Racial and Ethnic Disparities in the Lifetime Prevalence of Homelessness in the United States

Homelessness in the United States is often examined using cross-sectional, point-in-time samples. Any experience of homelessness is a risk factor for adverse outcomes, so it is also useful to understand the incidence of homelessness over longer periods. We estimate the lifetime prevalence of homelessness among members of the Baby Boom cohort (n = 6,545) using the 2012 and 2014 waves of the Health and Retirement Study (HRS), a nationally representative survey of older Americans. Our analysis indicates that 6.2 % of respondents had a period of homelessness at some point in their lives. We also identify dramatic disparities in lifetime incidence of homelessness by racial and ethnic subgroups. Rates of homelessness were higher for non-Hispanic blacks (16.8 %) or Hispanics of any race (8.1 %) than for non-Hispanic whites (4.8 %; all differences significant with p < .05). The black-white gap, but not the Hispanic-white gap, remained significant after adjustment for covariates such as education, veteran status, and geographic region.     

Comparing Veteran and Non-veteran Racial Disparities in Mid-life Health and Well-being

Using National Longitudinal Survey of Youth 1979 data on mid-life physical health, mental health, and self-esteem, I examine inter- and intra-racial disparities in health and well-being among veteran and non-veteran men (N = 2440). After controlling for selectivity into the military via propensity weighting, I find that black veterans have higher self-esteem than white veterans and comparable black non-veterans, but white veterans have similar mid-life self-esteem as their non-veteran counterparts. I find no evidence of disparities in health for depressive symptoms and self-rated health after taking selection into military service into account. The results suggest that aspects of military service may increase blacks’ self-esteem, possibly due to less discrimination and more opportunity.     

Cumulative Structural Disadvantage and Racial Health Disparities: The Pathways of Childhood Socioeconomic Influence

Cumulative structural disadvantage theory posits two major sources of endogenous selection in shaping racial health disparities: a race-based version of the theory anticipates a racially distinct selection process, whereas a social class-based version anticipates a racially similar process. To operationalize cumulative structural disadvantage, this study uses data from the 1979 National Longitudinal Survey of Youth in a Latent Class Analysis that demographically profiles health impairment trajectories. This analysis is used to examine the nature of selection as it relates to racial differences in the development of health impairments that are significant enough to hinder one’s ability to work. The results provide no direct support for the race-based version of cumulative structural disadvantage theory. Instead, two key findings support the social class–based version of cumulative disadvantage theory. First, the functional form of the different health trajectories are invariant for whites and blacks, suggesting more racial similarly in the developmental process than anticipated by the race-based version of the theory. The extent of the racial disparity in the prevalences across the health impairment trajectories is, however, significant and noteworthy: nearly one-third of blacks (28 %) in the United States experience some form of impairment during their prime working years compared with 18.8 % of whites. Second, racial differences in childhood background mediate this racial health disparity through the indirect pathway of occupational attainment and through the direct pathway of early-life exposure to health-adverse environments. Thus, the selection of individuals into different health trajectories, based largely on childhood socioeconomic background, helps explain racial disparities in the development of health impairments.     

Social Networks and Support,Gender, and Racial/Ethnic Disparities in Hypertension Among Older Adults

Using data from the 2001 NHIS and the 2005–2006 and 2007–2008 NHANES, we examine how self-reporting a previous diagnosis of hypertension among adults aged 65+ differs by race/ethnicity for men and women; we explore the extent to which disparities are driven by group differences in social risk factors, particularly social support and integration; and last, whether these relationships mimic patterns seen for measured hypertension at interview. Findings indicate that rates of ever-diagnosed hypertension in both samples are highest among black seniors and older women and lowest among Mexican-American men, with the gender gap lowest among whites and substantially higher among blacks and Mexican-Americans. However, replication analyses of NHANES models using measured hypertension, instead of a self-report of having ever been diagnosed with hypertension, suggests that reporting bias and measurement error contribute to observed disparities, as racial/ethnic differences in hypertension rates are smaller when measured hypertension is examined, especially among women. Logistic regression models also show that while adjusting for group differences in measures of support and integration mediates some of the disparity in measured hypertension between Mexican-American and white seniors, adjusting for support and integration amplifies black-white disparities in both ever diagnosed and measured hypertension—driven primarily by adjustment for attendance at religious services, which reduces hypertension risk for all older adults but is more commonly reported among black seniors, especially women.     

Gender and Racial Stereotyping in Rape Coverage

This article uses critical discourse analysis to discuss and analyse articles about rape that appeared in a South African newspaper, Grocott's Mail, between 14 October, 2008 and 29 October, 2009. Drawing on existing literature on “rape myths” in media coverage of rape, this article argues that Grocott's Mail perpetuates racial and gender stereotypes through the way in which it reports on rape. While not all of the articles included in the analysis use rape myths, most use one or more when discussing rape incidents. Specifically, Grocott's Mail tends to use rape myths that blame the victim for the rape and de-emphasise the role of the perpetrator in the rape.     

