Charlie Bray
@braycharles.bsky.social
6 followers 6 following 9 posts
Public health researcher @Harvard Med HCP, biostatistician in training @Harvard SPH. Dedicated runner. Minnesotan by birth and virtue, Bostonian by career expedience.
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braycharles.bsky.social
Proud of the work we did here exploring the effects of a quasi-random increase in gun availability on different varieties of gun violence, and thrilled to get a byline! Write-up in Times Ideas based on our study published BMJ:
chrisworsham.com
Our latest piece for TIME Ideas, based on our new study time.com/7277814/gun-...
Reposted by Charlie Bray
nber.org
NBER @nber.org · Feb 15
The US WW2 medical research and development effort catalyzed postwar science, modernized drug discovery, and fueled the postwar National Institutes of Health — reshaping biomedical innovation for decades, from Daniel P. Gross and Bhaven N. Sampat https://www.nber.org/papers/w33457
Reposted by Charlie Bray
Reposted by Charlie Bray
nber.org
NBER @nber.org · Dec 13
ADHD diagnoses among children increase on Halloween, consistent with changes in behavior and highlighting subjectivity in the medical diagnosis, from Christopher Worsham, Charles Bray, and Anupam Jena https://www.nber.org/papers/w33232
Reposted by Charlie Bray
Reposted by Charlie Bray
chrisworsham.com
Check out this great writeup in @planetmoney.bsky.social by @elliswonk.bsky.social about our working paper and the types of cognitive biases that might be affecting medical care surrounding various holidays--or really any day
www.npr.org/sections/pla...
Reposted by Charlie Bray
Reposted by Charlie Bray
wyden.senate.gov
It turns out that the major pharmacies in the U.S. routinely provide patient medical records to law enforcement without a warrant. The potential ramifications of this for anyone on birth control, ordering abortion pills, or medication for mental illness and other personal conditions are staggering.
An infographic showing how major US pharmacies respond to law enforcement requests for patient data
braycharles.bsky.social
Right, they were. That’s not what I’m talking about. When are most births happening, in any generation, has been a fairly fixed window (25-34), but there has been a lot of movement by generation within that window. I’m not deliberating over how long women can give birth
braycharles.bsky.social
No, the same ages are not being compared. Mortality within age range, where the makeup of births by age is unknown within that range, is reported. One gen could have 90% of births at age 25, but another gen could have 90% at age 34 (extreme example), but it would be the “same” group
braycharles.bsky.social
It’s a huge range given the context it’s in. It would be reasonable to splice it finer, or at least tell the audience it’s age-adjusted, because outcomes differ significantly across that range and the report may just be presenting a compositional effect
braycharles.bsky.social
Yes, I’ve seen that too, but if the report’s authors are in fact using the age-adjusted rather than raw statistics, they certainly don’t say so. Not sure how reporting criteria not changing over 10 years is relevant to the cross-generation comparisons—report even says the comparisons may be bunk.
braycharles.bsky.social
Agree, but my point is that the report tries to define a problem—that it’s more dangerous to be pregnant at the *same age* than it was in the past—but does not in fact compare people at the same age to each other. It’s already known that mothers are older now and pregnancy more dangerous as a result
braycharles.bsky.social
That being said, maternal mortality spiked--across all ages--during the pandemic. Clearly not a non-issue! But any problem, if it really is a problem, needs to be captured with apples-to-apples comparisons.
braycharles.bsky.social
Should really be age-adjusted. 25-34 is a huge range (it's much of the fertility window) and we know that a higher % of Millennial women give birth at the high end than past gens. So is it an age--or some other--effect? Along w/changing reporting standards, can we appropriately draw any conclusions?
natebear1.bsky.social
This is unbelievable. The maternal mortality rate for millennials in the US aged 25 to 34 is 230% higher than it was for Gen Xers and 300% higher than it was for baby boomers of the same age
Article clip says there are 30.4 maternal deaths per 100k millennials aged 25 to 34 compared to 21 for the second world war generation, 7.5 for boomers and 9.2 for Gen X
braycharles.bsky.social
Should really be age-adjusted. 25-34 is a huge range (it's most of the fertility window), and we know that a much higher % of Millennial women give birth at the high end than past gens. So is it an age or healthcare effect? Along w/changing reporting standards, it's difficult to draw any conclusions