Faculty Research

Declining birth rates, increasing longevity and urbanization have created a new challenge for cities: how to respond to an ageing population. Although population ageing and urbanization are not new concerns for national governments around the world, the consequences of these trends for quality of life in cities has only recently started to receive attention from policy makers and researchers. Few comparative studies of world cities examine their health or long-term care systems; nor have comparisons of national systems for the provision of long-term care focused on cities, let alone world cities.

By extending the work of the CADENZA and World Cities Projects , this report investigates how three world cities -- Hong Kong, New York and London -- are coping with this challenge. These world cities are centers of finance, information, media, arts, education, specialized legal services and advanced business services, and contribute disproportionate shares of GDP to their national economies. But are these influential centers prepared to meet the challenge posed by the “revolution of longevity?” How will these world cities accommodate this revolutionary demographic change? Are they prepared to implement the health and social policy innovations that may be required to serve their residents, both old and young? Will they be able to identify the new opportunities that increased longevity may offer? Can they learn from one another as they seek to develop creative solutions to the myriad issues that arise? Finally, can other cities learn from the experience of these three cities as they confront this challenge?

To address these questions, we examine comparable data on the economic and health status of older persons, as well as the availability and use of health, social and long-term care across and within these cities. In the report “How Well Are Seniors in Hong Kong Doing? An International Comparison”, a first attempt was made to compare the situation in Hong Kong with five economically developed countries. This report extends this study by comparing the situation in Hong Kong with two other world cities—New York City and London, which are more comparable in terms of population size and economic characteristics.

In LGBT Youth in America’s Schools, Jason Cianciotto
and Sean Cahill, experts on lesbian, gay, bisexual,
and transgender public policy advocacy, combine an
accessible review of social science research with analyses
of school practices and local, state, and federal
laws that affect LGBT students. In addition, portraits
of LGBT youth and their experiences with discrimination
at school bring human faces to the issues the
authors discuss.

This is an essential guide for teachers, school administrators,
guidance counselors, and social workers interacting
with students on a daily basis; school board
members and officials determining school policy;
nonprofit advocates and providers of social services
to youth; and academic scholars, graduate students,
and researchers training the next generation of
school administrators and informing future policy and
practice.

The Obama administration's budget proposal for fiscal year 2013 (FY 2013) strengthens the national economy by investing in schools, communities and safety net programs. The FY 2013 budget also includes a number of important investments in infrastructure that will spur much needed job growth in a time of economic uncertainty for many working and low-income families. It is critical that such investments take into account the persistently high unemployment in communities of color, and target spending to increase the economic security of the communities most impacted by the "Great Recession." Additionally, the budget includes important changes to the tax code that will lay the foundation for a fairer and more equitable economy.

Objective:To determine clinical characteristics, demographics and short-term outcomes of neonates diagnosed with fetomaternal haemorrhage (FMH).

Design:The authors analysed the Nationwide Inpatient Sample, 1993 to 2008. Singleton births diagnosed with FMH were identified by International Classification of Diseases (ICD-9) code 762.3. Descriptive, univariate and multivariable regression analyses were performed to determine the national annual incidence of FMH over time as well as demographics and clinical characteristics of neonates with FMH.ResultsFMH was identified in 12 116 singleton births. Newborns with FMH required high intensity of care: 26.3% received mechanical ventilation, 22.4% received blood product transfusion and 27.8% underwent central line placement. Preterm birth (OR 3.7), placental abruption (OR 9.8) and umbilical cord anomaly (OR 11.4) were risk factors for FMH. Higher patient income was associated with increased likelihood of FMH diagnosis (OR 1.2), and Whites were more likely to be diagnosed than ethnic minorities (OR 1.9). There was reduced frequency of diagnosis in the Southern USA (OR 0.8 vs the Northeastern USA).

Conclusions: Diagnosis of FMH is associated with significant morbidity as well as regional, socioeconomic and racial disparity. Further study is needed to distinguish between diagnostic coding bias and true epidemiology of the disease. This is the first report of socioeconomic and racial/ethnic disparities in FMH, which may represent disparities in detection that require national attention. 

The present research examined how a group's gender composition influences intragroup evaluations. Group members evaluated fellow group members and the group as a whole following a shared task. As predicted, no performance differences were found as a function of gender composition, but judgments of individuals’ task contributions, the group's effectiveness, and desire to work with one's group again measured at a 10-week follow-up were increasingly negative as the proportion of women in the group increased. Negative judgments were consistently directed at male and female group members as indicated by no gender of target effects, demonstrating that men, simply by working alongside women, can be detrimentally affected by negative stereotypes about women. Implications for gender diversity in the workplace are discussed.

While the growth of urbanization, worldwide, has improved the lives of migrants from the hinterland, it also raises health risks related to population density, concentrated poverty and the transmission of infectious disease. Will megacity regions evolve into socially infected breeding grounds for the rapid transmission of disease, or can they become critical spatial entities for the protection and promotion of population health? We address this question for the Pearl River Delta Region (PRD) based on recent data from Chinese sources, and on the experience of how New York, Greater London, Tokyo and Paris have grappled with the challenges of protecting population health and providing their populations with access to health care services. In some respects, there are some important lessons from comparative experience for PRD, notably the importance of covering the entire population for health care services and targeting special programs for those at highest risk for disease. In other respects, PRD's growth rate and sheer scale make it a unique megacity region that already faces new challenges and will require new solutions.

Lake Chapala is a major source of water for crop irrigation and subsistence fishing for a population of 300,000 people in central Mexico. Economic activities have created increasing pollution and pressure on the whole watershed resources. Previous reports of mercury concentrations detected in fish caught in Lake Chapala have raised concerns about health risks to local families who rely on fish for both their livelihood and traditional diet. Our own data has indicated that 27% of women of childbearing age have elevated hair mercury levels, and multivariable analysis indicated that frequent consumption of carp (i.e., once a week or more) was associated with significantly higher hair mercury concentrations. In this paper we describe a range of environmental health research projects. Our main priorities are to build the necessary capacities to identify sources of water pollution, enhance early detection of environmental hazardous exposures, and deliver feasible health protection measures targeting children and pregnant women. Our projects are led by the Children's Environmental Health Specialty Unit nested in the University of Guadalajara, in collaboration with the Department of Environmental Health of Harvard School of Public Health and Department of Pediatrics of the New York School of Medicine. Our partnership focuses on translation of knowledge, building capacity, advocacy and accountability. Communication will be enhanced among women's advocacy coalitions and the Ministries of Environment and Health. We see this initiative as an important pilot program with potential to be strengthened and replicated regionally and internationally.

This paper puts a corporate finance lens on microfinance.  Microfinance aims to democratize 

global financial markets through new contracts, organizations, and technology. We explain the 

roles that government agencies and socially-minded investors play in supporting the entry and 

expansion of private intermediaries in the sector, and we disentangle debates about competing 

social and commercial firm goals. We frame the analysis with theory that explains why 

microfinance institutions serving lower-income communities charge high interest rates, face high 

costs, monitor customers relatively intensively, and have limited ability to lever assets. The 

analysis blurs traditional dividing lines between non-profits and for-profits and places focus on 

the relationship between target market, ownership rights and access to external capital.

