To live an ordinary life: resource needs and additional costs for people with a physical impairment

Disabled people face increased risks of living in poverty largely due to lower incomes and extra resource requirements compared to non-disabled people. This study incorporated the social model of disability with an economic approach to costing to estimate the additional costs required by people with a physical impairment to achieve an adequate standard of living in New Zealand. Budgets estimating the additional equipment, modifications, transport, support and time required to achieve an adequate standard of living were developed and validated through focus groups with community members. The findings suggest that reducing barriers involves substantial costs ranging from NZ$645–$2,348 per week.     

Expanding Boundaries of Whiteness? A Look at the Marital Patterns of Part‐White Multiracial Groups

Using a boundary perspective (Alba and Nee 2003 ), I examine the marital behavior of three self‐identified multiracial groups: black/whites, American Indian/whites, Asian/whites. With a focus on marriage with whites, I assess whether the boundaries of whiteness are expanding to include these part‐white multiracial groups. Marrying whites at a large scale may signify that part‐white multiracial Americans are in the process of being accepted as “white.” At the same time, due to differences in the racial identity experiences of multiracial groups, marital patterns may differ by racial combination. Based on analysis of 2008–2012 American Community Survey data, I find that the majority of all three groups are married to whites, suggesting that most members in these groups are on the path to whiteness. On the other hand, multinomial logistic regression analysis demonstrates that American Indian/whites and Asian/whites are more likely than black/whites to have a white spouse, relative to spouses of another race/ethnicity. Moreover, separate regression analyses by multiracial group reveal gender differences in their likelihood of marrying whites for black/whites and Asian/whites. These results indicate racial stratification in the marriage market among part‐white multiracial Americans, with further stratification by gender for some groups.     

Diesel Engine Exhaust and Lung Cancer Mortality: Time‐Related Factors in Exposure and Risk

To develop a quantitative exposure‐response relationship between concentrations and durations of inhaled diesel engine exhaust (DEE) and increases in lung cancer risks, we examined the role of temporal factors in modifying the estimated effects of exposure to DEE on lung cancer mortality and characterized risk by mine type in the Diesel Exhaust in Miners Study (DEMS) cohort, which followed 12,315 workers through December 1997. We analyzed the data using parametric functions based on concepts of multistage carcinogenesis to directly estimate the hazard functions associated with estimated exposure to a surrogate marker of DEE, respirable elemental carbon (REC). The REC‐associated risk of lung cancer mortality in DEMS is driven by increased risk in only one of four mine types (limestone), with statistically significant heterogeneity by mine type and no significant exposure‐response relationship after removal of the limestone mine workers. Temporal factors, such as duration of exposure, play an important role in determining the risk of lung cancer mortality following exposure to REC, and the relative risk declines after exposure to REC stops. There is evidence of effect modification of risk by attained age. The modifying impact of temporal factors and effect modification by age should be addressed in any quantitative risk assessment (QRA) of DEE. Until there is a better understanding of why the risk appears to be confined to a single mine type, data from DEMS cannot reliably be used for QRA.     

Reanalysis of the DEMS Nested Case‐Control Study of Lung Cancer and Diesel Exhaust: Suitability for Quantitative Risk Assessment

The International Agency for Research on Cancer (IARC) in 2012 upgraded its hazard characterization of diesel engine exhaust (DEE) to “carcinogenic to humans.” The Diesel Exhaust in Miners Study (DEMS) cohort and nested case‐control studies of lung cancer mortality in eight U.S. nonmetal mines were influential in IARC's determination. We conducted a reanalysis of the DEMS case‐control data to evaluate its suitability for quantitative risk assessment (QRA). Our reanalysis used conditional logistic regression and adjusted for cigarette smoking in a manner similar to the original DEMS analysis. However, we included additional estimates of DEE exposure and adjustment for radon exposure. In addition to applying three DEE exposure estimates developed by DEMS, we applied six alternative estimates. Without adjusting for radon, our results were similar to those in the original DEMS analysis: all but one of the nine DEE exposure estimates showed evidence of an association between DEE exposure and lung cancer mortality, with trend slopes differing only by about a factor of two. When exposure to radon was adjusted, the evidence for a DEE effect was greatly diminished, but was still present in some analyses that utilized the three original DEMS DEE exposure estimates. A DEE effect was not observed when the six alternative DEE exposure estimates were utilized and radon was adjusted. No consistent evidence of a DEE effect was found among miners who worked only underground. This article highlights some issues that should be addressed in any use of the DEMS data in developing a QRA for DEE.     

The mobility problem in Britain: new findings from the analysis of birth cohort data

Social mobility is now a matter of greater political concern in Britain than at any time previously. However, the data available for the determination of mobility trends are less adequate today than two or three decades ago. It is widely believed in political and in media circles that social mobility is in decline. But the evidence so far available from sociological research, focused on intergenerational class mobility, is not supportive of this view. We present results based on a newly‐constructed dataset covering four birth cohorts that provides improved data for the study of trends in class mobility and that also allows analyses to move from the twentieth into the twenty‐first century. These results confirm that there has been no decline in mobility, whether considered in absolute or relative terms. In the case of women, there is in fact evidence of mobility increasing. However, the better quality and extended range of our data enable us to identify other ‘mobility problems’ than the supposed decline. Among the members of successive cohorts, the experience of absolute upward mobility is becoming less common and that of absolute downward mobility more common; and class‐linked inequalities in relative chances of mobility and immobility appear wider than previously thought.     

Perceived Job Insecurity and Health: Do Duration and Timing Matter?

I examine whether the health penalties of perceived job insecurity are influenced by the duration of the experience and the age at which it is encountered. Analyses of a national panel data set of Americans (N = 1,065) reveal a decrease in health among workers reporting persistent exposure to the threat of job loss; however, these health penalties are experienced unevenly across age groups, with young workers (18–34) reporting the fewest health penalties in response to persistent insecurity. In contrast, while insecure middle‐aged and older workers report similar levels of psychological distress and self‐rated health, the former are more adversely affected with respect to their emotional well‐being. I discuss potential cohort and life stage interpretations for these age patterns in the stress of insecure work.