The Muskie School of Public Service is Maine’s distinguished public policy school, combining an extensive applied research and technical assistance portfolio with rigorous undergraduate degree programs in geography-anthropology (GYA) and tourism & hospitality (TAH), and graduate programs in public health (MPH) and policy, planning, and management (MPPM). The School’s faculty and staff bring a practical, innovative approach to health, social, environmental, community, and economic development problems, and a commitment to spanning traditional boundaries among university, government, and nonprofit organizations. The School’s research and public service programs provide faculty and students with real-life experiences that expand and inform the educational experience. The Muskie School is also home to the Catherine E. Cutler Institute for Health and Social Policy.

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Publications from 2019

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Availability of Services Related to Achieving Pregnancy in U.S. Publicly Funded Family Planning Clinics, Ana Carolina Loyola Briceno MPH; Katherine A. Ahrens PhD; Marie E. Thoma PhD, MPH; and Susan Moskowsky

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The Health Care Costs of Financial Exploitation in Maine, Kimberly I. Snow MHSA, Yvonne Jonk PhD, Deborah Thayer MBA, Catherine McGuire BS, Stuart Bratesman MPP, Charles A. Smith PhD, and Erika C. Ziller PhD

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Advancing Tobacco Prevention and Control in Rural America, Jean A. Talbot PhD; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Frances Jimenez; Nathan Paluso MPH; Louisa Munk; Jaclyn Janis BSN, RN; and Paula F. Clayton MS, RDN, LD

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Advancing Tobacco Prevention and Control in Rural America: Executive Summary, Jean A. Talbot PhD; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Frances Jimenez; Nathan Paluso MPH; Louisa Munk; Jaclyn Janis BSN, RN; and Paula F. Clayton MS, RDN, LD

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Beyond birth outcomes: Interpregnancy interval and injury-related infant mortality, Marie E. Thoma, Lauren M. Rosen, Dane A. De Silva, Margaret Warner, Alan E. Simon, Susan Moskosky, and Katherine A. Ahrens PhD

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Cardiovascular Health of Mothers in the United States: National Health and Nutrition Examination Survey 2007-2014, Catherine J. Vladutiu, Katherine A. Ahrens PhD, Sarah Verbiest, M. Kathryn Menard, and Alison M. Stuebe

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Growing Up Rural [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

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How Did We Get Here? Rural Health Challenges in America [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

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Rural Health in Maine and America vs. the World, Erika C. Ziller PhD and Yvonne Jonk PhD

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Preventive Health Service Use among Rural Women, Erika C. Ziller PhD; Jennifer D. Lenardson MHS; Nathan Paluso MPH; and Jaclyn Janis BSN, RN

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Rural-Urban Differences in the Decline of Adolescent Cigarette Smoking., Erika C. Ziller PhD, Jennifer D. Lenardson MHS, Nathan Paluso MPH, Jean A. Talbot PhD, and Angela Daley PhD

Publications from 2018

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Birth spacing in the United States - Towards Evidence-Based Recommendations, Katherine A. Ahrens PhD and Jennifer A. Hutcheon

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Optimal Birth Spacing: What Can We Measure and What Do We Want to Know?, Katherine A. Ahrens PhD and Jennifer A. Hutcheon

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Report of the Office of Population Affairs Expert Work Group Meeting on Short Birth Spacing and Adverse Pregnancy Outcomes: Methodological quality of existing studies and future directions for research, Katherine A. Ahrens PhD, Jennifer A. Hutcheon, Cande V. Anath, Olga Basso, Peter A. Briss, Cynthia D. Ferré, Brittni N. Frederiksen, Sam Harper, Sonia Hernández-Díaz DrPH, Ashley H. Hirai, Russell S. Kirby, Mark A. Klebanoff, Laura Lindberg, Sunni L. Mumford, Heidi D. Nelson, Robert W. Platt, Laura M. Rossen, Alison M. Stuebe, Marie E. Thoma, Catherine J. Vladitiu, and Susan Moskosky

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Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, Katherine A. Ahrens PhD and Susan B. Moskosky MS

