Cognitive abilities and self-rated health: Is there a relationship? Is it growing? Does it explain disparities?

Although social epidemiologists have recently turned to the role of cognitive abilities in health, the ensuing debate has been largely speculative and numerous questions remain unanswered. Epidemiologists have speculated in three key areas: (i) whether cognitive abilities are associated with health; (ii) whether the association is growing; and (iii) whether cognitive abilities explain disparities. Using the cumulative 1974–2000 General Social Survey, this paper explores these questions using self-rated health as an outcome and a test of verbal ability as an indicator of cognitive abilities. On the one hand, the results suggest a significant and strictly monotonic association between verbal ability (with scores ranging from 0 to 10) and self-rated health. The association has been consistently strong since 1974; there is no evidence for a growing association. On the other hand, the results provide little to no evidence that verbal ability explains disparities. In multivariate models, the coefficients for income and education are reduced by only a small fraction with the introduction of controls for verbal ability (5 and 16%, respectively) and the relationship between verbal ability and self-rated health is, itself, very sensitive to controls for socioeconomic status. Furthermore, verbal ability cannot account for black–white differences in self-rated health: interaction-effect analyses indicate that, conditional on socioeconomic status, verbal ability has no discernable association with self-rated health among African Americans. Altogether, the results suggest that cognitive abilities are related to self-rated health, but also that cognitive abilities will do very little to explain disparities and may have benefits that are limited mostly—and sometimes entirely—to whites. The results are inconsistent with much of the previous speculation regarding cognitive abilities, but consistent with research on health’s “fundamental” causes and, more generally, with sociological research on the role of cognitive abilities in the process of stratification.     

Age at migration,family instability,and timing of sexual onset

This study builds on and extends previous research on nativity variations in adolescent health and risk behavior by addressing three questions: (1) whether and how generational status and age at migration are associated with timing of sexual onset among U.S. adolescents; (2) whether and how family instability mediates associations between nativity and sexual debut; and (3) whether and how these associations vary by gender. We find that first- and second-generation immigrant youth initiate sexual activity later than native youth. Foreign-born youth who migrate after the start of adolescence exhibit the latest sexual onset; boys’ sexual behavior is particularly sensitive to age at migration. Parental union stability is protective for first- and second-generation youth, especially boys; however, instability in co-residence with parents accelerates sexual debut for foreign-born girls, and dilutes protections from parental marital stability. Use of a non-English language at home delays sexual onset for immigrant girls, but not boys.     

The dual contingencies of ethnoraciality: Status-context disparities in health information sources among sexual minorities

Researchers often explore health (care) beliefs as a function of individual characteristics; yet, few consider the role of context in shaping both beliefs and the behaviors that are informed by them. As a sociopolitical construct, ethnoraciality provides a concerning source of bias in studies of health (care) beliefs because it inhabits both individual and contextual forms. This study examines whether the ethnoracial context of the residential area where sexual minorities live is associated with a particular health (care) belief – sources of trustworthy health information – and considers how ethnoracial group membership status differentiates these ecological associations drawing on mediation and moderation models. Using data from the 2010 Social Justice Sexuality Project, our analysis shows that sexual minorities who live with high concentrations of Latinos and Whites are less likely to rely exclusively on medical professionals for trustworthy health information than those who live with high concentrations of Blacks. Moreover, exclusive reliance on medical professionals for health information among Black and Latino sexual minorities is stronger in co-ethnic communities (predominately Black and Latino areas, respectively). The analysis also documents status and contextual differentials and status-context contingencies of reliance on the Internet, social networks, and multiple agents (“triangulation”) as sources of health information. Findings suggest that place-based co-ethnic networks may facilitate disease prevention among Black and Latino sexual minorities by improving the quality of their relationships with sick role gatekeepers and breaking down the silos of the medical complex. The study concludes by considering the value of a place-based approach to alleviating health disparities among sexual minorities vis-à-vis the health care system.     

The differential impact of discrimination on health among Black and White women

Despite a large body of research examining the impact of discrimination on health, the ways in which perceived discrimination may lead to disparate health outcomes through a sense of self and system consciousness is less understood. The current paper is concerned with both mental and physical health consequences of discrimination, as well as mediating pathways among African American and White women. Indirect effects analyses examine mediating paths from discrimination to health outcomes via structural awareness and self-esteem, using data from the Women's Life Path Study (N = 237). Our findings suggest that discrimination is both directly and indirectly associated with health outcomes for both Black and White women, mediated by individual (self-esteem) and group-level (structural awareness) processes. Evidence from this study indicates that discrimination is associated with heightened structural awareness, as well as lower self-esteem – both of which are related to poorer health. Discrimination negatively affected health across three domains, although the mechanisms varied somewhat for Black and White women. Broad implications of this research for interdisciplinary scholarship on the effects of discrimination on health and health disparities are discussed.     

