Work Disability Among Native-born and Foreign-born Americans: On Origins,Health, and Social Safety Nets

Public debates about both immigration policy and social safety net programs are increasingly contentious. However, little research has explored differences in health within America’s diverse population of foreign-born workers, and the effect of these workers on public benefit programs is not well understood. We investigate differences in work disability by nativity and origins and describe the mix of health problems associated with receiving Social Security Disability Insurance benefits. Our analysis draws on two large national data sources—the American Community Survey and comprehensive administrative records from the Social Security Administration—to determine the prevalence and incidence of work disability between 2001 and 2010. In sharp contrast to prior research, we find that foreign-born adults are substantially less likely than native-born Americans to report work disability, to be insured for work disability benefits, and to apply for those benefits. Overall and across origins, the foreign-born also have a lower incidence of disability benefit award. Persons from Africa, Northern Europe, Canada, and parts of Asia have the lowest work disability benefit prevalence rates among the foreign-born; persons from Southern Europe, Western Europe, the former Soviet Union, and the Caribbean have the highest rates.     

Foreign-born professionals in the United States

This paper is an abridged version of a longer study by the same name published by the Center for Immigration Studies, 1815 H Street, NW, Washington, DC 20006.     

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

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

Health Service Utilization Among Immigrants to the United States

This study uses data from the New Immigrant Survey and Andersen’s behavioral model, a commonly used framework for health care utilization, to examine the utilization patterns of Asian and Hispanic immigrants to the United States. Results indicate that the behavioral framework is well suited to predicting immigrants’ physician visits and dentist visits. However, this model is less appropriate for determining the likelihood of reporting a hospital as the primary source of medical care or immigrants’ use of non Western treatments. Importantly, years in the U.S. exhibits a robust, positive relationship with physician and dental visits for both groups even after controlling for several predisposing characteristics, self-assessed and physician-diagnosed need, pointing to the importance of this as an enabling factor in health care access and use.     

Explaining Disability Trends in the United States, 1963–2015

The National Health Interview Survey is the world's longest survey time series of health data. In spite of the availability of such a long time series, previous studies did not attempt to explain long‐term trends in disability, because the design of the question in the survey has changed over time. To control for changes in the design of the question, I added two variables indicating major changes in the design to the analysis. My results show that the decline in mortality from cardiovascular disease is associated with the rise in disability in the 1970s, whereas better education is associated with the long‐term decline in disability that started in the 1980s. Combined, the two variables are able to account for all major trends in disability at age 50–84 from 1963 to 2015, leaving limited room for other explanations. The statistical model predicts that the trend in falling disability rates will end as the rise in educational levels draws to a halt.     

Utilization of Health Care Among Female-to-Male Transgender Individuals in the United States

ABSTRACT

Female-To-Male (FTM) transgender individuals were approached at a conference and several peer support groups in the United States and asked to complete a short questionnaire regarding their medical care. Results from the 122 completed questionnaires indicated that a high number of respondents were taking testosterone (n = 106) and had some gender-confirming surgery (n = 68). Seventy percent of respondents rated their overall quality of health care “good” or “excellent.” A surprising finding was the low number (7%) reporting diagnoses of polycystic ovarian syndrome–the incidence of which has been reported elsewhere as high as 50%. Also notable were the high levels of employment, insurance, knowledge of standards of care, and access to providers, contrasting with reports from studies involving predominantly Male-To-Female (MTF) individuals. Finally, FTM's usage of transition-related medical resources can vary, but many within this study are foregoing genital surgery.     

Wealth Inequality Among Immigrants: Consistent Racial/Ethnic Inequality in the United States

Wealth is a strong indicator of immigrant integration in U.S. society. Drawing on new assimilation theory, we highlight the importance of racial/ethnic group boundaries and propose different paths of wealth integration among U.S. immigrants. Using data from the Survey of Income and Program Participation and quantile regression, we show that race/ethnicity shapes immigrant wealth inequality across the entire distribution of net worth, along with immigrants’ U.S. experience, such as immigrant status, U.S. education, English language proficiency, and time spent in the United States. Our results document consistent racial/ethnic inequality among immigrants, also evidenced among the U.S. born, revealing that even when accounting for key aspects of U.S. experience, wealth inequality with whites for Latino and black immigrants is strong.     

Racial and Gender Differences in Pressure Ulcer Development Among Nursing Home Residents in the Southeastern United States

Objective: To determine whether there is a difference in the incidence of pressure ulcers (PU) between African American (AA) and White nursing home (NH) residents in the Southeastern United States. Methods: Data from the Centers for Medicare and Medicaid Services Minimum Data Set were examined for 113,869 residents who were free of PU at NH admission during 1999–2002. Facility and neighborhood characteristics were abstracted from the Online Survey Certification and Reporting database and the 2000 U.S. Census respectively. Results: The incidence of PU in NH among AAs and Whites was 4.7% (95% CI: 4.4–5.0) and 3.4 % (95% CI: 3.3–3.5) respectively. The association between race and PU development varied between males and females. Differences were noted between AA and White males who were dependent in mobility and between AA and White females who were bedfast and resided in facilities with less than 200 beds. Unlike for females, facility and neighborhood characteristics were not significant confounders in risk for PU incidence among males. Conclusion: PU occurred more frequently in AAs than in Whites. Results suggest that racial differences are marked among males and females with specific characteristics. Interventions for reducing this disparity should target these at-risk groups.     

