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Published on: June 13, 2025
Legal Epidemiology: The Science of Law
Tara Ramanathan1, Rachel Hulkower1, Joseph Holbrook1
1Tara Ramanathan, J.D., M.P.H., is the Team Lead for Research and Translation at the Public Health Law Program in the Office for State, Tribal, Local and Territorial Support, U.S. Centers for Disease Control and Prevention. Rachel Hulkower, J.D., M.S.P.H., is a public health analyst through Chenega Professional & Technical Services with the Public Health Law Program in the Office for State, Tribal, Local and Territorial Support, U.S. Centers for Disease Control and Prevention. Joseph Holbrook, Ph.D., M.P.H., is an epidemiologist at the National Center on Birth Defects and Developmental Disabilities, U.S. Centers for Disease Control and Prevention. Matthew Penn, J.D., M.L.I.S., is the Direc¬tor of the Public Health Law Program in the Office for State, Tribal, Local and Territorial Support, U.S. Centers for Disease Control and Prevention.
Abstract:
The importance of legal epidemiology in public health law research has undoubtedly grown over the last five years. Scholars and practitioners together have developed guidance on best practices for the field, including: placing emphasis on transdisciplinary collaborations; creating valid, reliable, and repeatable research; and publishing timely products for use in decision-making and change. Despite the energy and expertise researchers have brought to this important work, they name significant challenges in marshalling the diverse skill sets, quality controls, and funding to implement legal epidemiology activities. The Centers for Disease Control and Prevention (CDC) has worked to develop cross-cutting research and translation on issues of national priority in legal epidemiology, and has explored ways to overcome some of these challenges. As such, this article describes a case study of the use of law to characterize states' prior authorization policies regarding medication used to treat attention-deficit/hyperactivity disorder (ADHD), a central component of a broader effort to improve behavior therapy options for young children with ADHD. This article highlights the types of legal epidemiology work we have undertaken, the application of this work to an emerging public health problem, and the lessons learned in creating impactful research for the field.
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