Sanjay Basu
Datos Biográficos
| ID | 3927461 |
|---|---|
| NOMBRE | Sanjay Basu |
| NOMBRES | Sanjay |
| APELLIDO | Basu |
| FIRMA | BASU S |
| AFILIACIONES | Stanford University |
| ORCID | 0000-0002-0599-6332 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 112 |
| TOTAL DE CITAS | 118 |
| TOTAL COMO AUTOR | 111 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 2009 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 7 |
Projected Health System and Economic Impacts of 2025 Medicaid Policy Proposals
This study uses a microsimulation model to understand broader consequences of the 2025 Budget Reconciliation Bill on health outcomes, health systems, and local economies
Heterogeneity in associations between food insecurity and diabetes outcomes
BACKGROUND: Food insecurity is associated with worse diabetes outcomes, but how that association may vary across individuals is unclear. We sought to better understand possible heterogeneity in the association between food insecurity and diabetes outcomes. METHODS: Longitudinal cohort study of adults with type 2 diabetes assessed for food insecurity in community-based health centres. Diabetes outcomes were haemoglobin A1c (HbA1c), systolic and di…
Updated by Author on 30 June 2025-wl-2931-Credit Growth or NIM
This article studies the implications of robust credit growth for Indian banks, particularly on asset yields, cost of funds and balance sheet composition. The decline in net interest margins (NIM) has been stronger for banks with faster asset growth. Private sector banks earn a higher spread between fresh loans and deposits. We highlight the risks banks face when they alter their portfolio structures in response to pressure on NIM
Burden of disease scenarios for 204 countries and territories, 2022–2050
BACKGROUND: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternativ…
Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021
BACKGROUND: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 ri…
Global fertility in 204 countries and territories, 1950–2021, with forecasts to 2100
BACKGROUND: Accurate assessments of current and future fertility-including overall trends and changing population age structures across countries and regions-are essential to help plan for the profound social, economic, environmental, and geopolitical challenges that these changes will bring. Estimates and projections of fertility are necessary to inform policies involving resource and health-care needs, labour supply, education, gender equality,…
Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021
BACKGROUND: Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mort…
Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (Dalys), and healthy life expectancy (Hale) for 371 diseases and injuries in 204 countries and territor…
BACKGROUND: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to im…
Global, regional, and national burden of disorders affecting the nervous system, 1990–2021
BACKGROUND: Disorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by…
Financing Thresholds for Sustainability of Community Health Worker Programs for Patients Receiving Medicaid Across the United States
States have turned to novel Medicaid financing to pay for community health worker (CHW) programs, often through fee-for-service or capitated payments. We sought to estimate Medicaid payment rates to ensure CHW program sustainability. A microsimulation model was constructed to estimate CHW salaries, equipment, transportation, space, and benefits costs across the U.S. Fee-for-service rates per 30-min CHW visit (code 98960) and capitated rates were …
Reducing non-communicable diseases among Palestinian populations in Gaza
We sought to assess the effectiveness and cost-effectiveness of potential new public health and healthcare NCD risk reduction efforts among Palestinians in Gaza. We created a microsimulation model using: (i) a cross-sectional household survey of NCD risk factors among 4,576 Palestinian adults aged ≥40 years old in Gaza; (ii) a modified Delphi process among local public health experts to identify potentially feasible new interventions; and (iii) r…
Evaluation of Changes in Prices and Purchases Following Implementation of Sugar-Sweetened Beverage Taxes Across the US
In this cross-sectional study, SSB taxes led to substantial, consistent declines in SSB purchases across 5 taxed cities following price increases associated with those taxes. Scaling SSB taxes nationally could yield substantial public health benefits
Estimating the impact of addressing food needs on diabetes outcomes
We estimated that not experiencing food needs may be associated with modestly better diabetes outcomes. These findings support testing interventions that address food needs as part of their mechanism of action
The state of health in the European Union (EU-27) in 2019
