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  1. Article ; Online: Supporting the Public Health Workforce Requires Collective Actions to Address Harassment and Threats.

    Gollust, Sarah E

    JAMA network open

    2022  Volume 5, Issue 7, Page(s) e2223501

    MeSH term(s) Health Workforce ; Humans ; Public Health ; Workforce ; Workplace
    Language English
    Publishing date 2022-07-01
    Publishing country United States
    Document type Journal Article ; Comment
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.23501
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  2. Article ; Online: Partisan and Other Gaps in Support for COVID-19 Mitigation Strategies Require Substantial Attention.

    Gollust, Sarah E

    American journal of public health

    2021  Volume 111, Issue 5, Page(s) 765–767

    MeSH term(s) COVID-19/prevention & control ; Humans ; Physical Distancing ; Politics ; Science ; Trust
    Language English
    Publishing date 2021-05-03
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2021.306226
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  3. Article ; Online: Who does COVID-19 hurt most? Perceptions of unequal impact and political implications.

    Gollust, Sarah E / Haselswerdt, Jake

    Social science & medicine (1982)

    2023  Volume 323, Page(s) 115825

    Abstract: ... policy. We find that, on average, people perceived accurately that certain groups (e.g., Black Americans ...

    Abstract While the overall impact of the COVID-19 pandemic on U.S. population health has been devastating, it has not affected everyone equally. The risks of hospitalization and death from the disease are relatively low for the population as a whole, but much higher for specific subpopulations defined by age, health status, and race or ethnicity. The extent to which Americans perceive these disparities is an open question, with potentially important political implications. Recognition of unequal impacts may prime concerns about justice and fairness, making Americans more concerned and willing to support government intervention. On the other hand, belief that the pandemic primarily threatens "other people" or out-groups may reduce, rather than increase, a person's concern. Partisanship and media consumption habits are also likely to play a role in these perceptions, as they do in most issues related to COVID-19. In this paper, we use original survey data from the Cooperative Election Study (N = 1000) to explore Americans' perceptions of which groups are most harmed by the pandemic, the demographic and political determinants of these perceptions, and the relationship of these perceptions with their opinions about COVID-related mitigation policy. We find that, on average, people perceived accurately that certain groups (e.g., Black Americans, older people) were more affected, but these group perceptions varied by demographic and political characteristics of respondents. We find, in contrast with recent experimental evidence, that the perception that populations of color were harmed was associated with more support for pandemic mitigation strategies. More research should investigate the relationships among pandemic politics and the racial dynamics of the target populations most affected.
    MeSH term(s) Aged ; Humans ; Attitude ; Black or African American ; COVID-19/epidemiology ; Ethnicity ; Pandemics ; United States/epidemiology ; Public Opinion ; Health Status Disparities
    Language English
    Publishing date 2023-03-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2023.115825
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  4. Article ; Online: The Perils of Medicalization for Population Health and Health Equity.

    Lantz, Paula M / Goldberg, Daniel S / Gollust, Sarah E

    The Milbank quarterly

    2023  Volume 101, Issue S1, Page(s) 61–82

    Abstract: Policy Points Medicalization is a historical process by which personal, behavioral, and social issues are increasingly viewed through a biomedical lens and "diagnosed and treated" as individual pathologies and problems by medical authorities. ... ...

    Abstract Policy Points Medicalization is a historical process by which personal, behavioral, and social issues are increasingly viewed through a biomedical lens and "diagnosed and treated" as individual pathologies and problems by medical authorities. Medicalization in the United States has led to a conflation of "health" and "health care" and a confusion between individual social needs versus the social, political, and economic determinants of health. The essential and important work of population health science, public health practice, and health policy writ large is being thwarted by a medicalized view of health and an overemphasis on personal health services and the health care delivery system as the major focal point for addressing societal health issues and health inequality. Increased recognition of the negative consequences of a medicalized view of health is essential, with a focus on education and training of clinicians and health care managers, journalists, and policymakers.
    MeSH term(s) Humans ; United States ; Medicalization ; Health Equity ; Health Status Disparities ; Health Policy ; Delivery of Health Care
    Language English
    Publishing date 2023-04-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632829-5
    ISSN 1468-0009 ; 0887-378X
    ISSN (online) 1468-0009
    ISSN 0887-378X
    DOI 10.1111/1468-0009.12619
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  5. Article ; Online: Introduction: Investigating Dimensions of Pandemic Inequity Requires a Multidisciplinary Approach.

    Gollust, Sarah E / Lynch, Julia

    Journal of health politics, policy and law

    2021  Volume 46, Issue 5, Page(s) 755–759

    MeSH term(s) Healthcare Disparities ; Humans ; Pandemics/prevention & control
    Language English
    Publishing date 2021-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 752966-1
    ISSN 1527-1927 ; 0361-6878
    ISSN (online) 1527-1927
    ISSN 0361-6878
    DOI 10.1215/03616878-9155949
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  6. Article ; Online: Introduction to "Subnational COVID-19 Politics and Policy".

    Lynch, Julia / Gollust, Sarah E

    Journal of health politics, policy and law

    2021  Volume 46, Issue 6, Page(s) 925–928

    MeSH term(s) COVID-19 ; Health Policy ; Humans ; Policy ; Politics ; SARS-CoV-2
    Language English
    Publishing date 2021-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 752966-1
    ISSN 1527-1927 ; 0361-6878
    ISSN (online) 1527-1927
    ISSN 0361-6878
    DOI 10.1215/03616878-9349086
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  7. Article ; Online: A crisis in my community? Local-level awareness of the opioid epidemic and political consequences.

