Peter Muennig

Peter Muennig
Columbia University | CU · Department of Health Policy and Management

MD, MPH

About

214
Publications
53,183
Reads
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5,766
Citations
Additional affiliations
January 2011 - present
Columbia University
Position
  • Associate Professor Columbia University
January 2004 - December 2011
Columbia University
Position
  • Professor (Assistant)

Publications

Publications (214)
Article
Full-text available
Suicide is a critical public health problem. Over the past decade, suicide rates have increased among Black and Latinx adults in the U.S. Though depression is the most prevalent psychiatric contributor to suicide risk, Black and Latinx Americans uniquely experience distress and stress (e.g., structural adversity) that can independently operate to w...
Article
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Background Since the 2010 election, the number of laws in the U.S. that create barriers to voting has increased dramatically. These laws may have spillover effects on population health by creating a disconnect between voter preferences and political representation, thereby limiting protective public health policies and funding. We examine whether v...
Article
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Background Few studies have examined the interactions between individual socioeconomic position and neighbourhood deprivation and the findings so far are heterogeneous. Using a large sample of diverse cohorts, we investigated the interaction effect of neighbourhood socioeconomic deprivation and individual socioeconomic position, assessed using educ...
Article
Purpose To assess the association of neighborhood demographic and socioeconomic characteristics with COVID-19 incidence and mortality in New York City (NYC) over the first two waves of outbreak. Methods This retrospective study used neighborhood-level data from 177 modified ZIP code tabulation areas in NYC between 03/01/2020 and 04/30/2021. Resul...
Article
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Objectives: In the United States, Hispanics are more likely to experience financial barriers to mental health care than non-Hispanics. We used a unique survey to study the effect of these financial barriers on the severity of depressive symptoms among Hispanics who had previously been diagnosed as having depression. Methods: This cross-sectional st...
Article
Objective: To quantify students’ risk tolerance for in-person classes and willingness-to-pay for online-only instruction during the COVID-19 pandemic. Participants: 46 Columbia University public health graduate students. Methods: We developed a survey tool with a “standard gamble” exercise administered online by an interactive chat bot with full an...
Article
This study assesses distress and anxiety symptoms associated with quarantine due to COVID-19 exposure among the first quarantined community in the United States and identifies potential areas of intervention. All participants were directly or peripherally related to "patient 1,"-the first confirmed community-acquired case of COVID-19 in the New Yor...
Article
Background: Many states in the United States (US) have introduced barriers to impede voting among individuals from socio-economically disadvantaged groups. This may reduce representation thereby decreasing access to lifesaving goods, such as health insurance. Methods: We used cross-sectional data from 242,727 adults in the 50 states and District of...
Article
Our study examines the association between perceived discrimination due to race and unmet medical needs among a nationally representative sample of children in the United States. We used data from the 2016-2017 National Survey of Children's Health, a population-based cross-sectional survey of randomly selected parents or guardians in the United Sta...
Preprint
Full-text available
Background. As universities around the world decide whether to remain open or to close their campuses because of the COVID-19 pandemic, they often are doing so without objective information on the preferences and risk tolerance of their students. In this study, we aim to quantify students’: 1) risk tolerance for in-person instruction; 2) willingnes...
Preprint
Full-text available
Importance. As universities around the world decide whether to remain open or to close their campuses because of the COVID-19 pandemic, they often are doing so without objective information on the preferences and risk tolerance of their students. Objectives. To quantify: 1) risk tolerance for in-person instruction; 2) willingness to pay for in-pers...
Preprint
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Background. As universities re-open, it is imperative to understand the added value of measures to prevent the transmission of SARS-CoV-2, the virus that causes COVID-19. Methods. We conducted a cost-effectiveness analysis of common public health interventions used by universities to reduce SARS-CoV-2 transmission. We use a Markov model with Monte...
Article
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Objective To estimate the impact of state-level supplements of the Earned Income Tax Credit (EITC) on mortality in the USA. The EITC supplements the wages of lower-income workers by providing larger returns when taxes are filed. Setting Nationwide sample spanning 25 cohorts of people across every state in the USA. Participants 793 000 respondents...
