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.     

Active Duty Military Personnel Presenting for Care at a Gay Men's Health Clinic

ABSTRACT

Under the “Don't Ask, Don't Tell, Don't Pursue, Don't Harass” Department of Defense policy, gay men and women are allowed to serve in the military, but they are not allowed to disclose their sexual orientation. This study was performed to determine the incidence of active duty military personnel seeking care at a Gay Men's Health Clinic. Nine percent of the clients, who had served between June and August 2002, were active duty U.S. Navy sailors. They all expressed fears of being discharged from the military when asked why they did not access military healthcare. The “DADTDPDH” policy breeds distrust between men who have sex with men (MSM) service-members and their healthcare provider and this ensures inadequate healthcare.     

Active duty military personnel presenting for care at a Gay Men's Health Clinic

Under the "Don't Ask, Don't Tell, Don't Pursue, Don't Harass" Department of Defense policy, gay men and women are allowed to serve in the military, but they are not allowed to disclose their sexual orientation. This study was performed to determine the incidence of active duty military personnel seeking care at a Gay Men's Health Clinic. Nine percent of the clients, who had served between June and August 2002, were active duty U.S. Navy sailors. They all expressed fears of being discharged from the military when asked why they did not access military healthcare. The "DADTDPDH" policy breeds distrust between men who have sex with men (MSM) service-members and their healthcare provider and this ensures inadequate healthcare.     

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.     

Looking at Population Health Beyond “Male” and “Female”: Implications of Transgender Identity and Gender Nonconformity for Population Health

Looking beyond binary measurements of “male” or “female” can illuminate health inequality patterns that correspond to gender identity rather than biological sex. This study examines disparities in overall health among transgender men, transgender women, gender-nonconforming adults, and cisgender (nontransgender) men and women in the U.S. population. Behavioral Risk Factor Surveillance System (BRFSS) data from 32 U.S. states and territories between 2014 and 2016 yield an analytic sample that identifies 2,229 transgender and gender-nonconforming adults and 516,753 cisgender adults. Estimates from logistic regression models, using cisgender men as a reference group, show that gender-nonconforming respondents have significantly higher odds of reporting poor self-rated health than any other gender identity group. Transgender men also display higher odds of reporting poor health in some models, corresponding to their relative socioeconomic disadvantage. I find no apparent health disadvantage among transgender women and a persistent, if slight, disadvantage among cisgender women. Gender-nonconforming respondents’ predicted probabilities of reporting poor health remain nearly twice as high as those of cisgender men after adjustments for demographic, socioeconomic, and behavioral factors. Their persistent patterns of health-related disadvantage underscore the need for higher-quality data on gender-nonconforming respondents that account for sex assigned at birth.     

Sex-appropriate roles: Comparing the attitudes of civilian and military youth

This paper compares attitudes toward sex-appropriate roles of military and civilian youth in America using multivariate analysis. Results revealed that military status itself did not directly affect perceptions of sex-appropriate roles. However, being in the military interacted with other control variables to reinforce and intensify present attitudes. Thus, women in the military held less traditional sex role attitudes than civilian women, while military men had more traditional sex role attitudes than civilian men. Those variables relating to sex role attitudes thus seem to have different consequences for military personnel and civilians.     

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.     

A Demographic Profile of Obesity in the Adult and Veteran US Populations in 2008

Obesity is increasing in the US population and seems to be disproportionately burdening disadvantaged groups. Veterans using the Veterans Healthcare System (VHS) tend to be more disadvantaged socioeconomically than the general population and in poorer health. It is important to understand how the veteran population differs from or is similar to the general population and whether the VHS is able to mediate obesity risk among veterans. This research assesses the sociodemographic, behavioral, and health risk factors for obesity in the US adult and veteran populations in 2008. We use data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS) to empirically assess predictors of obesity risk. We find that women have lower odds of obesity than men once controls for sociodemographic, behavioral, and health conditions are included in our models. We also observe a veteran obesity disadvantage in the full adult sample when conducting bivariate tests, but no significant association with the odds of obesity in the logistic regression models among veterans and non-veterans. Gender specific models indicate that male veterans have increased odds of obesity compared to non-veterans, but no difference in obesity risks among veterans and non-veterans are noted for women, controlling for all variables. Further, we find no significant differences in the odds of obesity of veterans using VHS for all, some, or none of their health care needs; further no significant gender differences in obesity risk were observed among VHS usages and non-users. Based on the strong, positive association between the number of chronic health conditions and the odds of obesity, we suggest that health policy should focus efforts on weight management counseling for obese patients that have obesity related co-morbidities, and more targeted attention to male veterans would help to address the high level of obesity in this vulnerable population group.     

