Racial/Ethnic and Nativity Patterns of U.S. Adolescent and Young Adult Smoking

We document racial/ethnic and nativity differences in U.S. smoking patterns among adolescents and young adults using the 2006 Tobacco Use Supplement to the Current Population Survey (n = 44,202). Stratifying the sample by nativity status within five racial/ethnic groups (Asian American, Mexican–American, other Hispanic, non-Hispanic black, and non-Hispanic white), and further by sex and age, we compare self-reports of lifetime smoking across groups. U.S.-born non-Hispanic whites, particularly men, report smoking more than individuals in other racial/ethnic/nativity groups. Some groups of young women (e.g., foreign-born and U.S.-born Asian Americans, foreign-born and U.S.-born Mexican–Americans, and foreign-born blacks) report extremely low levels of smoking. Foreign-born females in all of the 25–34 year old racial/ethnic groups exhibit greater proportions of never smoking than their U.S.-born counterparts. Heavy/moderate and light/intermittent smoking is generally higher in the older age group among U.S.-born males and females, whereas smoking among the foreign-born of both sexes is low at younger ages and remains low at older ages. Taken together, these findings highlight the importance of considering both race/ethnicity and nativity in assessments of smoking patterns and in strategies to reduce overall U.S. smoking prevalence and smoking-attributable health disparities.     

The Effects of Allostatic Load on Racial/Ethnic Mortality Differences in the United States

This study expands on previous findings of racial/ethnic and allostatic load (AL) associations with mortality by addressing whether differential AL levels by race/ethnicity may explain all-cause mortality differences. This study used data from the third National Health and Nutrition Survey public-use file, gathered between 1988 and 1994, with up to 18 years of mortality follow-up (n = 11,733). AL scores were calculated using a 10-biomarker algorithm based on clinically determined thresholds. Results of discrete-time hazard models suggest that AL is associated with increased mortality risks, independent of other factors, including race/ethnicity and SES. The results also suggest that the AL–mortality association is stronger for non-Hispanic blacks than for non-Hispanic whites, and that at low levels of AL observed mortality differences between non-Hispanic blacks and non-Hispanic whites are non-significant. These findings suggest that mortality differences between non-Hispanic blacks and non-Hispanic whites may be the result of how early life exposure causes premature aging and increased mortality risks. More attention to resource allocation and local environments is needed to understand why non-Hispanic blacks experience premature aging that leads to differential mortality risks compared to non-Hispanic whites.     

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.     

The Contribution of Drug Overdose to Educational Gradients in Life Expectancy in the United States, 1992–2011

Since the mid-1990s, the United States has witnessed a dramatic rise in drug overdose mortality. Educational gradients in life expectancy widened over the same period, and drug overdose likely plays a role in this widening, particularly for non-Hispanic whites. The contemporary drug epidemic is distinctive in terms of its scope, the nature of the substances involved, and its geographic patterning, which influence how it impacts different education groups. I use vital statistics and National Health Interview Survey data to examine the contribution of drug overdose to educational gradients in life expectancy from 1992–2011. I find that over this period, years of life lost due to drug overdose increased for all education groups and for both males and females. The contribution of drug overdose to educational gradients in life expectancy has increased over time and is greater for non-Hispanic whites than for the population as a whole. Drug overdose accounts for a sizable proportion of the increases in educational gradients in life expectancy, particularly at the prime adult ages (ages 30–60), where it accounts for 25 % to 100 % of the widening in educational gradients between 1992 and 2011. Drug overdose mortality has increased more rapidly for females than for males, leading to a gender convergence. These findings shed light on the processes driving recent changes in educational gradients in life expectancy and suggest that effective measures to address the drug overdose epidemic should take into account its differential burden across education groups.     

The japanese americans: Comparative occupational status, 1960 and 1950

This paper uses 1950 and 1960 census data on the demographic, educational, and occupational distributions of Japanese Americans, after the enforced migrations of the Second World War, in order to compare the achievement of the urban Japanese Americans to that of their white counterparts.First, the data show that the Japanese-American population has increased in all regions of the nation, especially in the representative West (from 71 percent in 1950 to 82 percent in 1960). Second, educational attainment, which was about equal to that of whites in 1950, was better for males, and increasing at a faster rate or better for females, in 1960. Third, while in 1950 the differences in the occupational distributions of Japanese Americans and whites showed concentrations unfavorable to overall Japanese-American occupational structure, by 1960 the Japanese Americans had approached the levels of the white majority.The data, then, permit the author to conclude that if "minority" means full exclusion from participation in the life of society, the Japanese Americans cannot be called a minority. In conclusion, the author suggests that it would be useful to investigate the migration patterns of the Japanese Americans, for if redistribution has resulted in integration, will integration promote greater mobility to attain better integration?     