Consistency of Health Insurance Coverage and Women’s Reproductive Healthcare Access During Early Adulthood

Population Research and Policy Review - Women’s reproductive healthcare access is crucial in preventing unplanned pregnancies, sexually transmitted infections, and certain cancers. Adult...     

Racial Revolution: Understanding the Resurgence of Ethnic Minority Identity in Modern China

Population Research and Policy Review - Chinese ethnic minorities are enjoying an era of resurgence, as their share of the population has risen by 50% from 1964 to 2010. Demographic forces alone...     

Racial and Ethnic Differences in Birthweight: The Role of Income and Financial Assistance

This paper attempts to explain the differences in birthweight observed between blacks, white Anglos, Chicanos, and other racial and ethnic groups. The analysis focuses on the role of income and financial assistance from relatives and public programs. Using data from the NLS Youth Panel, I construct a causal model of birthweight containing exogenous social and demographic risk factors and intervening proximate determinants of birthweight. A substantial part of the gap in birthweight between white Anglos and other ethnic groups (especially blacks) can be explained by the unfavorable socioeconomic and demographic characteristics of the latter. On the other hand, blacks and other minorities smoke less and have other favorable proximate characteristics that depress differences in birthweight. When these proximate determinants are controlled, large ethic differences in birthweight remain unexplained by income and other sociodemographic factors.     

The Changing Racial and Ethnic Composition of the US Population: Emerging American Identities

Images and interpretations of the past, present, and future of the American racial and ethnic landscape are contradictory. Many accounts focus on the increasing diversity that results from immigration and differential natural increase as well as the proliferation of racial and ethnic categories in census data. Less attention has been paid to the formation and erosion of racial and ethnic identities produced by intermarriage and ethnic blending. The framers and custodians of census racial classifications assume a “geographic origins” definition of race and ethnicity, but the de facto measures in censuses and social surveys rely on folk categories that vary over time and are influenced by administrative practices and sociopolitical movements. We illustrate these issues through an in‐depth examination of the racial and ethnic reporting by whites, blacks, Asians, and Hispanics in the 2000 census. The emerging pattern, labeled here as the “Americanization” of racial and ethnic identities, and most evident for whites and blacks, is of simplified racial identities with little acknowledgment of complex ancestries. National origin is the predominant mode of reporting racial and ethnic identities among Asians and Hispanics, especially first‐generation immigrants. The future of racial and ethnic identities is unknowable, but continued high levels of immigration, intermarriage, and social mobility are likely to blur contemporary divisions and boundaries.     

Wealth Inequality Among Immigrants: Consistent Racial/Ethnic Inequality in the United States

Wealth is a strong indicator of immigrant integration in U.S. society. Drawing on new assimilation theory, we highlight the importance of racial/ethnic group boundaries and propose different paths of wealth integration among U.S. immigrants. Using data from the Survey of Income and Program Participation and quantile regression, we show that race/ethnicity shapes immigrant wealth inequality across the entire distribution of net worth, along with immigrants’ U.S. experience, such as immigrant status, U.S. education, English language proficiency, and time spent in the United States. Our results document consistent racial/ethnic inequality among immigrants, also evidenced among the U.S. born, revealing that even when accounting for key aspects of U.S. experience, wealth inequality with whites for Latino and black immigrants is strong.     

Neighborhood Concentrated Disadvantage and Adult Mortality: Insights for Racial and Ethnic Differences

While racial and ethnic differences in mortality are pervasive and well documented, less is known about how mortality risk varies by neighborhood socioeconomic status across racial and ethnic identity. We conducted a prospective analysis on a sample of adults living at or below 300% poverty with 8 years of the National Health Interview Survey (N = 159,400) linked to 11,600 deaths to examine the association between neighborhood disadvantage and mortality for non-Hispanic whites, non-Hispanic blacks, and U.S.- and foreign-born Hispanics. Using multilevel logistic regression, we find that the probability of death from any cause for lower-income adults is higher in more-disadvantaged neighborhoods, compared to less-disadvantaged neighborhoods, but only for whites. The adjusted likelihood of death for blacks and foreign-born Hispanics is not associated with neighborhood disadvantage, and the likelihood of death for U.S.-born Hispanics is lower in more-disadvantaged neighborhoods. While future research and policy should focus on improving health-promoting resources in all communities, care should be given to better understanding why race/ethnic groups have differential mortality returns with respect to area-specific socioeconomic conditions.     