The Institute of Medicaid has identified equity as a key dimension of quality. Recently, Massachusetts’ Medicaid program (MassHealth) took the unusual step of linking pay-for-performance (P4P) to the reduction of racial/ethnic disparities for hospital care.  We report on early experience with the program, describing the challenges of implementing an ambitious program in a short time frame, with limited resources.  Our findings raise questions about whether P4P as currently constituted is a suitable tool for addressing disparities in hospital care.

Objective:Obesity is an enormous public health problem and children have been particularly highlighted for intervention. Of notable concern is the fast-food consumption of children. However, we know very little about how children or their parents make fast-food choices, including how they respond to mandatory calorie labeling. We examined children's and adolescents' fast-food choice and the influence of calorie labels in low-income communities in New York City (NYC) and in a comparison city (Newark, NJ).
Design:Natural experiment: Survey and receipt data were collected from low-income areas in NYC, and Newark, NJ (as a comparison city), before and after mandatory labeling began in NYC. Study restaurants included four of the largest chains located in NYC and Newark: McDonald's, Burger King, Wendy's and Kentucky Fried Chicken.Subjects:A total of 349 children and adolescents aged 1-17 years who visited the restaurants with their parents (69%) or alone (31%) before or after labeling was introduced. In total, 90% were from racial or ethnic minority groups.
Results:We found no statistically significant differences in calories purchased before and after labeling; many adolescents reported noticing calorie labels after their introduction (57% in NYC) and a few considered the information when ordering (9%). Approximately 35% of adolescents ate fast food six or more times per week and 72% of adolescents reported that taste was the most important factor in their meal selection. Adolescents in our sample reported that parents have some influence on their meal selection.
Conclusions:Adolescents in low-income communities notice calorie information at similar rates as adults, although they report being slightly less responsive to it than adults. We did not find evidence that labeling influenced adolescent food choice or parental food choices for children in this population.

Is credit a human right? Muhammad Yunus, the most visible leader of a global movement to provide microcredit to world’s poor, says it should be. NYU’s John Gershman and FAI’s Jonathan Morduch disagree. In their new paper, Credit is Not a Right, they ask whether a rights-based approach to microcredit will in fact be effective in making quality, affordable credit more available to poor families – and, more importantly, whether it is a constructive step in terms of the broader goal of global poverty reduction. Jonathan Morduch argues his case in this video.

This paper examines informal training and skill development pathways of Latino immigrant construction workers in two different urban labor markets: Philadelphia, Pennsylvania, and Raleigh-Durham, North Carolina.  We find that institutional differences across local labor markets not only shape how immigrants develop skills in specific places, but also determine the localized obstacles they face in demonstrating and harnessing these skills for employment. To explain the role of local institutions in shaping differences in skill development experience and opportunities, we draw on the concept of tacit skill, a term that is rarely incorporated into studies of the labor market participation of less educated immigrants. We argue that innovative pathways that Latino immigrant workers have created to develop tacit skill can strengthen advocacy planning efforts aimed at improving employment opportunities and working conditions for marginalized workers, immigrant and non-immigrant alike.

At the turn of the twenty-first century, with the amount of money emigrants sent home soaring to new highs, governments around the world began searching for ways to capitalize on emigration for economic growth, and they looked to nations that already had policies in place. Morocco and Mexico featured prominently as sources of "best practices" in this area, with tailor-made financial instruments that brought migrants into the banking system, captured remittances for national development projects, fostered partnerships with emigrants for infrastructure design and provision, hosted transnational forums for development planning, and emboldened cross-border political lobbies.

In Creative State, Natasha Iskander chronicles how these innovative policies emerged and evolved over forty years. She reveals that the Moroccan and Mexican policies emulated as models of excellence were not initially devised to link emigration to development, but rather were deployed to strengthen both governments' domestic hold on power. The process of policy design, however, was so iterative and improvisational that neither the governments nor their migrant constituencies ever predicted, much less intended, the ways the new initiatives would gradually but fundamentally redefine nationhood, development, and citizenship. Morocco's and Mexico's experiences with migration and development policy demonstrate that far from being a prosaic institution resistant to change, the state can be a remarkable site of creativity, an essential but often overlooked component of good governance.

This brief analyzes retirement readiness among racial and ethnic minority women using measures of wage disparities and gaps, wealth accumulation and labor segmentation. This brief recommends strategies at local, state and federal levels to ensure the economic security of women of color in retirement.

Children and youth vary in their developmental health due to differences in family economic security and exposure to toxic stress. The economic downturn has increased the challenges facing low-income children. The ARRA and the President's first budget made significant down-payments on investments in protecting and promoting the well-being of these children. But some of those investments are temporary and must be built into baselines going forward. Many other promising avenues for policy change could be implemented through reauthorization of PRWORA and ESEA. Further, a new era of experimentation in innovative program and policies is recommended for when the economy recovers.

BACKGROUND:

Since Mexico's joining the North American Free Trade Agreement (NAFTA) and the Organization for Economic Cooperation and Development (OECD) in 1994, it has witnessed rapid industrialization. A byproduct of this industrialization is increasing population exposure to environmental pollutants, of which some have been associated with childhood disease. We therefore identified and assessed the adequacy of existing international and Mexican governance instruments and policy tools to protect children from environmental hazards.

METHODS:

We first systematically reviewed PubMed, the Mexican legal code and the websites of the United Nations, World Health Organization, NAFTA and OECD as of July 2007 to identify the relevant governance instruments, and analyzed the approach these instruments took to preventing childhood diseases of environmental origin. Secondly, we interviewed a purposive sample of high-level government officials, researchers and non-governmental organization representatives, to identify their opinions and attitudes towards children's environmental health and potential barriers to child-specific protective legislation and implementation.

RESULTS:

We identified only one policy tool describing specific measures to reduce developmental neurotoxicity and other children's health effects from lead. Other governance instruments mention children's unique vulnerability to ozone, particulate matter and carbon monoxide, but do not provide further details. Most interviewees were aware of Mexican environmental policy tools addressing children's health needs, but agreed that, with few exceptions, environmental policies do not address the specific health needs of children and pregnant women. Interviewees also cited state centralization of power, communication barriers and political resistance as reasons for the absence of a strong regulatory platform.

CONCLUSIONS:

The Mexican government has not sufficiently accounted for children's unique vulnerability to environmental contaminants. If regulation and legislation are not updated and implemented to protect children, increases in preventable exposures to toxic chemicals in the environment may ensue.

We argue in this paper that neighborhoods are highly relevant for the types of issues at the heart of regional science. First, residential and economic activity takes place in particular locations, and particular neighborhoods. Many attributes of those neighborhood environments matter for this activity, from the physical amenities, to the quality of the public and private services received. Second, those neighborhoods vary in their placement in the larger region and this broader arrangement of neighborhoods is particularly important for location choices, commuting behavior and travel patterns. Third, sorting across these neighborhoods by race and income may well matter for educational and labor market outcomes, important components of a region's overall economic activity. For each of these areas we suggest a series of unanswered questions that would benefit from more attention. Focused on neighborhood characteristics themselves, there are important gaps in our understanding of how neighborhoods change - the causes and the consequences. In terms of the overall pattern of neighborhoods and resulting commuting patterns, this connects directly to current concerns about environmental sustainability and there is much need for research relevant to policy makers. And in terms of segregation and sorting across neighborhoods, work is needed on better spatial measures. In addition, housing market causes and consequences for local economic activity are under researched. We expand on each of these, finishing with some suggestions on how newly available data, with improved spatial identifiers, may enable regional scientists to answer some of these research questions.

