Veteran Status and Body Weight: A Longitudinal Fixed-Effects Approach

About 10–12 % of young men (and increasingly, women) have served a term in the military. Yet, we know relatively little about the consequences of military service for the lives of those who serve. In this article, we provide estimates of the relationship between men’s peacetime military service during the all-volunteer era (AVE) and body weight using longitudinal data on 6,304 men taken from the National Longitudinal Survey of 1979 (NLSY-79). Using fixed-effects estimators on up to 13 years of data and numerous controls for time-varying life-course characteristics linked to body weight, we find that veterans of active-duty military service have higher levels of BMI and obesity. We argue that eating habits learned during service, coupled with patterns of physical activity, lead to a situation whereby veterans making the transition to less active civilian lifestyles gain weight that is not lost over time.     

Are There Differences in Anti-Gay Beliefs Among U.S. Veterans and Non-Veterans? Results from the General Social Survey

ABSTRACT

Only since 2011 have sexual minorities been able to serve openly in the U.S. military. The previous anti-gay policies and culture of the military may have increased anti-gay beliefs among veterans. Using data from the 2010–2016 General Social Survey, we tested whether veterans more frequently endorsed anti-gay beliefs than their non-veteran peers. Adjusting for sociodemographic characteristics with multiple logistic regression, we tested the associations of veteran status with five anti-gay beliefs (i.e., disallowing a gay person (1) from publicly speaking or (2) teaching at a university, (3) removing a gay-supportive book from a library, (4) whether same-sex sexual relations are wrong, and (5) support of same-sex marriage. Veteran status was associated with greater disagreement with same-sex marriage (B = 0.16, p = 0.033) but not with other anti-gay beliefs. Most anti-gay beliefs among veterans were explained by other sociodemographic factors and may not be inherent to veteran status.     

Race,Place, and Veteran Status: Migration among Black and White Men, 1940–2000

In this paper, I gauge the impact of veteran status on migration probabilities for black and white men in the late 20th century United States, comparing cohorts that were subject to various military staffing policies. I find that white veterans are more likely than are white non-veterans to live outside the state of their birth and to have recently migrated. These effects persist regardless of whether veterans were subject to the draft or the All Volunteer Force staffing policy, and are durable across the life course. Among blacks, elevated rates of veterans’ migration are first observed in 1980. These results illuminate a previously unidentified consequence of veteran status, and may point to a policy-linked mechanism through which prior military employment influences social mobility, the American labor force is redistributed, and the racial composition of states and localities is altered.     

Race,military service,and marital timing: Evidence from the NLSY-79

I use data from the 1979 National Longitudinal Study of Youth to examine the relationship between military service and marital timing for white men and black men during the 1980s. I use information about active-duty and reserve-duty service as well as veteran status to implement strong controls for selectivity. I find that active-duty military service increases the probability of first marriage for both whites and blacks. In part, this relationship is due to positive selectivity into the military and, for whites, to greater income and economic stability. Above and beyond the effects of selectivity, income, and economic stability, the effect of active-duty military service is particularly strong for black men.     

Military Veterans and Neighborhood Racial Integration: VA Mortgage Lending Across Three Eras

The military has long been seen as an avenue for increasing racial equality for minorities, especially black Americans. In this article, we examine to what extent military veterans also experience residential integration by looking at neighborhood residential outcomes for black and white men utilizing the popular Veterans Affairs (VA) loan program to purchase a home. We draw on data from the Home Mortgage Disclosure Act (HMDA) to examine residential integration among white and black veteran homebuyers compared to homebuyers utilizing conventional loans over three major lending eras: 1990s, 2000–2007, and 2008–2015. By 2015, a quarter of all home purchase mortgages loans to black men were VA loans even though veterans made up only a tenth of the adult black male population. In our multivariate analyses, we uncover a sizeable combined swing toward neighborhood minority-white integration, 14.4% points, among black and white veterans who use VA loans. Compared to those with conventional loans, black veterans live in neighborhoods with 10% points fewer minorities and, white veterans, 4.4% points fewer whites. Our results illustrate how racial integration in the US military has the potential to foster lasting housing integration among veterans.     

Sexual Orientation Stigmatization and Identity Work for Gays,Lesbians, and Bisexuals in the U.S. Military

ABSTRACT

This study examines communicative stigmatization processes and their influence on self-concept clarity for gays, lesbians, and bisexuals (GLB) in the United States military. In-depth interviews were conducted with GLB (N = 16) military service members and veterans, and data were analyzed using grounded theory analysis. Findings revealed that GLB identity repudiation incites feelings of identity incongruity for gays, lesbians, and bisexuals in the U.S. military. GLB identity repudiation was composed of three key communicative practices. Further, because non-heterosexuality was viewed as seemingly incompatible with the military identity, many participants struggled to integrate their two social identities effectively. As such, participants employed several strategies to manage their conflicting sexual and role identities.     

