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.     

Growing Diversity among America's Children and Youth: Spatial and Temporal Dimensions

This study documents the changing racial and ethnic mix of America's children. Specifically, we focus on the unusually rapid shifts in the composition and changing spatial distribution of America's young people between 2000 and 2008. Minorities grew to 43 percent of all children and youth, up from 38.5 percent only eight years earlier. In 1990, this figure stood at 33 percent. Among 0–4‐year‐olds, 47 percent of all children were minority in 2008. Changes in racial and ethnic composition are driven by two powerful demographic forces. The first is the rapid increase since 2000 in the number of minority children—with Hispanics accounting for 80 percent of the growth. The second is the absolute decline in the number of non‐Hispanic white children and youth. The growth of minority children and racial diversity is distributed unevenly over geographical space. Over 500 (or roughly 1 in 6) counties now have majority‐minority youth populations. Broad geographic areas of America nevertheless remain mono‐racial, where only small shares of minorities live.     

Ethnic Diversity and Health Outcomes

This study hypothesizes a relationship between ethnic diversity and health outcomes. We explore the effects of ethnic and linguistic heterogeneity (measured by indices of ethnic and linguistic fractionalization) on various health outcomes in a cross-section of 91 countries. We explore outcomes relating to four major categories of health: (1) immunization rates, (2) prevalence of diseases, (3) life expectancy and mortality rates, and (4) health related infrastructure and staff. Across all dimensions examined, evidence suggests that higher heterogeneity is bad for health outcomes. We explore several potential mechanisms which could explain the observed negative effects of ethnic and linguistic diversity on health.     

Global and Ethnic Self-esteem in School Context: Minority and majority groups in the Netherlands

There is a considerable body of research that has explored the impact of school characteristics on the self-esteem of racial and ethnic minority group children. This work, however, has been mainly conducted among African Americans and has various conceptual and methodological problems. The present large-scale study in 182 classes from 82 schools has tried to go beyond this research by focusing on different groups of early adolescents in the Netherlands and by using multilevel analysis. This analysis allows to examine the importance of both individual and classroom determinants for personal global and ethnic self-esteem. It was found that both global self-esteem and ethnic self-esteem depend partly on the classroom context. Multi cultural education and teachers' reactions to ethnic harassment affected self-esteem positively. In addition, the proportion of Dutch pupils affected ethnic self-esteem among ethnic minority groups negatively but not that of the Dutch. Furthermore, ethnic minority group participants were found to possess higher ethnic self-esteem and higher global self-esteem than the Dutch. In addition, boys had more positive self-esteem than girls.     

Multidimensionl Poverty and The Role of Social Capital in Poverty Alleviation Among Ethnic Groups in Rural Vietnam: A Multilevel Analysis

This paper empirically examines the disparities over time across six dimensions of poverty (monetary, education, health, housing, basic services, and durable assets) between ethnic minority and majority households in rural Vietnam. Using the five-wave panel data of the Vietnam Access to Resources Household Survey (VARHS) 2008–2016, we observe improvements in most non-monetary dimensions of poverty for both ethnic groups, while the monetary dimension shows the highest degrees of deprivation and the lowest rate of decrease during the studied period. Health is the only dimension in which ethnic minority households are not only better off than those of majority households during the studied period, but also report improvement. We further explore the role of social capital in ethnic minorities and non-minorities at household and community levels in multiple dimensions of poverty by employing multilevel models. Our study reports the significant effects social capital have at the community level on reducing poverty in the monetary, education, housing, and basic services dimensions for ethnic minorities, while social capital at the household level shows significant effects on monetary, basic services, and durable assets. These findings indicate that policy makers ought to consider the role of social capital when designing poverty alleviation strategies for the country.

     

Who Gets Held Back? An Analysis of Grade Retention Using Stratified Frailty Models

Racial/ethnic disparities in grade retention related to structural inequality are investigated using a quantitative theoretical model from the health literature. Data from the Early Childhood Longitudinal Study-Kindergarten Cohort are linked with segregation indices for dissimilarity and poverty interaction derived from the US Census 2000 data estimate the impact of individual and structural level variables on grade retention. Shared frailty models demonstrate that there are racial/ethnic differences in grade retention, much of which can be explained by structural inequality. Students who are white or African American have lower risk in areas with higher dissimilarity and poverty interaction. Parental involvement mediates the risk of retention.

