CCPR Seminar

"The challenges of estimating mortality in small areas -- using German counties as a case study"

Abstract: We develop and analyze Bayesian models that produce good estimates of complete mortality schedules for small areas, even when the expected number of deaths is very small. The models also provide estimates of uncertainty about local mortality schedules. The TOPALS relational model is the primary building block, used to model age-specific mortality rates within each small area. TOPALS models produce estimates for single-year ages from a small number of local parameters. We experiment with Bayesian models for smoothing and ‘borrowing’ mortality information across space, using two alternative specifications. First we test a Bayesian model with conditional autoregressive (CAR) priors for TOPALS parameters. CAR priors assign higher probability to parameters that are similar across adjacent areas, thus emphasizing spatial smoothness in estimated rates. Second, we test a hierarchical Bayesian model, which assigns higher probability to parameters that are similar for locations that are close in terms of political geography.

"Getting Under the Skin: Socio-Psychobiological Pathways and Racial Disparities in Health"

Abstract: Racism is physically embodied through social, behavioral, and psychobiological mechanisms. In this talk, David H. Chae, will discuss the utility of a social-ecological and developmental lens to examine how racism is biologically embedded. He will discuss his research on multiple levels of racism and the channels through which they compromise health throughout the lifecourse.

"The Impact of Socioenvironmental Stressors on Alcohol-Linked Suicides: A Nationwide Postmortem Study"

Abstract: Not only is suicide a major public health problem, but also, according to the Centers for Disease Control and Prevention, 8,179 deaths and 273,206 years of potential life lost resulted from alcohol attributable suicides in 2006-10 (the latest years available). Since 2011, Professor Kaplan and his colleagues have worked with the National Violent Death Reporting System Restricted Access Database on two projects funded by the National Institute on Alcohol Abuse and Alcoholism, focusing on acute alcohol use immediately prior to suicide. This presentation will show that nearly a third of suicide decedents nationwide were intoxicated at the time of death. Furthermore, Prof. Kaplan will describe the effects of the 2008-09 economic contraction and other adverse socioenvironmental conditions on rates of suicide involving acute alcohol intoxication.

"Does Universalization of Health Work? Evidence from Health Systems Restructuring and Maternal and Child Health in Brazil"

Abstract: We investigate restructuring of the health system in Brazil motivated to operationalize universal health coverage. Using administrative data from multiple sources and an event study approach that exploits the staggered rollout of programmatic changes across municipalities, we find large reductions in maternal, foetal, neonatal and postneonatal mortality, and fertility. We document increased prenatal care visits, hospital births and other maternal and child hospitalization, which suggest that the survival gains were supply-driven. We find no improvement in the quality of births, which may be explained by endogenous shifts in the composition of births towards higher-risk births.