Kara Zivin

Biographic Data

ID179232
NAMEKara Zivin
GIVEN NAMESKara
FAMILY NAMEZivin
SIGNATUREZIVIN K
AFFILIATIONSUniversity of Michigan
ORCID0000-0001-8246-6864
VERIFIEDYes
TOTAL WORKS38
TOTAL CITATIONS61
AUTHOR COUNT38
EDITOR COUNT0
FIRST PUBLICATION YEAR2007
LATEST PUBLICATION YEAR2026
H-INDEX5

  • “A lot of hoops … to jump through”

    Open AccessElizabeth A Mosley, Annaliese Johnson et al.ARTICLESSM - Qualitative Research in…2026

    Introduction Doula care is cost effective and improves maternal and child health, especially for Medicaid enrollees. Many states reimburse doula care through Medicaid, but coverage varies and it is unclear how doulas have experienced these Medicaid changes. Methods Researchers conducted 16 focus groups with 58 doulas in 4 states with reimbursement and 2 without reimbursement. Transcripts were analyzed using memoing, deductive and inductive coding…

  • Association of Michigan Medicaid's Depression Screening Requirement With Changes in Racial and Ethnic Inequities in Diagnosis and Treatment for Perinatal Mental Health Conditions

    Open AccessIsabel S Platt, Stephanie V Hall et al.ARTICLEWomen s Health Issues2026

  • “Invalidated, dismissed, or minimized

    Open AccessKara Zivin, Molly Harrod et al.ARTICLESSM - Qualitative Research in…2025

    Burnout negatively affects clinicians nationwide, with elevated levels among mental health providers (MHPs) in the Veterans Health Administration (VHA). Female providers bear a disproportionate burden. We sought to examine contextual circumstances affecting workplace experiences and burnout among MHPs and differences by sex. Employing a convergent mixed methods design, we explored factors contributing to negative workplace experiences among MHPs …

  • Health Care Utilization and Costs for Older Adults Aging Into Medicare After the Affordable Care Act

    Open AccessRenuka Tipirneni, Eric T Roberts et al.ARTICLEJAMA Health Forum2025

    This study found modest evidence of reductions in out-of-pocket costs and improvements in health among adults entering Medicare after the ACA. Insurance coverage and financial assistance should be preserved and enhanced to improve health and health care access among vulnerable older adults

  • Association Between Out-of-Pocket Insurance Costs and Psychotherapy Utilization Among Commercially Insured Birthing Individuals

    Open AccessStephanie V Hall, Andrea Pangori et al.ARTICLEWomen s Health Issues2025

  • Addressing Clinician Burnout and Turnover

    Kara ZivinARTICLEMedical Care2025References: 9

  • Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020

    Open AccessDana Beck, Dana C Beck et al.ARTICLEFrontiers in Public Health2024

    Objective: We sought to examine trends in diagnosed behavioral health (BH) conditions [mental health (MH) disorders or substance use disorders (SUD)] among pregnant and postpartum individuals between 2008-2020. We then explored the relationship between BH conditions and race/ethnicity, acknowledging race/ethnicity as a social construct that influences health disparities. Methods: This study included delivering individuals, aged 15-44 years, and c…

  • Trends in Use of Medication to Treat Opioid Use Disorder During the Covid-19 Pandemic in 10 State Medicaid Programs

    Open AccessAnna E Austin, Lu Tang et al.ARTICLEJAMA Health Forum2023

    In this cross-sectional study of Medicaid enrollees, the likelihood of receipt of any MOUD was stable from May 2019 through December 2020 despite concerns about potential COVID-19 pandemic-related disruptions in care. However, immediately after the PHE was declared, there was a reduction in overall MOUD initiations, including a reduction in in-person MOUD initiations that was only partially offset by increased use of telehealth

  • Sociodemographic correlates of greenness within public parks in three U.S. cities

    Open AccessAlan Fossa, Jon Zelner et al.ARTICLEWellbeing Space and Society2023

    Equitable access to urban vegetation (also known as greenness), an environmental determinant of health, is an important environmental justice issue. Researchers often consider parks a source of greenness but there is a lack of research explicitly investigating the sociodemographic correlates of greenness within city parks. Using a high-resolution landcover dataset, publicly available park boundaries, and American Community Survey data, we investi…

  • A life course view on depression

    Open AccessMarilyn Sinkewicz, Ola S Rostant et al.ARTICLESSM - Population Health2022

    Results are consistent with those of other studies demonstrating a U-shaped form of depressive symptoms across the life course. However, a substantial sub-population with persistent depressive symptomatology over adulthood was also identified, whose predictors suggest the need to take a social determinants of health approach to disparities related to serious and persistent mental illness

  • The Association between Nicu Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018

    Open AccessDana Beck, Dana C Beck et al.ARTICLEChildren2022

    Maternal mental health (MH) conditions represent a leading cause of preventable maternal death in the US. Neonatal Intensive Care Unit (NICU) hospitalization influences MH symptoms among postpartum women, but a paucity of research uses national samples to explore this relationship. Using national administrative data, we examined the rates of MH diagnoses of anxiety and/or depression among those with and without an infant admitted to a NICU betwee…

  • From zero to thrive

    Open AccessA L Miller, Sara F Stein et al.ARTICLEInfant Mental Health Journal2022Cited by: 3References: 68

    Early relational health between caregivers and children is foundational for child health and well‐being. Children and caregivers are also embedded within multiple systems and sectors, or a “child‐serving ecosystem”, that shapes child development. Although the COVID‐19 pandemic has made this embeddedness abundantly clear, systems remain siloed and lack coordination. Fostering relational health amongst layers of this ecosystem may be a way to syste…