Occupational Stratification of Hispanics,Whites, and Blacks in Southern Rural Destinations: A Quantitative Analysis

Since the 1990s, many rural communities in the Southern US have experienced an unprecedented influx of Latino migrants. Some research undertaken on such “new Hispanic destinations” suggests that the newcomers tend to assume low-status jobs shunned by non-Hispanic residents and thus form a segmented labor market, but other work indicates that they heavily compete with natives (particularly African Americans) for less-skilled positions. Drawing on data from the 2000 census and 2009–2011 American Community Survey, this paper examines patterns of occupational stratification between Latino, white, and black men in the rural South to identify whether Hispanic economic relations in the area are better characterized by segmentation or competition. Specifically, occupational dissimilarity indexes and status scores are calculated to map the groups’ relative economic positions in the rural portions of five Southeastern states home to fast-growing nonmetro Latino populations: Alabama, Arkansas, Georgia, North Carolina, and South Carolina. Consistent with the segmentation hypothesis, the results reveal that Latinos are highly occupationally dissimilar from non-Hispanic whites and blacks and rank significantly below both in mean occupational status. Standardization of the stratification measures shows that Hispanics’ labor market isolation and disadvantage can be substantially accounted for by their lower average levels of human capital and US citizenship.     

The Persistence of Racial Disadvantage: The Socioeconomic Attainments of Single-Race and Multi-Race Native Americans

Using data from the 2000 U.S. Census, we investigate the schooling and earnings of single-race and multi-race Native Americans. Our analysis distinguishes between Single-Race Native Americans, biracial White Native Americans, biracial Hispanic-White Native Americans, and biracial Black Native Americans. Further differentiating by gender, the results indicate significant variation in socioeconomic attainments across these different Native American groups although almost all of them are in some way disadvantaged relative to non-Hispanic, non-Native American whites. The most disadvantaged group tends to be Single-Race Native Americans who have the lowest levels of schooling as well as lower earnings relative to non-Hispanic, non-Native American whites who are comparable in terms of schooling, age, and other basic demographic characteristics. The results demonstrate notable differentials by the racial/ethnic type of Native American group as well as by gender. In the case of men, all of the Native American groups have clear socioeconomic disadvantages. One contrast is that migration slightly increases the earnings of men but it slightly decreases the earnings of women. We interpret these findings as underscoring how measured socioeconomic differentials between demographic groups are significantly affected by the categorization of race/ethnicity in surveys and by how persons choose to be enumerated in terms of those categories.     

High Rates of Access to Health Care,Disclosure of Sexuality and Gender Identity to Providers Among House and Ball Community Members in New York City

The House and Ball community is an important cultural manifestation of resiliency for Black and Latino gay and bisexual men and transgender women. Participants at the August 2013 House of Latex Ball in New York City were surveyed about insurance coverage, health care access, experiences in health care, and housing instability. The sample (n = 367) was 58% Black/African American and 20% Hispanic/Latino, with a mean age of 31. Fifty-five percent were gay and bisexual men. Although only 6% identified as transgender, nearly one half were gender nonconforming. Strong majorities had health insurance, were in regular medical care, and were “out” to their providers. Some were unstably housed and had recently exchanged sex for shelter or money. High rates of health care access and disclosure indicate resiliency and agency. Unstable housing and income insecurity may be structural drivers of vulnerability for this population to HIV infection and other health risks.     

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.     

Migration Selection, Protection, and Acculturation in Health: A Binational Perspective on Older Adults

In this article, we test for four potential explanations of the Hispanic Health Paradox (HHP): the “salmon bias,” emigration selection, and sociocultural protection originating in either destination or sending country. To reduce biases related to attrition by return migration typical of most U.S.-based surveys, we combine data from the Mexican Health and Aging Study in Mexico and the U.S. National Health Interview Survey to compare self-reported diabetes, hypertension, current smoking, obesity, and self-rated health among Mexican-born men ages 50 and older according to their previous U.S. migration experience, and U.S.-born Mexican Americans and non-Hispanic whites. We also use height, a measure of health during childhood, to bolster some of our tests. We find an immigrant advantage relative to non-Hispanic whites in hypertension and, to a lesser extent, obesity. We find evidence consistent with emigration selection and the salmon bias in height, hypertension, and self-rated health among immigrants with less than 15 years of experience in the United States; we do not find conclusive evidence consistent with sociocultural protection mechanisms. Finally, we illustrate that although ignoring return migrants when testing for the HHP and its mechanisms, as well as for the association between U.S. experience and health, exaggerates these associations, they are not fully driven by return migration-related attrition.     