Attention to the relational dimensions of leadership represents a new frontier of leadership research and is an expression of the growing scholarly interest in the conditions that foster collective action within and across boundaries. This article explores the antecedents of collaboration from the perspective of social change organizations engaged in processes of collaborative governance. Using a constructionist lens, the study illuminates the question how do social change leaders secure the connectedness needed for collaborative work to advance their organization's mission? The article draws on data from a national, multi-year, multi-modal qualitative study of social change organizations and their leaders. These organizations represent disenfranchised communities which aspire to influence policy makers and other social actors to change the conditions that affect their members' lives. Narrative analysis of transcripts from in-depth interviews in 38 organizations yielded five leadership practices that foster strong relational bonds either within organizations or across boundaries with others. The article describes how these practices nurture interdependence either by forging new connections, strengthening existing ones, or capitalizing on strong ones.

This study examines whether the likelihood that borrowers of different races received a subprime loan varied depending on the level of racial segregation where they live. It looks both at the role of racial segregation in metropolitan areas across the country and at the role that neighborhood demographics within communities in New York City played.

"Discernment as the evaluation of one religious community by another is a critical question in contemporary interfaith dialogue theory and practice. How do the members of different religions judge the relative worth of other religious traditions? And how does this judgment connect with the complicated religious lives of modern people? The question of religious discernment has become much more pressing in an age of the globalization of religion along with economic and cultural exchange. What is so refreshing about these essays is that the authors do not shy away from the fact that every religious tradition does have ways of judging the relative merits (and demerits) of the religions of other people . . . As the Kongzi (Confucius) taught so long ago, we need to find harmony but not uniformity. These essays help us on this path

Purpose

This study investigates the degree to which the racial composition of the school environment may influence the body mass index (BMI) of children aged 10 to 18 years. This research may be viewed as extending prior work that has found that the prevalence of risk behaviors among nonwhite adolescents is influenced by exposure to white adolescents.

Methods

This research used data from the Survey of Adults and Youth, which was conducted as part of the evaluation of the Robert Wood Johnson Foundation's Urban Health Initiative. The study population for this analysis is comprised of parent and child respondents in the 2004 to 2005 survey wave who lived in one of the five program cities: Baltimore, Detroit, Oakland, Philadelphia, and Richmond. We constructed two-level school random effects models and added school and census tract-level variables that describe the racial composition of the residential community and the school attended.

Results

Black and Hispanic adolescent girls who attend schools with a mostly nonwhite student body have higher BMIs than do their white counterparts. However, black girls in predominately white schools do not have higher BMIs than white girls. Further, black and Hispanic girls whose schoolmates are predominately white have significantly lower BMIs than black and Hispanic girls in schools where fewer than half the students are white. These associations are not found among boys, and are net of a broad variety of individual, household, and group level characteristics.

Conclusions

Our findings suggest that the BMI of minority adolescent girls is influenced by the norms of the social environment.

Leadership studies focusing on race–ethnicity provide particularly rich contexts to illuminate the human condition as it pertains to leadership. Yet insights about the leadership experience of people of color from context-rich research within education, communications and black studies remain marginal in the field. Our framework integrates these, categorizing reviewed studies according to the effects of race–ethnicity on perceptions of leadership, the effects of race–ethnicity on leadership enactments, and actors' approach to the social reality of race–ethnicity. The review reveals a gradual convergence of theories of leadership and theories of race–ethnicity as their relational dimensions are increasingly emphasized. A shift in the conceptualization of race–ethnicity in relation to leadership is reported, from a constraint to a personal resource to a simultaneous consideration of its constraining and liberating capacity. Concurrent shifts in the treatment of context, power, agency versus structure and causality are also explored, as are fertile areas for future research.

The timing of this volume could not be more opportune. It is based on a 2007 conference to honor the work of Karl "Chip" Case, who is renowned for his scientific contributions to the economics of housing and public policy. The chapters analyze risk in the housing market, the regulation of housing markets by government, and other issues in U.S. housing policy. Chapters investigate derivative markets; the role that home equity insurance can play in reducing risk; the role that the regulation of government-sponsored enterprises has played in extending credit to home purchasers in low-income neighborhoods; and the growth in the market for subprime mortgages. The impact of local zoning regulations on housing prices and new construction is also considered. This is a must read during a time of restructuring our nation’s system of housing finance.

Structural equation modeling was used to compare 6 competing theoretically based psychosocial models of the longitudinal association between life stressors and depressive symptoms in a sample of early adolescents (N= 907; 40% Hispanic, 32% Black, and 19% White; mean age at Time 1 = 11.4 years). Only two models fit the data, both of which included paths modeling the effect of depressive symptoms on stressors recall: The mood-congruent cognitive bias model included only depressive symptoms to life stressors paths (DS→S), whereas the fully transactional model included paths representing both the DS→S and stressors to depressive symptoms (S→DS) effects. Social causation models and the stress generation model did not fit the data. Findings demonstrate the importance of accounting for mood-congruent cognitive bias in stressors–depressive symptoms investigations.

The past two years have been unsettled at best for Congress. Public approval toward Congress remains low, legislative debates have been contentious, polarization remains high, and Congress has a mixed record in dealing with major long-term issues such as Social Security and Medicare. The State Children's Health Insurance program has been delayed awaiting a compromise that might expand coverage, immigration reform has been waylaid by the intensity of opposition across the party lines, energy reform was diluted by ongoing disputes about how to reduce the nation's dependence on foreign oil, and the war in Iraq continues to dictate the pace of major legislative debates.

This article examines the extent to which family wealth affects the Black–White test score gap for young children based on data from the Panel Study of Income Dynamics (aged 3–12). This study found little evidence that wealth mediated the Black–White test scores gaps, which were eliminated when child and family demographic covariates were held constant. However, family wealth had a stronger association with cognitive achievement of school-aged children than that of preschoolers and a stronger association with school-aged children’s math than on their reading scores. Liquid assets, particularly holdings in stocks or mutual funds, were positively associated with school-aged children’s test scores. Family wealth was associated with a higher quality home environment, better parenting behavior, and children’s private school attendance.

Racial disparities are a ubiquitous feature of the US medical landscape, with health care delivery substantially segregated by race/ethnicity. Recent evidence from hospitals,1-3 nursing homes,4-5 and physicians' offices6 suggests that those caring for minority patients do not perform as well as those who care for nonminority patients, on average. This evidence is troubling but hardly surprising because the limited resources of those who care for the poor have helped to create and sustain racial disparities. As the United States enters an era of accountability in health care, it is time to consider these familiar circumstances from a new perspective.

