counties, 2) describe differences in risk factors between ad...

In the early 2000s, Arizona, Maine, New Mexico, New York, Oregon, and Vermont expanded Medicaid to cover more low-income individuals, primarily childless adults. This change provides the researcher with an opportunity to analyze the effects of these expansions on labor supply and welfare enrollment. I use a large data set of 176 counties over 7 years, including 3 years of pre-expansion period, ...

This paper documents changing patterns of concentrated poverty in nonmetro areas. Data from the 1970 through 2000 U.S. Census Summary Files reveal the changing shares of poor people and children living in rural counties with disproportionately poor populations. Nonmetro poverty rates – both overall and for children – declined more rapidly than metro rates in the 1990s. The 1990s also brought la...

BACKGROUND The gap between the highest and lowest life expectancies for race-county combinations in the United States is over 35 y. We divided the race-county combinations of the US population into eight distinct groups, referred to as the "eight Americas," to explore the causes of the disparities that can inform specific public health intervention policies and programs. METHODS AND FINDINGS ...

I examine the change in voter turnout across Indiana counties before and after the implementation of photo ID requirements Overall statewide turnout increased by about two percentage points after photo ID further there is no consistent evidence that counties that have higher percentages of minority poor elderly or lesseducated population suffer any reduction in voter turnout relative to other c...

A National Cancer Institute (NCI) survey published in the Journal of the American Medical Association, March 20, 1991, showed no general increased risk of death from cancer for people living in 107 U.S. counties containing or closely adjacent to 62 nuclear facilities. The facilities in the survey had all begun operation before 1982. Included were 52 commercial nuclear power plants, nine Departm...

Insurance among the members of religious organizations should be more valuable in communities facing greater risk, making membership in religious organizations more attractive in high-risk environments. We examine the link between rainfall risk and church membership as well as seating capacity across US counties in the second half of the nineteenth century. Our results indicate that church memb...

Parkinson disease associated with farming and exposure to agricultural chemicals has been reported in numerous studies; little is known about Parkinson disease risk factors for those living in urban areas. The authors investigated the relation between copper, lead, or manganese emissions and Parkinson disease incidence in the urban United States, studying 29 million Medicare beneficiaries in th...