Hannah Cohen-Cline
Biographic Data
| ID | 5543042 |
|---|---|
| NAME | Hannah Cohen-Cline |
| GIVEN NAMES | Hannah |
| FAMILY NAME | Cohen-Cline |
| SIGNATURE | COHEN-CLINE H |
| AFFILIATIONS | Providence Center |
| ORCID | 0000-0003-4607-8762 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 19 |
| WORKS AS AUTHOR | 13 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Housing Insecurity, Behavioral Health Disorders, and Acute Care Utilization
Housing insecurity and substance use disorder (SUD) are critical public health issues in the USA, with significant implications for health outcomes. This study evaluated the intersection of housing insecurity, SUD, and psychosis among Medicaid enrollees in an urban center in Oregon. Using data from Health Share of Oregon, we identified three distinct cohorts-individuals with housing insecurity, those with SUD/psychosis, and those with both condit…
Staff Engagement in the Implementation of a Primary Care Value-Based Payment Program Increases Outpatient Care Utilization
This convergent parallel mixed-methods study examined how a primary care value-based payment (VBP) model affected patient health care use and captured implementation experiences from select clinics. Focusing on outpatient care as a key step to improving outcomes, we used a difference-in-differences model to compare outpatient utilization between PCPM (the VBP model) and non-PCPM clinics, and semi-structured interviews with a subset of participati…
Supporting Stabilization
Three organizations in Clark County, WA, partnered together to implement a pilot program to expand access to personal caregiving services in the homeless crisis response system. The aim of this study is to describe staff and clients' experiences of the program and its impact on clients' daily living activities, health and wellbeing, and housing stability. Using a qualitative descriptive design, semi-structured, in-depth interviews were conducted …
Social and Behavioral Pathways between Adverse Childhood Experiences and Poor Adult Physical Health
Adverse childhood experiences (ACEs) increase the risk of poor health and wellbeing in adulthood. In this study, we tested whether experiences in early adulthood-intimate partner violence (IPV), substance use, social isolation, and work instability-mediate the relationship between ACEs and poor physical health in later adulthood. Using data from a large-scale survey of Medicaid enrollees in the Portland metropolitan area, four separate mediation …
Associations between Adverse Childhood Experiences and Emergency Department Utilization in an Adult Medicaid Population
Adverse childhood experiences (ACEs) are widely prevalent but unevenly distributed in the United States, with disadvantaged groups, especially those with low socioeconomic status, being more likely to experience them. ACEs have been linked to poor health outcomes in adulthood. In this study, we examined the association between ACEs and emergency department (ED) utilization using a cross-sectional life-course survey of low-income adults matched to…
Differences in Outpatient Health Care Utilization 12 Months after Covid-19 Infection by Race/Ethnicity and Community Social Vulnerability
Ensuring access to high-quality outpatient care is an important strategy to improve COVID-19 outcomes, reduce social inequities, and prevent potentially expensive complications of disease. This study assesses the equity of health care response to COVID-19 by examining outpatient care utilization by factors at the individual and community levels in the 12 months prior to and following COVID-19 diagnosis. Employing a retrospective, observational co…
Local Housing Choice Voucher Distribution Policies Impact Healthcare Utilization
While associations between obtaining affordable housing and improved health care are well documented, insufficient funding often forces housing authorities to prioritize limited housing vouchers to specific populations. We assessed the impact of obtaining housing on health care utilization at two urban housing authorities with different distribution policies: Housing Authority A prioritized seniors and people with disabilities, while Housing Auth…
Major disparities in Covid-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
People whose preferred language is not English are at greater risk of testing positive for COVID-19 regardless of age, race/ethnicity, geography, or social factors - demonstrating a significant inequity. Research demonstrates that our public health and healthcare systems are centered on English speakers, creating structural and systemic barriers to health. Addressing these barriers are long overdue and urgent for COVID-19 prevention
Direct and indirect pathways between childhood instability and adult homelessness in a low-income population
There is a homelessness crisis in the United States. Many investments have been made to reverse this crisis including building more affordable housing and providing rent subsidies, which create mechanisms to support people who are currently experiencing homelessness. However, less is known about how to invest upstream to prevent homelessness in the first place. In this paper, we explore the pathway to adult homelessness from childhood instability…
Associations between social capital and depression
Associations between neighbourhood characteristics and depression
BACKGROUND: Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbourhood constructs-socioeconomic deprivation, residential instability and income inequality-and depression among adult twin pairs. …
Access to green space, physical activity and mental health
BACKGROUND: Increasing global urbanisation has resulted in a greater proportion of the world's population becoming exposed to risk factors unique to urban areas, and understanding these effects on public health is essential. The aim of this study was to examine the association between access to green space and mental health among adult twin pairs. METHODS: We used a multilevel random intercept model of same-sex twin pairs (4338 individuals) from …
Use of Interactive Voice Response to Improve Colorectal Cancer Screening
INTRODUCTION: Only 63% of the US population aged 50-75 years is adherent with recommended colorectal cancer (CRC) screening guidelines. Efforts are needed to increase screening for CRC. METHODS: We evaluated a quality improvement intervention conducted in 2010 at Group Health in Washington State to assess the use of interactive voice response (IVR) systems to improve CRC screening. Eligible members were aged 50-81 years, received primary care fro…
Access to green space, physical activity and mental health
BACKGROUND: Increasing global urbanisation has resulted in a greater proportion of the world's population becoming exposed to risk factors unique to urban areas, and understanding these effects on public health is essential. The aim of this study was to examine the association between access to green space and mental health among adult twin pairs. METHODS: We used a multilevel random intercept model of same-sex twin pairs (4338 individuals) from …
