Add wos sample results library

02-data/intermediate/wos_sample/3767df73714702039d432d1d0537b788-singh-parvati/info.yaml

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+abstract: 'Background: Research examining mental health outcomes following economic
+
+  downturns finds both pro-cyclic and countercyclic associations.
+
+  Pro-cyclic findings (i.e. economic downturns correspond with decline in
+
+  illnesses) invoke increase in leisure time and risk-averse behavior as
+
+  underlying drivers of reduction in harmful consumption during economic
+
+  recessions. By contrast, counter-cyclic evidence (i.e. economic
+
+  downturns correspond with increase in illnesses) suggests increase in
+
+  mental illness with economic decline owing to heightened stress and loss
+
+  of resources. particularly among certain age and socioeconomic groups.
+
+  Aim of the Study: To examine the relation between monthly aggregate
+
+  employment decline and psychiatric emergency department visits across 96
+
+  counties within 49 Metropolitan Statistical Areas in the United States.
+
+  Methods: For this study, data on all psychiatric outpatient Emergency
+
+  Department (ED) visits for 4 US states (Arizona, California, New Jersey
+
+  and New York) were retrieved from the State Emergency Department
+
+  Database (SEDD) and aggregated by county-month, for the time period of
+
+  2006 to 2011. Exposure to recession was operationalized as
+
+  population-level employment change in a Metropolitan Statistical Area
+
+  (MSA). This information was obtained from MSA-level employment provided
+
+  by the US Bureau of Labor Statistics. Brief exposure time lags of 0 to 3
+
+  months were specified to estimate proximate responses to MSA-level
+
+  economic decline. Income level was approximated based on insurance
+
+  status (private insurance= high-income, public insurance = low-income).
+
+  Linear regression analysis was used to test whether monthly decline in
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+  aggregate employment in an MSA corresponds with (i) changes in
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+  population rates of psychiatric ED visits and (ii) whether the relation
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+  between the outcome and exposure varies by insurance status (private,
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+  public) and age group (children. age < 20 years; working-age adults, age
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+  20 to 64 years; elderly adults, age > 64 years). Regression methods
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+  controlled for region. year and month fixed effects, and state-specific
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+  linear time trends.
+
+  Results: Linear regression results indicate that overall, psychiatric ED
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+  visits (per 100,000 population) decline with decline in monthly
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+  employment at exposure lag 0 (coefficient: 0.54, p < 0.001) and lag 2
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+  (coefficient: 0.52, p < 0.001). Privately insured (high-income) groups
+
+  also show a decline in psychiatric ED visits following decline in
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+  aggregate employment. Conversely, publicly insured children show an
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+  increase in psychiatric ED visit rates one month (i.e. lag 1) following
+
+  employment decline (coefficient: -0.35, p value < 0.01). Exploratory
+
+  analyses by disorder groups show that the population-level decline in
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+  psychiatric ED visits concentrates among visits for alcohol use
+
+  disorders at 0, 1 and 2 month lags of employment decline.
+
+  Discussion: This study''s findings provide evidence of pro- as well as
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+  counter-cyclic trends in psychiatric emergency visits following
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+  aggregate employment decline in an MSA. Whereas declines in psychiatric
+
+  emergencies support a risk-averse response to economic recessions, these
+
+  aggregate trends may mask countervailing trends among vulnerable groups.
+
+  Limitations of this study include the absence of sex-specific analyses
+
+  and lack of information on emergent or non-emergent nature of
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+  psychiatric ED visits.
+
+  Implications for Health Care Provision and Use: Psychiatric ED visits
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+  during recessions may vary by age and income groups.
+
+  Implications for Health Policies: Findings from this study may serve to
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+  develop targeted policies for low-income groups during macroeconomic
+
+  downturns.
+
+  Implications for Further Research: Future research may examine trends in
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+  emergent versus non-emergent psychiatric ED visits following economic
+
+  recessions.'
+affiliation: 'Singh, P (Corresponding Author), Univ Calif Irvine, Program Publ Hlth,
+  Anteater Instruct \& Res Off AIRB, 653 E Peltason Dr Suite 2010,2nd Floor, Irvine,
+  CA 92697 USA.
+
+  Singh, Parvati, Univ Calif Irvine, Program Publ Hlth, Anteater Instruct \& Res Off
+  AIRB, 653 E Peltason Dr Suite 2010,2nd Floor, Irvine, CA 92697 USA.'
+author: Singh, Parvati
+author-email: parvatis@uci.edu
+author_list:
+- family: Singh
+  given: Parvati
+da: '2023-09-28'
+eissn: 1099-176X
+files: []
+issn: 1091-4358
+journal: JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS
+keywords-plus: 'MENTAL-HEALTH-SERVICES; GREAT RECESSION; TIME-SERIES; UNEMPLOYMENT;
+
+  ANTECEDENTS; DISPARITIES; DEPRESSION; ACT'
+language: English
+month: MAR
+number: '1'
+number-of-cited-references: '66'
+pages: 13-30
+papis_id: e43e63e7ad9e9c23fc7f2df56673c80e
+ref: Singh2021psychiatricemergenci
+times-cited: '0'
+title: 'Psychiatric Emergencies Following the 2008 Economic Recession: An Ecological
+  Examination of Population-Level Responses in Four US States'
+type: Article
+unique-id: WOS:000626637300003
+usage-count-last-180-days: '0'
+usage-count-since-2013: '1'
+volume: '24'
+web-of-science-categories: Health Policy \& Services; Psychiatry
+year: '2021'