(Dis)honorably discharged: identifying policy gaps in military-civilian reintegration.

Despite the substantial transition assistance available for honorably separating servicemembers, 75% of US veterans report difficulties with the transition to civilian life. For the 16% of veterans who separate with less-than-honorable discharges, these difficulties are compounded by the lack of structural support from the US military. Social stigma, limited transition programming, and loss of benefits create a perfect storm of barriers for these discharged servicemembers. These barriers compound with post-service mental and physical health challenges to contribute to cycles of misconduct that can result in criminal incarceration. Further, because most of these veterans lack health benefits from the Department of Veterans Affairs due to their discharge status, this population is substantially understudied from a public health perspective. However, actionable policy paths forward and federal policy change offer opportunity to soften the landing for these veterans and meet their legitimate needs for care.

From Philosophy to Practice: Designing a Multi-Method, Multi-Stage Program Evaluation of the Wisconsin Domestic Violence Housing First Pilot Program.

Safe and secure housing is a pressing concern for survivors of domestic violence (DV). Domestic Violence Housing First (DVHF) is a policy that serves DV survivors' needs by removing barriers to housing stability via flexible financial assistance, mobile advocacy, trauma-informed practice, and partnerships with community housing providers. In this paper, we outline a study protocol developed to evaluate the efficacy of the Wisconsin Domestic Violence Housing First Pilot Program (WI-DVHF). Funding was provided to 9 social service programs across the state and implemented in novel ways. We develop a multi-site, multi-level, longitudinal analysis of WI-DVHF at the individual, site, and community levels. WI-DVHF includes 4 elements differentiating it from previous studies, including analysis of DVHF in rural and urban locations, unique implementation across different sites, and access to a WI rental education program. We also include data from comparable non-WI-DVHF sites and clients served during the study period. This will address concerns about comparing survivors within a site as DVHF funding may free up funds that can benefit other survivors at that site and to better understand the general challenges and trends these organizations face during the study period. The US housing crisis emphasizes the importance of identifying unique and flexible ways to meet the housing needs of DV survivors. This study highlights the potential for DVHF to improve the lives of survivors, and its adaptability to previously understudied cultural groups and across the rural-urban divide. Further, WI-DVHF funds may positively benefit other programs and participants within a site by freeing up valuable space in DV shelters and other resources.

Agricultural intensification and childhood cancer in Brazil.

Over the last several decades, Brazil has become both the world's leading soy producer and the world's leading consumer of hazardous pesticides. Despite identified links between pesticide exposure and carcinogenesis, there has been little population-level research on the effects of pesticide intensification on broader human health in Brazil. We estimate the relationship between expanded soy production-and related community exposure to pesticides-on childhood cancer incidence using 15 y of data on disease mortality. We find a statistically significant increase in pediatric leukemia following expanded local soy production, but timely access to treatment mitigates this relationship. We show that pesticide exposure likely occurs via water supply penetration. Our findings represent only the tip of the iceberg for substantial health externalities of high-input crop production and land use change. Our results are of particular interest in developing contexts with demand for intensified food production systems and underscore the need for stronger regulation of pesticides and increased public health attention to exposure in the broader community.

Prisons and COVID-19 Spread in the United States.

Objectives. To empirically evaluate the relationship between presence of a state or federal prison and COVID-19 case and death counts. Methods. We merged data on locations of federal and state prisons and of local and county jails with daily case and death counts in the United States. We used a selection-on-observables design to estimate the correlation between prisons and COVID-19 spread, controlling for known correlates of COVID-19. Results. We found empirical evidence that the presence and capacities of prisons are strong correlates of county-level COVID-19 case counts. The presence of a state or federal prison in a county corresponded with a 9% increase in the COVID-19 case count during the first wave of the pandemic, ending July 1, 2020. Conclusions. Our results suggest that the public health implications of these facilities extend beyond the health of employees and incarcerated individuals, and policymakers should explicitly consider the public health concerns posed by these facilities when developing pandemic-response policy.