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Consistent with national research findings and previous HPIO work, new analysis from the Institute finds that Ohioans who reported experiencing more adverse childhood experiences (ACEs) were also more likely to report negative outcomes that contribute to poor health. For example, as illustrated above, the percent of Ohioans who were exposed to two or more ACEs were almost twice as likely to smoke (23%) as those exposed to no ACEs (13%). Similarly, the percent of Ohioans with depression who were exposed to two or more ACEs (34%) was more than three times higher than Ohioans with depression who reported no ACEs (11%).
Exposure to ACEs affects many children in Ohio and across the country. National data and analysis provide clear evidence that ACEs exposure is linked to poor health and well-being through adulthood, including disrupted neurodevelopment, social problems, disease, disability and premature death. In addition, ACEs exposure has severe long-term cost implications at the individual and societal levels, including increased medical, child welfare, criminal justice and special education expenditures. However, the negative effects of ACEs can be mitigated. HPIO has presented 12 key strategies to intervene early and prevent the poor health outcomes associated with ACEs.
Click here to learn more about HPIO’s Ohio ACEs Impact project
Gov. Mike DeWine this week announced a partnership with the RecoveryOhio initiative, the Ohio Department of Transportation and the Ohio Department of Health’s Project DAWN (Deaths Avoided With Naloxone) to install naloxone kits at rest areas across Ohio (Source: “Narcan, naloxone boxes being installed at highway rest stops,” Dayton Daily News, Sept. 25).
Naloxone kits known as NaloxBoxes will be installed at highway rest stops in order to expand access to medication that can reverse the symptoms of an opioid overdose.
Naloxone, commonly referred to by the name brand Narcan, is medication that rapidly reverses the effects of opioid overdose and is the standard treatment for opioid overdose, according to the U.S. Food and Drug Administration. The FDA has approved Narcan and another naloxone product, RiVive, for over-the-counter use.
Last year, unintentional drug overdoses in Ohio resulted in 4,915 deaths, according to the Ohio Department of Health. That is nearly four times greater than the 1,275 fatalities caused by motor vehicle crashes over the same period, the state said.
A new analysis suggests that a federally-funded, state-administered initiative to provide meals to children in daycare settings positively affects not just children but also their families, tying subsidized child-care meals to better child health and lower rates of household food insecurity (Source: “Subsidized meals in child care tied to healthier kids and families,” Washington Post, Sept. 24).
The study of the Child and Adult Care Food Program (CACFP), published in the Journal of the Academy of Nutrition and Dietetics, found children who received subsidized meals in child-care settings were 30% less likely to have household food insecurity, 39% less likely to have poor or fair health, and 41% less likely to be admitted to the hospital from the emergency room than their peers who ate meals provided by their parents while in care.
Researchers interviewed primary caregivers of 3,084 young children receiving ER or primary care in Baltimore, Boston, Little Rock, Minneapolis and Philadelphia between 2010 and 2020. All of the children were between 13 and 48 months old and lived in low-income households, and all received subsidized care outside the home for 20 hours or more per week. Most of the children were eligible for CACFP.
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September is National Hispanic Heritage Month, and analysis from HPIO’s 2023 Health Value Dashboard has found that the uninsured rate for Hispanic Ohioans is 2.5 times worse than for white Ohioans, and Hispanic Ohioans are 2.4 times more likely than white Ohioans to be unable to see a doctor due to cost. If disparities were eliminated, 23,892 fewer Hispanic Ohioans would be uninsured and 32,000 fewer Hispanic Ohioans would face cost barriers to seeing a doctor, according to Dashboard analysis.
Included in the Dashboard are equity profiles, which explore gaps in outcomes among groups of Ohioans and analyze the barriers to health that contribute to these gaps. “Every Ohioan should have the opportunity to live a long and healthy life, free from environments and experiences that expose them to harm,” the report states. “However, many Ohioans continue to face unhealthy conditions and barriers to health in their homes, schools, workplaces and communities.”
Healthcare representatives from across the United States are urging Congress to halt cuts to funding that funds hospital care for uninsured or low-income patients who rely on Medicaid (Source: “Hospitals plead with Congress to avert $8 billion in cuts in Medicaid funding,” Ohio Capital Journal, Sept. 18).
More than 250 hospitals and health systems appealed to House and Senate leadership in a letter asking the lawmakers to avert or delay a forthcoming $8 billion cut to “America’s health care safety net.”
The reduction to the Medicaid disproportionate share hospital funding is scheduled for Oct. 1, as mandated under the Patient Protection and Affordable Care Act. The deadline comes as Congress faces partisan roadblocks to fund the government and renew a number of expiring federal programs by the end of the fiscal year, or Sept. 30.
The fund compensates hospitals that treat a disproportionate number of uninsured patients or low-income patients whose government-provided Medicaid coverage pays a lower rate than private insurance or Medicare. The ACA provision, written under the premise that rates of uninsured people would continue to decrease, requires $8 billion per year in cuts from 2024 to 2027.