Conducive Characteristics or Anti-Racist Context? Decomposing the Reasons for Veterans’ High Likelihood of Interracial Marriage

Over the twentieth and twenty-first centuries, veterans have been more likely to enter into race/ethnic intermarriages than non-veterans. Theories of race/ethnic intermarriage variously point to how minority race/ethnicity, race/ethnically diverse social settings, progressive racial attitudes, and high socioeconomic status increase individuals’ likelihood of intermarrying. Veterans’ unique racial and socioeconomic characteristics may contribute to their greater likelihood of intermarrying relative to non-veterans: larger percentages of veterans than non-veterans are members of racial and ethnic minority groups, while military service increases individual service members’ long-term economic and educational prospects. At the same time, veterans share in common their exposure to the unique military environment, which may increase their likelihood of intermarriage by diversifying their social circles, and subjecting their attitudes and behavior to group norms that are more explicitly egalitarian than those of society at large. The present study considers these two possible explanations for veterans’ greater likelihood of intermarriage. We use data on seven cohorts of men over six decades in the Current Population Survey, representing a total of 1,456,742 observations, to decompose the difference in likelihood of racial intermarriage between veterans and non-veterans among married men aged 18–65. We find that across cohorts and decades, veterans’ greater likelihood of intermarrying is not fully explained by their race/ethnic and socioeconomic composition. We argue that veterans’ greater likelihood of intermarrying may therefore be driven by their exposure to the military environment.     

Life Course Changes in Smoking by Gender and Education: A Cohort Comparison Across France and the United States

Widening of educational disparities and a narrowing female advantage in mortality stem in good part from disparities in smoking. The changes in smoking and mortality disparities across cohorts and countries have been explained by an epidemic model of cigarette use but are also related to life course changes. To better describe and understand changing disparities over the life course, we compare age patterns of smoking in three cohorts and two nations (France and the US) using smoking history measures from the 2010 French health barometer (N = 20,940) and the 2010 US National Health Interview Survey Sample Adult File (N = 20,444). The results demonstrate statistically significant widening of gender and educational differences from adolescence to early and middle adulthood, thus accentuating the disparities already emerging during adolescence. In addition, the widening disparities over the life course have been changing across cohorts: age differences in educational disparities have grown in recent cohorts (especially in France), while age differences in gender disparities have narrowed. The findings highlight the multiple sources of inequality in smoking and health in high-income nations.     

"Are they still having sex?" STI's and unintended pregnancy among mid-life women

Research has shown that women remain sexually active throughout mid-life and into the post-menopausal years. Recent data reveal that significant numbers of STIs (sexually transmitted infections) and unintended pregnancies occur among mid-life women. Data on STI prevalence indicate several STIs have relatively high rates among women over age 30, including HIV and HSV-2. Racial/ethnic disparities in STI prevalence between mid-life African American, Hispanic, and Caucasian women have also been noted. Data from the 1995 National Survey of Family Growth reveal 51% of pregnancies among women 40 and older are unintended. Both STIs and unintended pregnancy can result in serious health consequences for mid-life women. STIs can result in pelvic inflammatory disease and ectopic pregnancy. Unintended pregnancy can result in increased morbidity and mortality to the woman and the fetus. Mid-life women are also highly likely to go through relationship transitions (e.g., separation, divorce) and the subsequent initiation of new sexual relationships. As a result, these women are at elevated risk of STIs and unintended pregnancy. Despite these realities, there is a lack of programs addressing these two health issues among mid-life women and the unique life circumstances of women at this stage of life. The authors assert there is a compelling need for interventions to reduce STIs and unintended pregnancy in this population of women, review the literature regarding STIs and unintended pregnancy in mid-life women, identify gaps in current resources, and make recommendations for health care practice and future research.     

A mixed methods study: Midlife African American women’s knowledge,beliefs, and barriers to well-woman visit,flu vaccine,and mammogram use

ABSTRACT

African American women (AAW) are particularly at risk for deleterious health outcomes that might be mitigated through increased preventive care use. A mixed methods study that examined relationships between knowledge of, beliefs about, and barriers to well-woman visits, flu vaccines, and mammograms was conducted with midlife AAW who participated in an online survey (n = 124) and in-depth interviews (n = 19). Findings showed that greater knowledge of preventive service recommendations and positive patient-provider relationships were associated with greater preventive service use. Flu vaccines were significantly underused. Study implications inform strategies to increase preventive care utilization among AAW and increase capacities to improve health disparities.     

