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.     

Providers’ perspectives of barriers experienced in maternal health care among Marshallese women

Problem

Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care.

The contingent futures of the mobile present: automation as possibility

In this article we outline and demonstrate a design anthropological approach to investigating automated mobile futures as a processual opening up of possibilities, rather than as a process of technological innovation. To undertake this we investigate the example of how the car-smartphone relationship is configuring in the contingent circumstances of the mobile present and the implications of this for automated mobile futures. Our discussion is set in the context of the growing possibility that automonous driving (AD) features are increasingly part of everyday mobilities (even if unequally distributed globally) and in which personal mobile smart technologies and artificial intelligence (AI) will exist in some form and will interface with humans and be interoperable with other technologies. In developing this we draw on ethnographic understandings of how people live with the possibilities afforded by technologies in everyday life.     

The effects of school desegregation on mixed-race births

We find a strong positive raw correlation between black exposure to whites in their school district and the prevalence of later mixed-race (black-white) births, consistent with the literature on residential segregation and endogamy. However, that relationship is significantly attenuated by the addition of a few control variables, suggesting that individuals with higher propensities to have mixed-race births are more likely to live in desegregated school districts. We exploit quasi-random variation from court-ordered school desegregation to estimate causal effects of school desegregation on mixed-race childbearing, finding small to moderate effects that are largely statistically insignificant. Because the upward trend across cohorts in mixed-race childbearing was substantial, separating the effects of desegregation plans from secular cohort trends is difficult; results are sensitive to how we specify the cohort trends and to the inclusion of Chicago/Cook County in the sample. The fact that the addition of a few control variables substantially weakens the cross-sectional relationship between lower levels of school segregation and higher rates of mixed-race childbearing suggests that a substantial portion of the observed correlation is likely due to who chooses to live in places with desegregated schools. Researchers should be cautious about interpreting raw correlations between segregation—whether residential or school—and other outcomes as causal. Our results also point to the need to carefully explore specification of cohort effects in quasi-experimental designs for treatments where cumulative exposure is important.     

Women,ageing, and Hip Hop: discourses and imageries of ageing femininity

Abstract

This article investigates how discourses of ageing femininity are constructed and negotiated amongst females in Hip Hop. Through the analysis of narratives and imageries constructed within the music and videos of rap veteran Missy “Misdemeanour” Elliott, press responses to Missy’s work and comparative accounts of other prominent female rappers’ performative strategies, this article explores some of the ways that female artists are responding to socially gendered notions of ageing in Hip Hop. I argue that Hip Hop females are in some cases using Hip Hop as a vehicle for subverting age narratives that are commonly associated with ageing femininity. Murray Forman’s concept of “age-representing” is brought into dialogue with representations of ageing Hip Hop females to support this analysis. The writings of Ros Jennings and Abigail Gardner are also drawn on to form a supportive framework by offering comparative accounts of female ageing in other popular music sub-fields. This article aims to contribute to the growing feminist critique of ageing and popular music culture.     

Child labour measurement: Whom should we ask?

Funding decisions to support vulnerable children are tied to child labour statistics, hence the importance of an accurate measurement. The author analyses whether the type of respondent plays an important role in explaining variations in child labour statistics. Using data from two sites in Tanzania, the analysis shows that “whom we ask” matters considerably when estimating the prevalence of child labour. The results suggest that prevalence increases by approximately 35 to 65 per cent when using child self‐reports rather than proxy reports. This bias affects 14 to 31 per cent of the sample, depending on the indicator. Discrepancies decrease as the child ages and increase if proxy attitudes demonstrate opposition to child labour.     

Mothers' and Fathers' Well‐Being in Parenting Across the Arch of Child Development

Limited research on parental well‐being by child age suggests that parents are better off with very young children despite intense time demands of caring for them. This study uses the American Time Use Survey Well‐Being Module (N = 18,124) to assess how parents feel in activities with children of different ages. Results show that parents are worse off with adolescent children relative to young children. Parents report the lowest levels of happiness with adolescents relative to younger children, and mothers report more stress and less meaning with adolescents. Controlling for contextual features of parenting including activity type, solo parenting, and restorative time does not fully account for the adolescent disadvantage in fathers' happiness or mothers' stress. This study highlights adolescence as a particularly difficult stage for parental well‐being and shows that mothers shoulder stress that fathers do not, even after accounting for differences in the context of their parenting activities.     

Do the Constructs of the FACES IV Change Based on Definitions of “Family?” A Measurement Invariance Test

The Family Adaptability and Cohesion Scale (FACES) IV does not provide instructions about which family members respondents should think about while answering questions. This study examined which family members respondents thought about while completing the FACES IV, and if this changed measurement invariance and population heterogeneity of the measure. Using a sample of n = 511 individuals, a latent class analysis showed three distinct classes: Nuclear Family, Family of Origin, and All of the Above. The FACES IV demonstrated measurement invariance across classes on the majority of subscales; however, population heterogeneity tests suggested that the means and variances of the subscales varied across classes. The findings suggest further examination of how the measure functions with unique family constellations is warranted.     

‘All Those Stories,All Those Stories’: How Do Bosnian Former Child Refugees Maintain Connections to Bosnia and Community Groups in Australia?

Abstract

This article draws on oral histories from my PhD research to explore how six teenagers, now adults, remember their arrivals in Australia as child refugees from Bosnia. It examines their relationships with other people from Bosnia and the former Yugoslavia, including community groups, and how these relationships have changed over time. In examining these narratives, issues of intergenerational differences are highlighted, with interviewees positioning their experiences in relation to both their parents and their second-generation peers. Finally, it explores how former refugees maintain their relationships with family and friends in Bosnia, suggesting that these transnational connections provide them with as much familiarity and comfort as they do feelings of alienation.     

Mesurer le travail des enfants: qui faut‐il interroger?

La mesure du travail des enfants est une entreprise difficile et incertaine, mais cruciale puisque le ciblage de l'aide en dépend. Dans ce contexte, l'auteure montre à partir de données tanzaniennes, et en utilisant deux définitions du travail des enfants, que le choix du répondant influe considérablement sur les chiffres obtenus, supérieurs de 35 à 65 pour cent quand ce sont les déclarations des enfants qui sont prises en compte plutôt que celles des adultes. Le biais touche 14 à 31 pour cent de l'échantillon. L'écart diminue avec l'âge de l'enfant et se creuse lorsque le répondant adulte est hostile au travail des enfants.