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Short Interpregnancy Intervals and Adverse Perinatal Outcomes in High-Resource Settings: An updated systematic review, Katherine A. Ahrens PhD, Heidi Nelson, Reva L. Stidd, Susan Moskosky, and Jennifer A. Hutcheon

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Unintended Pregnancy and Interpregnancy Interval by Maternal Age, National Survey of Family Growth, Katherine A. Ahrens PhD, Maria E. Thoma PhD, Casey E. Copen, Brittni N. Frederiksen, Emily J. Decker, and Susan Moskosky MS

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Trends in health insurance coverage of Title X Family Planning Program clients, 2005-2015, Emily J. Decker MPH, Katherine A. Ahrens PhD, Christina I. Fowler PhD, Marion Carter PhD, Loretta Gavin PhD, and Susan Moskosky MS

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Clinic-Based Programs to Prevent Repeat Teen Pregnancy: A systematic review, Brittni N. Frederiksen PhD, MPH; Katherine A. Ahrens PhD; Maria I. Rivera MPH; Nikita M. Malcolm; Anna W. Brittain MHS; Julia M. Rollison PhD, MPH; and Susan B. Moskosky MS

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Good Practices for the Design, Analysis, and Interpretation of Observational Studies on Birth Spacing and Perinatal Health Outcomes, Jennifer A. Hutcheon, Susan Moskosky, Cande V. Ananth, Olga Basso, Peter A. Briss, Cynthia D. Ferré, Brittni N. Frederiksen, Sam Harper, Sonia Hernández-Díaz DrPH, Ashley H. Hirai, Russell S. Kirby, Mark A. Klebanoff, Laura Lindberg, Sunni L. Mumford, Heidi D. Nelson, Robert W. Platt, Lauren M. Rossen, Alison M. Stuebe, Marie E. Thoma, Catherine J. Vladutiu, and Katherine A. Ahrens PhD

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Parity Associated With Telomere Length Among US Reproductive Age Women, A. Z. Pollack, K. Rivers, and Katherine A. Ahrens PhD

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Trends in Risk of Pregnancy Loss Among US Women, 1990-2011, Lauren M. Rossen PhD, Katherine A. Ahrens PhD, and Amy M. Branum

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Placental Tissue Collection, Processing, and Measurement Procedures for Application in Large Scale Assessment of Placental Inflammation, Lindsey A. Sjaarda PhD, Katherine A. Ahrens PhD, Daniel L. Kuhr, TIffany L. Holland, Ukpebo R. Omoshigo, Brian T. Steffan, Natalie K. Weir, Hannah K. Tollman, Robert M. Silver, Michael Y. Tsai, and Enrique F. Schisterman

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Low-Income, Uninsured Mainers Face Substantial Challenges Getting Health Care, Erika C. Ziller PhD, Amanda Burgess MPPM, and Barbara Leonard MPH

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Health Equity Challenges in Rural America, Erika C. Ziller PhD and Andrew F. Coburn PhD

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Access to Health Care Services for Adults in Maine [Policy Brief], Erika C. Ziller PhD, Barbara Leonard MPH, Amanda Burgess MPPM, and Nathan Paluso MPH

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Medicaid Income Eligibility Transitions Among Rural Adults, Erika C. Ziller PhD, Deborah Thayer, and Jennifer D. Lenardson MHS

Publications from 2017

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Reducing Unintended Pregnancies as a Strategy to Avert Zika-Related Microcephaly Births in the United States: A Simulation Study, Katherine A. Ahrens PhD, Jennifer A. Hutcheon, Loretta E. Gavin, and Susan Moskosky MS

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Birth Order and Injury-Related Infant Mortality in the United States, Katherine A. Ahrens PhD, Lauren M. Rossen PhD, Maria E. Thoma PhD, Margaret Warner PhD, and Alan E. Simon MD

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Interpregnancy Interval and Adverse Pregnancy Outcomes: An Analysis of Successive Pregnancies, Katherine A. Ahrens PhD, Marie E. Thoma PhD, and Lauren M. Rossen PhD

