Is coverage enough? Persistent health disparities in marginalised Latino border communities

ABSTRACT

What has been the fate of those living in the place once dubbed the ‘county that needs the Affordable Care Act the most’? This article presents results from a longitudinal, five-year ethnographic study of healthcare access in the Rio Grande Valley of Texas. It explores reasons why this region along the U.S./Mexico border has the highest rate of uninsured persons in the country and remains among the most medically underserved, despite some increases in coverage accompanying the Affordable Care Act (ACA). It argues that the convergence of healthcare and immigration policy, framed by a unique regional history and social environment, has had multiple direct and indirect impacts on health and healthcare access. It examines the impact of the ACA on access for Latino immigrants and mixed-status households, which contain a mix of citizens, legal residents, and undocumented persons. It argues that the ACA aided in shifting the conversation to promoting private insurance coverage and away from more fundamental access barriers for low-income working populations ineligible for its benefits. This has eclipsed discussions about fundamental causes of persistent and highly racialised health disparities.     

The imagined ‘other’ and its shifts: politics and identifications in Turkish Cyprus

This article addresses the puzzling case of shifting identity constructions in northern Cyprus, from ethnic to civic–territorial in 2003 and back to ethnic in 2009. It is argued that these shifts occurred when external factors (EU and Turkey) opened/closed windows of opportunity for internal elites’ reconfigurations. It then explains societal responsiveness to these nation-building changes sustaining that, over time, a process transforming the perception of the ‘other’ took place from below and a civic–territorial identity layer (Cypriotness) developed along the ethnic-Turkish layer. These coexist and fluctuate depending on the given context of choice.     

Social media and Web 2.0 for knowledge sharing in product design

Working collaboratively with internal and external partners (suppliers, customers and internal stakeholders) has been at the epicentre of product design. Knowledge sharing has been well recognised in this context. However, there is limited research that has addressed the role of social media/Web 2.0 in facilitating knowledge sharing for sense- and decision-making within product design. To address this gap, this study draws on the resource-based view (RBV) of the firm and two vignettes that relate to ‘collaborative co-design’ and ‘collaborative design-to-order’. We illustrate the role of social media/Web 2.0 in building knowledge sharing capabilities for sense- and decision-making for internal and external partners during product design. Limitations and further research into the use of social media/Web 2.0 are also discussed.     

Managing racial diversity: The context of state legal and political cultures

We draw on institutional theory to examine the connection between state-level regulation of equal employment and political cultures and race/ethnic minority presence in managerial positions in private U.S. workplaces. Analyses examining managerial diversity at upper- and lower-levels show that expanded state EEO posting requirements are associated with a greater presence of nonwhite managers at both levels, while weak state EEO compliance penalties are related to fewer nonwhite lower-level managers. State-level EEO recordkeeping requirements that exceed federal law are unassociated with nonwhite managerial presence at either lower- or upper-levels. Early adoption of fair employment practices agencies (FEPA) is positively associated with only lower-level managerial diversity, whereas progressive state government ideology is negatively related to top managerial diversity. Our findings highlight the complexity of state government regulation, oversight, and culture in shaping managerial racial/ethnic diversity. We discuss the implications of our results for future research and policy aimed at diversifying private workplaces.     

僧俗·经藏·碑板:辽刻房山石经书经活动的变局

经本抄写是房山石经刊镌过程中的重要步骤,并在辽代产生了一系列的崭新特征。通过稽考辽刻房山石经,探究出辽代书经者中具有代表性的僧人、居士、工匠等三个群体。这些群体的书经活动既受到宗教信仰的驱使,也是既往书经活动的积淀和延续,共同构建了完善的合作网络。在辽代统治者和通理大师的相续规划下石经刊写模式逐步成熟,写经活动亦渐次有组织化,石经抄写的版式布局更为合理,经本大藏经逻辑也更加凸显,为幽州地区宗教、文化史及辽代书学状况的探讨提供了文献资料。     

Social protection clusters in sub‐Saharan Africa

Sub‐Saharan Africa is expected to face the highest population growth rates leading up to 2060, yet this region faces uncertainties concerning how to cope with this demographic boom. Social protection has been a central theme in the political economic literature on advanced democracies, but little research has focused on the current social protection systems in sub‐Saharan Africa. Using a latent profile analysis, four clusters of social protection regimes were found in the region. The clusters range from groups with strong social protection and positive welfare outcomes to a cluster with poor social protection and weak welfare outcomes.     

Heterosexual Marital Intention: Effects of Internalized Homophobia,Homosexual Identity,Perceived Family Support,and Disclosure Among Chinese Gay and Bisexual Men

ABSTRACT

The present study explored the factors that influence the likelihood that 217 Chinese gay/bisexual men will engage in heterosexual marriage, focusing on the Chinese cultural context, in which filial duties to marry, have children, and support one’s parents in their old age are taken seriously. Data on heterosexual marital intention (HMI) were examined in relation to demographics, internalized homophobia, homosexual identity formation (HIF), perceived family support, and disclosure. We estimated a multinomial logistic regression model for HMI. Internalized homophobia was a predictor for HMI. Lower levels of HIF and disclosure were found in gay/bisexual men who have married or who intend to marry; and the more family support gay/bisexual men perceived, the more likely they were to enter heterosexual marriages. The findings could help to better evaluate and comprehend the factors leading to heterosexual marriages involving Chinese gay/bisexual men. The social implications of this research are also discussed.     

The benefits of joint and separate financial management of couples

Financial management differs across households with consequences for financial outcomes and well-being of partners in households. A large-sample study has been performed, investigating the relationship between financial management of households and the occurrence of financial problems. To our knowledge, this is the first study on this relationship. Data from both partners was collected on having joint and separate bank accounts, on financial decision making, on drivers of financial management, and on financial outcomes. Based on the data, four financial management styles were derived: syncratic/joint, male-dominant, female-dominant, and autonomous financial management. In the syncratic style, partners have a joint bank account and take most financial decisions together. In the male/female-dominant styles, one partner (husband or wife) takes the main financial decisions. In the autonomous style, both partners have their own bank accounts and make their own decisions. As a conclusion, we find that syncratic financial management and having a joint instead of a separate bank account correlates with fewer financial problems, as compared with male-dominant money management and having separate bank accounts. Deciding together as partners is beneficial for the quality of financial management and for avoiding financial problems.     

‘Little children are not for dad's?’ Challenging and undoing hegemonic masculinity

Studies on work and organizations state that traditional gendered cultures support hegemonic masculinity and obstruct an engaged form of ‘new’ fathering. Not only do employers hinder fathers in sharing equally in childcare, but the dynamics within the couple also matter. An examination of the negotiations within couples regarding paid and unpaid work reveals the need to revise conceptualizations of masculinity, with a focus on undoing masculinity. Based on in‐depth interviews with couples in Germany, I argue that social change at the interactional level encompasses at least the possibility that gender, as a resource of the differentiation and hierarchization of masculinities and femininities within the realm of paid and unpaid labour, can be fragile or can even be episodically undone. Hence, more empirical and theoretical work within and beyond the context of fathering is crucial to further theoretical approaches to undoing masculinity.