Local Legal Infrastructure and Population Health

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dc.contributor.authorCostich, Julia F.
dc.contributor.authorPatton, Dana J.
dc.contributor.otherUniversity of Kentucky
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.date.accessioned2023-09-28T19:05:23Z
dc.date.available2023-09-28T19:05:23Z
dc.date.issued2012
dc.description.abstractObjectives. We explored the association between the legal infrastructure of local public health, as expressed in the exercise of local fiscal and legislative authority, and local population health outcomes. Methods. Our unit of analysis was public health jurisdictions with at least 100 000 residents. The dependent variable was jurisdiction premature mortality rates obtained from the Mobilize Action Toward Community Health (MATCH) database. Our primary independent variables represented local public health's legal infrastructure: home rule status, board of health power, county government structure, and type of public health delivery system. Several control variables were included. We used a regression model to test the relationship between the varieties of local public health legal infrastructure identified and population health status. Results. The analyses suggested that public health legal infrastructure, particularly reformed county government, had a significant effect on population health status as a mediator of social determinants of health. Conclusions. Because states shape the legal infrastructure of local public health through power-sharing arrangements, our findings suggested recommendations for state legislation that positions local public health systems for optimal impact. Much more research is needed to elucidate the complex relationships among law, social capital, and population health status. (Am J Public Health. 2012;102:1936-1941. doi:10.2105/AJPH.2012.300656)en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationCostich, J. F., & Patton, D. J. (2012). Local Legal Infrastructure and Population Health. In American Journal of Public Health (Vol. 102, Issue 10, pp. 1936–1941). American Public Health Association. https://doi.org/10.2105/ajph.2012.300656
dc.identifier.doi10.2105/AJPH.2012.300656
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10835
dc.languageEnglish
dc.language.isoen_US
dc.publisherAmerican Public Health Association
dc.subjectSTATE
dc.subjectASSOCIATION
dc.subjectGOVERNMENT
dc.subjectNATIONS
dc.subjectCARE
dc.subjectLAW
dc.subjectPublic, Environmental & Occupational Health
dc.titleLocal Legal Infrastructure and Population Healthen_US
dc.typeArticle
dc.typetext
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