Minority status and family size: A comparison of explanations

In this study, the family sizes of Chinese, Japanese and Filipino Americans are compared with those of whites, using data from the 1970 public use samples for California and Hawaii. The two hypotheses derived from the ‘minority status’ hypothesis are tested; the latter states that minorities experience tensions and anxiety which lead to lower fertility compared with native whites of Anglo-Saxon ancestry under certain conditions. We also examine the effect of assimilation in terms of variables known to affect fertility, and control for several age and acculturation variables.

Analysis, based on a regression decomposition model, gives some support to the argument that the family size of minority groups differs from that of native whites because of incomplete assimilation and because independent variables affect fertility differently. However, since the independent effect of minority status per se is generally to raise fertility for Japanese and Chinese Americans, and lower it for Filipinos, we reject this version of the minority status hypothesis. Our general conclusion is that family size differentials in a pluralistic society may be part of a persisting pattern of sub-cultural differentiation, and do not necessarily reflect any ‘tensions and anxiety’ of minority status.     

Minority status and family size: A comparison of explanations

Summary In this study, the family sizes of Chinese, Japanese and Filipino Americans are compared with those of whites, using data from the 1970 public use samples for California and Hawaii. The two hypotheses derived from the 'minority status' hypothesis are tested; the latter states that minorities experience tensions and anxiety which lead to lower fertility compared with native whites of Anglo-Saxon ancestry under certain conditions. We also examine the effect of assimilation in terms of variables known to affect fertility, and control for several age and acculturation variables. Analysis, based on a regression decomposition model, gives some support to the argument that the family size of minority groups differs from that of native whites because of incomplete assimilation and because independent variables affect fertility differently. However, since the independent effect of minority status per se is generally to raise fertility for Japanese and Chinese Americans, and lower it for Filipinos, we reject this version of the minority status hypothesis. Our general conclusion is that family size differentials in a pluralistic society may be part of a persisting pattern of sub-cultural differentiation, and do not necessarily reflect any 'tensions and anxiety' of minority status.     

Breaking the racial barriers: Variations in interracial marriage between 1980 and 1990

Using PUMS data from the 1980 and the 1990 U.S. Census, I apply log-linear models to examine interracial marriage among whites, African Americans, Hispanics, and Asian Americans. Rarely, but increasingly between 1980 and 1990, interracial marriage of whites occurs most frequently with Asian Americans, followed by Hispanics, and then by African Americans. Interracial marriage tends to be educationally homogamous and the odds of interracial marriage increase with couples ’ educational attainment. Among interracially married couples with different educational attainments, both men and women from lower status racial groups but with high education levels tend to marry spouses from a higher status racial group with low education levels     

Integration or Fragmentation? Racial Diversity and the American Future

Over the next generation or two, America’s older, largely white population will increasingly be replaced by today’s disproportionately poor minority children. All future growth will come from populations other than non-Hispanic whites as America moves toward a majority-minority society by 2043. This so-called Third Demographic Transition raises important implications about changing racial boundaries in the United States, that is, about the physical, economic, and sociocultural barriers that separate different racial and ethnic groups. America’s racial transformation may place upward demographic pressure on future poverty and inequality as today’s disproportionately poor and minority children grow into adult roles. Racial boundaries will be reshaped by the changing meaning of race and ethnicity, shifting patterns of racial segregation in neighborhoods and the workplace, newly integrating (or not) friendship networks, and changing rates of interracial marriage and childbearing. The empirical literature provides complicated lessons and offers few guarantees that growing racial diversity will lead to a corresponding breakdown in racial boundaries—that whites and minorities will increasingly share the same physical and social spaces or interact as coequals. How America’s older population of elected officials and taxpayers responds today to America’s increasingly diverse population will provide a window to the future, when today’s children successfully transition (or not) into productive adult roles. Racial and ethnic inclusion will be reshaped by changing ethnoracial inequality, which highlights the need to invest in children—now.     