     

The Simultaneous Effects of Socioeconomic Disadvantage and Child Health on Children’s Cognitive Development

Family socioeconomic status (SES) and child health are so strongly related that scholars have speculated child health to be an important pathway through which a cycle of poverty is reproduced across generations. Despite increasing recognition that SES and health work reciprocally and dynamically over the life course to produce inequality, research has yet to address how these two pathways simultaneously shape children’s development. Using longitudinal data from the Fragile Families and Child Wellbeing Study and marginal structural models, we ask three questions: (1) how does the reciprocal relationship between socioeconomic disadvantage and child health affect estimates of each circumstance on children’s cognitive development?; (2) how do their respective effects vary with age?; and (3) do family SES and child health have differential effects on cognitive development across population subgroups? The results show that the negative effects of socioeconomic disadvantage and poor health are insensitive to their reciprocal relationships over time. We find divergent effects of socioeconomic disadvantage and poor health on children’s cognitive trajectories, with a widening pattern for family SES effects and a leveling-off pattern for child health effects. Finally, the effects of socioeconomic disadvantage are similar across all racial/ethnic groups, while the effects of child health are largely driven by white children. We discuss theoretical and policy implications of these findings for future research.     

The Implications of Change in Population Size,Distribution, and Composition on the Number of Overweight and Obese Adults and the Direct and Indirect Cost Associated with Overweight and Obese Adults in Texas Through 2040

Changes in population characteristics are associated with changes in the prevalence of physical and related health conditions with alternative types of population change leading to change in the prevalence of certain conditions. Examination of the effects of future demographic change on such conditions is, in turn, critical for understanding the future need for various types of health-related facilities and services. This article provides an example of how future demographic changes are likely to impact overweight and obese status in Texas, a rapidly growing and diversifying state. Specifically it uses population decomposition techniques to examine the relative impacts of population growth, aging and changes in the racial/ethnic composition of the population on increases in the prevalence and related costs of overweight and obesity in Texas, an important input for the formulation of statewide health policies. The number of overweight adults in Texas is projected to increase from 5.5 million in 2000 to 16.0 million in 2040, and the number of obese adults to increase from 3.5 million in 2000 to 14.6 million in 2040. The largest projected increases occur among Hispanics and other minority populations and for all race/ethnicity groups the increases are largest among those who are 65 years of age and older. Decomposition analysis indicates that of the projected increase of 10.5 million overweight adults from 2000 to 2040, 54.0% is attributable to population increase, 15.0% to change in age distribution, and 31.0% to change in racial/ethnic composition. Of the projected increase in the number of obese adults, 61.6% is due to population change and 38.4% to change in racial/ethnic composition. The annual costs associated with overweight and obesity prevalence are expected to increase from $10.5 billion in 2000 to $10.5 billion in 2000 to 40.3 billion in 2040. The results suggest that services to address these conditions will need to be widely dispersed across the state with particular concentrations of the elderly, Hispanics, and Other minority populations.     

Child development and family resources: Evidence from the second generation of the 1958 British birth cohort

Studies of American and recently British children suggest that there is a link between family income and child development, in particular that one consequence of child poverty is to hold back cognitive development. This paper investigates the impact of family income, material deprivation, maternal education and child-rearing behaviour on an indicator of cognitive functioning, using British data on children aged 6 to 17 whose mothers are members of the 1958 Birth Cohort Study. The poorer average cognitive functioning among children from the lowest income groups could largely be accounted for, statistically, by the greater material disadvantage of these groups. These analyses provide evidence to suggest that low income has detrimental effects on children's cognitive functioning through the operation of longer-term material disadvantage, and that these effects may be mitigated by positive parental behaviours. Received: 31 July 1999/Accepted: 26 September 2000     

Social Comparisons and Life Satisfaction Across Racial and Ethnic Groups: The Effects of Status,Information and Solidarity

This paper explores the role of within group social comparisons on the life satisfaction of different racial and ethnic groups in the US. For Whites, we find that higher group income levels are associated with lower levels of life satisfaction, a result that is consistent with a preference for within group status. In contrast, life satisfaction is increasing in group income for Blacks. This result is consistent with the existence of social norms that emphasize Black solidarity. It is also consistent with an information effect in which Blacks rely on peer income levels to form expectations regarding their future prospects. We introduce a theoretical framework to help to distinguish between solidarity and information effects. Our empirical results provide strong support for the hypothesis that solidarity rather than information accounts for the positive relationship between average Black income and the subjective wellbeing of US Blacks. Finally, we consider two theories of social solidarity and find support for social salience but not social density in determining the strength of solidarity effects.     