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Plurality of Birth and Infant Mortality Due to External Causes in the United States, 2000-2010, Katherine A. Ahrens PhD, Marie E. Thoma PhD, Lauren M. Rossen PhD, Margaret Warner PhD, and Alan E. Simon PhD

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Growing Portland: Not Whether, but How, Richard Barringer PhD and Joseph McDonnell PhD

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Greater Portland Tomorrow: Choices for Sustained Prosperity, Richard Barringer PhD, Joseph McDonnell PhD, and Frank O'Hara

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Does Contraceptive Use in the United States Meet Global Goals?, Brittni N. Frederiksen, Katherine A. Ahrens PhD, Susan B. Moskosky MS, and Loretta Gavin

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Future Directions in Performance Measures for Contraceptive Care: A Proposed Framework, Loretta E. Gavin, Katherine A. Ahrens PhD, Christine Dehlendorf, Brittni N. Frederiksen, and Susan Moskosky

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Update: Providing Quality Family Planning Services - Recommendations From CDC and the U.S. Office of Population Affairs, 2017, Loretta E. Gavin PhD, Karen Pazol PhD, and Katherine A. Ahrens PhD

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Financial Exploitation of Maine's Older Adults: An Analysis of Maine Adult Protective Services and Legal Services for the Elderly Case Records, State Fiscal Years 2010-2016, Eileen Griffin JD; Catherine McGuire BS; and Kimberly I. Snow MHSA, BA

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Receipt of Selected Preventive Health Services for Women and Men of Reproductive Age - United States, 2011-2013, Karen Pazol PhD, Cheryl L. Roberts PhD, Lindsey I. Black MPH, Katherine A. Ahrens PhD, Kimberly Daniel PhD, Anjani Chandra PhD, Anjel Vahratian PhD, and Loretta E. Gavin PhD

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Collinearity and Causal Diagrams: A Lesson on the Importance of Model Specification, Enrique F. Schisterman, Neil J. Perkins, Sunni L. Mumford PhD, Katherine A. Ahrens PhD, and Emily M. Mitchell

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Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents, Erika C. Ziller PhD

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The Role of Public versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Amanda Burgess MPPM

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Mental Health Status and Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD and Barbara Leonard MPH

Publications from 2016

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Pregnancy Loss History at First Parity and Selected Adverse Pregnancy Outcomes, Katherine A. Ahrens PhD

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Housing Assistance and Blood Lead Levels: Children in the United States, 2005–2012, Katherine A. Ahrens PhD, Barbara A. Haley PhD, Lauren M. Rossen PhD, Patricia C. Lloyd PhD, and Yutaka Aoki PhD

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Relationship Between Mean Leucocyte Telomere Length and Measures of Allostatic Load in US Reproductive‐Aged Women, NHANES 1999–2002, Katherine A. Ahrens PhD, Lauren M. Rossen PhD, and Alan E. Simon PhD

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Complications and safety of preconception low-dose aspirin among women with prior pregnancy losses, Katherine A. Ahrens PhD, Robert M. Silver MD, Sunni L. Mumford PhD, Lindsey A. Sjaarda PhD, Neil J. Perkins PhD, Jean Wactawski-Wende PhD, Noya Galai PhD, Janet M. Townsend MD, Anne M. Lynch MD, Laurie L. Lesher MBA, David Faraggi PhD, Svetha M. Jarek MD, and Enrique F. Schisterman PhD

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Trends in Timing of Pregnancy Awareness Among US Women, Amy M. Branum and Katherine A. Ahrens PhD

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Financial Alignment Initiative Annual Report: One Care: MassHealth plus Medicare, Elizabeth Gattine JD, Julie Fralich MBA, Maureen Booth MA, Angela Greene MS, Wayne Anderson PhD, Melissa Morley PhD, Matthew Toth PhD, Joyce Wang MPH, David Kaiser MA, and Amy Chepaitis PhD

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Rural Opioid Abuse: Prevalence and User Characteristics, Jennifer D. Lenardson MHS, John A. Gale MS, and Erika C. Ziller PhD

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Fostering Citizen Stewardship for Maine’s Freshwater Lakes, Firooza Pavri