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Related Experiment Video

Updated: Jul 14, 2026

High-Throughput Bioprinting Method for Modeling Vascular Permeability in Standard Six-well Plates with Size and Pattern Flexibility
07:41

High-Throughput Bioprinting Method for Modeling Vascular Permeability in Standard Six-well Plates with Size and Pattern Flexibility

Published on: August 16, 2024

Permeable Boundaries: How Neighboring States' Policy Environments Shape Local Mortality Rates in the United States.

Heeyoung Lee1

  • 1University at Albany, State University of New York, USA.

Journal of Health and Social Behavior
|July 13, 2026
PubMed
Summary

State policies significantly impact county mortality rates. Neighboring states' policies create cross-border health spillovers, influencing local mortality outcomes and affecting policy effect estimations.

Keywords:
United Statesmortalitypolicy liberalismspatial spillover effectsstate policy

Related Experiment Videos

Last Updated: Jul 14, 2026

High-Throughput Bioprinting Method for Modeling Vascular Permeability in Standard Six-well Plates with Size and Pattern Flexibility
07:41

High-Throughput Bioprinting Method for Modeling Vascular Permeability in Standard Six-well Plates with Size and Pattern Flexibility

Published on: August 16, 2024

Area of Science:

  • Public Health
  • Health Policy
  • Spatial Analysis

Background:

  • State policy environments are linked to county-level health outcomes.
  • Understanding spatial spillover effects is crucial for accurate policy impact assessment.
  • Previous research has not fully accounted for cross-border policy influences on mortality.

Purpose of the Study:

  • To examine the spatial spillover effects of state policy environments on county-level mortality rates.
  • To quantify the impact of neighboring states' policies on mortality.
  • To assess how spatial spillovers affect the estimated direct effects of state policies.

Main Methods:

  • Analysis of 3,094 U.S. counties from 2015 to 2019.
  • Development of a weighted spatial difference score to measure policy contrasts between neighboring states.
  • Inclusion of geographic proximity to state borders in the analysis.

Main Results:

  • More liberal state policies are associated with significantly lower mortality rates.
  • Counties bordering states with more liberal policies exhibited lower mortality.
  • Counties bordering states with more conservative policies exhibited higher mortality (11.8 additional deaths per 100,000 per 1 SD policy contrast).

Conclusions:

  • Spatial spillovers from neighboring state policies significantly affect county mortality rates.
  • Ignoring spatial spillovers leads to underestimation of direct policy effects by 24.8%.
  • Accurate assessment of policy interventions' health returns requires accounting for spatial spillover effects.