Breadwinning and bread‐losing: Exploring opportunities to rework manhood

Manhood in the USA today is at a crossroads. There are more models of how to be a man than ever before. And yet, despite myriad changes to the structures of work and family, the breadwinner ideology, or the heterogendered ideal that husbands should be the sole or primary earners in their families, persists in US society. This ideology affects the structure of work and family, regardless of whether individual people agree with it. Here, we discuss the breadwinner ideology and the ways that this meaning system tethers employment to masculinity and vice versa. We examine strategies for decoupling manhood from work and family and suggest ways to facilitate the undoing of gender.     

Determinants of stated willingness to pay for public goods: A study in the headline method

Respondents were shown brief statements (“headlines”) referring to various threats to the environment or to public health, and other public issues. An intervention to deal with each problem was also introduced by a single sentence. Some respondents were asked to indicate their willingness to pay for the interventions by voluntary contributions. Others indicated their opinion of the intervention on a conventional rating scale, rated the personal satisfaction of contributing to it, or rated the importance of the problem. Group averages of these response measures were obtained for a large set of issues. Computed over issues, the rank-order correlations between the different measures were very high, suggesting that group averages of WTP and of other opinion statements are measures of the same public attitudes. Observed preference reversals and violations of monotonicity in contributions are better explained by a concept of attitude than by the notion of economic value that underlies the contingent valuation method. Contributions and purchases do not follow the same logic. Possible implications for the contingent valuation method are discussed.     

Unhealthy Weight in Indian Families: The Role of the Family Environment in the Context of the Nutrition Transition

India faces a dual burden of increasing obesity and persistent underweight as it experiences the nutrition transition—the dietary and lifestyle changes that accompany globalization, economic development, and technological change. Yet, the nutrition transition is not solely a top-down process; rather, global forces converge with local practices at multiple levels of the social ecology. The family environment, a key site for the transmission of local customs and norms, remains largely unexplored in India. We examined the extent to which opposite-gender siblings and mother–child pairs were concordant or discordant in body weight, and whether domains of the family environment, specifically, food practices, food-related gender norms, and household resources, were associated with patterns of unhealthy weight within and between families. Multilevel dyadic analysis and logistic regression were conducted using survey data from a representative sample of 400 families in a Southern Indian city. We identified substantial clustering of weight among opposite-gender sibling pairs (ICC = 0.43) and mother–child pairs, as well as important patterns of discordance, including 11% of families experiencing a dual burden of underweight and overweight. Household resources, including mother’s education and income, were salient in explaining the distribution of body weight within and between families. Importantly, less examined domains of the family environment were also relevant, including food practices (e.g., grocery shopping frequency), and food-related gender norms (e.g., mother’s control of food served at home). Continued exploration of how global and local practices converge in households will be necessary to develop programming that effectively addresses India’s dual burden of unhealthy weight.     

Social Patterning in Body Mass Index (BMI) Among Contemporary Immigrant Groups: The Emergence of a Gradient

Although adult body mass index (BMI) displays considerable social patterning worldwide, the direction and strength of the relationship between BMI and socioeconomic status (SES) varies cross nationally. We examine social gradients in BMI for contemporary U.S. immigrants and evaluate whether their SES-BMI gradient patterns are shaped by underlying gradients in immigrant origin countries and whether they are further patterned by time in the United States. Data come from the New Immigrant Survey, the only nationally representative survey of contemporary immigrants. Results indicate that the inverse SES-BMI gradients observed among this population are strongest among women originating in highly developed countries. After arrival in the United States, however, inverse gradient patterns are driven largely by higher weights among low-SES individuals, particularly those from less-developed countries. We conclude that although certain immigrants appear to be uniquely protected from weight gain, poorer individuals from less-developed countries are doubly disadvantaged; this raises concerns about worsening inequalities in both diet and behavior between the rich and poor upon arrival to the United States.     

Health Service Utilization Among Immigrants to the United States

This study uses data from the New Immigrant Survey and Andersen’s behavioral model, a commonly used framework for health care utilization, to examine the utilization patterns of Asian and Hispanic immigrants to the United States. Results indicate that the behavioral framework is well suited to predicting immigrants’ physician visits and dentist visits. However, this model is less appropriate for determining the likelihood of reporting a hospital as the primary source of medical care or immigrants’ use of non Western treatments. Importantly, years in the U.S. exhibits a robust, positive relationship with physician and dental visits for both groups even after controlling for several predisposing characteristics, self-assessed and physician-diagnosed need, pointing to the importance of this as an enabling factor in health care access and use.     

Alcohol education provided to opioid treatment program patients: results of a nationwide survey

Alcohol-related problems are especially common among opioid treatment program (OTP) patients, suggesting that educating OTP patients about alcohol and its harmful effects needs to be a priority in OTPs. Using data collected in interviews with a nationwide U.S. sample of OTP directors (N = 200) in 25 states, we identified factors that differentiate OTPs that provided this education to all OTP patients from those that did not. Findings indicate that these factors include (1) providing this education in a greater variety of ways, (2) having a larger percent of staff knowledgeable about alcohol-related issues, (3) having a director who views alcohol issues as a high priority, and (4) having a written OTP policy.     

Social model of emotional labour and client satisfaction: exploring inter- and intrapersonal characteristics of the client−provider encounter

As part of healthcare organisations’ efforts to improve client satisfaction, special attention is directed to care providers’ expression of authenticity through genuine emotional displays in care encounters. The study’s aim was to test a mediating–moderating model for predicting clients’ satisfaction. The model combined intrapersonal forces (the healthcare provider’s level of caring and emotional load) and interpersonal forces (meeting the client in a team of professionals or alone, and client?provider similarity), as predictors of emotional labour strategies, and subsequent client satisfaction. Clients’ evaluation of whether or not the emotional displays were authentic was intended to moderate the link between emotional labour and client satisfaction. The sample consisted of 103 healthcare providers’ encounters with clients’ family members, randomly selected from five nursing homes. Data were collected by validated questionnaires at three time points. Mixed linear model analyses generally supported the proposed model. Meeting a client’s family in teams, ethnic similarity, and providers’ caring and emotional load stimulated higher levels of deep acting. Meeting clients alone and less emotional load involved more surface acting. These findings offer empirical support for the social interaction explanation of emotional labour, pointing to the importance of social characteristics of the service encounter in shaping emotional labour strategies and maintaining client satisfaction.     

U.S. Immigrants’ labor market adjustment: Additional Human capital investment and Earnings Growth

New Immigrant Survey-Pilot data are used to address the long-standing debate over whether immigrants to the United States assimilate economically. Using panel data and an individual fixed-effect specification, I find evidence indicating rapid economic assimilation, on the order of an average increase in earnings of 12%-13% during the 12-month survey period. Results indicate partial support for Duleep and Regets' Immigrant Human Capital Investment (IHCI) model, indicating an inverse relationship between initial earnings and earnings growth and showing some evidence of the expected interaction between skill transferability and skill level when predicting human capital investment decisions. Having more years of education, English proficiency, and lower earnings at the baseline are associated with a higher probability of enrolling informal school in the United States. Overall, findings suggest substantial economic integration within the first year after establishing permanent residency.