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dc.contributor.advisorLindrooth, Richard C.
dc.contributor.advisorBattaglia, Catherine
dc.contributor.authorRichardson, Zachary Samuel
dc.contributor.committeememberArgys, Laura M.
dc.contributor.committeememberMcManus, Beth M.
dc.contributor.committeememberBrooks, Elizabeth
dc.date.accessioned2019-05-17T20:03:30Z
dc.date.available2021-05-16T19:43:49Z
dc.date.submitted2019
dc.descriptionIncludes bibliographical references.
dc.descriptionSpring
dc.description.abstractPolicy analysis as a tool for determining the effects of health outcomes is an increasingly common practice but has been limited in scope to considering largely federal or state law changes only. My dissertation demonstrates the versatility of policy analysis beyond the typical federal and/or state studies by examining the impact of different policy changes on health outcomes at the county, zip code, and industry levels. Each of my three studies meaningfully adds to the literature in their specific area of interest. Combined, the three studies I complete, demonstrate the versatility of policy analysis regardless if the change occurs at the federal, state, local, or industry level, and regardless of the health outcome the policy change could affect. Using the traditional natural experiment framework, I first examine the impact of racetrack casino openings post commercial gambling legalization on individual alcohol use, alcohol abuse, and alcohol-impaired-driving fatalities. Findings from this study suggest that the opening of racetrack casinos post commercial gambling legalization is associated with significant increases in multiple binge drinking occasions, heaving drinking among males, and fatal driving crashes where at least one driver has a positive blood-alcohol-consumption-level. My second study estimates the effect of gambling legalization and increased casino access on individual financial health. I estimate that gambling legalization and increased casino access significantly increases the likelihood of an individual having at least one account severely delinquent, the number of accounts severely delinquent, and decreases an individual’s credit score. Given the significant links between financial distress and mental illness, these findings suggest that gambling legalization and increased casino access may have larger overall social costs in the form of increased mental illnesses. In my final study I look at an industry specific policy change, the NFL and NCAA’s rule changes for kickoffs, and the effect this change has on specific health outcomes, changes in concussions and other injuries within the NFL. Using a natural experiment framework, I find that the NFL’s kickoff rule change is associated with fewer kickoff returns which led to a significant reduction in the number of concussions post rule change.
dc.identifierRichardson_ucdenveramc_1639D_10633.pdf
dc.identifier.urihttps://hdl.handle.net/10968/3455
dc.languageEnglish
dc.publisherUniversity of Colorado at Denver, Anschutz Medical Campus. Health Sciences Library
dc.rightsCopyright of the original work is retained by the author.
dc.rights.accessEmbargo Expires: 05/16/2021
dc.subjectFinancial Health
dc.subjectFootball
dc.subject.meshGambling
dc.subject.meshPolicy Making
dc.subject.meshMental Health
dc.subject.meshBrain Concussion
dc.titleApplications of policy analysis on health outcomes
dc.typeThesis
dcterms.embargo.expires2021-05-16
thesis.degree.disciplineHealth Services Research
thesis.degree.grantorUniversity of Colorado at Denver, Anschutz Medical Campus
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy (Ph.D.)


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