Associations between social capital and depression
Associations between neighbourhood characteristics and depression
BACKGROUND: Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbourhood constructs-socioeconomic deprivation, residential instability and income inequality-and depression among adult twin pairs. …
Use of Interactive Voice Response to Improve Colorectal Cancer Screening
INTRODUCTION: Only 63% of the US population aged 50-75 years is adherent with recommended colorectal cancer (CRC) screening guidelines. Efforts are needed to increase screening for CRC. METHODS: We evaluated a quality improvement intervention conducted in 2010 at Group Health in Washington State to assess the use of interactive voice response (IVR) systems to improve CRC screening. Eligible members were aged 50-81 years, received primary care fro…
Access to green space, physical activity and mental health
BACKGROUND: Increasing global urbanisation has resulted in a greater proportion of the world's population becoming exposed to risk factors unique to urban areas, and understanding these effects on public health is essential. The aim of this study was to examine the association between access to green space and mental health among adult twin pairs. METHODS: We used a multilevel random intercept model of same-sex twin pairs (4338 individuals) from …
Associations between social capital and depression
Associations between neighbourhood characteristics and depression
BACKGROUND: Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbourhood constructs-socioeconomic deprivation, residential instability and income inequality-and depression among adult twin pairs. …
Major disparities in Covid-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
People whose preferred language is not English are at greater risk of testing positive for COVID-19 regardless of age, race/ethnicity, geography, or social factors - demonstrating a significant inequity. Research demonstrates that our public health and healthcare systems are centered on English speakers, creating structural and systemic barriers to health. Addressing these barriers are long overdue and urgent for COVID-19 prevention
Direct and indirect pathways between childhood instability and adult homelessness in a low-income population
There is a homelessness crisis in the United States. Many investments have been made to reverse this crisis including building more affordable housing and providing rent subsidies, which create mechanisms to support people who are currently experiencing homelessness. However, less is known about how to invest upstream to prevent homelessness in the first place. In this paper, we explore the pathway to adult homelessness from childhood instability…
Social and Behavioral Pathways between Adverse Childhood Experiences and Poor Adult Physical Health
Adverse childhood experiences (ACEs) increase the risk of poor health and wellbeing in adulthood. In this study, we tested whether experiences in early adulthood-intimate partner violence (IPV), substance use, social isolation, and work instability-mediate the relationship between ACEs and poor physical health in later adulthood. Using data from a large-scale survey of Medicaid enrollees in the Portland metropolitan area, four separate mediation …
Associations between Adverse Childhood Experiences and Emergency Department Utilization in an Adult Medicaid Population
Adverse childhood experiences (ACEs) are widely prevalent but unevenly distributed in the United States, with disadvantaged groups, especially those with low socioeconomic status, being more likely to experience them. ACEs have been linked to poor health outcomes in adulthood. In this study, we examined the association between ACEs and emergency department (ED) utilization using a cross-sectional life-course survey of low-income adults matched to…
Differences in Outpatient Health Care Utilization 12 Months after Covid-19 Infection by Race/Ethnicity and Community Social Vulnerability
Ensuring access to high-quality outpatient care is an important strategy to improve COVID-19 outcomes, reduce social inequities, and prevent potentially expensive complications of disease. This study assesses the equity of health care response to COVID-19 by examining outpatient care utilization by factors at the individual and community levels in the 12 months prior to and following COVID-19 diagnosis. Employing a retrospective, observational co…
Local Housing Choice Voucher Distribution Policies Impact Healthcare Utilization
While associations between obtaining affordable housing and improved health care are well documented, insufficient funding often forces housing authorities to prioritize limited housing vouchers to specific populations. We assessed the impact of obtaining housing on health care utilization at two urban housing authorities with different distribution policies: Housing Authority A prioritized seniors and people with disabilities, while Housing Auth…
Supporting Stabilization
Three organizations in Clark County, WA, partnered together to implement a pilot program to expand access to personal caregiving services in the homeless crisis response system. The aim of this study is to describe staff and clients' experiences of the program and its impact on clients' daily living activities, health and wellbeing, and housing stability. Using a qualitative descriptive design, semi-structured, in-depth interviews were conducted …
Housing Insecurity, Behavioral Health Disorders, and Acute Care Utilization
Housing insecurity and substance use disorder (SUD) are critical public health issues in the USA, with significant implications for health outcomes. This study evaluated the intersection of housing insecurity, SUD, and psychosis among Medicaid enrollees in an urban center in Oregon. Using data from Health Share of Oregon, we identified three distinct cohorts-individuals with housing insecurity, those with SUD/psychosis, and those with both condit…
Staff Engagement in the Implementation of a Primary Care Value-Based Payment Program Increases Outpatient Care Utilization
This convergent parallel mixed-methods study examined how a primary care value-based payment (VBP) model affected patient health care use and captured implementation experiences from select clinics. Focusing on outpatient care as a key step to improving outcomes, we used a difference-in-differences model to compare outpatient utilization between PCPM (the VBP model) and non-PCPM clinics, and semi-structured interviews with a subset of participati…
Medicine (11 works) · Health care (7 works) · Psychology (7 works) · Environmental health (6 works) · Homelessness and Social Issues (6 works) · Health disparities and outcomes (5 works) · Population (5 works) · Psychiatry (5 works) · Urban, Neighborhood, and Segregation Studies (5 works) · Gerontology (4 works)