The racial crossover in comorbidity, disability, and mortality

This study analyzed one respondent per household who was age 70 or more at the time of the household's inclusion in Wave 1 (1993-1994) and whose survival status was determinable at Wave 2 (1995-1996) of the Survey on Asset and Health Dynamics Among the Oldest Old (AHEAD Survey). At age 76 at Wave 1, there was a racial crossover in the cumulative number of six potentially fatal diagnoses (chronic lung disease, cancer, heart disease, hypertension, diabetes, and stroke) from a higher cumulative average number for blacks to a higher average number for whites. Also, there was a racial crossover at age 86 in the cumulative average number of disabilities in the Advanced Activities of Daily Living (AADLs), from a higher average for blacks to a higher average for whites. Between Waves 1 and 2, there was a racial crossover in the odds of mortality from higher odds for blacks to higher odds for whites; this occurred at about age 81. The results are consistent with the interpretation that the racial crossover in comorbidity (but not the crossover in AADL disability) propelled the racial crossover in mortality.     

Racial inequalities in housing: An examiation of recent trends

Changes in racial differences in homeownership and objective indicators of housing quality are examined using 1960 Census data and 1977 Annual Housing Survey data. Blacks, net of differences in socioeconomic status, family composition, and regional-metropolitan location, remained less likely than whites to own homes and somewhat more likely to live in older, crowded and structurally inadequate units in 1977. In general, however, net effects for race were much smaller in 1977 than in 1960. Racial differences in homeownership and crowding were smaller among recent movers than among the total sample in 1977, suggesting continued but gradual improvement in housing conditions for blacks in the latter 1970s.     

Housing and wealth inequality: Racial-ethnic differences in home equity in the United States

In our study, we took a first step toward broadening our understanding of the sources of both housing and wealth inequality by studying differences in housing equity among blacks, Hispanics, Asians, and non-Hispanic whites in the United States. Using data from the American Housing Survey, we found substantial and significant gaps in housing equity for blacks and Hispanics (but not for Asians) compared with whites, even after we controlled for a wide range of locational, life-cycle, socioeconomic, family, immigrant, and mortgage characteristics. Furthermore, the payoffs to many factors are notably weaker for minority than for white households. This finding is especially consistent across groups for the effects of age, socioeconomic status, and housing-market value. Blacks and Hispanics also uniformly receive less benefit from mortgage and housing characteristics than do whites. These findings lend credence to the burgeoning stratification perspective on wealth and housing inequality that acknowledges the importance of broader social and institutional processes of racial-ethnic stratification that advantage some groups, whites in this case, over others.     

The difference in unwanted births between blacks and whites

Blacks are more likely than whites to have unwanted births. A common explanation for that difference is that blacks use less effective contraceptive methods, use contraception less effectively, and use contraception less often than whites. Analysis of data from 17 cities in our family planning evaluation project suggested that, among women living in low-income neighborhoods, the black-white difference in unwanted births was not due to (1) blacks reaching desired completed parity at younger ages than whites, (2) differences in age or parity in our black and white samples, (3) black-white differences in current use of physician-administered contraception, or (4) blacks being more likely than whites to adopt physician-administered contraception after having an unwanted birth. Black-white differences which might have contributed to relatively more unwanted births among blacks were (1) blacks desired fewer children, (2) blacks were less likely than whites to use nonphysician-administered methods and more likely than whites to use no contraception, and (3) blacks had higher failure rates than whites subsequent to the adoption of physician-administered methods and when not using those methods. Comparisons are made with the 1965 and 1970 National Fertility Studies, and program implications of the findings discussed.     