Article
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Antipoverty policies may hold promise as tools to improve health and reduce mortality rates among low-income Americans. We examined the health effects of the New York City Paycheck Plus randomized controlled trial. Paycheck Plus tests the impact of a potential fourfold increase in the Earned Income Tax Credit for low-income Americans without depend...
Article
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Objectives: Since the US Supreme Court's 1973 Roe v. Wade decision legalizing abortion, states have enacted laws restricting access to abortion services. Previous studies suggest that restricting access to abortion is a risk factor for adverse maternal and infant health. The objective of this investigation is to study the relationship between the...
Article
Objectives We examined the relationship between income inequality and the risk for infant/neonatal mortality at the state and county level and tested possible mediators of this relationship.Methods We first linked state and county Gini coefficients to US Vital Statistics 2010 Cohort Linked Birth and Infant Death records (n = 3,954,325). We then fit...
Article
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Funded by the European Commission Horizon 2020 programme, the Lifepath research consortium aimed to investigate the effects of socioeconomic inequalities on the biology of healthy aging. The main research questions included the impact of inequalities on health, the role of behavioral and other risk factors, the underlying biological mechanisms, the...
Article
Introduction The US has among the world’s strictest automobile emissions standards, but it is now loosening them. It is unclear where a nation should draw the line between the associated cost burden imposed by regulations and the broader societal benefits associated with having cleaner air. Our study examines the health benefits and cost-effectiven...
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Americans have significantly poorer health outcomes and shorter longevity than citizens of other industrialized nations. Poverty is a major driver of these poor health outcomes in the United States. Innovative anti-poverty policies may help reduce economic malaise thereby increasing the health and longevity of the most vulnerable Americans. However...
Preprint
The current study assesses anxiety and predictors of anxiety associated with quarantine due to COVID-19 exposure among the first community to be quarantined in the US. Further, potential areas of intervention are identified in order to reduce distress and minimize psychological and physiological sequelae associated with heightened and sustained anx...
Article
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Policy Points Social policies might not only improve economic well-being, but also health. Health policy experts have therefore advocated for investments in social policies both to improve population health and potentially reduce health system costs. Since the 1960s, a large number of social policies have been experimentally evaluated in the United...
Article
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Urbanization is believed to result in a transition towards energy-dense diets, sedentary lifestyles, and a subsequent increase in the burden of hypertension (HTN) and other cardiovascular diseases (CVDs) in developing countries. However, the extent to which this occurs is likely dependent on social contexts. We performed multilevel logistic regress...
Article
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Objectives Fear of crime is associated with adverse mental health outcomes and reduced social interaction independent of crime. Because mental health and social interactions are associated with poor physical health, fear of crime may also be associated with death. The main objective is to determine whether neighbourhood fear is associated with time...
Data
This compressed file contains an Excel spreadsheet with each of the studies and parameter estimates included in the paper. It also includes a .dta file showing the code used to extract and analyze the data in the Excel file.
Article
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Background: United States state-level income inequality is positively associated with infant mortality in ecological studies. We exploit spatiotemporal variations in a large dataset containing individual-level data to conduct a cohort study and to investigate whether current income inequality and increases in income inequality are associated with...
Article
Background Compared to other Organisation for Economic Co-operation and Development (OECD) nations, US infant mortality rates (IMRs) are particularly high. These differences are partially driven by racial disparities, with non-Hispanic black having IMRs that are twice those of non-Hispanic white. Income inequality (the gap between rich and poor) is...
Article
Objectives As nations urbanize, novel ways are needed to manage increasing automobile traffic in city centers. One innovative and efficient way of reducing traffic congestion is to charge automobiles when they enter congested areas of a city, a strategy referred to as congestion pricing. A number of cities worldwide have adopted congestion pricing...
Article
Objectives While ecological studies indicate that high levels of structural racism within US states are associated with elevated infant mortality rates, studies using individual-level data are needed. To determine whether indicators of structural racism are associated with the individual odds for infant mortality among white and black infants in th...
Article
Objectives To examine generational differences in longitudinal blood pressure trajectories by region following socioeconomic transitions, which is important for establishing the population risk of cardiovascular diseases (CVDs). Methods With data from the China Health and Nutrition Survey (1991–2011), we used multilevel growth-curve models to esti...