Disparities in Access to Supplemental Nutrition Assistance Program Retailers Over Time and Space

Population Research and Policy Review - The largest public assistance program in the United States, the Supplemental Nutrition Assistance Program (SNAP), relies on private retailers for program...     

中国城镇医疗保障制度改革中的问题与解决路径

中国整体医疗保障制度排名处于落后地位,医疗费用持续上涨,医疗服务质量低下,医疗制度效率低,医疗机构垄断严重,政府缺乏行之有效的调控方法.医疗保障制度改革的策略是同时加强政府的调控监督、信息提供和充分运用市场竞争机制.医疗保障制度改革的技术路径包括增强社会保险的风险共担功能和提高保险的人群覆盖面,设计按"人头"付费的预付方法制约医疗成本,纠正目前方案中不合理的成分,通过加强消费者的选择来增强竞争性,从而提高效率.     

Racial and Ethnic Differences in U. S. Census Omission Rates

This article assesses differences in rates of omission across seven race-ethnicity groups in the 1980 census to learn more about the social factors that condition census enumeration. Findings indicate that there are multiple sources of error, that these sources reflect distinctive ethnic attributes to a greater degree than shared minority status, and that census omissions have both inadvertent and motivational causes. The discussion notes some of the implications for improving coverage in future censuses.     

Neighbourhood Ethnic Density Effects on Behavioural and Cognitive Problems Among Young Racial/Ethnic Minority Children in the US and England: A Cross-National Comparison

Studies on adult racial/ethnic minority populations show that the increased concentration of racial/ethnic minorities in a neighbourhood—a so-called ethnic density effect—is associated with improved health of racial/ethnic minority residents when adjusting for area deprivation. However, this literature has focused mainly on adult populations, individual racial/ethnic groups, and single countries, with no studies focusing on children of different racial/ethnic groups or comparing across nations. This study aims to compare neighbourhood ethnic density effects on young children’s cognitive and behavioural outcomes in the US and in England. We used data from two nationally representative birth cohort studies, the US Early Childhood Longitudinal Study-Birth Cohort and the UK Millennium Cohort Study, to estimate the association between own ethnic density and behavioural and cognitive development at 5 years of age. Findings show substantial heterogeneity in ethnic density effects on child outcomes within and between the two countries, suggesting that ethnic density effects may reflect the wider social and economic context. We argue that researchers should take area deprivation into account when estimating ethnic density effects and when developing policy initiatives targeted at strengthening and improving the health and development of racial and ethnic minority children.     

Racial and Ethnic Variation in the Relationship Between Student Loan Debt and the Transition to First Birth

The present study employs discrete-time hazard regression models to investigate the relationship between student loan debt and the probability of transitioning to either marital or nonmarital first childbirth using the 1997 National Longitudinal Survey of Youth (NLSY97). Accounting for nonrandom selection into student loans using propensity scores, our study reveals that the effect of student loan debt on the transition to motherhood differs among white, black, and Hispanic women. Hispanic women holding student loans experience significant declines in the probability of transitioning to both marital and nonmarital motherhood, whereas black women with student loans are significantly more likely to transition to any first childbirth. Indebted white women experience only a decrease in the probability of a marital first birth. The results from this study suggest that student loans will likely play a key role in shaping future demographic patterns and behaviors.     

Life Satisfaction of Middle-Aged and Older Chinese: The Role of Health and Health Insurance

The Chinese government has launched a series of health reforms to establish universal health insurance coverage, particularly for vulnerable groups, including middle-aged and older adults. However, the current public health insurance system is highly fragmented, consisting of different programs with different levels of premiums and benefits. We analyse whether the universal health insurance system increases the life satisfaction of middle-aged and older Chinese people and to what extent the type of health insurance affects the life satisfaction of this group. Our study is based on data from the China Health and Retirement Longitudinal Study, a nationally representative longitudinal survey of Chinese aged 45 and above, in 2011, 2013, and 2015. We find that the life satisfaction of middle-aged and older adults does not depend on having any health insurance coverage but varies with the type of health insurance coverage, controlling for potential confounding variables such as health status, occupation, hukou status, and other demographic variables. Individuals covered by the most generous program, the Government Medical Insurance, reported a higher life satisfaction. In comparison, individuals covered by the Urban Employee Medical Insurance, the Urban Resident Medical Insurance, and the New Rural Cooperative Scheme reported a lower life satisfaction by 0.155, 0.106, and 0.112 standard deviations, respectively. Our results suggest that establishing a more equitable health insurance system should be the next step in health reforms in China.

     

论社会医疗保险中的道德风险及其制度消解

道德风险源于人的机会主义倾向,在社会医疗保险领域中积弊已久,主要表现为需求方的过度消费和供给方的诱导需求,其原因在于第三方支付效应、价格补偿效应和医疗伦理的异化。只有医、患、保三方进行制度创新才能对其有效消解。