See the published version of this preprint at European Journal of Pediatrics.
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Research Article
Brian A. Coakley
Icahn School of Medicine at Mount Sinai Department of Pediatrics
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3259-6799
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction:
The Cook Partisan Voting Index (PVI) determines how strongly a state leans toward the Democratic or Republican Party in presidential elections compared to the nation. We set out to determine the correlation between childhood health outcomes and state-level partisanship using PVI.
Materials and Methods:
16 measures of childhood health were obtained from the CDC, U.S. Census Bureau, and U.S. Bureau of Labor Statistics for 2012-2016. PVI was averaged for every state for the same time period. Pearson's rho determined the correlation between PVI and each health outcome, using a Bonferroni adjustment of 0.003. Multiple regression was also conducted, adjusting for children without health insurance, primary care physicians, childhood poverty, and % non-white. We also compared childhood health in moderately Democratic and Republican states (5%-9.9% more Democratic/Republican than the national mean) and, similarly, for extremely Democratic and Republican states (10% or more Democratic/Republican than the national mean), using Kruskal-Wallis tests.
Results:
Democratic-leaning states had better outcomes for 7 of 16 health measures (all p<0.003, table 1). In the adjusted model, Democratic-leaning states had better outcomes for 9 of the 16 variables (all p<0.003, table 1). Among moderately-partisan states, no outcomes were statistically better in one group of states but extremely-Democratic states had superior outcomes for 5 variables (all p<0.003, table 2). No health outcomes were found to be significantly better in Republican-leaning states.
Conclusions:
Multiple childhood health measures were statistically better in Democratic-leaning states compared to Republican counterparts. Future research should identify which state-level policies have led to such disparate health outcomes.
Keywords
Pediatrics, Partisanship, Public Health, Disparities, Equity
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CURRENT STATUS: Published
View the published article at European Journal of Pediatrics.
Version 1
Posted 09 Feb, 2021
No community comments so far
Reviewers invited
Invitations sent on 04 Feb, 2021
Reviews received
Received 04 Feb, 2021
Editor assigned
On 31 Jan, 2021
First submitted
On 27 Jan, 2021
Metrics
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HTML Views: ...
Subject Areas
Pediatrics
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at European Journal of Pediatrics.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Brian A. Coakley
Icahn School of Medicine at Mount Sinai Department of Pediatrics
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3259-6799
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at European Journal of Pediatrics.
Version 1
Posted 09 Feb, 2021
No community comments so far
Reviewers invited
Invitations sent on 04 Feb, 2021
Reviews received
Received 04 Feb, 2021
Editor assigned
On 31 Jan, 2021
First submitted
On 27 Jan, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at European Journal of Pediatrics.
Introduction:
The Cook Partisan Voting Index (PVI) determines how strongly a state leans toward the Democratic or Republican Party in presidential elections compared to the nation. We set out to determine the correlation between childhood health outcomes and state-level partisanship using PVI.
Materials and Methods:
16 measures of childhood health were obtained from the CDC, U.S. Census Bureau, and U.S. Bureau of Labor Statistics for 2012-2016. PVI was averaged for every state for the same time period. Pearson's rho determined the correlation between PVI and each health outcome, using a Bonferroni adjustment of 0.003. Multiple regression was also conducted, adjusting for children without health insurance, primary care physicians, childhood poverty, and % non-white. We also compared childhood health in moderately Democratic and Republican states (5%-9.9% more Democratic/Republican than the national mean) and, similarly, for extremely Democratic and Republican states (10% or more Democratic/Republican than the national mean), using Kruskal-Wallis tests.
Results:
Democratic-leaning states had better outcomes for 7 of 16 health measures (all p<0.003, table 1). In the adjusted model, Democratic-leaning states had better outcomes for 9 of the 16 variables (all p<0.003, table 1). Among moderately-partisan states, no outcomes were statistically better in one group of states but extremely-Democratic states had superior outcomes for 5 variables (all p<0.003, table 2). No health outcomes were found to be significantly better in Republican-leaning states.
Conclusions:
Multiple childhood health measures were statistically better in Democratic-leaning states compared to Republican counterparts. Future research should identify which state-level policies have led to such disparate health outcomes.
Figure 1
Figure 2
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