Article
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Objective The New Rural Cooperative Medical Scheme (NCMS) is a universal healthcare coverage plan now covering over 98% of rural residents in China, first implemented in 2003. Rising costs in the face of modest gains in health and financial protections have raised questions about the cost-effectiveness of the NCMS. Methods Using the most recent es...
Data
Supporting information on the cost-effectiveness analysis of the New Rural Cooperative Medical Scheme in China. (DOCX)
Article
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Background: Autonomous vehicles (AVs) will radically re-shape the health and well-being of people in the United States in good ways and bad. We set out to estimate a reasonable time-to-adoption using cost-effectivenessmodels to estimate the point at which AVs become reasonably safe and affordable for widespread adoption. Methods: We used Waymo d...
Article
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Online advertising: healthier ads promote healthier living People who see specific health-promoting messages after searching online for weight-related terms are more likely to subsequently search for information on weight loss interventions. A team led by Elad Yom-Tov from Microsoft Research Israel in Herzeliya conducted a randomized trial involvin...
Article
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In the original version of the published Article, there was an error in the caption to Table 1 which stated “None of the differences are statistically significant (χ2, two-sided, p > 0.05)”. This has been changed to “The 18–24 year old are over-represented in the all user treatment population, while the 50–64 year old are underrepresented in both t...
Article
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The “Citi Bike” bike share program in New York City is the largest bike share program in the USA. We ask whether expanding this program to lower-income communities is cost-effective means of encouraging exercise and reducing pollution in New York City. We built a stochastic Markov model to evaluate the cost-effectiveness of the Citi Bike expansion...
Article
Although recent declines in life expectancy among non-Hispanic Whites, coined "deaths of despair," grabbed the headlines of most major media outlets, this is neither a recent problem nor is it confined to Whites. The decline in America's health has been described in the public health literature for decades and has long been hypothesized to be attri...
Article
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Background: The outcome of the 2016 presidential election is commonly attributed to socioeconomic and ethnic/racial issues, but health issues, including "deaths of despair," may also have contributed. Objective: To assess whether changes in age-adjusted death rates were independently associated with changes in presidential election voting in 201...
Article
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Objectives: Airports in the U.S. have gradually been transitioning to automated flight systems. These systems generate new flight paths over populated areas. While they can improve flight efficiency, the increased noise associated with these novel flight patterns potentially pose serious health threats to the overflown communities. In this case stu...
Article
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Objective To assess the association of low socioeconomic status and risk factors for non-communicable diseases (diabetes, high alcohol intake, high blood pressure, obesity, physical inactivity, smoking) with loss of physical functioning at older ages. Design Multi-cohort population based study. Setting 37 cohort studies from 24 countries in Europ...
Data
Supplementary information: descriptions of included cohort studies, tables S1-S7, figures S1-S8, and sensitivity analyses using a two step approach
Article
Background Using the 140 speed cameras in New York City (NYC) as a case study, we explore how to optimise the number of cameras such that the most lives can be saved at the lowest cost. Methods A Markov model was built to explore the economic and health impacts of speed camera installations in NYC as well as the optimal number and placement. Both...
Article
Opportunity NYC-Family Rewards was the first conditional cash transfer, randomized controlled trial for low-income families in the United States. From 2007 to 2010, Family Rewards offered 2,377 New York City families cash transfers that were conditional upon their investments in education, preventive health care, and parental employment. Their heal...
Article
This study assesses whether anti-immigrant prejudice at the community level is prospectively associated with mortality. We used 10 waves of data from the General Social Survey (GSS) that were linked to mortality data via the National Death Index (NDI) for the period between 1993 and 2014 (n = 13,242). The 2014 GSS-NDI dataset is a nationally repres...
Article
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Objectives: To examine health benefits and cost-effectiveness of implementing a freeway deck park to increase urban green space. Methods: Using the Cross-Bronx Expressway in New York City as a case study, we explored the cost-effectiveness of implementing deck parks. We built a microsimulation model that included increased exercise, fewer accide...
Article
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Aircraft noise increases the risk of cardiovascular diseases and mental illness. The allowable limit for sound in the vicinity of an airport is 65 decibels (dB) averaged over a 24-hour ‘day and night’ period (DNL) in the United States. We evaluate the trade-off between the cost and the health benefits of changing the regulatory DNL level from 65 dB...
