Category: Health

COVID-19-Related Fear among Youth in Israel

Abstract The present study sought to expand the now expansive research on COVID-19 by examining COVID-19-related fear among adolescents in Israel, focusing on demographic variables, COVID-19-related variables (e.g., exposure and vaccination), psychosocial variables (e.g., adolescent wellbeing and perceived social support), and technology usage (e.g., amount of time spent on social media). Data from parents were […]

Perceptions of School Quality and Student Learning During the Pandemic: Exploring the Role of Students, Families, Schools, and Neighborhoods

Abstract Given the inequitable distribution of resources across school, neighborhood, and home contexts in the United States, lower resourced students may have had fewer opportunities to learn during the coronavirus disease 2019 pandemic, which may have caused previous disadvantages to accumulate during the pandemic. Nevertheless, research has yet to comprehensively explore how school, neighborhood, and […]

COVID-19 Safety Concerns, School Governance Models, and Instructional Modes: An Exploration of School Quality Perspectives during the Pandemic

Abstract This paper explores how parents’ COVID-19 safety concerns relate to school governance models (SGMs), instructional modes (i.e. in-person, hybrid, online), and perceptions of school quality during the pandemic. Leveraging two waves of household survey data across 47 states and the District of Columbia, we first conduct a series of multinomial regression analyses to explore […]

Intersecting Race and Gender Across Hardships and Mental Health During COVID-19: A Moderated-Mediation Model of Graduate Students at Two Universities

Abstract While the effects of the pandemic on the mental health of college students can vary across race and gender, few studies have explored the role of hardships and university assistance in these disparities, as well as how these disparities can manifest themselves differently across intersections of race and gender. We address this gap by […]

Male Caregivers and Engagement in a Family Strengthening Program for Child Disruptive Behavior Disorders

Abstract Awareness and interest in involving male caregivers in child mental health treatment has grown, especially for youth with disruptive behavior disorders like oppositional defiant disorder (ODD). The purpose of this study was to examine the relationship between male caregiver involvement and treatment engagement for child ODD. Children (n = 122) ages 7–11 and their caregivers participated […]

Prevalence of Long-COVID Among Low-Income and Marginalized Groups: Evidence From Israel

Abstract Objective: To identify the socioeconomic and demographic factors associated with the prevalence of self-reported long-COVID symptoms. Method: We examined the association between acute-COVID (SARS-CoV-2) and long-COVID symptoms, by a cross-sectional analysis of data obtained on a prospective online-survey, conducted from November to December 2021 on a nationally-representative sample of the Israeli population (N = 2,246). Results: Findings […]

All over the Map: A Systematic Literature Review and State Policy Scan of Medicaid Buy-In Programs for Working Individuals with Disabilities

Abstract While supports for people with disabilities have increased, significant healthcare and financial barriers persist. State-administered Medicaid Buy-In programs for working people with disabilities, distinct from broader buy-in discussions that have emerged as some states consider expanding access to health insurance, are intended to incentivize employment and protect against a loss of Long-Term Services and […]

Combatting Rising Healthcare Costs for Healthier Adults

Summary In 2020, healthcare expenditures averaged $12,530 per person, up 9.7% from 2019. In 2018, 19% of U.S. households had medical debt with $2,000 being the median amount owed. Over half of adults between 18 to 64 years of age are estimated to experience some form of medical financial hardship including medical bills or debt, […]

At Home and on the Brink: U.S. Parents’ Mental Health during COVID-19

Abstract Though the COVID-19 pandemic required significant changes and adaptations for most Americans, parents faced acute challenges as they had to navigate rapidly changing schooling and child care policies requiring their children to spend more time at home. This study examines the effects of COVID-19 school and workplace policies as well as environmental and economic […]

Household Spending Patterns and Hardships during COVID-19: A Comparative Study of the U.S. and Israel

Abstract The combined supply and demand shocks of the COVID-19 pandemic have created the largest consumer behavior shift in recent history, while exposing millions of households to material hardships like food insecurity and housing instability. In this study, we draw on national surveys conducted early in the pandemic to investigate the pandemic’s effects on self-reported […]

Disparate financial assistance support for small business owners

Small business owners experienced a drastic economic disruption caused by the COVID-19 pandemic. Government pandemic assistance failed to reach many small business owners, especially those historically underserved by financial institutions. Drawing on a 2021 survey of 246 small business owners, the Social Policy Institute at Washington University in St. Louis descriptively examined the extent to […]