Making a place in the metropolis: Locational attainment in cities and suburbs

What accounts for the differences in the kinds of communities within the metropolis in which members of different racial and ethnic groups live? Do socioeconomic advancement and acculturation provide greater integration with whites or access to more desirable locations for minority-group members? Are these effects the same for Asians or Hispanics as for blacks? Does suburbanization offer a step toward greater equality in the housing market, or do minorities find greater discrimination in the suburban housing market? Data from 1980 for five large metropolitan regions are used to estimate "locational-attainment models, " which evaluate the effects of group members’ individual attributes on two measures of the character of their living environment: the socioeconomic standing (median household income) and racial composition (proportion non-Hispanic white) of the census tract where they reside. Separate models predict these outcomes for whites, blacks, Hispanics, and Asians. Net of the effects of individuals’ background characteristics, whites live in census tracts with the highest average proportion of white residents and the highest median household income. They are followed by Asians and Hispanics, and-at substantially lower levels-blacks. Large overall differences exist between city and suburban locations; yet the gap between whites and others is consistently lower in the suburbs than in the cities of these five metropolitan regions.     

Race and intra-urban migration

Data from the urban renewal experience in Syracuse, New York are used to examine the impact of race on patterns of intra-urban migration. The results show that, overall, the migration patterns exhibited an exponential decay in frequency with increasing distance. Both blacks and whites display this pattern, but blacks tend to cluster more closely around the point of origin. Indirect evidence is developed to show that this phenomenon is due to blacks and whites having different access to information about housing, which ultimately maintains housing segregation.     

Return to Being Black, Living in the Red: A Race Gap in Wealth That Goes Beyond Social Origins

In the United States, racial disparities in wealth are vast, yet their causes are only partially understood. In Being Black, Living in the Red, Conley (1999) argued that the sociodemographic traits of young blacks and their parents, particularly parental wealth, wholly explain their wealth disadvantage. Using data from the 1980–2009 waves of the Panel Study of Income Dynamics, I show that this conclusion hinges on the specific sample considered and the treatment of debtors in the sample. I further document that prior research has paid insufficient attention to the possibility of variation in the association between wealth and race at different points of the net worth distribution. Among wealth holders, blacks remain significantly disadvantaged in assets compared with otherwise similar whites. Among debtors, however, young whites hold more debt than otherwise similar blacks. The results suggest that, among young adults, debt may reflect increased access to credit, not simply the absence of assets. The asset disadvantage for black net wealth holders also indicates that research and policy attention should not be focused only on young blacks “living in the red.”     

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.     

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.     

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

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

Inequality in life expectancy, functional status, and active life expectancy across selected black and white populations in the United States

We calculated population-level estimates of mortality, functional health, and active life expectancy for black and white adults living in a diverse set of 23 local areas in 1990, and nationwide. At age 16, life expectancy and active life expectancy vary across the local populations by as much as 28 and 25 years respectively. The relationship between population infirmity and longevity also varies. Rural residents outlive urban residents, but their additional years are primarily inactive. Among urban residents, those in more affluent areas outlive those in high-poverty areas. For both whites and blacks, these gains represent increases in active years. For whites alone they also reflect reductions in years spent in poor health.     

Residential independence among older persons: community and individual factors

The objective of this study is to evaluate an expanded version of the resource model of living arrangements among older persons. This expanded model includes community-level measures of geriatric health services and housing market conditions. We employ the first two waves of the National Survey of Families and Households to test static and longitudinal fixed effects models of residential living arrangements. We find that residing in areas with higher levels of geriatric health care services increases the likelihood of residential independence, net of other contextual factors and individual characteristics. Our results show that housing market conditions are not related to levels of or changes in residential independence when control variables are included in the models. The results for the individual-level resource variables show that persons with greater economic resources, more children, and better functional status are better able to maintain independence and are less likely to die or live in a nursing home. This study shows the utility of expanding on micro-level approaches to understanding community living arrangements among older persons. Future investigations should include measures of the policy environment, transportation constraints and opportunities, and a more complete array of indicators of health and social services oriented toward helping elderly persons maintain their independence.     

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.     