There was a clear trend towards improvement in the overall health status of the EU but with differences between countries. EU health policymakers need to address the burden of diseases, paying specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease
Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050
BACKGROUND: Diabetes is one of the leading causes of death and disability worldwide, and affects people regardless of country, age group, or sex. Using the most recent evidentiary and analytical framework from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), we produced location-specific, age-specific, and sex-specific estimates of diabetes prevalence and burden from 1990 to 2021, the proportion of type 1 and type 2 diabetes…
Financing Health Care System Interventions Addressing Social Risks
This Viewpoint discusses the benefits and drawbacks of health care involvement in social risk interventions and presents proposals to finance such involvement
Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health
BACKGROUND: Sustainable Development Goal 3.2 has targeted elimination of preventable child mortality, reduction of neonatal death to less than 12 per 1000 livebirths, and reduction of death of children younger than 5 years to less than 25 per 1000 livebirths, for each country by 2030. To understand current rates, recent trends, and potential trajectories of child mortality for the next decade, we present the Global Burden of Diseases, Injuries, a…
Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019
BACKGROUND: Ending the global tobacco epidemic is a defining challenge in global health. Timely and comprehensive estimates of the prevalence of smoking tobacco use and attributable disease burden are needed to guide tobacco control efforts nationally and globally. METHODS: We estimated the prevalence of smoking tobacco use and attributable disease burden for 204 countries and territories, by age and sex, from 1990 to 2019 as part of the Global B…
Global, regional, and national burden of stroke and its risk factors, 1990–2019
BACKGROUND: Regularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national leve…
Public health impacts of an imminent Red Sea oil spill
The possibility of a massive oil spill in the Red Sea is increasingly likely. The Safer , a deteriorating oil tanker containing 1.1 million barrels of oil, has been deserted near the coast of Yemen since 2015 and threatens environmental catastrophe to a country presently in a humanitarian crisis. Here, we model the immediate public health impacts of a simulated spill. We estimate that all of Yemen's imported fuel through its key Red Sea ports wou…
Racial/Ethnic Disparities in Opioid-Related Mortality in the USA, 1999–2019
Covid-19 in Marginalized Communities
COVID-19 in Marginalized Communities: Shifting From Descriptive to Interventional Research Sanjay BasuMD, PhD Affiliation Sanjay Basu is with the Center for Primary Care, Harvard Medical School, and Ariadne Labs, Boston, MA. CopyRightCorrespondence should be sent to Sanjay Basu, 635 Huntington Ave, Second Floor, Boston, MA 02115 (e-mail: [email protected]). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints" link. …
Global age-sex-specific fertility, mortality, healthy life expectancy (Hale), and population estimates in 204 countries and territories, 1950–2019
BACKGROUND: Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected sub…
Five insights from the Global Burden of Disease Study 2019
The Body Economic
Is wealthier always healthier? The impact of national income level, inequality, and poverty on public health in Latin America
Relationship of Soft Drink Consumption to Global Overweight, Obesity, and Diabetes
Objectives. We estimated the relationship between soft drink consumption and obesity and diabetes worldwide. Methods. We used multivariate linear regression to estimate the association between soft drink consumption and overweight, obesity, and diabetes prevalence in 75 countries, controlling for other foods (cereals, meats, fruits and vegetables, oils, and total calories), income, urbanization, and aging. Data were obtained from the Euromonitor …
Banking crises and mortality during the Great Depression
BACKGROUND: Previous research suggests that the Great Depression led to improvements in public health. However, these studies rely on highly aggregated national data (using fewer than 25 data points) and potentially biased measures of the Great Depression. The authors assess the effects of the Great Depression using city-level estimates of US mortality and an underlying measure of economic crisis, bank suspensions, at the state level. METHODS: Ca…
Ten years after the financial crisis
Sugar-Sweetened Beverage Consumption 3 Years After the Berkeley, California, Sugar-Sweetened Beverage Tax