Disrupted and Disconnected: Child Activities, Social Skills, and Race/Ethnicity During the Pandemic

Abstract Early in the COVID-19 pandemic, parents reported that their children spent the majority of their time at home, which can dramatically change their activities and negatively impact their social skills. However, research has yet to uncover the relationships between changes in activities during the pandemic and children’s social skills, nor the degree to which […]

COVID-19 job and income loss and mental health: The mediating roles of financial assets and well-being and the moderating role of race/ethnicity

Abstract Prior research shows unemployment has a negative effect on mental health, yet whether this relationship is affected by financial factors is unknown. For example, having money in savings may mitigate the impact of job loss on mental health. We use structural equation modeling with data from the Socio-Economic Impacts of COVID-19 Survey with a […]

Public perceptions and the willingness to get vaccinated against COVID-19: Lessons from Israel

Abstract Objectives To explore the associations between vaccine hesitancy and demographic and socio-economic characteristics, as well as perspective towards the COVID-19 and its vaccines. Methods Data were collected through four online surveys on Israel’s representative sample in March (3/2 to 3/7, n = 1517), August (8/10–8/11, n = 925; 8/18–8/22, n = 1054), and September (9/22-9/24; n=1406), 2021. We employ a […]

Do Racial and Ethnic Disparities in Savings and Job Loss during COVID-19 Explain Disparities in Housing Hardships? A Moderated Mediation Analysis

Abstract Despite the array of public programs offered to help households mitigate the economic impacts of the COVID-19 pandemic, many still needed to rely on savings, credit, or other assets to make ends meet. This reality may exacerbate existing social and economic inequities because racial and ethnic minorities often have lower access to assets and […]

Introduction: The COVID-19 Shock to Our Deep Inequities: How to Mitigate the Impact

The COVID-19 pandemic affected nearly every aspect of household health, as well as the social and economic well-being of individuals and communities across the United States. Many in our society have faced and continue to face unprecedented challenges. Specifically, the pandemic put a microscope on inequities such as racial disparities in housing, health care, and […]

Crashing without a Parachute: Racial and Educational Disparities in Unemployment during COVID-19

Abstract The burden of the COVID-19 pandemic has not been shouldered equally by American families. Black and Hispanic communities have been hit the hardest, with the pandemic often exacerbating existing disparities. Using nationally representative data, we assess the economic and public health effects of the pandemic among different socioeconomic groups and whether typical sources of […]

Vaccine Hesitance During COVID-19: Exploring Motivations and Incentives

Brugger, L., Roll, S., Kristensen, K., & Grinstein-Weiss, M. (2021). Vaccine hesitance during COVID-19: Exploring motivations and incentives (Social Policy Institute Research Brief). Washington University, Social Policy Institute. https://www.doi.org/10.7936/b07b-ks62

The destabilizing cost of a pandemic: What COVID-19 meant for renters already getting assistance (Links to an external site)

Data from SPI’s survey on the socioeconomic impacts of COVID-19 revealed the vulnerability of renters receiving federal assistance. The findings showed that low-income renters already receiving federal assistance are more likely to be evicted than low-income renters who do not receive federal support. This article reflects work originated by scholars with the Social Policy Institute […]

COVID-19 Among Youth in Israel: Correlates of Decisions to Vaccinate and Reasons for Refusal

The primary aim of the present study is to examine the reasons for adolescents’ refusal to get vaccinated with the COVID-19 vaccine, and examine correlates of vaccination among adolescents aged 12–18 years in Israel. A total of 150 youth aged 12–18 years participated in the study. Following parental consent (30% response rate) from an online internet […]

Did government benefits help Israeli households avoid hardship during COVID-19? Evidence from a national survey

At the outset of the COVID-19 pandemic, the government of Israel quickly introduced aggressive social distancing measures to curb the virus spread and adapted its unemployment insurance program in response to rising unemployment rates. This study examines the relationship between household income and the experience of material hardship during the COVID-19 pandemic in Israel and […]

Promoting Childhood Vaccination During the COVID-19 Pandemic

As schools start back up, many parents are concerned about the health effects of COVID-19 in children. However, childhood diseases beyond COVID-19 are still threats to children’s well-being. In the early stages of the pandemic, there was a large decrease in childhood vaccination rates for diseases such as diphtheria, pertussis, measles and mumps.