Leading housing researchers build upon decades of experience, research, and evaluation to inform our understanding of the nations rental housing challenges and what can be done about them. It thoughtfully addresses not only present issues affecting rental housing, but also viable solutions.

In this paper, we consider neighborhood selection as a social process central to the reproduction of racial inequality in neighborhood attainment. We formulate a multilevel model that decomposes multiple sources of stability and change in longitudinal trajectories of achieved neighborhood income among nearly 4,000 Chicago families followed for up to seven years wherever they moved in the United States. Even after we adjust for a comprehensive set of fixed and time-varying covariates, racial inequality in neighborhood attainment is replicated by movers and stayers alike. We also study the emergent consequences of mobility pathways for neighborhood-level structure. The temporal sorting by individuals of different racial and ethnic groups combines to yield a structural pattern of flows between neighborhoods that generates virtually nonoverlapping income distributions and little exchange between minority and white areas. Selection and racially shaped hierarchies are thus mutually constituted and account for an apparent equilibrium of neighborhood inequality.

American politics is most notably characterized by the heated debates on constitutional interpretation at the core of its ever-raging culture wars, and the coverage of these lingering disputes is often inundated with public-opinion polls. Yet for all their prominence in contemporary society, there has never been an all-inclusive, systematic study of public opinion and how it impacts the courts and electoral politics. This book provides a comprehensive analysis of American public opinion on the key constitutional controversies of the 20th century, including desegregation, school prayer, abortion, the death penalty, affirmative action, gay rights, assisted suicide, and national security, to name just a few. With chapters focusing on each issue in-depth, the book utilizes public-opinion data to illustrate these contemporary debates, methodically examining each one and how public attitudes have shifted over time, especially in the wake of prominent Supreme Court decisions. The chapters join the “popular constitutionalism” debate between those who advocate a dominant role for courts in constitutional adjudication and those who prefer a more pluralized constitutional discourse. Each chapter also details the gap between the public and the Supreme Court on these hotly contested issues and analyzes how and why this divergence of opinion has grown or shrunk over the last fifty years.

This paper offers new empirical evidence about the prospects of lower-income, US urban neighbourhoods during the 1990s. Using the Neighborhood Change Database, which offers a balanced panel of census tracts with consistent boundaries from 1970 to 2000 for all metropolitan areas in the US, evidence is found of a significant shift in the fortunes of lower-income, urban neighbourhoods during the 1990s. There was a notable increase in the 1990s in the proportion of lower-income and poor neighbourhoods experiencing a gain in economic status. Secondly, in terms of geographical patterns, it is found that this upgrading occurred throughout the country, not just in selected regions or cities. Finally, it is found that the determinants of changes in lower-income, urban neighbourhoods shifted during the 1990s. In contrast to earlier decades, both the share of Blacks and the poverty rate were positively related to subsequent economic gain in these neighbourhoods during the 1990s.

Segregation: The Rising Costs for America documents how discriminatory practices in the housing markets through most of the past century, and that continue today, have produced extreme levels of residential segregation that result in significant disparities in access to good jobs, quality education, homeownership attainment and asset accumulation between minority and non-minority households.The book also demonstrates how problems facing minority communities are increasingly important to the nations long-term economic vitality and global competitiveness as a whole. Solutions to the challenges facing the nation in creating a more equitable society are not beyond our ability to design or implement, and it is in the interest of all Americans to support programs aimed at creating a more just society.The book is uniquely valuable to students in the social sciences and public policy, as well as to policy makers, and city planners.

OBJECTIVES:

We examined the mechanisms by which living in a disadvantaged minority community influences smoking and illegal cigarette sale and purchasing behaviors after a large cigarette tax increase.

METHODS:

Data were collected from 14 focus groups (n=104) that were conducted during the spring of 2003 among Blacks aged 18 years and older living in New York City.

RESULTS:

A large tax increase led to what focus group participants described as a pervasive illegal cigarette market in a low-income minority community. Perceived pro-smoking community norms, a stressful social and economic environment, and the availability of illegal cigarettes worked together to reinforce smoking and undermine cessation.

CONCLUSIONS:

Although interest in quitting was high, bootleggers created an environment in which reduced-price cigarettes were easier to access than cessation services. This activity continues to undermine the public health goals of the tax increase.

In this paper we analyze vulnerability of the elderly during natural hazard events at the macro level using the geographical distribution of the U.S. elderly population at the county level. The elderly population is defined as persons aged 65 years or older. We use data from the Spatial Hazard Events and Losses Database to identify counties with high frequencies of natural hazards events, such as hurricanes, from 1995 to 2005 and we identify characteristics of the elderly population in those counties. This analysis can be extended to other natural hazards. Future work will use regression modeling to incorporate socioeconomic variables such as poverty, race, and ethnicity to identify elderly populations that may be particularly vulnerable to natural hazards to be used as a guide for managing risks to vulnerable populations.

The vast disparities in college attendance and graduation rates between students from different class backgrounds is a growing social concern. Economic Inequality and Higher Education investigates the connection between income inequality and unequal access to higher education, and proposes solutions that the state and federal governments and schools themselves can undertake to make college accessible to students from all backgrounds.

Nominally, the wave of protests by undocumented immigrants that swept through France in the late 1990s successfully challenged the restrictive Pasqua immigration laws. However, despite appearances, the mass movement was at base a labour protest: undocumented workers demonstrated against immigration laws that undermined the way they navigated informal labour markets and, in particular, truncated their opportunities for skill development. Furthermore, it is proposed in this article that examining social movements for their labour content can reveal erosions of working conditions and worker power in informal sector employment. A case study of the Paris garment district is presented to demonstrate how the spread of ‘hybrid-informality' made legal work permits a prerequisite for working informally and relegated undocumented immigrants to lower quality jobs outside the cluster.

About women, ambition and career

More than half a century after the publication of Simone de Beauvoirs feminist handbook, women in the Netherlands is still the second sex. Along with Pakistan, the country where gang rape to this day is seen as an acceptable punishment for a woman who is accused of adultery, occupied Netherlands the last place on an international ranking when it comes to women in the top of the business.

According Heleen Mees, including a much-discussed columnist for NRC Handelsblad, the Dutch earner model a treacherous mixture of traditional gender roles laced with a touch of feminism. Women who drink the cup is handed to the bottom blank. In her columns Mees kicks against sacred cows like fertility, lactation and the old boys' network. Not only must men in the eyes of Mees bit more care to take, should also view real women get top jobs. Stop household.
Women on top!

Down with feminism in time! the most urgent of Mees' columns about women, ambition and work together. The book sheds new light on the ruthless ostensibly completed the emancipation of women, which the author does not hesitate to hit us over the head with confrontational facts and statistics. We're not there yet! An eye-opener for women and men.

"Women aged 20 to 30 occurred en masse to join the labor market, throw themselves wholeheartedly to their work, then - once they become pregnant - their economic independence indiscriminately to give up."

"It earner model is a myth: in reality the woman is not wearing more than one fifth of the household income."

"Men can also develop maternal instinct, as they have the opportunity to care for their child."