Objectives. To estimate changes in sugar-sweetened beverage (SSB) and water consumption 3 years after an SSB tax in Berkeley, California, relative to unexposed comparison neighborhoods. Methods. Data came from repeated annual cross-sectional beverage frequency questionnaires from 2014 to 2017 in demographically diverse Berkeley (n = 1513) and comparison (San Francisco and Oakland; n = 3712) neighborhoods. Pretax consumption (2014) was compared wi…
Health Care Capacity and Allocations Among South Africa's Provinces
Objectives. We assessed the determinants of health care funding allocations among South Africa's provinces and their effects on health care from 1996 through 2007. Methods. We performed multivariate regression of funding allocation data against measures of disease burden and health system infrastructure by province. Results. Disease burden was increasingly negatively correlated with funding allocations and explained less than one quarter of the v…
Democracy and growth in divided societies
Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program
Objectives. To examine the association of county-level cost of living with nutrition among low-income Americans. Methods. We used the National Household Food Acquisition and Purchase Survey (2012–2013; n = 14 313; including 5414 persons in households participating in the Supplemental Nutrition Assistance Program [SNAP]) to examine associations between county-level cost-of-living metrics and both food acquisitions and the Healthy Eating Index, wit…
Mining and Risk of Tuberculosis in Sub-Saharan Africa
Objectives. We estimated the relationship between mining and tuberculosis (TB) among countries in sub-Saharan Africa. Methods. We used multivariate regression to estimate the contribution of mining activity to TB incidence, prevalence, and mortality, as well as rates of TB among people living with HIV, with control for economic, health system, and population confounders. Results. Mining production was associated with higher population TB incidenc…
Health systems, health and wealth
Public health impacts of an imminent Red Sea oil spill
The possibility of a massive oil spill in the Red Sea is increasingly likely. The Safer , a deteriorating oil tanker containing 1.1 million barrels of oil, has been deserted near the coast of Yemen since 2015 and threatens environmental catastrophe to a country presently in a humanitarian crisis. Here, we model the immediate public health impacts of a simulated spill. We estimate that all of Yemen's imported fuel through its key Red Sea ports wou…
Palm oil and dietary change
Palm oil is a cooking oil and food ingredient in widespread use in the global food system. However, as a highly saturated fat, palm oil consumption has been associated with negative effects on cardiovascular health, while large scale oil palm production has been linked to deforestation. We construct an innovative fully integrated Macroeconomic-Environmental-Demographic-health (MED-health) model to undertake integrated health, environmental, and e…
Income Volatility
Income Volatility: A Preventable Public Health Threat Affiliation Sanjay Basu MD, PhDSanjay Basu is with the Department of Medicine, Stanford University, Palo Alto, CA.CopyRightCorrespondence should be sent to Sanjay Basu, Assistant Professor, Stanford University School of Medicine, 1070 Arastradero Rd, Office 282, Palo Alto, CA 94304 (e-mail: [email protected]edu). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link. h…
The inverse equity hypothesis
BACKGROUND: It is uncertain whether the inverse equity hypothesis-the idea that new health interventions are initially primarily accessed by the rich, but that inequalities narrow with diffusion to the poor-holds true for cancer screening in low and middle income countries (LMICs).This study examines the relationship between overall coverage and economic inequalities in coverage of cancer screening in four middle-income countries. METHODS: Second…
Are estimates of socioeconomic inequalities in chronic disease artefactually narrowed by self-reported measures of prevalence in low-income and middle-income countries? Findings from the WHO-Sage surv…
BACKGROUND: The use of self-reported measures of chronic disease may substantially underestimate prevalence in low-income and middle-income country settings, especially in groups with lower socioeconomic status (SES). We sought to determine whether socioeconomic inequalities in the prevalence of non-communicable chronic diseases (NCDs) differ if estimated by using symptom-based or criterion-based measures compared with self-reported physician dia…
Racial/Ethnic Disparities in Opioid-Related Mortality in the USA, 1999–2019
Re-evaluating associations between the Supplemental Nutrition Assistance Program participation and body mass index in the context of unmeasured confounders
An alternative mechanism for international health aid