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.     

Social,behavioral, and biological factors,and sex differences in mortality

Few studies have examined whether sex differences in mortality are associated with different distributions of risk factors or result from the unique relationships between risk factors and mortality for men and women. We extend previous research by systematically testing a variety of factors, including health behaviors, social ties, socioeconomic status, and biological indicators of health. We employ the National Health and Nutritional Examination Survey III Linked Mortality File and use Cox proportional hazards models to examine sex differences in adult mortality in the United States. Our findings document that social and behavioral characteristics are key factors related to the sex gap in mortality. Once we control for women’s lower levels of marriage, poverty, and exercise, the sex gap in mortality widens; and once we control for women’s greater propensity to visit with friends and relatives, attend religious services, and abstain from smoking, the sex gap in mortality narrows. Biological factors—including indicators of inflammation and cardiovascular risk—also inform sex differences in mortality. Nevertheless, persistent sex differences in mortality remain: compared with women, men have 30% to 83% higher risks of death over the follow-up period, depending on the covariates included in the model. Although the prevalence ofriskfactors differs by sex, the impact of those riskfactors on mortality is similar for men and women.     

Sex differences in the development of mild cognitive impairment and probable Alzheimer’s disease as predicted by hippocampal volume or white matter hyperintensities

This study examined biological sex differences in the development of mild cognitive impairment (MCI) and probable Alzheimer’s disease (AD) development as predicted by changes in the hippocampus or white matter hyperintensities. A secondary data analysis of the National Alzheimer’s Coordinating Center Uniform Data Set was conducted. We selected samples of participants with normal cognition at baseline who progressed to MCI (n = 483) and those who progressed to probable AD (n = 211) to determine if hippocampal volume or white matter hyperintensities (WMH) at baseline predicted progression to probable AD or MCI and whether the rate of progression differed between men and women. The survival analyses indicated that changes in hippocampal volumes affected the progression to probable AD (HR = 0.535, 95% CI [0.300–0.953]) only among women. White men had an increased rate of progression to AD (HR = 4.396, CI [1.012–19.08]; HR = 4.665, 95% CI [1.072–20.29]) compared to men in other race and ethnic groups. Among women, increases in hippocampal volume ratio led to decreased rates of progressing to MCI (HR = 0.386, 95% CI [0.166–0.901]). Increased WMH among men led to faster progression to MCI (HR = 1.048. 95% CI [1.011–1.086]). Women and men who were older at baseline were more likely to progress to MCI. In addition, results from longitudinal analyses showed that women with a higher CDR global score, older age at baseline, or more disinhibition symptoms experienced higher odds of MCI development. Changes in hippocampal volumes affect the progression to or odds of probable AD (and MCI) more so among women than men, while changes in WMH affected the progression to MCI only among men.     

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.     

Serious psychological distress,sex, and falls among the elderly

Serious psychological distress and falls are two major public health problems among the elderly. This study aims to test the hypothesis that although serious psychological distress can increase the risks of falls among the elderly, it tends to affect elderly women more than elderly men. Data of this study are from the 2011 California Health Survey Interviews (CHIS). We extracted a sample of 13,153 respondents aged 65 and older for this study, including 8,087 females and 5,066 males. We tested both unadjusted and adjusted interaction effects using bivariate and multivariate logistic regression analysis. Elderly women with serious psychological distress had the greatest likelihood of falls as compared to men with serious psychological distress and men and women without serious psychological distress. With respect to the covariates, limitations of physical activity and poor self-rated health status, Asian race, and older age were more likely to be associated with falls. This study provides further information on sex disparities of falls among the elderly such that serious psychological distress has a greater impact on falls for elderly women than elderly men. Thus, the findings of our studies suggest that mental health services and intervention can be useful to prevent falls for elderly women.     