Race and ethnicity in housing: Turnover in New York City, 1978–1987

This study examines the patterns and predictors of housing turnovers among non-Hispanic whites, non-Hispanic blacks, Puerto Ricans, and other Hispanics in New York City during 1978-1987 to assess whether access to housing is distributed differentially by race and ethnicity. The data are taken from the triennial New York City Housing and Vacancy Survey. After controlling for household preferences, purchasing power, and quality characteristics of the housing unit, multinomial logistic regression results show the most consistent and significant predictors of turnover to be geographic and market-sector attributes. The findings suggest the presence of structural constraints in the housing market which effectively channel racial/ethnic groups to separate neighborhoods. The overall results are reminiscent of early studies of neighborhood transition by Duncan and Duncan (1957) and Taeuber and Taeuber (1965), and show that little progress has been made toward achieving equality in housing or informal social contact between racial/ethnic groups.     

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.     

American fertility in transition: New estimates of birth rates in the United States, 1900–1910

This article presents new estimates of age-specific overall and marital fertility rates for the entire United States for the period 1900-1910. The estimation techniques are the two-census parity increment method and the own-children method. The data sources are the 1900 census public use sample and tabulations of 1910 census fertility data published with the 1940 census. Estimates are made for the total population, whites, native-born whites, foreign-born whites, and blacks. Low age-specific marital fertility at younger ages is consistent with a view of a distinctive American fertility pattern at this time.     

Friends for better or for worse: Interracial friendship in the United States as seen through wedding party photos

Friendship patterns are instrumental for testing important hypotheses about assimilation processes and group boundaries. Wedding photos provide an opportunity to directly observe a realistic representation of close interracial friendships and race relations. An analysis of 1,135 wedding party photos and related information shows that whites are especially unlikely to have black friends who are close enough to be in their wedding party. Adjusting for group size, whites and East and Southeast Asians (hereafter E/SE Asians) are equally likely to be in each other's weddings, but whites invite blacks to be in their wedding parties only half as much as blacks invite whites, and E/SE Asians invite blacks only one-fifth as much as blacks invite E/SE Asians. In interracial marriages, both E/SE Asian and black spouses in marriages to whites are significantly less likely than their white spouses to have close friendships with members of their spouse's race.     

分化与特色:中国老年人的居住安排——对692位老人的调查

文章通过对692位老人调查数据的分析发现:(1)中国城乡老年人的居住安排呈现多样化特征,有67.8%的老年人独立居住;(2)大多数老年人居住的社区针对老年人的服务和设施相当欠缺,尤其是针对残疾老人的设施更是奇缺;(3)老年人在使用社区设施上群体性差异较小;(4)老年人居住上获得包括单位在内的机构的帮助已经很少;(5)住房条件和财产权利构成了中国老年人社会分层的基本尺度。具有与西方发达国家老年人住房安排和选择不一样的特征,这些特征蕴含着中国特色。     

Absolute Change in Cause-Specific Infant Mortality for Blacks and Whites in the US: 1983–2002

This paper examines absolute change in infant mortality from 5 leading causes of death for whites and blacks over a 20 year period. Change in infant mortality varies by cause, race, and birth weight. Absolute decline in mortality from respiratory distress syndrome (RDS) and sudden infant death syndrome (SIDS) in the overall study population has been more rapid for black infants during the period after specific technological innovations were approved and behavioral practices were recommended for these conditions. For low birth weight infants, blacks experienced greater decline in mortality from SIDS and whites experienced greater decline in RDS mortality. Despite remarkable declines in mortality from these causes, relative racial disparities have increased over this time period. For the overall study population, blacks and whites experienced similar rates of mortality decline from congenital anomalies. Mortality decline from this cause among low birth weight infants occurred at a faster pace for whites. Mortality from causes for which no specific innovations were developed increased for blacks but remained relatively constant for whites. An analysis of absolute change complements the relative disparities approach by revealing the dynamics of change, thus providing a more complete understanding of changing racial disparities in infant mortality.