Several public health groups have called for the creation of a global fund for 'social protection'-a fund that produces the international equivalent of domestic tax collection and safety net systems to finance care for the ill and disabled and related health costs. All participating countries would pay into a global fund based on a metric of their ability to pay and withdraw from the common pool based on a metric of their need for funds. We asses…
A Metabolic–Epidemiological Microsimulation Model to Estimate the Changes in Energy Intake and Physical Activity Necessary to Meet the Healthy People 2020 Obesity Objective
Objectives. We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. Methods. We used the National Health and Nutrition Examination Survey (1999–2010) to construct and validate a microsimulation model of the US population aged 10 years and older, for 2010 to 2020. Resul…
The effect of healthcare delivery privatisation on avoidable mortality
BACKGROUND: During the 1990s, Italy privatised a significant portion of its healthcare delivery. The authors compared the effectiveness of private and public sector healthcare delivery in reducing avoidable mortality (deaths that should not occur in the presence of effective medical care). METHODS: The authors calculated the average rate of change in age-standardised avoidable mortality rates in 19 of Italy's regions from 1993 to 2003. Multivaria…
The public health effect of economic crises and alternative policy responses in Europe
The production of consumption
BACKGROUND: Miners in southern Africa experience incident rates of tuberculosis up to ten times greater than the general population. Migration to and from mines may be amplifying tuberculosis epidemics in the general population. DISCUSSION: Migration to and from mineral mines contributes to HIV risks and associated tuberculosis incidence. Health and safety conditions within mines also promote the risk of silicosis (a tuberculosis risk factor) and…
Financing the Millennium Development Goals for health and beyond
Many of the Millennium Development Goals are not being achieved in the world's poorest countries, yet only five years remain until the target date. The financing of these Goals is not merely insufficient; current evidence indicates that the temporary nature of the financing, as well as challenges to coordinating its delivery and directing it to the most needy recipients, hinder achievement of the Goals in countries that may benefit most. Traditio…
Turning a blind eye
While primary care, obstetrical, and surgical services have started to expand in the world's poorest regions, there is only sparse literature on the essential support systems that are required to make these operations function. Diagnostic imaging is critical to effective rural healthcare delivery, yet it has been severely neglected by the academic, public, and private sectors. Currently, a large portion of the world's population lacks access to a…
Protection and public health
Objectives To assess the effect of social spending on population health. Design Multivariate regression analysis was performed to investigate the relationship between age-standardised cause-specific mortality rates and social spending. Mortality data were collected from the European Health for All Database 2009 edition. Social spending per capita in purchasing-power-parity were taken from the OECD Social Expenditure Database (including family sup…
Is wealthier always healthier? The impact of national income level, inequality, and poverty on public health in Latin America
Effects of the 2008 recession on health
Health effects of financial crisis
Mining and Risk of Tuberculosis in Sub-Saharan Africa
Objectives. We estimated the relationship between mining and tuberculosis (TB) among countries in sub-Saharan Africa. Methods. We used multivariate regression to estimate the contribution of mining activity to TB incidence, prevalence, and mortality, as well as rates of TB among people living with HIV, with control for economic, health system, and population confounders. Results. Mining production was associated with higher population TB incidenc…
Stuckler et al. Respond
We welcome the effort by Larson et al. to extend our analysis of inequalities in health care provision in South Africa1 to an external disease-specific agency, the US President's Emergency Plan for AIDS Relief (PEPFAR). Although the analysis is interesting, the authors misleadingly suggest that their findings may be more robust because they used district level data. In fact, they are looking at something quite different. There is no a priori reas…
Health Care Capacity and Allocations Among South Africa's Provinces
Objectives. We assessed the determinants of health care funding allocations among South Africa's provinces and their effects on health care from 1996 through 2007. Methods. We performed multivariate regression of funding allocation data against measures of disease burden and health system infrastructure by province. Results. Disease burden was increasingly negatively correlated with funding allocations and explained less than one quarter of the v…