Child Mobility,Maternal Status,and Household Composition in Rural South Africa

This article examines the influence of maternal status, socioeconomic status of the household, and household composition on the mobility of children aged 0–14 in Mpumalanga Province, South Africa, from 1999 to 2008. Using data from the Agincourt Health and Demographic Surveillance System, we found that children whose mothers were temporary migrants, living elsewhere, or dead had higher odds of moving than children whose mothers were coresident. Older children and children living in richer households faced lower odds of mobility. For children whose mothers were coresident, there was no effect of maternal substitutes on child mobility. However, among children whose mothers were temporary migrants or living elsewhere, the presence of prime-aged and elderly females lowered the odds of mobility. For maternal orphans, the presence of elderly women in the household lowered their odds of mobility. The results underscore the importance of examining the conditions under which children move in order to strengthen service delivery targeted at safeguarding children’s well-being.     

Gender differences in life expectancy free of impairment at older ages

This article uses data from the United Kingdom Medical Research Council Cognitive Function and Ageing study (MRC CFAS) to analyze morbidity associated with three areas of impairment. We use cognitive status, functional status, and physical illness to examine differences in the proportion of time that older women and men will spend with co-morbidity. We also analyze differences among various impairments, and investigate the relationship between missing data and sex. Women have a larger burden of impairment than men, and, by including cognitive impairment together with functional impairment, a very large impairment burden is highlighted at all ages. Policy implications of the findings from the perspective of older women in the United Kingdom are discussed.     

The Relationship of Social Support to Functional Limitations,Pain, and Well Being Among Men and Women

The purposes of this study were to assess the relationships of functional limitations, pain and well being to social support (emotional, tangible, informational and integrative) and to assess gender differences in these relationships. Except for integrative support, significant positive relationships were found between types of functional limitations and specific types of social supports among 15 men and 15 women (M = 67 years) with end stage joint disease. Pain was not significantly associated with any social support, but well being was related to informational and emotional supports. As compared to men, the relationships of tangible and integrative supports to well being, pain and functional impairment were signficantly greater for women as was the association of emotional support to limitations in mobility and physical activity. In contrast, women had signif~cantlys maller relationships of emotional support to limitations in ADL and household activities.     

A Few Good Men and Women: Gender,Race, and Status in the Wartime Volunteer Military

Much is known about the men who entered the US military during draft era wars and the peacetime volunteer era. Relatively less is known about those who turned 18 during the wars in Iraq and Afghanistan. Journalists, advocates, and politicians have expressed concern that wartime volunteer service has been inequitable. Yet there is apparently only one peer-reviewed article that explores the socioeconomic characteristics of the men who came of age after the start of the recent wars, and none that evaluate how race and status of female recruits varied. To assess these questions, the following article develops a theoretical model building on the status attainment and life course traditions. It uses data from the Educational Longitudinal Study of 2002, which contains information about a national sample of people who became eligible to join the armed forces during the height of the wartime volunteer era. It does not find evidence that low-status and minority men were disproportionately likely to enlist. Indeed, those with low-status were less likely to do so, partly because they were excluded by military standards. Men were particularly unlikely to join the armed forces, however, if they grew up in high-status rather than families in the middle of the status distribution. By contrast, women were most likely to join the armed forces if they came from the lower-middle than from anywhere else in the status distribution. Minority men were no more likely than white men to enlist, but black women were disproportionately likely to join the military.     

Subjective Well-being Among Those Who Exchange Sex and Money,Yunnan, China and Thailand

This work explores differences in subjective well-being (SWB) between two samples. Survey data from Yunnan China was collected by Yang and Luo in 2003 and was funded by the National Institute on Drug Abuse. A second pilot data set was collected in Thailand during January and February 2007. Predictors of SWB were explored among the Yunnan sample as a whole, between Yunnan men who traded money for sex and Yunnan women who traded sex for money, and between Yunnan women who traded sex for money and Thai women who traded sex for money. For Yunnan women who exchanged sex for money, only age nears significance as a predictor of SWB. For Thai women who sell sex, age was not a significant predictor of SWB; however, having more education and feeling one’s relative income was good were associated with SWB all else equal. The authors propose that, among this sample of Thai sex workers, sex work has become normalized in Thailand.     

Understanding educational sequences and their consequences on the timing of marriage

"This study examines educational sequences and their consequences on the timing of marriage using the life history data from the 1983 Korean National Migration Survey....I find that the educational process in Korea becomes stabilized and institutionalized during middle and high schooling as middle and high school education becomes a mass experience. However, both men and women are likely to undergo a disorderly sequence during the transition period from high school to college due to the very fierce college entrance examination. Men are also likely to experience a disorderly sequence before or after military service. Both men and women who experience an interruption in their schooling after graduation from high school have lesser odds of getting married than those who keep their educational process orderly."