Employment and the Use of Birth Control by Sexually Active Single Hispanic,Black, and White Women

Previous studies of the use of birth control by sexually active single women tend to emphasize family background and aspirations, and restrict their attention to teenagers. We elaborate this framework by considering how labor market experiences might shape the birth control practices of women in their late teens and twenties. Data from the National Longitudinal Survey of Labor Force Experiences — Youth Cohort provide evidence that employment histories and wages influence birth control practices, net of the effects of family background, aspirations, and educational attainment. Several pronounced racial and ethnic differences are found.     

Segregated jobs or ethnic niches?: The impact of racialized employment on earnings inequality

Using data from the Multi-City Study of Urban Inequality (MCSUI), this study examines the extent to which the racial or ethnic composition of jobs affects racial and ethnic-linked earnings inequalities among whites, blacks and Hispanics. Four types of jobs are distinguished according to the racial/ethnic composition of jobs in work establishments: predominantly white, multi-racial or mixed, predominantly black, and predominantly Hispanic. We found considerable differences among the four types of jobs. Jobs composed predominantly of white workers are characterized by the highest earnings, the highest status occupations, and the highest levels of education. In contrast, jobs predominantly composed of Hispanic workers are characterized by the lowest salaries, the lowest status occupations, and the lowest levels of education. The data analysis supports the hypothesis that job segregation is responsible for earnings disparities in the case of blacks versus whites, but only partial support for this hypothesis is found in the case of Hispanics versus whites. The analysis also provides support for the “devaluation hypothesis” which suggests that all workers experience pay penalties in jobs in which minority workers are predominant. Further analysis reveals that had most workers been rewarded like whites employed in predominantly white jobs, their earnings would have increased considerably. The only groups of workers who “benefit” from job segregation are Hispanic workers employed in predominately Hispanic jobs. In the absence of competition with others, Hispanics employed in predominantly Hispanic jobs earn more than they would earn in other jobs. The differential effects of the ethnic composition of jobs on economic outcomes of minority populations are evaluated and discussed in light of the roles played by sheltered and protected ethnic economies.     

Caring for vulnerable populations: curricula in U.S. internal medicine residencies

The Accreditation Council for Graduate Medical Education (ACGME) encourages internal medicine training programs to include specific curricula devoted to health care issues of vulnerable populations. Our aim was to determine the prevalence of curricula involving selected vulnerable populations among U.S. Internal Medicine residencies. We conducted a survey of Program Directors of all US Internal Medicine Residencies assessing whether the program had a curriculum for six vulnerable populations (racial and ethnic minorities, non-English speaking patients, lesbians, gay men, victims of domestic violence and patients with substance abuse problems). Most residencies address substance abuse and victims of domestic violence, while there remains a lack of dedicated teaching on other vulnerable populations, including lesbians, gay men, racial and ethnic minorities and non-English speaking patients.     

Demographic Foundations of Political Empowerment in Multiminority Cities

As U.S. cities accommodate increasing ethnic and racial diversity, political choices may unify or divide their local populations. Those choices pull communities toward two different modes of pluralism: traditional “melting pot” assimilation or a complex mosaic of racial and ethnic assertiveness. Central to this issue is equity and empowerment, which may be accentuated by minority populations’ size, structure, and spatial concentration. We examine two potential modes of local empowerment: “dominance,” whereby each group is the majority of voters in single election districts (reinforcing separative tendencies), and “influence,” whereby a group gains “influential minority” status in several districts (reinforcing unifying tendencies).     

