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.     

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.     

Determinants of Infant Mortality in Older ASEAN Economies

Infant mortality in the Association of Southeast Asian Nations (ASEAN) has been declining, yet disparities remain between the nations. This paper therefore explores the determinants of infant mortality in the older ASEAN-4 economies, Malaysia, Thailand, Indonesia and the Philippines using an Autoregressive Distributed Lag (ARDL) Error Correction Model framework. The key findings of the study are: First, there is evidence of long-run relationships among infant mortality, education, female fertility, income and access to healthcare. Second, the determinants of infant mortality vary between countries. Female fertility emerged as the main determinant of infant mortality in Malaysia, while access to healthcare matter for infant mortality in Indonesia, and to a lesser extent for the Philippines. The income effect is significant for reducing infant mortality in Malaysia, while female education is important for Indonesia and Thailand. Third, the speed of adjustment of infant mortality rate is comparatively low in ASEAN-4.     

Quality of Life and Personality Development: A Reply to Land and Michalos

Land and Michael’s (this issue) offer an excellent overview of the evolving status of the social indicators movement, with thoughtful recommendations for future research. I argue that QOL researchers may want to consider paying increased attention to advances in the science of personality development, such as those articulated in McAdams' (The art and science of personality development. Guilford Press, New York, 2015), in conceptualizing comprehensive assessments of the QOL. Specifically, McAdams' synthesis of the literature on personal agency should provide a useful beginning for developmentally-informed discussions of the potential evolving nature of QOL and its antecedents, correlates, and consequences, with the goal of ensuring greater relevance of QOL evaluations to all age groups.