How fair are this country's urban housing markets and how effective has the government been at what it is charged to do in ensuring open and diverse housing options for this country's minority groups? Fragile Rights within Cities: Government, Housing, and Fairness offers a rich, multi-disciplinary assessment of the complex interface of housing, fairness, and government programs aimed at enforcing one of this nation's hallmark civil rights laws - the right to fair and open housing.

For decades, social scientists have relied on sibling correlations as indicative of the effect of “global family background” on socioeconomic status. This study advances this line of inquiry by drawing on data from the Panel Study of Income Dynamics to analyze racial differences in siblings' labor market and socioeconomic outcomes. We find that African Americans have lower sibling correlations in labor market earnings and family income than whites. Across the life course, African American siblings move toward greater resemblance than whites. These findings suggest that the effect of family background on socioeconomic outcomes is weaker for African Americans than for whites. Volatility in earlier career stages may suppress the effect of family background on labor market outcomes, and this dynamic is especially pronounced for African Americans who lack resources to insulate themselves from volatile events.

This paper examines complex models of the associations between family income, material hardship, parenting, and school readiness among White, Black, and Hispanic 6-year-olds, using the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K). It is critical to test the universality of such complex models, particularly given their implications for intervention, prevention, and public policy. Therefore this study asks: Do measures and models of low income and early school readiness indicators fit differently or similarly for White, Black, and Hispanic children? Measurement equivalence of material hardship, parent stress, parenting behaviors, child cognitive skills, and child social competence is first tested. Model equivalence is then tested by examining whether category membership in a race/ethnic group moderates associations between predictors and young children's school readiness.

Community-Driven Development (CDD) projects have motivated both large amounts of funding from international development agencies and a number of general critiques centering on the potential susceptibility of decentralized projects to local elite capture. Drawing on case analysis and surveys fielded in 250 Indonesian sub-districts, this paper subjects the design logic of a CDD project to close empirical testing. Results suggest that while CDD projects can help create spaces for a broader range of elite and non-elite community leaders to emerge, elite control of project decision-making is pervasive. However, its effects can be influenced by project-initiated accountability arrangements, such as democratic leadership selection.

The Handbook traces the evolution of the field from its initial focus on school inputs (per pupil expenditures) and the revenue sources (property taxes, state aid programs, etc) used to finance these inputs to a focus on educational outcomes (student achievement) and the larger policies used to achieve them. It shows how the current decision-making context in school finance inevitably interacts with those of governance, accountability, equity, privatization, and other areas of education policy. Because a full understanding of the important contemporary issues requires inputs from a variety of perspectives, the Handbook draws on contributors from a variety of disciplines.

The U.S. Environmental Protection Agency defines environmental justice as "...the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies."2 Environmental injustice has been defined as the disproportionate exposure of communities of color and poor people, or other vulnerable groups, such as children and the elderly, to environmental risks.3

In the analyses described in this article, Geographic Information Systems (GIS)4 techniques and models were used extensively to facilitate and streamline the analysis of demographic and socioeconomic data about people living in close proximity to waste transfer stations and major highways, and to determine whether a disproportionate number of people in communities of color and poor people live in proximity to these sites. The area of application for this analysis was a portion of the South Bronx, New York.

This paper proposes a framework for examining the process by which
government consideration and adoption of new vaccines takes place, with specific reference to developing country settings. The cases of early hepatitis B vaccine adoption in Taiwan and Thailand are used to explore the relevance of explanatory factors identified in the literature as well as the need to go beyond a variablecentric focus by highlighting the role of policy context and process in determining the pace and extent of  adoption. The cases suggest the feasibility and importance of modeling ‘causal diversity’ – the complex set of necessary and sufficient conditions leading to particular decisional outcomes – in a broad range of country contexts. A better understanding of the lenses through which government decision makers filter information, and of the arenas in which critical decisions are shaped and taken, may assist both analysts (in predicting institutionalization of new vaccines) and advocates (in crafting targeted strategies to accelerate their diffusion).

This paper examines the relationship between household income shocks and child labor. In particular, we investigate the extent to which transitory income shocks lead to increases in child labor and whether household access to credit mitigates the effects of these shocks.

Using panel data from a survey in Tanzania, we find that both relationships are significant. Our results suggest that credit constraints play a role in explaining child labor and consequently that child labor is inefficient, but we also discuss alternative interpretations.

We examine variation in high school and college outcomes across New York City public high schools. Using data on 80,000 students who entered high school in 1998 and following them into the City University of New York, we investigate whether schools that produce successful high school students also produce successful college students. We also explore differences in performance across sex, race, and immigration, and we briefly explore selection issues. Specifically, we estimate student-level regressions with school fixed effects, controlling for student characteristics, to identify better and worse performing schools based on state mandated exams, graduation, and college performance.

Home ownership has potentially significant consequences for welfare state policy. High owner-occupancy rates may function as private insurance where social spending is low (a substitution effect). Alternatively, state income redistribution policies could raise the number of home owners (an income effect). Cross-national time-series data show that social spending is negatively related to home ownership, and mediates the positive relationship between income inequality and owner-occupancy rates. This suggests that owner-occupancy acts as a form of social insurance over the life course. Future welfare state researchers should consider the issue of home ownership in analyses of inequality and the social safety net.

New York State, because of its great diversity, has more extensive social and political conflict than most states. Governing New York State: Fifth Edition provides expert assessment of how these conflicts are organized and represented, and how the political process and political institutions work to seek to resolve them. This newly updated fifth edition contains significantly revised material and covers more topics than the prior edition.

The contributors examine conflicts between New York City and the rest of the state, and between federal, state, and local governments. The role of major political parties in organizing and representing broad coalitions of different groups is reviewed, along with the role of third parties, interest groups, and the media. Political institutions that shape the political process-the governor, the legislature, the courts, and the public authorities-are discussed, along with how these institutions affect the representation of responsiveness of various groups. Finally, Governing New York State investigates the major policy areas of the state: the economy, taxes, local education, higher education, health care, welfare, transportation, and the environment.

Nonprofit organizations play a critical role in U.S. housing policy, a role typically justified by the claim that their housing investments produce significant neighborhood spillover benefits. However, little work has actually been done to measure these neighborhood impacts. This paper compares the neighborhood spillover effects of city-supported rehabilitation of rental housing undertaken by nonprofit and for-profit developers, using data from New York City. To measure these benefits, we use increases in neighboring property values, estimated from a difference-in-difference specification of a hedonic regression model. We study the impacts of about 43,000 units of city-supported housing completed during the 1980s and 1990s, and our sample of property transactions includes nearly 300,000 individual sales. We find that both nonprofit and for-profit projects generate significant, positive spillover effects. This finding in itself is significant, given the widespread skepticism about the impact of subsidized housing on neighborhoods. We also find some differences across sectors. First, the impact of nonprofit housing remains stable over time, whereas the effect of for-profit housing declines with time. Second, while large for-profit and nonprofit developments deliver similar benefits, in the case of small projects, for-profit developments generate greater impacts than their nonprofit counterparts. These differences are consistent with theoretical predictions. In particular, in the presence of information asymmetries with respect to housing quality, the nondistribution constraint should lead nonprofits to deliver more durable housing, by softening incentives to shirk on quality and maintenance. Meanwhile, the fact that scale makes a difference to nonprofit impacts may reflect the capacity problems often faced by smaller nonprofits.