Impact of COVID-19 on Households with Children

The COVID-19 pandemic caused major disruptions in employment, child care and education. As a result, both parents and children experienced a variety of hardships in their work and education. While these hardships had reverberating effects throughout households, they were not equally distributed across families with children. In this brief, we explore the effects of COVID-19 […]

Employment Changes During COVID-19

Early in the COVID-19 pandemic, U.S. unemployment peaked at 14.4%. While some workers have returned to payrolls, others have been left behind. This brief examines the nuances of employment changes over the course of the pandemic and the impact of those changes on household financial well-being. Our study finds that the proportion of employees who […]

Housing Hardships During COVID-19

Even prior to the COVID-19 pandemic, U.S. households were burdened by the cost of rental and mortgage payments, burdens which disproportionately fell on Black and Hispanic families. Using a 5-wave survey, we examined whether disparities in housing cost burden continued throughout the pandemic and trends in how households fell behind on rent and mortgage payments. […]

The Socioeconomic Impacts of COVID-19 Study: Survey Methodology Report

Roll, S., Bufe, S.., Chun, Y., & Grinstein-Weiss, M. (2021). The Socioeconomic Impacts of COVID-19 Study: Survey methodology report (Social Policy Institute Research Report). Washington University, Social Policy Institute. https://doi.org/10.7936/r4cj-5041

Material hardship among lower-income households: The role of liquid assets and place

Lower-income households are at risk for material hardship, particularly amidst the economic fallout of COVID-19. Where one lives (e.g., suburb, small town) may affect this risk due to variable access to resources, yet the evidence is mixed concerning the influence of place. We used a pooled, national cross-sectional sample of 66,046 lower-income tax filers to […]

From intention to action: A systematic literature review of provider behaviour change‐focused interventions in physical health and behavioural health settings

It is clear there are significant delays in the uptake of best practices as part of routine care in the healthcare system, yet there is conflicting evidence on how to specifically align provider behaviour with best practices. Method We conducted a review of interventions utilized to change any aspect of provider behaviour. To extend prior […]

Nudging Parents to Improve Children’s Oral Health: A Field Study

This research brief is part of a series by the Social Impact Nudgeathon initiative. This initiative incorporated insights from behavioral economics into the design and delivery of social welfare programs. Developed through a partnership between the Joint Distribution Committee in Israel (JDC-Israel) and the Social Policy Institute (SPI) at Washington University in St. Louis, this initiative is among the first of its kind to launch in Israel. […]

7 Tips to Mitigate Hoarding Behavior

Mary Acri has seven tips to manage feelings of powerlessness, helplessness and fear without stockpiling toilet paper as the pandemic persists.

Emergency savings are a potential lifeline for households in financial distress due to COVID-19

Many U.S. households have lost a job and/or income due to the COVID-19 pandemic. These types of losses can influence an individual’s level of life satisfaction and thus, their overall health and well-being. One possible strategy to mitigate the impacts of economic volatility for U.S. individuals and households is to build a rainy-day fund. A […]

Safe, affordable child care is a right, not a privilege

As the United States nears the seventh month of weathering COVID-19’s impact, it has become clear that the economy will not recover simply by encouraging businesses to re-open or consumers to keep shopping. Working adults with children are being disproportionately affected by COVID-19 and will continue to struggle without stronger federal and state support for child care.

Messaging matters when it comes to COVID-19 economic impact payments

The way policymakers and financial capability practitioners communicate about the CARES economic impact payments and other current or future payments may help guide households to use these benefits in the way best suited to their financial situation. This is important because while some households may use the CARES payments to pay down debt and other households may be fortunate enough to be able to save their payments, others will need these payments to simply make ends meet.

Improving the Take-Up of Homecare Services Among Holocaust Survivors in a Jewish Charitable Organization

This research brief is part of a series by the Social Impact Nudgeathon initiative. This initiative incorporated insights from behavioral economics into the design and delivery of social welfare programs. Developed through a partnership between the Joint Distribution Committee in Israel (JDC-Israel) and the Social Policy Institute (SPI) at Washington University in St. Louis, this initiative is among the first of its kind to launch in Israel. […]

We don’t need a map to tell us who COVID-19 hits the hardest in St. Louis

We don’t need a map to tell us that policymakers, health officials, corporations, and St. Louis residents themselves must continue to break down economic barriers to create partnerships and solutions that support the most vulnerable in our city – those who were already facing a disproportionate social, financial, and health burden prior to COVID-19 entering their lives.