Why does college education matter? Unveiling the contributions of selection factors

This study investigates the contributions of pre-college selection factors that may partially lead to the college degree – health link by using longitudinal data from the National Longitudinal Survey of Youth (1979) cohort. Propensity score matching method finds that the effects of college degree on various health outcomes (self-rated health, physical component summary index, health limitations, CESD scale) are reduced by 51% on average (range: 37%–70%) in the matched sample. Among these observed factors, cognitive skill is the biggest confounder, followed by pre-college health and socioeconomic characteristics (marital aspiration, years of schooling, marriage, fertility, poverty status) and non-cognitive skills (e.g., self-esteem). Rotter Internal-External Locus of Control scale is not significantly associated with all four health measures. The effects of most indicators of family background (parental education, family stability, family size, religious background) on the health of adult children are not direct but through offspring's early adulthood health and socioeconomic status.     

From the West Indies to Africa: A universal generational decline in health among blacks in the United States

Research shows that foreign-born blacks have better health profiles than their U.S.-born counterparts. Less is known, however, regarding whether black immigrants’ favorable health outcomes persist across generations or whether these patterns differ across the diverse sending regions for black immigrants. In this study, we use data from the 1996–2014 waves of the March Current Population Survey (CPS) to investigate generational differences in self-rated health among blacks with West Indian, Haitian, Latin American, and African ancestry. We show that first-generation black immigrants have a lower probability of reporting fair/poor health than third/higher generation blacks. The health advantage of the first generation over the third/higher generation is slightly more prounced among the foreign-born who migrated to the United States after age 13. Second-generation immigrants with two foreign-born parents are generally less likely to report their health as fair/poor than the third/higher generation. However, we find no evidence that self-reported fair/poor health varies between second-generation immigrants with mixed nativity parents (only one foreign-born parent) and the third/higher generation. These general patterns hold across each of the ancestral subgroups in the study sample. In summary, our findings highlight a remarkable convergence in health across immigrant generations among blacks in the United States.     

Seclusion,decision-making power,and gender disparities in adult health: Examining hypertension in India

Research on the social determinants of health in developing countries is increasingly focusing on the importance of gender. Cardiovascular conditions such as hypertension are a growing concern in developing countries, where they are now the leading cause of death. Researchers have documented differences in hypertension between men and women, but the importance of gendered practices in shaping these differences has been left unexamined. Using national data from the India Human Development Survey 2005 (N = 101,593), this study assesses the moderating role of two salient and widespread gendered practices—women’s seclusion and decision-making power—on hypertension disparities between women and men. Both seclusion and low decision-making power are associated with increased odds of hypertension for women, but in the case of seclusion reduced hypertension for men. Results also show the gender gap in hypertension is exacerbated with women’s seclusion and low decision-making power.     

Risky sexual behavior of foreign and native-born women in emerging adulthood: The long reach of mother-daughter relationships in adolescence

Parents’ influence on young adult sexual behavior receives little attention compared to influence on adolescent behavior. Yet effective parenting should have lasting effects. Even fewer studies examine parents’ influence on sexual behavior of both foreign and native-born young adults. Using the National Longitudinal Study of Adolescent to Adult Health (Add Health) Waves I (1994–95) and III (2001–02), we examine longitudinal associations among mother-daughter relationship quality and nativity during adolescence and young adults’ risky sexual behaviors of condom use at last intercourse, number of sexual partners, and STI diagnoses (N = 4460). Women, 18–26 years old, who had good mother-adolescent daughter relationships have fewer partners and STIs in the past year. Second generation women have worse mother-adolescent daughter relationships, compared to third generation. Relationship quality does not explain associations between nativity and risky behavior. Lasting associations between relationship quality and risk behaviors suggest that reproductive health interventions should enhance mother-adolescent relationships.     