This chapter considers whether effects of antipoverty policy on children's school performance differ by ethnicity, and if so, why. We explore several hypotheses: those that derive from human capital theory, theories about family structure and family process, and person-environment fit theory. A major finding is that, in addition to the role of human capital, we find evidence to support the hypothesis that person-environment fit matters. That is, the fit between policy contexts and personal values and goals, such as motivation to pursue one's own education, appears to play a role in explaining differences by race and ethnicity in effects of welfare and employment policies on children.

Bronx Health REACH, a coalition of community- and faith-based groups, health care providers, and an academic institution, recently examined the causes of racial and ethnic health disparities in the southwest Bronx and identified separate systems of care for uninsured and publicly insured patients, who are predominantly people of color, and those with private insurance. We found evidence that patients are sorted into segregated pathways of care, a system of medical apartheid in which differential care contributes to disparities in health care and health outcomes.

Federal social program evaluation has blossomed over the past quarter century. Despite this growth, there has been little accompanying public debate on research ethics. This essay explores the origins and the implications of this relative silence on ethical matters. It reviews the federal regulations that generally govern research ethics, and recounts the history whereby the evaluation of federal programs was specifically exempted from the purview of those regulations. Through a discussion of a recent evaluation that raised ethical concerns, the essay poses - but does not answer - three questions: (1) Are there good reasons to hold federal social program evaluations to different standards than those that apply to other research?; (2) If so, what ethical standards should be used to access such evaluations?; and (3) Should a formal mechanism be developed to ensure that federal social program evaluations are conducted ethically?

Even though access to credit is central to child labor theoretically, little work has been done to assess its importance empirically. Dehejia and Gatti examine the link between access to credit and child labor at a cross-country level. The authors measure child labor as a country aggregate, and proxy credit constraints by the level of financial market development.

These two variables display a strong negative (unconditional) relationship. The authors show that even after they control for a wide range of variables-including GDP per capita, urbanization, initial child labor, schooling, fertility, legal institutions, inequality, and openness-this relationship remains strong and statistically significant. Moreover, they find that, in the absence of developed financial markets, households resort to child labor to cope with income variability.

This evidence suggests that policies aimed at increasing households'access to credit could be effective in reducing child labor.

A traditional view of scholarly quality defines rigor as the application of method and assumes an implicit connection with relevance. But as an applied field, public administration requires explicit attention to both rigor and relevance. Interpretive scholars' notions of rigor demand an explicit inclusion of relevance as an integral aspect of quality. As one form of interpretive research, narrative inquiry illuminates how this can be done. Appreciating this contribution requires a deeper knowledge of the logic of narrative inquiry, an acknowledgement of the diversity of narrative approaches, and attention to the implications for judging its quality. We use our story about community-based leadership research to develop and illustrate this argument.

The plight of urban schools and their failure to adequately and efficiently educate their students has occupied the national discussion about public schools in America over the last quarter century. While there is little doubt that failing schools exist in rural and suburban locations, the image of city school systems as under-financed, inefficient, inequitable and burdened by students with overwhelming needs is particularly well entrenched in the modern American psyche. As the largest school district in the country, New York City attracts particular attention to its problems. To some extent, this image reflects realities. New York City school children, like many urban students around the country, are more likely to be poor, non-white and immigrants, with limited English skills, and greater instability in their schooling, and the new waves of immigrants from around the world bring students with a formidable array of backgrounds, language skills, and special needs. The resulting changes in the student body pose particular challenges for schools. At the same time, despite a decade of school finance litigation and reform, New York continues to have trouble affording the class sizes, highly qualified teachers and other resources that suburban neighbors enjoy. Finally, there is evidence of continuing segregation and disparities in performance between students of different races and ethnicities.

The Collaborative raises three areas in which more dialogue would be useful. First, they express a desire for more data about how I was seen by my informants of color. They use that point to raise broader questions about validity: How can I, as a white person, know what is not being said by my informants of color? How can I be sure that my informants were candid with me, given the ‘strong taboos that prohibit revealing oneself . . . to the white world'? Second, they point out that my dissertation research was not emancipatory or mutual: it was a relatively traditional qualitative design, with a clear demarcation between researcher and researched. Finally, they raise the concept of ‘critical humility' and the spirit of inquiry in doing this work. I will address each of these areas in turn.

A traditional view of scholarly quality defines rigor as the application of method and assumes an implicit connection with relevance. But as an applied field, public administration requires explicit attention to both rigor and relevance. Interpretive scholars' notions of rigor demand an explicit inclusion of relevance as an integral aspect of quality. As one form of interpretive research, narrative inquiry illuminates how this can be done. Appreciating this contribution requires a deeper knowledge of the logic of narrative inquiry, an acknowledgement of the diversity of narrative approaches, and attention to the implications for judging its quality. We use our story about community-based leadership research to develop and illustrate this argument.

Some of the highest rates of curable sexually transmitted diseases in the USA are found among adolescents. Routine, comprehensive health care that includes a sexual history may contribute to alleviating this problem. We designed and ran a three-session small-group workshop for adolescents, using local community organizations as intervention sites, with peers (typically 2-3 years older) helping facilitate the interactive sessions. Outcomes are summarized elsewhere: in this paper, we present an examination of theoretically based psychological mediating factors that we sought to influence during the intervention. Adolescents' health care-seeking beliefs, general attitudes to seeking care, and intentions to do so all changed such that they held more positive beliefs, evaluated health care more favorably, and developed stronger intentions to seek care. Furthermore, relationships among these constructs were strengthened according to theoretical precepts. Adolescents' self-efficacy and their perceptions of social norms pertaining to health care-seeking, however, were unaffected by the intervention. We explored gender differences in mediating factors, finding no interaction, although females did score higher on post-intervention attitude and intention measures.

Contains papers by state education dept. policymakers, analysts, & data providers on emerging issues in school finance. Includes: estimates of disparities & analysis of the causes of expenditures in public school districts; race, poverty & the student curriculum; court-ordered school finance equalization; resource allocation to schools under conditions of radical decentralization; building equity & effectiveness into school-based funding models; alternative options for deflating education expenditures over time; productivity collapse in schools; & evaluating the effect of teacher degree level on educational performance.

Implementation of anti-corruption programs is plagued by a paradox: the very actors posited to be the source of the problem are those most critical to implementation success. This paper presents a framework for understanding the large gaps that exist between policy intentions and outcomes in anti-corruption programs. It applies this to ‘grassroots democratization’ as an anti-corruption initiative in Vietnam, a high-profile policy mandating greater transparency in local budget use and participation in decisionmaking. Local leaders in this case face weak incentives for implementation that stem from both poor policy design and local institutional environments. But as with many anti-corruption programs in adverse environments, potential exists for the initiative to
provide tools with which reform-minded leaders and social groups can challenge local governance practices in unanticipated ways.

