Access to Healthcare Among Working‐Aged Hispanic Adults in the United States*

Objectives. The purpose of this research is to examine differences in access to and sources of healthcare for working‐aged adults among major Hispanic subpopulations of the United States. Nativity, duration in the United States, citizenship, and sociodemographic factors are considered as key predictors of access to and sources of care. Methods. Using pooled National Health Interview Surveys from 1999–2001, logistic and multinomial logistic regression models are estimated that compare Mexican Americans, Puerto Ricans, Cuban Americans, and other Hispanics with non‐Hispanic blacks and non‐Hispanic whites. Results. Mexican Americans, Puerto Ricans, and other Hispanics display significantly less access to care than non‐Hispanics whites, with immigrant status and socioeconomic status variables accounting for some, but not all, of the differences. For sources of care, Mexican‐American, Puerto Rican, and other Hispanic adults were all much more likely than non‐Hispanic whites to report clinics or emergency rooms as their source of regular care. Conclusions. There are wide differences in access to and sources of care across racial and ethnic groups in the United States. Mexican‐American adults, regardless if born in Mexico or the United States, appear to be most in need of access to regular and high‐quality care. Naturalization may be an especially important factor in greater access to regular and high‐quality care for Hispanic immigrants.     

Book Reviews

Books reviewed: Alan Walker and Chack‐kie Wong (eds), East Asian welfare regimes in transition: From Confucianism to globalization Robin Lovelock, Karen Lyons and Jackie Powell (eds), Reflecting on Social Work – Discipline and Profession Stephan Leibfried and Michael Zürn, Transformations of the State?     

The Beveridge Report in its contemporary setting

The "contemporary setting" was the midst of total war and its social and economic circumstances. The flavour is recaptured in a 1942 newsreel. The effect on members of the armed forces is examined. The reaction of the coalition government and the responses of the Conservative party and of the Labour party showed divisions within each, documented in archives of party conferences, current periodical articles, and interviews conducted in 1992 with expert witnesses Lord Longford (Frank Pakenham) and Lord Hailsham (Quintin Hogg). Beveridge's Liberal party affiliation is reasserted and reviewed. The report's influence on other European countries merits further investigation, as many governments and forces in exile were in Britain in 1942.     

Bad news indeed for Ryff’s six-factor model of well-being

Springer and Hauser (An Assessment of the Construct Validity of Ryff’s Scales of Psychological Well-Being: Method, Mode, and Measurement Effects. 2006. Social Science Research 35) tested one key aspect of the validity of Ryff’s six-factor model of psychological well-being (RPWB), namely, whether there is substantial independent variation among the six factors. In several large and heterogeneous samples, under a variety of model specifications, and using various sets of RPWB items, we found very high factor correlations among the dimensions of well-being, especially personal growth, purpose in life, self-acceptance, and environmental mastery. That is, the six-factor model makes theoretical claims that do not yield large or consistent empirical distinctions when standard measures and instrumentation are used. Where Ryff and Singer’s comment (Best News Yet on the Six-Factor Model of Well-Being. 2006. Social Science Research 35) refers directly to that analysis, their methodological discussion is most often irrelevant or incorrect. Their text largely ignores and fails to challenge our strong empirical findings about the factorial structure of well-being. In this response, we reinforce these findings and their implications for the (in)validity of the six-factor well-being model as implemented by Ryff. We also explain why Ryff and Singer’s lengthy review of studies that show differential relationships of RPWB factors with other variables should be interpreted with far greater caution than Ryff and Singer recognize. We offer recommendations for analyzing RPWB items in surveys that have already been conducted, but we also emphasize the need for a thorough rethinking of the measurement and dimensionality of psychological well-being.     

Internet Paradox Revisited

Kraut et al. (1998) reported negative effects of using the Internet on social involvement and psychological well-being among new Internet users in 1995–96. We called the effects a "paradox" because participants used the Internet heavily for communication, which generally has positive effects. A 3-year follow-up of 208 of these respondents found that negative effects dissipated. We also report findings from a longitudinal survey in 1998–99 of 406 new computer and television purchasers. This sample generally experienced positive effects of using the Internet on communication, social involvement, and well-being. However, consistent with a "rich get richer" model, using the Internet predicted better outcomes for extraverts and those with more social support but worse outcomes for introverts and those with less support.     

Dilemmas of Environmental Planning in Post‐Urban New Jersey*

Objective. New Jersey's state land‐use plan, designed to preserve open space by directing growth to urban centers, rests on the assumption that nature (the “environment”) and the urban constitute separate objective spheres, such that nature can be preserved as an end in itself. Through a spatial transformation that de‐populated the cities and suburbanized the countryside, however, the urban and the environmental have become overlapping discursive categories, each expressing the absence of the other, and raising serious dilemmas for environmental planning. Methods. This article uses Census data to document the extent of New Jersey's urban and racial transformation over more than half a century, and examines county and municipal reviews of the state's proposed land‐use plan to document the resulting contradictory interpretations of nature articulated in political debate over state‐plan implementation. Results. The attempt to forge a statewide consensus on environmental and open‐space preservation has been stymied by the contradictory perspectives of urban and suburban constituencies, whose responses focus on the urban rather than the environmental implications of proposed land‐use controls. State planners seeking political support for environmental protection find themselves embroiled in often vitriolic debates about urban and suburban lifestyles, with implicit racial subtexts, and about the legitimacy of state intervention perceived as supporting antithetical values. Conclusions. Contrary to the state's attempt to separate the urban and the environmental, the route to environmental protection in New Jersey may lie through urban revitalization.