Trends in Education-Specific Life Expectancy,Data Quality,and Shifting Education Distributions: A Note on Recent Research

Several recent articles have reported conflicting conclusions about educational differences in life expectancy, and this is partly due to the use of unreliable data subject to a numerator-denominator bias previously reported as ranging from 20 % to 40 %. This article presents estimates of life expectancy and lifespan variation by education in the United States using more reliable data from the National Health Interview Survey. Contrary to prior conclusions in the literature, I find that life expectancy increased or stagnated since 1990 among all education-race-sex groups except for non-Hispanic white women with less than a high school education; there has been a robust increase in life expectancy among white high school graduates and a smaller increase among black female high school graduates; lifespan variation did not increase appreciably among high school graduates; and lifespan variation plays a very limited role in explaining educational gradients in mortality. I also discuss the key role that educational expansion may play in driving future changes in mortality gradients. Because of shifting education distributions, within an education-specific synthetic cohort, older age groups are less negatively selected than younger age groups. We could thus expect a greater concentration of mortality at younger ages among people with a high school education or less, which would be reflected in increasing lifespan variability for this group. Future studies of educational gradients in mortality should use more reliable data and should be mindful of the effects of shifting education distributions.     

Who Goes to College,Military, Prison,or Long-Term Unemployment? Racialized School-to-Labor Market Transitions Among American Men

This paper analyzes the selection processes behind post-schooling transitions into college enrollment, military service, long-term unemployment, and incarceration relative to civilian employment, examining to what extent these processes are racialized. Rather than analyzing a complete set of alternatives, previous research typically focuses on a limited set of these alternatives at a time, and rarely accounts for incarceration or long-term unemployment. Using individual-level panel data on the first post-high school transition from the National Longitudinal Survey of Youth 1997 Cohort, results show that white men experience positive transitions (college enrollment and military service) at higher rates and for longer periods than black men, who experience negative transitions (long-term unemployment and incarceration) at higher rates for longer periods than whites. Competing risk Cox regression analyses reveal that blacks’ transitions are polarized, showing that blacks in the upper distributions of standardized test scores and socioeconomic status are more likely to pursue a college education relative to their white counterparts, whereas blacks in the bottom of the standardized test score and socioeconomic status distribution are more likely to experience negative transitions than whites. Unlike prior research finding that military service provided “bridging careers” for racial minorities, black men are no longer more likely to join the military than whites. Instead, blacks now face a much higher risk of incarceration. Implications for intra-generational mobility and changing opportunity structures for racial minorities are discussed.     

Is the Pro-Poor Premium Exemption Policy of Ghana’s NHIS Reducing Disparities Among the Elderly?

Under the act that established the National Health Insurance Scheme (NHIS), persons 70 years of age or above are automatically enrolled in the scheme and therefore can access health services free at the point of use. This suggests that the elderly who are unable to afford the premiums of private health insurance can enrol in the NHIS thereby eliminating the possibility of disparities in health insurance coverage. Notwithstanding, few studies have examined health insurance coverage among the elderly in Ghana. The lack of studies on the elderly in Ghana may be due to limited data on this important demographic group. Using data from the Study on Global Ageing and Health and applying logit models, this paper investigates whether the pro-poor exemption policy is eliminating disparities among the elderly aged 70 years and older. The results show that disparities in insurance coverage among the elderly are based on respondents’ socio-economic circumstances, mainly their wealth status. The study underscores the need for eliminating health access disparities among the elderly and suggests that the current premium exemptions alone may not be the solution to eliminating disparities in health insurance coverage among the elderly.     

Parental characteristics and the schooling progress of the children of immigrant and U.S.-born blacks

In this study, I examine disparities in schooling progress among children born to immigrant and U.S.-born blacks. I find that in one- and two-parent families, children born to black immigrants are less likely to fall behind in school than those born to U.S.-born blacks. In two-parent immigrant families, children born to two immigrant parents have a significant schooling advantage over children born to one immigrant parent. While children born to two immigrant parents in the wealthiest black immigrant families do better in the second generation than in the first, the reverse is observed among children in less wealthy families. These findings contribute in two ways to our understanding of the assimilation processes of children born to black immigrant parents. First, they show that there is a positive association between the number of immigrant parents in a family and children’s schooling performance. Second, they suggest that disparities in the assimilation patterns of the children of black immigrants are a likely product of the interaction between their parental characteristics and the socioeconomic circumstances of their families.     

