Many middle-aged adults report dental pain, embarrassment and poor prevention

The dental health of middle-aged Americans faces a lot of problems right now, and an uncertain future to come, according to new results from the University of Michigan National Poll on Healthy Aging.

One in three Americans between the ages of 50 and 64 say they're embarrassed by the condition of their teeth. A slightly larger percentage say dental problems have caused pain, difficulty with eating, missed work or other health problems in the past two years.

The poll results suggest that even those who were diligent about seeing the dentist and had dental insurance throughout adulthood may find it harder to afford dental care as they get older and coverage options may be more limited.

Study finds common surgeries may serve as pathway to non-medical opioid use in adolescents

Research presented at the American Academy of Pediatrics 2017 National Conference and Exhibition shows that post-surgical opioid pain medications prescribed after common surgeries may become a pathway to continued, nonmedical opioid use by teens and young adults.

Gallbladder removal and colon surgery were among procedures associated with highest risk of new persistent opioid use, said lead abstract author  Calista Harbaugh, M.D., an IHPI Scholar, a general surgery resident at the U-M Medical School and pediatric surgery researcher at C.S. Mott Children's Hospital and the Michigan Opioid Prescribing Engagement Network. In addition, the research found older youth with additional chronic conditions, depression, anxiety or prior substance use disorders were at higher risk.

Ripple effect: How hurricanes and other disasters affect hospital care

On a typical day, hospitals can be chaotic. But when a natural disaster hits, occupancy
rates ---- and stress levels of health care workers ---- can be pushed to the limit. Both represent significant barriers to optimal care.

The aftermath of hurricanes Irma and Harvey underscore the need for health care facilities to plan for the worst. "If you're not prepared for sudden surges in demand for acute and emergency care, then you will compromise not only the incoming disaster patients but also existing emergency department and hospitalized patients," says Mahshid Abir, M.D., M.Sc., an assistant professor of emergency medicine and director of the U-M Acute Care Research Unit. Abir and Sue Anne Bell, Ph.D., M.S.N., a U-M clinical associate professor of nursing and an IHPI Scholar - National Clinician Scholar Program, recently spoke with Michigan Health Lab about their work in this area.

Two Americas: Seniors are getting healthier but most gains go to high-income whites

Older Americans report feeling dramatically healthier than they did 14 years ago, but this good health isn't evenly distributed, with much of the gain going to the wealthiest, most highly educated and whites.

The new U-M study, published in JAMA Internal Medicine, found that, overall, the number of older adults who reported good health increased 14 percent over the 2000 --- 2014 study period. That bit of good news didn't particularly surprise lead author Matthew Davis, Ph.D., M.P.H., assistant professor in the U-M School of Nursing, who said those findings are consistent with other studies.

But Davis was particularly struck by the clear health disparities according to race, education and income after adjusting for changes in age and sex, which clearly increased over the study period.

ERs can improve population health in rural areas

Emergency physicians in Michigan propose a new health care delivery model for rural populations that depends on a partnership between emergency medicine and primary care and seeks to reverse the trend of failing health in undeserved parts of the country.

"The traditional urban model of health care has been ineffective at improving rural health," said the paper's lead author, Margaret Greenwood-Ericksen, M.D., M.P.H., IHPI Scholar - National Clinician Scholar Program at U-M. The proposal was published online this week in Annals of Emergency Medicine.

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The Institute brings great minds together to address healthcare's biggest challenges. More than 500 investigators come to IHPI from U-M's top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research organizations.
Kane Low provides expertise on shortage of maternal care providers

Lisa Kane Low, Ph.D., M.S., B.S.N., associate professor of nursing, served as an expert maternal health panelist for the Association of Maternal and Child Health Programs (AMCHP) and NIHCM Foundation webinar on access to maternity care providers.

The webinar focused on the factors behind maternity care provider shortages and shared examples of efforts to address them, such as providing financial incentives to bring more providers to rural and underserved areas and implementing team-based care models that include non-physician health care professionals.

Kane Low presented on behalf of the American College of Nurse Midwives.

Kane Low
Opioid epidemic event in Lansing draws crowd

It was a standing-room-only crowd on September 26 when a trio of U-M researchers who study the nation's opioid crisis from many angles spoke in Lansing at a Wolverine Caucus event organized by U-M's Lansing Service Center. The audience of health providers, policymakers and health plan leaders in the room came to hear Amy Bohnert, Ph.D., Chad Brummett, M.D., and Rebecca Cunningham, M.D. speak about topics ranging from prescribing to overdoses. They also addressed new initiatives based at IHPI that aim to curb overuse and misuse of opioid medications in Michigan and beyond. IHPI director John Ayanian, M.D., M.P.P. moderated the event, which was introduced by State Rep. Yousef Rabhi, a U-M alumnus. A video of the event will be available via the IHPI website soon; live tweets of the event are available by searching Twitter for the hashtag #ihpi17.

L to R: Brummett, Ayanian, Rabhi, Cunningham, and Bohnert
See all upcoming events on our Events page
Opioid Medication Take-Back Events--- September 30

Time: 10:00 a.m. --- 2:00 p.m.
Michigan Locations: Ann Arbor, Commerce, Escanaba, Jackson, Livonia, Pontiac, Saginaw, and Traverse City

The Michigan Opioid Prescribing Engagement Network (Michigan-OPEN) is partnering with hospitals, community organizations, and police departments around the state to host a medication take-back event in several locations on Saturday, September 30. These events give people the opportunity to dispose of unused, unwanted, or expired medications safely and without cost.

U-M Injury Center makes 'safe' happen as hosts of 2017 SAVIR conference

The U-M Injury Center hosted the semi-annual Society for Advancement of Violence and Injury Research (SAVIR) last month. Some 300 researchers, staff, medical and public health practitioners, policymakers, students, and other stakeholders attended. The 2017 conference was devoted to the theme of Innovations and covered topics ranging from the opioid epidemic to youth violence to transportation safety to older adult falls.


The University of Michigan Injury Center is a comprehensive CDC-funded Injury Control Research Center that works to prevent injury through research, education, and outreach. The center has special expertise in the population of teens and young adults (although not exclusively), and in geo-spatial analysis. It focuses on transportation safety, violence interventions, prescription drug misuse, concussion, campus sexual violence, and other injury topics. Working closely with faculty across many disciplines, with regional education and public health partners, and in close coordination with the CDC, it generates and shares new findings about injury prevention that can impact both policy and individual behavior.

The center began in 1997 as the Injury Research Center (founded within the U-M Department of Emergency Medicine), which in 2010 merged with the Center for Injury Prevention among Youth. The Injury Center was designated a CDC-funded Injury Control Research Center in 2012.
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