Who votes for public health? U.S. senator characteristics associated with voting in concordance with public health policy recommendations (1998-2013).
Who votes for public health? U.S. senator characteristics associated with voting in concordance with public health policy recommendations (1998-2013).
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DOI：
10.1016/j.ssmph.2016.12.011
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发表时间：
2017-12
期刊：
影响因子：
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通讯作者：
Hand A
中科院分区：
文献类型：
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作者：
Purtle J;Goldstein ND;Edson E;Hand A
当选官员的投票行为塑造了公众的健康。然而，很少有人知道当选官员的特点，他们根据公共卫生政策的建议投票。本文介绍的研究结果进行的目的是：1）测试的假设，美国民主党参议员投票一致，美国公共卫生协会（APHA）的政策建议比美国共和党参议员更频繁，2）确定美国参议员的特征独立相关的投票一致性与APHA，和3）评估的趋势APHA投票一致性的政党。我们创建了一个立法数据集，其中包含184名美国参议员在1998年至2013年期间对111项立法提案的1434张选票。混合效应线性回归模型被用来估计独立的贡献，政党，性别，地理区域和年度影响年度APHA投票一致性。投票被嵌套在参议员中，参议员被嵌套在州内以考虑非独立性，模型被认为是数据中时间和空间模式的潜力。调整协变量并考虑序列和空间自相关，民主党人在年度APHA投票一致性方面平均比共和党人高出59.1个百分点（95% CI：55.5，62.7），女性平均比男性高7.1个百分点（95%CI：1.9，12.3），东北部参议员平均比南部参议员高16.1个百分点（95%CI：9.1，23.1）。当选官员的政党归属、性别和地理区域与公共卫生投票决定独立相关，在制定和调整基于科学的政策传播战略时应予以考虑。我们创建了一个立法数据集，其中包含184名美国参议员在1998年至2013年期间对111项公共卫生政策提案的1434次投票。在调整后的模型中，民主党参议员的年度公共卫生政策建议投票一致性平均比共和党参议员高59.1个百分点，女性参议员平均比男性参议员高7.1个百分点，东北部参议员平均比南方参议员高16.1个百分点。在美国参议院，公共卫生政策投票在政治上是两极分化的，但参议员的性别和地理区域特征也与公共卫生投票有关。
The voting behaviors of elected officials shape the public's health. Little is known, however, about the characteristics of elected officials who vote in concordance with public health policy recommendations. This article presents the results of study conducted with the aims of: 1) testing the hypothesis that US Democrat Senators vote in concordance with American Public Health Association (APHA) policy recommendations more frequently than US Republican Senators, 2) identifying US Senator characteristics independently associated with voting in concordance with APHA, and 3) assessing trends in APHA voting concordance by political party. We created a legislative dataset of 1434 votes cast on 111 legislative proposals by 184 US Senators during the years 1998 through 2013. Mixed effects linear regression models were used to estimate the independent contributions of political party, gender, geographic region, and year effects to annual APHA voting concordance. Votes were nested within Senators who were nested within States to account for non-independence and models considered potential for time and spatial patterns in the data. Adjusting for covariates and accounting for serial and spatial autocorrelation, Democrats averaged 59.1 percentage points higher in annual APHA voting concordance than Republicans (95% CI: 55.5, 62.7), females averaged 7.1 percentage points higher than males (95% CI: 1.9, 12.3), and Northeastern Senators averaged 16.1 percentage points higher than Southern Senators (95% CI: 9.1, 23.1). Elected official's political party affiliation, gender, and geographic region are independently associated with public health voting decisions and should be considered when targeting and tailoring science-based policy dissemination strategies. We created a legislative dataset of 1434 votes cast on 111 public health policy proposals by 184 US Senators during the years 1998 through 2013. In adjusted models, Democrat Senators averaged 59.1 percentage points higher in annual public health policy recommendation voting concordance than Republican Senators, females Senators averaged 7.1 percentage points higher than male Senators, and Northeast Senators averaged 16.1 percentage points higher than Southern Senators. Public health policy voting is politically polarized in the US Senate, but Senator characteristics of gender and geographic region are also associated with public health voting.