Estimating the stability of census-based racial/ethnic classifications: the case of Brazil

This study presents a method of estimating the degree to which people change their racial/ethnic identity from one census enumeration to another. The technique is applied to the classification of skin colour in Brazil (white, black, brown, yellow). For the period 1950-80, the findings show a deficit of 38 per cent in the black category and a gain of 34 per cent in the brown category, suggesting that a large proportion of individuals who declared themselves black in 1950 reclassified themselves as brown in 1980. Estimates for 1980-90, adjusted for the effects of international migration, reveal a similar pattern, although the magnitude of colour reclassification may have declined somewhat during the 1980s. Procedures to determine the stability of racial/ethnic identity produce data useful to recent policy initiatives that rely on demographic censuses to measure changes in the status of minority groups in less developed countries.     

Realizing Racial and Ethnic Neighborhood Preferences? Exploring the Mismatches Between What People Want,Where They Search,and Where They Live

The housing search process is an overlooked mechanism in the scholarly research that seeks to understand the causes of persistent racial residential segregation in the United States. Past research has explored in detail the preferences people hold in terms of the racial and ethnic composition of their neighborhoods, and more recently some have also examined the correspondence between racial and ethnic neighborhood preferences and current neighborhood racial/ethnic composition. But an intermediate stage—the racial/ethnic composition of where people search—has not been investigated. We analyze a subsample (n = 382) from the 2004–2005 Chicago Area Study to demonstrate the value of systematically studying the matches—or mismatches—between preferences, search locations, and neighborhood outcomes. We find that for whites, not only their current neighborhoods but also the neighborhoods in which they search for housing have larger percentages of whites than they say they prefer. In contrast, blacks—and to a lesser extent Latinos—search in neighborhoods that correspond to their preferences, but reside in neighborhoods with a larger percentage own group. Logistic regression analyses reveal that mismatches are associated with both a lack of information and inadequate finances, but also may be due to socially desirable responding for whites in particular. Our results provide suggestive evidence of the importance of unpacking the search process more generally and draw attention to what are likely to be productive new future data collection efforts as well as an area potentially ripe for policy interventions.     

Racial disparities in birth care: Exploring the perceived role of African-American women providing midwifery care and birth support in the United States

Background

Midwifery care has been linked to positive birth outcomes. Despite the broad racial disparities in maternal and infant outcomes in the United States (US), little is known about the role of minority women in either providing or receiving this type of care. A vibrant community of minority women, who self-identify as providing these services, exists online. In this exploratory study we ask how they describe their role; view their practice; and position themselves in the broader discussions of racial health disparities in the US.

Child Poverty Among Hong Kong Ethnic Minorities

This paper analyzes the data from the Population Census of 2011 to identify the characteristics of poor ethnic minority groups in Hong Kong and the factors that are associated with child poverty among these ethnic minorities. The results show that the child poverty level varies between different ethnic groups and that ethnic minorities from developing nations are likely to have a higher poverty level. In particular, Pakistani children have the highest poverty rate among all ethnic groups. The results also show that Pakistani, Nepalese, and Mixed (Chinese and Asian) nationalities have a higher child poverty rate than that of Chinese individuals who constitute the majority of the Hong Kong population. The main reason for this is that, unlike their Chinese counterparts, some of these ethnic minority households have not benefited from their own human capital or their length of exposure in the local society in Hong Kong. And even if they have benefited, the positive impact of these factors on ethnic minority households was much weaker compared to that of Chinese households. These results suggest that ethnic minorities need to be categorized as a separate group in order to assess their specific needs, and assimilation policies, especially support on Chinese language learning, need to be an integral part of the government’s poverty reduction strategy to reduce child poverty among ethnic minorities.     

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.     

Ethnic dimensions of gender differentials in mortality in Malaysia

Higher mortality rates among males are a common occurrence across different cultures and countries. The causes of this higher mortality can be biological as well as behavioural in nature. The biological evidence applies across all nations and communities, but the behavioural causes, arising from the decision processes and communication strategies of individuals, will necessarily have cultural and environmental dimensions that change with time. This study examines gender disparities in mortality across ethnicity and time in Malaysia. The study shows that there is a consistent gender differential across time but it has widened for the Malays and the Indians and narrowed for the Chinese. Most importantly, it has widened considerably for young adults. Analysis of the leading causes of death show that young adult males are more likely to engage in risk-taking behaviour, and that the related causes and the extent of such causes vary across the ethnic groups.