SNAP Benefits and Pregnancy-Related Emergency Room Visits

Pregnant women are likely to be sensitive to daily fluctuations in nutritional intake. To see if income constraints at the end of the month limit food consumption and trigger health problems, we examine how the date that benefits are issued for the Supplemental Nutrition Assistance Program (SNAP) changes the probability that a woman will go to the Emergency Room (ER) for pregnancy-related conditions using administrative data from SNAP and Medicaid from Missouri for 2010–2013. SNAP benefits in Missouri are distributed from the 1st through the 22nd day of the month based on the birth month and the first letter of the last name of the head of the household, making timing of SNAP issuance exogenous. We estimate probit models of the calendar month and SNAP benefit month on the probability of a pregnancy-related ER visit for women age 17–45, or the sample at risk of being pregnant. We also examine the relationship between SNAP benefit levels and ER visits. We found that women who received SNAP benefits in the second or third week of the calendar month were less likely to receive pregnancy-related care through the ER in the week following benefit receipt. Results suggest that SNAP benefits might be related to patterns of pregnancy-related medical care accessed through the ER. Since SNAP issuance date is within state control in the United States, states may want to consider the health effects of their choice.     

Subsequent Migration of Immigrants Within Australia, 1981–2016

Australia is a major immigration country and immigrants currently represent around 28% of the total population. The aim of this research is to understand the long-term consequences of this immigration and, particularly, how migrants respond to opportunities within the country after arriving through the process of subsequent (internal) migration. The focus is on major immigrant groups in Australia, including persons born in the United Kingdom, New Zealand, China and India, and how their patterns differ from persons born in Australia. To conduct this analysis, we have gathered data for a 35-year period based on quinquennial census data. We also obtained birthplace-specific mortality data for constructing multiregional life tables for the immigrant populations. Subsequent migration is important for understanding population redistribution, and the relative attractiveness of destinations within host countries. Our results highlight the importance of subsequent migration and the diversity of migration behaviours amongst different immigrant groups in the context of overall declines in internal migration since 1981.     

Business Cycles,Medicaid Generosity,and Birth Outcomes

Birth outcomes influence many aspects of later life health and wellbeing, making healthcare access during pregnancy a policy priority. Low-income mothers often depend on Medicaid, for which eligibility is determined by their income relative to state eligibility thresholds. The prevalence of adverse birth outcomes is known to exhibit cyclical variation, due in part to changes in the composition of women giving birth in response to changing economic conditions. However, cyclical variation in adverse birth outcomes also varies with respect to Medicaid eligibility thresholds. Our analysis uses birth-records data for 2000 through 2013, aggregated into 173,936 county-by-quarter observations and linked to county-level unemployment rates and state-level parental Medicaid thresholds. Using fixed-effects negative binomial models, we examine the role of Medicaid generosity in influencing birth outcomes across business cycles. We test for interactions between Medicaid and unemployment, hypothesizing that the negative effects of recessions are worse where Medicaid thresholds are more restrictive. We find that higher Medicaid generosity dampens the negative effects of recessions on birth outcomes. The extent to which Medicaid interacts with unemployment also varies according to the age and race composition of mothers; in particular, Black mothers are both most affected by unemployment and most responsive to Medicaid generosity. Given current concerns about racial gaps in both infant and maternal mortality, our findings suggest that Medicaid may be an important feature of a strategy to close gaps in the prevalence of adverse birth outcomes across racial groups, especially during bust years.     

The Evolving and Complementary Impacts of Transportation Infrastructures on Population and Employment Change in the United States, 1970–2010

Transportation infrastructures play an essential role in influencing population and employment change. While railroads, highways, and airports were constructed in different time periods, now they complement each other in terms of providing accessibility. This study uses county-level data to examine the impacts of the three forms of transportation infrastructure on population and employment change in the continental United States from 1970 to 2010. The findings suggest that transportation infrastructures play evolving but complementary roles in affecting population and employment change during the study period: railroads act as a distributive factor, highways take a facilitator role, and airports behave like growth poles. Diversification of the roles indicates that transportation infrastructures have evolved from a pure growth factor to an essential multifaceted development element of human society.     