The purpose was to examine attitudinal and contextual factors associated with the occurrence of sexual health assessments during adolescent primary care visits. A total of 313 primarily African-American youth aged 11-21 years from 16 community-based organizations in suburban Maryland and in New York City completed questionnaires focusing on sexually transmitted diseases (STD) and health care. The analysis examined the relationship of sexual activity, attitudes, and presence of the parent at the health care visit with discussion of three sexual health topics and testing for STD at the most recent health care visit. Data were analyzed using Chi-square tests and logistic regression. Overall, 74% of respondents reported that they had talked about at least one sexual health topic at their last health care visit but only 32% had discussed all three topics of sexual behavior, birth control, and STD. Females were more likely than males to discuss birth control although there were no gender differences in the overall likelihood of talking about a sexual health topic. Few adolescents initiated discussion of sexual issues. Positive attitudes toward discussing sexual issues with a provider and absence of a parent at the visit were independently associated with higher odds of discussing at least one sexuality topic and STD testing. Although relatively large numbers of adolescents in the sample received sexual health assessments, the proportion was below recommended guidelines. The opportunity to speak privately with a clinician and having positive attitudes about discussing sex with a doctor appear to be important influences on the receipt of sexual health assessments. Improving the quality of adolescent preventive care will require creating a health care environment that facilitates discussion of sexual health issues

This study focuses on the changing labor-market opportunities for women, and teacher quality in the U.S., from 1957 to 2000. The study data consist of longitudinal surveys of five cohorts of high-school graduates. These five surveys are alike in that they each include results from a questionnaire administered during the senior year. All require participation in a battery of aptitude test scores for all students, which allows us to place graduates into a cohort skill distribution and to assess how the propensity for women or men with high relative scores to enter teaching has changed over time. Despite a small number of cross-sectional study that have examined the characteristics of college graduates choosing to enter teaching, there has been little empirical evidence on how these characteristics have changed over a long period of time. The study found sound evidence of slight but detectable decline in the relative ability of the average new female teacher, when ability is measured as one's centile rank in the distribution of high-school graduates on a standardized test of verbal and mathematical aptitude. The magnitude of this decline is even greater when measuring ability using standardized scores. The study also found that examination of the entire distribution of new teachers is more informative than trends in central tendency alone.

As the HIV/AIDS epidemic enters its third decade, rates of infection continue to rise in ethnic minority populations. Though the prevalence of HIV among Asian and Pacific Islander (A&PI) gay men remains to be clearly documented, research has shown that these men engage in relatively high rates of HIV risk behavior. The social discrimination that minority gay men experience may impact their HIV risk behavior and mental health (Diaz & Ayala, 2001). This article examines the experiences of and response to social discrimination among A&PI gay men, and their links to HIV risk behaviors. The study analyzes 166 narrative episodes of discrimination, as well as data on HIV risk obtained from in-depth interviews with 23 A&PI gay men. Results showed that A&PI gay men experience types of discrimination across a variety of contexts. Homophobia and anti-immigrant discrimination were linked to confrontation and social network-based responses whereas discrimination based in stereotypes of passivity / submission were linked with self-attribution. A&PI gay men who used confrontational, social network-based or avoidance response types showed less HIV risk than those who did not. Conversely, A&PI gay men who responded to discrimination with self-attribution showed greater HIV risk behaviors. These findings indicate that experiences of social discrimination and responses to discrimination may impact A&PI gay men's well-being and health.

Background: Gender disparities in the treatment of coronary artery disease (CAD) have been extensively documented in studies from the United States. However, they have been less well studied in other countries and, to our knowledge, have not been investigated at the more disaggregated spatial level of cities.

Objective: This study tests the hypothesis that there is a common international pattern of gender disparity in the treatment of CAD in persons aged ≥65 years by analyzing data from the United States, France, and England and from their largest cities-New York City and its outer boroughs, Paris and its First Ring, and Greater London.

Methods: This was an ecological study based on a retrospective analysis of comparable administrative
data from government health databases for the 9 spatial units of analysis: the 3 countries, their 3 largest
cities, and the urban cores of these 3 cities. A simple index was used to assess the relationship between
treatment rates and a measure of CAD prevalence by gender among age-adjusted cohorts of patients.
Differences in rates were examined by univariate analysis using the Student t test for statistical differences
in mean values.

Results: Despite differences in health system characteristics, including health insurance coverage, availability
of medical resources, and medical culture, we found consistent gender differences in rates of percutaneous
transluminal coronary angioplasty and coronary artery bypass grafting across the 9 spatial units.
The rate of interventional treatment in women with CAD was less than half that in men. This difference
persisted after adjustment for the prevalence of heart disease.

Conclusions: A consistent pattern of gender disparity in the interventional treatment of CAD was seen
across 3 national health systems with known differences in patterns of medical practice. This finding is
consistent with the results of clinical studies suggesting that gender disparities in the treatment of CAD
are due at least in part to the underdiagnosis of CAD in women.

In many urban areas in the United States, immigrant children and the children of immigrants are transforming local schools. Immigrant children face - and pose - significant challenges to these schools, challenges that are in many ways greater than those of earlier waves of immigrants. There is, however, relatively little existing research investigating the ways urban public school systems treat and are influenced by the increasing numbers of immigrant children. Using an extraordinarily rich, student-level panel data set covering all 850 of New York City's elementary and middle schools for 5 years, linked to institutional information on the schools themselves, we study the experience of one large urban school system. Given the extraordinary size and diversity of the immigrant population in New York City, we can consider separately subgroups of immigrants whose experiences in and impacts on urban schools systems are likely to differ greatly. This is particularly important for drawing lessons for other urban areas that face flows of immigrants from specific countries of origin.

Our project contains a cross-sectional and a time series component. To start, we examine the characteristics of the schools and districts attended by New York City's immigrant children, including the extent to which the teachers and resources of different groups of immigrant children differ from each other and from the typical native-born student. We examine the degree to which they are segregated within the city's districts and schools - and investigate the extent to which segregation differs between elementary and middle schools. This is particularly interesting because of the strong link between elementary school choice and residential location and the weaker link (and greater degree of choice) at the middle school level.

We will also focus on the "receiving" schools from the perspective of the native-born students, particularly minority and poorer students. While the presence of recent immigrants brings some supplemental federal funding, and additional resources are typically directed at students with Limited English Proficiency, the net resource impact on the schools and their students is poorly understood.

In the second component of our project (exploiting the time-series nature of our data) we will examine changes in school composition over time. Do specific characteristics drive patterns of change? At the school level, we will assess whether and how the presence of native-born students changes in response to changes in the share of students who are immigrants, children of immigrants, and those with limited English proficiency. By tracking the movement of children from one school to another, we can investigate the characteristics of the origin and destination schools (such as population composition and school resources) that appear to affect mobility and identify groups most sensitive to these factors. Are urban school districts in high immigrant areas likely to suffer from more middle-class flight? To what extent does the response depend upon the socioeconomic characteristics of the immigrants - their race, ethnicity, language proficiency, and/or country of origin? This second piece moves beyond a cross-sectional assessment of the resource allocations and impacts associated with immigration, to suggest how these impacts will change over time for other urban districts receiving immigrant children and, perhaps, the issues and problems that policymakers to consider in formulation policy responses.