Veteran Status,Income, and Intergenerational Mobility Across Three Cohorts of American Men

Existing research linking prior military employment with labor market outcomes has focused on comparing the relative income of veterans and nonveterans. However, people who join the armed forces are uniquely selected from the broader population, and the form and direction of selectivity has shifted over time, with differential enlistment rates by race, region, and socioeconomic status. Understanding changes in the demographic composition of enlistees and veterans has significant import for the study of social mobility, particularly given changes in the occupational structure since the mid-twentieth century and wage stagnation well into the new millennium. Furthermore, labor market polarization and increases in educational attainment since WWII raise additional concerns about the social origins of military personnel and their occupational trajectories after discharge. Using data from the National Longitudinal Surveys, we investigate how social background is linked to both income and occupational mobility among veterans from three cohorts of American men: World War II, Vietnam, and the All-Volunteer Force. We find few benefits for veterans, for either income or intergenerational occupational mobility, once social background is controlled, suggesting that selection into the armed forces largely governs outcomes in the civilian labor market. Our findings have significant importance for understanding civilian labor market outcomes and trajectories of social mobility during distinct phases of military staffing.     

Long-Term Earnings Differentials Between African American and White Men by Educational Level

This paper investigates long-term earnings differentials between African American and white men using data that match respondents in the Survey of Income and Program Participation to 30 years of their longitudinal earnings as recorded by the Social Security Administration. Given changing labor market conditions over three decades, we focus on how racial differentials vary by educational level because the latter has important and persistent effects on labor market outcomes over the course of an entire work career. The results show that the long-term earnings of African American men are more disadvantaged at lower levels of educational attainment. Controlling for demographic characteristics, work disability, and various indicators of educational achievement does not explain the lower long-term earnings of less-educated black men in comparison to less-educated white men. The interaction arises because black men without a high school degree have a larger number of years of zero earnings during their work careers. Other results show that this racial interaction by educational level is not apparent in cross-sectional data which do not provide information on the accumulation of zero earnings over the course of 30 years. We interpret these findings as indicating that compared to either less-educated white men or highly educated black men, the long-term earnings of less-educated African American men are likely to be more negatively affected by the consequences of residential and economic segregation, unemployment, being out of the labor force, activities in the informal economy, incarceration, and poorer health.     

Examining Sexual Orientation Disparities in Unmet Medical Needs Among Men and Women

Using the National Longitudinal Study of Adolescent Health (N = 13,810), this study examines disparities in unmet medical needs by sexual orientation identity during young adulthood. We use binary logistic regression and expand Andersen’s health care utilization framework to identify factors that shape disparities in unmet medical needs by sexual orientation. We also investigate whether the well-established gender disparity in health-seeking behaviors among heterosexual persons holds for sexual minorities. The results show that sexual minority women are more likely to report unmet medical needs than heterosexual women, but no differences are found between sexual minority and heterosexual men. Moreover, we find a reversal in the gender disparity between heterosexual and sexual minority populations: heterosexual women are less likely to report unmet medical needs than heterosexual men, whereas sexual minority women are more likely to report unmet medical needs compared to sexual minority men. Finally, this work advances Andersen’s model by articulating the importance of including social psychological factors for reducing disparities in unmet medical needs by sexual orientation for women.     

Sex Differences in the Relationship between Military Service Status and Functional Limitations and Disabilities

This paper examines the relationship between military service status (active duty, veteran, never served), sex, and six functional limitations/disabilities using data from the 5% sample of the 2000 U.S. Census. We estimate multivariate logistic regression models separately for men and women, and evaluate sex differences by comparing coefficients across models using a Wald chi-square test and computing predicted probabilities. For both men and women, the highest rates of functional limitation/disability are observed among veterans, while the lowest rates are recorded among active duty personnel. The increased odds of functional limitations/disabilities associated with veteran status is higher among women than men, whereas the decreased odds of functional limitations/disabilities associated with active duty status is lower among women than men. The predicted probabilities, which are based on a subgroup of 40–49 year olds with select sociodemographic characteristics, indicate that veteran women’s probabilities of many types of functional limitations/disabilities equal or exceed those of veteran men. Overall, the findings suggest women experience a more detrimental effect of past military service and a less beneficial effect of current military service. More life course analysis with longitudinal data that accounts for factors that influence sex-differentiation with respect to selection into military service, experiences in the military, and the short- and long-term consequences of military service is needed to fully understand sex differences in the relationship between military service and functional limitations/disabilities.