移民妇女的身份认同——对三峡库区两个案例的解读

三峡库区移民工程已经进入到后期扶持阶段,早期移民的生产生活状况日益成为移民研究的重点。结合实地调查的经验感受,从社会性别的视角,运用社会认同理论,分析移民妇女这一特殊群体的身份认同,有着极为深刻的社会意义。移民妇女在搬迁地的身份关系及其背后的规则认同已经多元化,妇女身份认同的显著性程度与经济利益、社会关系网络结构、家庭出身等因素相关,这决定了她们是采取参与还是依赖策略,去寻求自己的存在点,筹划自己的生活。     

Liking and hyperlinking: Community detection in online child sexual exploitation networks

The online sexual exploitation of children is facilitated by websites that form virtual communities, via hyperlinks, to distribute images, videos, and other material. However, how these communities form, are structured, and evolve over time is unknown. Collected using a custom-designed webcrawler, we begin from known child sexual exploitation (CE) seed websites and follow hyperlinks to connected, related, websites. Using a repeated measure design we analyze 10 networks of 300 + websites each – over 4.8 million unique webpages in total, over a period of 60 weeks. Community detection techniques reveal that CE-related networks were dominated by two large communities hosting varied material –not necessarily matching the seed website. Community stability, over 60 weeks, varied across networks. Reciprocity in hyperlinking between community members was substantially higher than within the full network, however, websites were not more likely to connect to homogeneous-content websites.     

Changes in the labour market and health inequalities during the years of the recent economic downturn in Italy

There is widespread concern that episodes of unemployment and unstable working conditions adversely affect health. We add to the debate by focusing on the relationship between work trajectory and the self-reported health of Italian men and women during the present economic downturn. Relying on Italian data in the EU-SILC project (from 2007 to 2010), our sample includes all individuals aged 30 to 60 in 2010, and uses multivariate binomial regression models for preliminary analyses and the Structural Equations modelling (SEM) to observe the cumulative effects of health status according to different job trajectories. Our main findings show similar pictures for men and women. Individuals who are unemployed, ejected or in precarious occupational positions have a higher risk of worsening their health status during these years.     

Sexual intercourse,romantic relationship inauthenticity,and adolescent mental health

Numerous studies indicate sexual intercourse, especially when it occurs early in adolescence, increases youths' risk of mental health problems. However, no research has examined whether the association between sexual intercourse and mental health varies by romantic relationship inauthenticity, or the level of incongruence between thoughts/feelings and actions within romantic relationships. Using data from a subset of romantically-involved Add Health respondents, we measured sexual involvement in romantic relationships and applied sequence analysis to reports of ideal and actual romantic relationship to measure inauthenticity within adolescent romances. Regressions of depression symptoms indicate that the magnitude of the positive associations between sexual intercourse and girls' mental health is most pronounced in relationships characterized by high levels of relationship inauthenticity and that there is no association between sexual intercourse and girls' depression at low levels of relationship inauthenticity. Having sexual intercourse is positively associated with depression symptoms among boys, but relationship inauthenticity does not alter this association. We discuss the implications of these findings for research on adolescent sexuality and programs aimed at enhancing youth sexuality development.     

Social capital and self-rated health: Clarifying the role of trust

While research on social capital and health typically focuses on generalized trust (trust in abstract others), questions about the conceptualization and measurement of generalized trust remain, including whether trust should even be considered a part of social capital. We present a new approach to studying trust in the context of health and argue that consideration of the mechanisms through which social capital influences health highlights the central theoretical role of particularized trust (trust in known others). Furthermore, we argue that the effects of trust and social networks on health are dependent on one another. Analyzing data from Waves 5 and 6 of the World Values Survey (WVS), we find that, net of control variables, particularized trust is more strongly associated with self-rated health than is generalized trust. In addition, we find that the predicted effects of particularized and generalized trust on self-rated health are conditioned by membership in voluntary associations and vice versa.     

How do sexual harassment policies shape gender beliefs? An exploration of the moderating effects of norm adherence and gender

Sexual harassment laws have led to important organizational changes in the workplace yet research continues to document resistance to their implementation and backlash against the people who mobilize such laws. Employing experimental research methods, this study proposes and tests a theory specifying the mechanisms through which sexual harassment policies affect gender beliefs. The findings show evidence that sexual harassment policies strengthen unequal gender beliefs among men and women most committed to traditional gender interaction norms. I also find that men and women’s different structural locations in the status hierarchy lead to different, but related sets of concerns about the status threats posed by sexual harassment policies. By specifying the social psychological processes through which sexual harassment law affects beliefs about men and women, this study sets the stage for investigating ways to make laws designed to reduce inequality between social groups more effective.     

