Analysis from HPIO late last year found that the most notable change in tobacco use in recent years has been the shift away from combustible cigarettes and toward e-cigarettes among teens and young adults (see graphic above). By 2019, only...
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Ohio Health Policy News 06/24/2022


Graphic of the week

AlcoholTobaccoTrend_HighSchool_Standalone

Analysis from HPIO late last year found that the most notable change in tobacco use in recent years has been the shift away from combustible cigarettes and toward e-cigarettes among teens and young adults (see graphic above). By 2019, only 4.9% of Ohio high school students reported that they had smoked a cigarette in the past 30 days, while e-cigarettes surpassed alcohol and became the most commonly used drug among teens. Similarly, the percent of 18-24-year-olds reporting e-cigarette use jumped 77% from 2016 to 2020, making this the group of adults with the highest rate of e-cigarette use in 2020 (19%).

Learn more in HPIO’s fact sheet, Tobacco, Alcohol and Health Series: Health Impacts of Excessive Alcohol Use in Ohio.

 

       
 

100 million Americans have medical debt, study finds

More than 100 million people in America ― including 41% of adults ― are carrying medical debt, according to an investigation by KHN and NPR (source: “100 million people in America are saddled with health care debt,” Kaiser Health News via Ohio Capital Journal, June 21).

The investigation reveals a problem that, despite new attention from the White House and Congress, is far more pervasive than previously reported. That is because much of the debt that patients accrue is hidden as credit card balances, loans from family, or payment plans to hospitals and other medical providers.

To calculate the true extent and burden of this debt, the KHN-NPR investigation draws on a nationwide poll conducted by KFF for this project.

In the past five years, more than half of U.S. adults report they’ve gone into debt because of medical or dental bills, the KFF poll found. A quarter of adults with health care debt owe more than $5,000. And about 1 in 5 with any amount of debt said they don’t expect to ever pay it off.

Nationwide, according to the poll, Black adults are 50% more likely and Hispanic adults are 35% more likely than whites to owe money for care.

       
 

FDA effectively bans Juul e-cigarette sales in U.S.

The Food and Drug Administration (FDA) on Thursday ordered Juul to stop selling e-cigarettes on the U.S. market, a profoundly damaging blow to a once-popular company whose brand was blamed for the teenage vaping crisis (Source: “F.D.A. Orders Juul to Stop Selling E-Cigarettes,” New York Times, June 23).

The FDA order affects all of Juul’s products on the U.S. market, the overwhelming source of the company’s sales. Juul’s sleek vaping cartridges and sweet-flavored pods helped usher in an era of alternative nicotine products that became exceptionally popular among young people, and invited intense scrutiny from antismoking groups and regulators who feared they would do more harm to young people than good to former smokers.

In its ruling, the agency said that Juul had provided insufficient and conflicting data about potentially harmful chemicals that could leach out of Juul’s proprietary e-liquid pods.

       
 

Walmart expands doula services for employees to address racial disparities in birth outcomes

Walmart is expanding health care coverage for employees who want to enlist the services of a doula, a person trained to assist women during pregnancies, to address racial inequities in maternal care (Source: “Walmart expands health services to address racial inequality,” Associated Press, June 22).

After first offering doulas to employees in Georgia last year, the nation’s largest retailer said Wednesday that it will expand the same benefit to its employees in Louisiana, Indiana and Illinois.

Black women are three times more likely to die from a pregnancy-related cause than white women, largely due to differences in the quality of health care, underlying chronic conditions and structural racism, according to the Centers for Disease Control and Prevention. Employing a doula as a part of a birthing team decreases C-sections by 50%, shortens the time of labor by 25% and decreases the need for other medical interventions by more than 50%, according to the National Black Doulas Association.

Earlier this month, the Ohio House passed a bill that would provide Medicaid coverage for licensed doula services. (Source: “Doula services could soon be covered by Medicaid after racial equity bill passes Ohio House,” Ohio Capital Journal, June 9).

       
 

Graphic of the week

FastestGrowingCauses_WorkingAgeOhioans_StandAlone
Analysis released last week by HPIO found that nearly all leading causes of death among working-age Ohioans (ages 15-64) have increased since 2007, with the exception of cancer (see graphic above).

Unintentional injuries, including unintentional drug overdoses and motor vehicle crashes, increased the most from 2007 to 2021 (123%) among the leading causes. Chronic liver disease increased 74% and homicide deaths were up 62%. 

The analysis, which is compiled in a new data snapshot, “Death Trends among Working-age Ohioans,” found that the overall number of deaths among working-age Ohioans increased 51% from 2007 to 2021, from 25,885 to 39,034. If the annual number of deaths had remained constant since 2007, 58,344 fewer working-age Ohioans would have died.

       
 

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