Democracy and growth in divided societies
Manufacturing Epidemics
Medicine series on Big Food that examines the activities and influence of the food and beverage
Increase in state suicide rates in the USA during economic recession
Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries
Banking crises and mortality during the Great Depression
BACKGROUND: Previous research suggests that the Great Depression led to improvements in public health. However, these studies rely on highly aggregated national data (using fewer than 25 data points) and potentially biased measures of the Great Depression. The authors assess the effects of the Great Depression using city-level estimates of US mortality and an underlying measure of economic crisis, bank suspensions, at the state level. METHODS: Ca…
Health systems, health and wealth
Financial crisis, austerity, and health in Europe
The mental health risks of economic crisis in Spain
BACKGROUND: Nearly all European countries have been affected by the economic crisis that began in 2007, but the consequences have been among the worst in Spain. We investigated the associations of the recession on the frequency of mood, anxiety, somatoform, alcohol-related and eating disorders among those visiting Spanish primary care settings. METHODS: Primary care physicians selected randomized samples of patients attending primary care centres…
Does investment in the health sector promote or inhibit economic growth
BACKGROUND: Is existing provision of health services in Europe affordable during the recession or could cuts damage economic growth? This debate centres on whether government spending has positive or negative effects on economic growth. In this study, we evaluate the economic effects of alternative types of government spending by estimating "fiscal multipliers" (the return on investment for each $1 dollar of government spending). METHODS: Using c…
Association between smoke-free workplace and second-hand smoke exposure at home in India
Implementation of smoke-free legislation in India was associated with a higher proportion of adults reporting a smoke-free home. These findings further strengthen the case for accelerated implementation of Article 8 of the Framework Convention on Tobacco Control (FCTC) in low and middle income countries
Nutritional determinants of worldwide diabetes
Objective Ageing and urbanization leading to sedentary lifestyles have been the major explanations proposed for a dramatic rise in diabetes worldwide and have been the variables used to predict future diabetes rates. However, a transition to Western diets has been suggested as an alternative driver. We sought to determine what socio-economic and dietary factors are the most significant population-level contributors to diabetes prevalence rates in…
Six concerns about the data in aid debates
Is aid helping, hindering, or having no effect on development and health? The answer to this question is highly contested, with proponents on all sides adhering strongly to their competing interpretations. We ask how it is possible for those who are often using the same data to hold such divergent views. Here, we employ an epidemiological perspective and find that, in many cases, the arguments are characterised by methodological weaknesses. There…
Was the Great Depression a cause or correlate of significant mortality declines? An epidemiological response to Granados
Thank you for the opportunity to respond to Dr Granados’ misunderstanding of our paper.1 First, we cannot envisage any plausible mechanism explaining the short-term relationship between the Great Depression and cancer outcomes he describes. Although healthcare can now improve survival for some cancers, and a recession might affect access to care, the Great Depression predated the widespread use of effective cancer treatments. Second, turning to i…
The effect of healthcare delivery privatisation on avoidable mortality
BACKGROUND: During the 1990s, Italy privatised a significant portion of its healthcare delivery. The authors compared the effectiveness of private and public sector healthcare delivery in reducing avoidable mortality (deaths that should not occur in the presence of effective medical care). METHODS: The authors calculated the average rate of change in age-standardised avoidable mortality rates in 19 of Italy's regions from 1993 to 2003. Multivaria…
Medicine (98 obras) · Environmental health (79 obras) · Demography (48 obras) · Population (47 obras) · Economics (46 obras) · Public health (34 obras) · Disease (29 obras) · Burden of disease (28 obras) · Economic growth (28 obras) · Health disparities and outcomes (27 obras)