Identifying Associations Between State Medicaid Expansion Decisions and Spatial Disparities in County Insurance Rate Changes Under the Affordable Care Act

By the end of 2014, twenty-four states rejected Medicaid expansion, providing a unique opportunity to examine changes in insurance coverage rates after the implementation of the Affordable Care Act within and between states that did versus did not expand Medicaid. Using multilevel regression analyses of county-level non-elderly adult small area health insurance estimates (N = 3135) from the US Census Bureau, several important findings emerge. Compared to counties located in states that did not expand Medicaid, counties located in states that did expand experienced significantly larger increases in adult health insurance coverage rates between 2013 and 2014, net of the county baseline insurance coverage rate, socioeconomic and demographic composition, and labor market characteristics. In states that did not expand Medicaid, counties with larger shares of vulnerable residents (i.e., poor adults and low education) experienced lagging improvements in health insurance coverage. However, counties in states that expanded Medicaid were protected from several of these exacerbated disparities, and in some cases, experienced larger insurance coverage improvements than counties with less disadvantaged populations. These findings suggest that although insurance coverage increased in nearly all counties between 2013 and 2014, increases would have been larger and disparities would have been further alleviated if more states with highly concentrated vulnerable populations had expanded Medicaid.     

American education: the challenge of change

The American education system is being challenged to raise the academic achievement of students to prepare them for the jobs of the future. Yet many demographic, as well as economic and social factors, are making the task more difficult. Low birth rates, especially among non-Hispanic whites, along with high immigration rates, have increased the share of minority and non-English students in public schools. The rise in single-parent families has increased the number of poor students and migration from the cities to the suburbs has concentrated poor and minority students in inner city schools. These same children will make up a greater share of the future labor force. At the same time, the aging of the general population may lessen the commitment of homeowners- -whose taxes pay between 1/3 and 1/2 of education costs. The aging labor force may bring a shortage of qualified teachers, particularly in specialized subject areas. Poor and minority students generally have below average academic skills and are more likely to drop out of high school than non-minority students. However, the skills of American students rank below those of most other industrialized nations, calling into question the ability of Americans to succeed in an increasingly international economic system. How can schools be improved and minority student achievement be enhanced? Reforms of education finance systems, court-ordered integration, and stiffer requirements for teachers and for graduation from high school are among many attempts to meet the immense challenges faced by American schools.     

Metropolitan Structure and Neighborhood Attainment: Exploring Intermetropolitan Variation in Racial Residential Segregation

Using data from the 1981, 1991, and 2001 waves of the Panel Study of Income Dynamics and several decennial censuses, we examine how characteristics of metropolitan areas are associated with black and white households’ neighborhood racial composition. Results from hierarchical linear models show that about 20% to 40% of the variation in the percentage of households’ tract population that is non-Hispanic white or non-Hispanic black exists across metropolitan areas. Over time, white households’ exposure to non-Hispanic white neighbors has declined, and their exposure to non-Hispanic black neighbors has increased; the reverse trends are observed for blacks. These trends cannot be attributed to changes in the ecological structure of metropolitan areas. Blacks have fewer white neighbors in large metropolitan areas containing sizable minority populations, and blacks have more white neighbors in metropolitan areas with high government employment. Whites have more black neighbors in metropolitan areas with high levels of government employment and ample new housing; whites have fewer black neighbors in metropolitan areas with a high level of municipal fragmentation. The association between metropolitan-area percentage black and tract percentage black is weaker among whites than among blacks, suggesting that whites are especially motivated to self-segregate in metropolitan areas with large black populations.     

Interracial Marriage and Self-Reported Health of Whites and Blacks in the United States

This study examines the self-reported health of 180,291 married non-Hispanic blacks and whites in interracial versus endogamous marriages. Data are from the National Health Interview Survey pooled over the period 1997–2013. The results from ordinal logistic regressions show that non-Hispanic whites intermarried with non-Hispanic blacks, non-Hispanic whites intermarried with non-Hispanic other races, and non-Hispanic white women with Hispanic husbands report significantly poorer health than their endogamous counterparts. Furthermore, non-Hispanic whites with non-Hispanic black spouses also fare worse than their interracially married peers with Hispanic spouses. In contrast, the self-reported health of married non-Hispanic blacks shows no significant difference between the interracially and the endogamously married. Our findings highlight the theoretical significance of spousal characteristics and couple-level contexts in the household production of health.