Misconceived equity? Health care resources,contextual poverty,and child health disparities in Peru

Although many studies have examined determinants of child health, fewer have explored factors explaining regional disparities in child health outcomes. In the Peruvian context, we examined the relationship between regional disparities in child malnutrition and local variation in health resources (health care resources and the socioeconomic environment). Using the Peruvian 2007–2008 Continuous Demographic and Health Survey (N = 8020) and governmental administrative data, our analyses show that 1) only selected types of health care resources (medical professionals and outpatient visits) are related to child nutritional status, 2) local poverty predicts nutritional status net of household characteristics, and, most importantly, 3) a significant portion of regional differences in child malnutrition are explained by local poverty, whereas health care resources are not associated with regional disparities. These findings suggest that the local socioeconomic environment is a key determinant of both child health outcomes and regional disparities in these outcomes.     

Examining fear and stress as mediators between disorder perceptions and personal health, depression, and anxiety

Research examining the effect of neighborhoods on personal health has often focused on neighborhood disorder, or visual cues in neighborhoods perceived as personally threatening or noxious. Neighborhood disorderliness is thought to elevate individuals’ fear of crime, thereby negatively impacting personal and mental health. Unfortunately, the pathways between disorder, fear of crime, and health have yet to be established. This study examines the pathways between neighborhood disorder, fear of crime, and three health outcomes. Using the Community, Crime and Health Survey, this study employs structural equation modeling to examine how general (being afraid of walking alone) and offense-specific fear of crime (being afraid of specific crimes) mediate the relationship between individuals’ disorder perceptions and self-rated health, depression and anxiety. Results show that fear of crime does mediate the relationship between disorder perceptions, self-rated health and depression, though the mediating pathways are weak. This study suggests that the disorder-fear of crime-health nexus should be re-examined theoretically.     

中国行业协会自律职能缺失的原因分析——基于角色冲突的分析框架

行业协会的重要职能之一就是促进行业自律,行业自律是对政府监管的重要补充。但在现实中,许多行业组织没有充分发挥自律的作用,有些甚至成为行业垄断和价格联盟的工具。从行业协会的层面剖析,这主要是由行业协会自身的角色冲突引起的。这种角色冲突主要表现为其在性质上的公益与私益的冲突,这属于角色利益的冲突;范畴上营利与非营利的冲突,这属于角色目标与角色执行的冲突;功能上的管理与服从的冲突,这属于角色规范的冲突;价值取向上的"义"与"利"冲突,这属于角色认同的冲突。     

Social support,stress, and maternal postpartum depression: A comparison of supportive relationships

A large body of literature documents the link between social support, stress, and women’s mental health during pregnancy and the postpartum period; however, uncertainty remains as to whether a direct effect or stress mediating pathway best describes the relationship between these factors. Moreover, specific dimensions of social support that may be influential (family type, sources of support) have largely been neglected. Using data from the Fragile Families and Child Well-being Study (N = 4150), we examine the pathway between social support, stress exposure, and postpartum depression in greater detail. Findings reveal that social support is a significant, protective factor for postpartum depression, and the variety of support providers in a woman’s social network is important, especially in the context of family type. Findings also reveal the importance of considering social support and stress exposure as part of a larger causal pathway to postpartum mental health.     

Extradyadic sex and union dissolution among young adults in opposite-sex married and cohabiting unions

This study investigates extradyadic sex (EDS) among contemporary opposite-sex married and cohabiting young adults and examines how EDS is associated with union dissolution. By analyzing data from 8301 opposite-sex spouses and cohabiters in the National Longitudinal Study of Adolescent to Adult Health, we estimate the prevalence of self-reported EDS, reports of partners' EDS, and reports of mutual EDS (i.e., both partners' engagement in EDS). Roughly 1 in 4 respondents reported that either they, their partner or both engaged in EDS. Young men were more likely than women to self-report EDS, while young women were more likely to report partners' EDS. Relative to no EDS, partners' EDS was associated with union dissolution, but self-reported EDS and mutual EDS were not. A partner's EDS was also associated with union dissolution relative to self-reported EDS. Associations between a partner's EDS and dissolution were consistent among spouses and cohabiters and among men and women.     

Status inconsistency in groups: How discrepancies between instrumental and expressive status result in symptoms of stress

This study examines whether a mismatch between the positions that individuals hold in different status hierarchies results in symptoms of stress. Prior research has focused on inconsistencies between socioeconomic status dimensions (e.g., education and income) and did not find a significant relation between status inconsistency and stress. In this paper, we build on research on role differentiation and propose to study the effect of inconsistencies between instrumental status and expressive status in group contexts. We hypothesize that people with an inconsistency between these status dimensions experience feelings of uncertainty and frustration in their interactions with others and this manifests in stress-related symptoms. We test this hypothesis with data collected in a medium-sized Dutch childcare organization (N = 93). Polynomial regression analysis, visualized in response surface plots, suggests that status inconsistent employees report higher levels of stress.