Urban and peri-urban agriculture and its implication on food and nutrition insecurity in northern Ghana: a socio-spatial analysis along the urban–rural continuum

Food and nutrition insecurity remains a challenge in sub-Saharan Africa. Several studies have examined food and nutrition insecurity in urban or rural areas but have not captured the whole continuum. Between November and December 2013, 240 households were surveyed along the urban–rural continuum in Northern Ghana. The study objective was to understand the socio-spatial dynamics of household food and nutrition insecurity and to investigate the role played by urban, peri-urban and rural agriculture. The study found that there was more involvement in agriculture in rural areas compared to peri-urban areas and urban areas. Households from urban areas were more food insecure (HFIAS >?11) compared to their counterparts in peri-urban and the rural areas. Stunting increased by 3.4 times (p?=?0.048) among households located in the peri-urban area. Wasting was reduced by 0.16 times among household that produced staple food or vegetables (p?=?0.011). Overweight was reduced by 0.04 times among households that produced livestock (p?=?0.031). The results reveal a socio-spatial dimension of food and nutrition insecurity that is related to agricultural activities.     

Vocational Experiences and Quality of Life of Migrants: Overview and Future Research

Quality of life is a complicated concept that has attracted broad attention from multiple disciplines. This article introduces a set of studies that employ diverse approaches to explore how work, vocational, and career experiences shape quality of life among migrants, and proposes a future agenda to extend this stream of research. Specifically, operationalizing quality of life in different ways, research showcased in this special issue has demonstrated how international and intranational migrants achieve, maintain, and enhance their well-being in different life domains. Reflecting on the literature and the showcased studies, this article proposes that future research should advance the current inquiry by better categorizing vocational experiences, uniquely operationalizing of quality of life in migration contexts, taking a more culturally sensitive perspective, and broadening methodological approaches.     

Using the Shapley Decomposition to Disentangle the Impact of Circumstances and Efforts on Health Inequality

Following previous work on inequality in health opportunity, this paper attempts to determine the contribution of circumstances, efforts and lifestyle, and demographic variables to the overall inequality in health in Luxembourg. Health is measured via the answers given to a question on self-assessed health and is considered as an ordinal variable. The educational level of each parent, the financial situation of the family during childhood, the area of birth of the individual, and of his/her parents, and the year of immigration are considered as circumstances. Effort and lifestyle variables are proxied by information on the educational level of the individual, whether he/she smoked and whether he/she had a physical activity on a regular basis. Sex and age are considered as demographic variables. To solve the issue of correlation between circumstances and effort and lifestyle the estimation is implemented in two stages. In the first stage, each effort and lifestyle variable is regressed in a separate equation against the vector of circumstances and demographic variables and, in a second stage, the individual health status is regressed against the vector of circumstances and demographic variables along with the estimated residuals of the effort equations described previously. The respective impacts of the three categories of explanatory variables (circumstances, effort and lifestyle and demographic variables) on health inequality are derived via a Shapley decomposition of the likelihood ratio of the health ordered logit regression. It appears that differences in circumstances and effort and lifestyle explain each around a quarter of this likelihood ratio.     

Towards the Use of Crowdsourced GIS Data to Georeference Child Well-Being Globally

Child well-being is described as a social problem, such that in most cases social indicators defined by experts are used, without much input from local and heterogeneous communities. This article makes the case for an innovative way to monitor and explore child well-being globally, while also critiquing currently used indices. Based on Nussbaum’s Capabilities approach, we propose to formulate indices by using GIS and a comprehensive list of relevant geospatial datasets, using uniquely designed meta-layers and feature catalogues. Moreover, we argue that these geospatial data can be collected and mapped by the local communities, through participatory approaches, thus not relying on authoritative engagement and data. This will contribute to the empowerment of communities, making them relevant stakeholders with valued contribution to the process. This paper outlines preliminary work related to concepts and ideas, whereas future work is planned to develop an elaborate and comprehensive GIS model, and conduct further spatial analysis in the framework of a small scale campaign.     

Stereotype and National Attachment in Hong Kong Chinese Context: A Moderated Mediation Model of Perceived Inter-group Relationship and Age

The present study investigated the relationship between Hong Kong people’s stereotype toward Mainland people and their own national attachment (i.e., national identity, constructive patriotism, and uncritical patriotism). The role of inter-group relationship as mediator and age as moderator of that relationship were also tested. A total of 1753 local Hong Kong people aged 17–80 (mean age = 20.35 years, SD = 5.02) completed anonymous questionnaires regarding their stereotypes toward Mainland people, inter-group relationship with Mainland people, and national attachment. As expected, stereotypes toward Mainland people, inter-group relationship and national attachment showed significant positive associations with each other. More interestingly, it was found that the inter-group relationship mediated the relationship between stereotypes toward Mainland people and three domains of national attachment, with this indirect link being weaker for younger Hong Kong adults than for older Hong Kong adults. Implications of the present findings for future research are discussed, as well as potential interventions for increasing subjective national attachment to China, especially in young Hong Kong people.