Article
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Vision Zero (VZ) is a public program that aims to have zero fatalities or serious injuries from road traffic crashes. This article examines various major components of VZ: how VZ redefines road safety, how VZ principles and philosophies can be applied to modern car and road designs, and how VZ can be applied to traffic. Applications of these princi...
Article
Policies are large-scale interventions that typically aim to influence behaviors and decision-making across entire populations to obtain a desired outcome. With the rapid increase in Big Data and its growing influence on policy, there is an emerging opportunity to produce meaningful and efficient mechanisms for improving public policy outcomes. How...
Article
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Although sexual activity is commonly believed to be a key component of emotional well-being, little is known about the factors associated with the absence of sexual activity or its associations with self-reported happiness. Using the U.S. General Social Survey-National Death Index 2008 dataset, a series of nationally representative surveys (1988-20...
Article
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Introduction After nearly a century-long trend toward single-family living arrangements, people in wealthy nations are increasingly living in multi-generational households. Multi-generational living arrangements can, in theory, increase psychological, social, and financial capital—factors associated with improvements in health and longevity. Metho...
Article
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We evaluated whether Nurse-Family Partnership might serve as a cost-effective social policy for improving health. Using data from studies of randomized controlled trials as well as real-world data, we conducted a Monte Carlo simulation to estimate cost-effectiveness of Nurse-Family Partnership in a hypothetical cohort of first-born children in the...
Article
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Socioeconomic differences in health have been consistently observed worldwide. Physical health deteriorates more rapidly with age among men and women with lower socioeconomic status (SES) than among those with higher SES. The biological processes underlying these differences are best understood by adopting a life course approach. In this paper we i...
Article
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We examined the association between various measures of subjective social class identification (SSCI) and self-rated health as well as survival using the 2014 General Social Survey-National Death Index dataset (n = 21,108). We used multinomial logistic regression models to assess the association between SSCI and self-rated health and used Cox propo...
Article
Background Neighbourhood slow zones (NSZs) are areas that attempt to slow traffic via speed limits coupled with other measures (eg, speed humps). They appear to reduce traffic crashes and encourage active transportation. We evaluate the cost-effectiveness of NSZs in New York City (NYC), which implemented them in 2011. Methods We examined the effec...
Article
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Background Depression is under-diagnosed and under-treated in most areas of the US. New York City is currently looking to close gaps in identifying and treating depression through the adoption of a screening and collaborative care model deployed throughout the city. Methods We examine the cost-effectiveness of universal two-stage screening with th...
Data
Complete list of costs used in our analysis. All costs were adjusted to constant 2016 dollars. a Source: Arias E. United States life tables, 2011. Natl Vital Stat Rep [Internet]. 2015 Sep;64(11). Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_11.pdf. b Source: New York City Department of Health and Mental Hygiene. 2013–2014 New Yor...
Data
Age-specific probabilities of depression and of death used in our analysis. (DOCX)
Data
The relationship between expected value of perfect information (EVPI, y-axis) and willingness to pay (x-axis) in our cost-effectiveness model. (TIF)
Article
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Background: Vehicle speed changes impact the probability of injuring a pedestrian in ways that differ from the way that it impacts the probability of a collision or of death. Therefore, return on investment in speed reduction programmes has complex and unpredictable manifests. The objective of this study is to analyse the impact of motor vehicle s...
Article
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Many large provider networks are investing heavily in preventing disease within the communities that they serve. We explore the potential benefits and challenges associated with tackling depression at the community level using a unique dataset designed for one such provider network. The economic costs of having depression (increased medical care us...
Article
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Increased income strongly correlates with improved health and lower mortality risk. Yet in spite of having a lower mean and median income, both Hispanics and the foreign-born living within the U.S. have higher longevity compared with native-born, non-Hispanics. We explored the role of structural social capital in conferring protection against poor...
Article
Introduction: The U.S. lags in the nationwide implementation of primary prevention interventions that have been shown to be efficacious. However, the potential population health benefit of widespread implementation of these primary prevention interventions remains unclear. Methods: The meta-analytic literature from October 2013 to March 2014 of...
Article
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Background: Republicans have moved rapidly to repeal the Affordable Care Act, replacing progressive elements of the plan with regressive elements. We draw on an earlier affordability exercise to evaluate how Americans might view these elements of health care reform. Methods: Immediately prior to passage of the ACA, we conducted a telephone survey o...