    Gollust, Sarah E / Haselswerdt, Jake

    Social science & medicine (1982)

    2021  Volume 291, Page(s) 114497

    Abstract: The opioid epidemic has had a profound effect on American public health, and studies suggest it has had a profound effect on American politics as well. Research suggests a relationship between the severity of the opioid crisis in a community and ... ...

    Abstract The opioid epidemic has had a profound effect on American public health, and studies suggest it has had a profound effect on American politics as well. Research suggests a relationship between the severity of the opioid crisis in a community and aggregate-level political behavior, including voting for Donald Trump in 2016, but there is very little individual-level data establishing the mechanism for this relationship. Using a question on a nationally representative survey fielded after the 2018 election, we explore Americans' perceptions of the severity of the opioid epidemic in their community, and whether these perceptions predict political behavior and attitudes. We find that relative estimates of local opioid overdoses are significantly influenced by the actual county-level overdose death rate, and that the relationship between reality and perception is strongest for the most knowledgeable and informed citizens. There is also evidence that the social construction of the opioid epidemic as a crisis primarily affecting White suburban or rural Americans affects these perceptions, as both White and non-urban respondents are significantly more attentive to objective mortality rates than others. Turning to political behavior, we find no evidence that these estimates affected validated voter turnout or U.S. House vote choice in the 2018 midterm election. Assessing public approval outcomes, we found a nonlinear effect of these estimates on support for President Trump, a pattern which is partially consistent with the existing literature. We also observed that those who believed the opioid epidemic to be worse than average in their communities reported lower approval of their state legislatures, though we found no such relationship for ratings of governors. These findings raise important questions about the micro-level mechanisms that link aggregate-level public health with political outcomes.
    MeSH term(s) Analgesics, Opioid/adverse effects ; Drug Overdose/epidemiology ; Epidemics ; Humans ; Opioid Epidemic ; Politics ; United States/epidemiology
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-10-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2021.114497
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  8. Article ; Online: Unintended consequences of disseminating behavioral health evidence to policymakers: Results from a survey-based experiment.

    Purtle, Jonathan / Nelson, Katherine L / Lê-Scherban, Félice / Gollust, Sarah E

    Implementation research and practice

    2023  Volume 4, Page(s) 26334895231172807

    Abstract: Background: Communication research demonstrates that messages often have unintended consequences, but this work has received limited attention in implementation science. This dissemination experiment sought to determine whether state-tailored policy ... ...

    Abstract Background: Communication research demonstrates that messages often have unintended consequences, but this work has received limited attention in implementation science. This dissemination experiment sought to determine whether state-tailored policy briefs about the behavioral health consequences of adverse childhood experiences (ACEs), compared to national policy briefs on the topic, increased state legislators'/staffers' perceptions of the policy brief relevance and parental blame for the consequences of ACEs, and whether effects differed between Democrats and Republicans.
    Method: A preregistered, web-based survey experiment with U.S. state legislators/staffers was conducted in 2021 (
    Results: The mean policy brief relevance score was 4.1% higher in the intervention than in the control condition (
    Conclusions: Despite limited statistical power, state-tailored policy briefs significantly increased state legislators'/staffers' perceptions of parental blame for the behavioral health consequences of ACEs, relative to a policy brief with national data. Unintended messaging effects warrant greater attention in dissemination research and practice.
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Journal Article
    ISSN 2633-4895
    ISSN (online) 2633-4895
    DOI 10.1177/26334895231172807
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  9. Article ; Online: Excess Medical Care Spending: An Opportunity but a Communication Challenge.

    Niederdeppe, Jeff / Gollust, Sarah E

    American journal of public health

    2020  Volume 110, Issue 12, Page(s) 1753–1754

    MeSH term(s) Communication ; Costs and Cost Analysis ; Health Expenditures ; Humans ; United States
    Language English
    Publishing date 2020-11-11
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2020.305970
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  10. Article ; Online: Effects of exposure to media messages about limiting breast cancer screening: A qualitative experimental study.

    Abdi, Hamdi I / Nagler, Rebekah H / Fowler, Erika Franklin / Gollust, Sarah E

    Patient education and counseling

    2023  Volume 117, Page(s) 107988

    Abstract: Objective: Examine how women aged 35-50 respond to messages about limiting cancer screening.: Methods: A national sample of women aged 35-50 (n = 983) were randomly assigned to read one of four media vignettes: three provided information about ... ...

    Abstract Objective: Examine how women aged 35-50 respond to messages about limiting cancer screening.
    Methods: A national sample of women aged 35-50 (n = 983) were randomly assigned to read one of four media vignettes: three provided information about potential harms of mammograms using evidence, norms, or an anecdote strategy, and one provided no such information. Participants listed thoughts they had about the message, and after coding these themes, we tested for associations between the themes evoked, message exposure, and mammogram history.
    Results: Thematic categories included emotions (8 %); behavioral intentions (14 %); and cognitions, attitudes, and beliefs (67 %). Pro-screening attitudes, questioning, and cues to get screened were most prevalent. The anecdote message often elicited pro-screening attitudes, while the evidence message often elicited negative emotions and anger, as well as questioning or skeptical responses. Those with a history of mammograms expressed more pro-screening attitudes and disagreed with the message more often.
    Conclusions: Media messaging about guideline-supported care, especially when it involves reducing a clinical service that is routine and valued by patients, may evoke counterarguing, skepticism, and other negative responses.
    Practice implications: Clinicians should recognize the role of the media in potentially shaping women's attitudes, beliefs, and intentions when it comes to breast cancer screening.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/diagnosis ; Breast Neoplasms/prevention & control ; Breast Neoplasms/psychology ; Early Detection of Cancer/psychology ; Mammography/psychology ; Attitude to Health ; Health Knowledge, Attitudes, Practice ; Mass Screening/psychology
    Language English
    Publishing date 2023-09-22
    Publishing country Ireland
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2023.107988
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