Contraceptive Method Choice Among Youth in the United States: The Importance of Relationship Context

We examine the relationship characteristics associated with contraceptive method choice within young people’s nonmarital sexual relationships, using data from retrospective relationship histories available in the third wave (2001–2002) of the National Longitudinal Study of Adolescent Health. Data-reduction techniques produce a detailed multidimensional characterization of relationship commitment for nonmarital sexual relationships. We then use multilevel analysis to estimate associations between two key relationship characteristics—relationship commitment and couple heterogamy—and the type of contraceptive method used at last sexual intercourse within each relationship. Results indicate that for a given individual, contraceptive method choice varies across relationships as a function of these characteristics, even after we account for important individual and family characteristics and prior relationship experiences.     

Work and Retirement Among a Cohort of Older Men in the United States, 1966–1983

Multivariate increment-decrement working life tables are estimated for a cohort of older men in the United States for the period 1966-1983. The approach taken allows multiple processes to be simultaneously incorporated into a single model, resulting in a more realistic portrayal of a cohort's late-life labor force behavior. In addition, because the life table model is developed from multivariate hazard equations, we identify the effects of sociodemographic characteristics on the potentially complex process by which the labor force career is ended. In contrast to the assumed homogeneity of previous working life table analyses, the present study shows marked differences in labor force mobility and working and nonworking life expectancy according to occupation, class of worker, education, race, and marital status. We briefly discuss the implications of these findings for inequities of access to retirement, private and public pension consumption, and future changes in the retirement process.     

Delayed childbearing in the United States

This article analyzes the phenomenon of delayed childbearing in the United States. It begins by exploring problems associated with the definition and measurement of delayed childbearing. Existing empirical evidence of the phenomenon is reviewed and some new evidence is presented. A general theoretical framework for analyzing delayed childbearing is outlined and discussed in relation to existing theories. The article also provides a critical substantive and methodological review of evidence on the correlates and implications of delayed childbearing. Finally, public and private policy-related aspects of delayed childbearing are considered.     

Homicide trends in the United States

Unlike most other causes of death, homicide has been increasing in the United States, especially since the mid-1960s. Its impact is greatest among nonwhite men. The elimination of homicide would add approximately one and one-half years to their life span. This analysis examines trends and differentials using vital statistics data about homicide victims. A decomposition of components of change reveals that almost all of the rise in homicide mortality among nonwhites and a substantial fraction of the rise among whites results from the increasing use of firearms to kill people.     

Medicaid Expansions and Fertility in the United States

Beginning in the mid-1980s and extending through the early to mid-1990s, a substantial number of women and children in the United States gained eligibility for Medicaid through a series of income-based expansions. Using natality data from the National Center for Health Statistics, we estimate fertility responses to these eligibility expansions. We follow Currie and Gruber (2001) and measure changes in state Medicaid-eligibility policy by simulating the fraction of a standard population that would qualify for benefits in different states and different time periods. From 1985 to 1996, the fraction of women aged 15–44 who were eligible for Medicaid coverage for a pregnancy increased more than 20 percentage points. When we use a state and year fixed-effects model with a limited set of covariates, our estimates indicate that fertility increases in response to Medicaid expansions. However, after we include fixed effects for demographic characteristics, the estimated relationship diminishes substantially in size and is no longer statistically significant. We conclude that there is no robust relationship between Medicaid expansions and fertility.     

Cigarette smoking and widowhood in the United States

Abstract Extract In the United States, for newly married couples with husband aged 23 and wife 21 who never divorce or re-marry after death of spouse, expectation of married life increased by 10·1 years between 1910 and 1965. Expectation of widowed life decreased by 3·2 years for husbands, but, despite large mortality declines for both sexes, increased by 1·8 years for wives. These and related data are shown in Table 1.     

A Multilevel Perspective on Gender Differences in the Relationship Between Poverty Status and Depression Among Older Adults in the United States

Despite a large body of literature on depression, previous studies have focused on either intra- or interpersonal factors but not multilevel influences, which potentially could buffer depression in late life. The intent of this study was to identify whether the impact of poverty might be moderated by multilevel factors such as sense of control, social support, and neighborhood environment. The results showed that the elderly poor, especially older women, were more likely to be depressed. Support from friends significantly moderated the association between depression and poverty among older women. Implications for critical feminist gerontology and for practice are discussed.     

Disability Among Older Women and Men in Fiji: Concerns for the Future

SUMMARY

This study examines the composition of elderly population at risk of disability and speculates the impact of disability on the quality of their lives and their longevity. Using census and survey data collected in Fiji, life table estimates of unimpaired life expectancy across time are presented for older people and the potential costs of disability, in terms of productive years of life lost. From a planning perspective, the study discusses medical and support services that may be needed to support older individuals in Fiji. The study also describes policy implications of the findings, focusing on the older women, and considers the implications for older women of other developing countries.     

Nondrinker Mortality Risk in the United States

The literature has shown that people who do not drink alcohol are at greater risk for death than light to moderate drinkers, yet the reasons for this remain largely unexplained. We examine whether variation in people’s reasons for nondrinking explains the increased mortality. Our data come from the 1988–2006 National Health Interview Survey Linked Mortality File (N = 41,076 individuals age 21 and above, of whom 10,421 died over the follow-up period). The results indicate that nondrinkers include several different groups that have unique mortality risks. Among abstainers and light drinkers the risk of mortality is the same as light drinkers for a subgroup who report that they do not drink because of their family upbringing, and moral/religious reasons. In contrast, the risk of mortality is higher than light drinkers for former drinkers who cite health problems or who report problematic drinking behaviors. Our findings address a notable gap in the literature and may inform social policies to reduce or prevent alcohol abuse, increase health, and lengthen life.