  • Design, Implementation, and Evolution of the Medicaid Outcomes Distributed Research Network (MODRN)

    Kara Zivin, Lindsay Allen et al.ARTICLEMedical Care2022References: 30

    BACKGROUND: In the US, Medicaid covers over 80 million Americans. Comparing access, quality, and costs across Medicaid programs can provide policymakers with much-needed information. As each Medicaid agency collects its member data, multiple barriers prevent sharing Medicaid data between states. To address this gap, the Medicaid Outcomes Distributed Research Network (MODRN) developed a research network of states to conduct rapid multi-state analy…

  • Perceived sleep quality, coping behavior, and associations with major depression among older adults

    Open AccessRachel S Bergmans, Kara Zivin et al.ARTICLEJournal of Health Psychology2021References: 46

    In older adults, we determined (1) the association of perceived sleep quality with stress-coping behaviors (drinking alcohol, smoking tobacco, medication/drug use, overeating, prayer, exercise, social support, and treatment from a health professional) and (2) whether coping behavior mediated the relationship of perceived sleep quality with depression. Data came from the US Health and Retirement Study 2008-2010 ( n = 1174). Using logistic regressi…

  • Predictors of Veterans Affairs Health Service Utilization by Women Veterans during Pregnancy

    Open AccessRebecca Grekin, Kara Zivin et al.ARTICLEWomen s Health Issues2020

  • Changes in Health Care Access and Utilization for Low-SES Adults Aged 51–64 Years After Medicaid Expansion

    Open AccessRenuka Tipirneni, Helen Levy et al.ARTICLEThe Journals of Gerontology…2020Cited by: 1References: 1

    After Medicaid expansion, low-education status adults aged 51-64 years were more likely to be hospitalized, suggesting poor baseline access to chronic disease management and pent-up demand for hospital services

  • Financial Toll of Untreated Perinatal Mood and Anxiety Disorders Among 2017 Births in the United States

    Dara Lee Luca, Caroline Margiotta et al.ARTICLEAmerican Journal of Public Health2020Cited by: 4References: 57

    Objectives. To estimate the economic burden of untreated perinatal mood and anxiety disorders (PMADs) among 2017 births in the United States. Methods. We developed a mathematical model based on a cost-of-illness approach to estimate the impacts of exposure to untreated PMADs on mothers and children. Our model estimated the costs incurred by mothers and their babies born in 2017, projected from conception through the first 5 years of the birth coh…

  • Food Insecurity and Geriatric Hospitalization

    Open AccessRachel S Bergmans, Briana Mezuk et al.ARTICLEInternational Journal of…2019

    Food insecurity (FI) has been associated with hospitalization, although the pathways underlying this relationship are poorly understood, in part due to the potential for a bidirectional relationship. This study aimed to determine associations of FI with concurrent and future hospitalization among older adults; mediation by depression and; whether hospitalization increased risk of FI. Participants came from the 2012 and 2014 waves of the Health an…

  • Effectiveness of tobacco cessation pharmacotherapy in the Veterans Health Administration

    Sonia A Duffy, Rosalinda V Ignacio et al.ARTICLETobacco Control2018

    The increased quit rates among Veterans treated support the effectiveness and continuation of the VHA tobacco cessation pharmacotherapy policy

  • Relationships Among Caregiving, Income, Gender, and Health

    Tracy Wharton, Kara ZivinARTICLEJournal of Social Service Research2017References: 22

    Although there is substantial evidence to support the impact of burden on caregivers, few studies have compared caregivers to their non-caregiving counterparts on the basis of health and wellbeing outcomes. This study examines the relationship between caregiving and health, and whether other factors may have stronger influence on well-being measures. Using a nationally representative sample of older adults in the United States ( N =3,005), this s…

  • Occupational functioning and employment services use among VA primary care patients with posttraumatic stress disorder

    Open AccessRebecca K Sripada, Jennifer Henry et al.ARTICLEPsychological Trauma Theory…2016

    Although the single site included in the study may not be representative of all VHA primary care clinics, our results suggest that there is high need for and substantial interest in VHA employment services among VHA patients with PTSD. Future work should focus on implementing employment support services for individuals with PTSD in primary care settings. (PsycINFO Database Record

  • Women Veterans with Depression in Veterans Health Administration Primary Care

    Open AccessTeri D Davis, Duncan G Campbell et al.ARTICLEWomen s Health Issues2016

  • Recent Improvements in Cognitive Functioning Among Older U.S. Adults

    Open AccessAmanda Leggett, Amanda N Leggett et al.ARTICLEThe Journals of Gerontology…2016Cited by: 5References: 7

    Compression of cognitive morbidity is seen among the highly educated, and increasing educational opportunities may be an important strategy for decreasing the risk for cognitive impairment in later life

  • Congressional Fellowship Program

    Open AccessKara ZivinARTICLEPS Political Science & Politics2016

    An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button

  • The Association of Depression, Cognitive Impairment Without Dementia, and Dementia With Risk of Ischemic Stroke

    Dimitry S Davydow, Deborah A Levine et al.ARTICLEPsychosomatic Medicine2015

    OBJECTIVE: To determine if depression, cognitive impairment without dementia (CIND), and/or dementia are each independently associated with risk of ischemic stroke and to identify characteristics that could modify these associations. METHODS: This retrospective-cohort study examined a population-based sample of 7031 Americans older than 50 years participating in the Health and Retirement Study (1998-2008) who consented to have their interviews li…