The strategies and methods used by the New York Immigration Coalition (NYIC) are attracting increased attention for their sustainable collaborative systems that address critical social and economic needs. This case focuses on the evolution of NYIC's successful methods for building bridges across sectors and among a diverse group of immigrant communities, and the leadership approach that made it work.

Study objective: The study tests the extent to which primary care physician supply (office based primary care physicians per 10 000 population) moderates the association between social inequalities and infant mortality and low birth weight throughout the 50 states of the USA.

Design: Pooled cross sectional, time series analysis of secondary data. Analyses controlled for state level education, unemployment, racial/ethnic composition, income inequality, and urban/rural differences. Contemporaneous and time lagged covariates were modelled.

Setting: Eleven years (1985-95) of data from 50 US states (final n = 549 because of one missing data point).

Main results: Primary care was negatively associated with infant mortality and low birth weight in all multivariate models (p<0.0001). The association was consistent in contemporaneous and time lagged models. Although income inequality was positively associated with low birth weight and infant mortality (p<0.0001), the association with infant mortality disappeared with the addition of sociodemographic covariates.

Conclusions: In US states, an increased supply of primary care practitioners-especially in areas with high levels of social disparities-is negatively associated with infant mortality and low birth weight.

As we enter the third decade of the AIDS epidemic, HIV/AIDS is the leading cause of death for Black U.S. citizens between the ages of 25-44. Black MSM have the highest incidence of AIDS in the U.S. Research is needed on the individual and contextual factors that place these men at risk. This study asks: 1) What are the profiles of social network and social/political group involvement for Black MSM? 2) Do levels of peer norms, AIDS knowledge, self-efficacy, and AIDS ethnocentrism differ for Black MSM according to their social networks and social activity? 3) Does HIV-risk differ for Black MSM according to their social involvement? METHODS: The sample consisted of 318 Black MSM. The average age was 31 years old, and 88% of the participants were single. 33% of the sample reported engaging in sexual behavior with both men and women. Measures included age, education level, make-up of social networks (race, sexual orientation), participation in social/political groups of Black gay, White gay and heterosexual types, levels of condom efficacy, peer norms, AIDS knowledge and AIDS ethnocentrism and number of instances of unprotected anal intercourse (UAI) in the past 6 months. Data were analyzed using cluster analysis, regression analysis and ANOVA. RESULTS: Men who were active in social/political groups were less likely to engage in UAI than men who were not active. This effect was mediated by higher condom efficacy and lower AIDS ethnocentrism. The study also showed that men with largely Black and gay networks reported higher UAI than men with White gay social networks. CONCLUSION: Results show that different social patterns among Black MSM can lead to different outcomes regarding HIV-risk. These findings will inform AIDS prevention efforts for Black MSM, and promote use of a framework that incorporates both individual and contextual factors in understanding HIV-risk.

Demography is not destiny. While groups of color - Asians, Blacks, Latinos, and Native Americans - have emerged as New York City's new majority, large segments of the groups remain burdened by many of the historical problems associated with disadvantaged minorities. This report highlights the problems faced by lower-income women of color, especially single mothers. Often bypassed during the economic boom of the 1990s, these women have found that employment opportunities have all but evaporated in the current economic malaise. The elimination of federal welfare entitlements have only served to exacerbate these problems. To read more click on the link below.

Decentralisation is a complex and often somewhat elusive phenomenon. Many countries around the world have been attempting- for several reasons and with varying degrees of intention and success-to create or strengthen sub-national governments in recent years. Africa is no exception to either the decentralisation trend or the reality of its complexity and diversity. Drawing selectively on the large academic and practitioner literature on decentralisation and the articles in this volume, this article briefly outlines a number of typical prominent goals of decentralisation. It then reviews some key dimensions of decentralisation-fiscal, institutional and political. These are too frequently treated separately by policy analysts and policy makers although they are inherently linked. Next, a few popular myths and misconceptions about decentralisation are explored. Finally, a number of common outstanding challenges for improving decentralisation and local government reform efforts in Africa are considered.

Public agencies have the mandate to consider the plurality of values, concerns and voices of the larger population in their work, as well as to include a wide variety of citizens in their workforce. When diversity is pursued as an organizational objective, more efficient management and the democratic values of responsiveness and representation in public administration are both said to be better achieved.

International donors have attempted to contribute to, and indeed influence, the overall tenor of socioeconomic and governance-related reforms in Vietnam. They have done so in a number of ways: directly supporting policy research, stablishing forums for debate of developmental issues with government counterparts, funding projects on administrative and judiciary reform and central level capacity building, and providing direct financial and sometimes indirect support for ‘indigenous’ NGOs, primarily development service organizations working as contractors for particular development projects. This paper examines another modality through which donors sought to influence administrative reform over the heady ‘development decade’ of the 1990s – donor support for rural development projects conceived as ‘policy experiments’ (Rondinelli 1983). Though diverse in sectoral focus, these projects commonly attempted to introduce local institutional arrangements promoting greater responsiveness and accountability of local governments to rural communities as a whole, or to particular sub-groups such as smallholder farmers. To do so, local organizations or grassroots groups were typically established as new ways of organizing the rural populace to demand, plan for, access or provide services underpinning rural development and poverty alleviation. “Local development groups” (LDGs) is the name I give to groups comprised of farmers and other end-users of project services (or representatives they choose) that were formed in the process of implementing particular development projects. This paper probes the experience of these development projects and LDGs over approximately the last ten years. It depicts how projects funded by a wide range of donors became an important part of the institutional landscape in many areas of Vietnam, leaving a significant mark on many sectors related to rural  development. Five sections follow this introduction. The first examines how changing donor roles interacted with institutional developments to produce an opportunity for projects to influence policy. Section two presents a theoretical framework with which to assess LDGs and the policy experiments in which they were embedded, which section three applies the framework to a sample of 15 donor projects operational over the 1990s in Vietnam. Section four presents more qualitative detail on a few of the higher-impact projects. The final section concludes with  implications for donors and the study of local institutional change in Vietnam.

To overcome some of the limitations of experimental and quasi-experimental designs, evaluators have employed a
"theory of change" (TOC) approach to evaluate comprehensive community initiatives (CCIs). This approach helps identify underlying assumptions, focuses on processes and systems within communities, clarifies desired outcomes, and embraces the complexity of comprehensive interventions. Yet some researchers question the adequacy of TOC to address rival hypotheses to explain findings.

BACKGROUND AND PURPOSE: The goal of this study was to test whether primary care reduces the impact of income inequality on stroke mortality. METHODS: This study used pooled time-series cross-sectional analysis of 11 years of state-level data (n=549). Analyses controlled for education levels, unemployment, racial/ethnic composition, and percent urban. Contemporaneous and time-lagged covariates were modeled. RESULTS: Primary care was negatively associated with stroke mortality in models including all covariates (P<0.0001). The impact of income inequality on stroke mortality was reduced in the presence of primary care (P<0.0001) but disappeared with the addition of covariates (P>0.05). CONCLUSIONS: In the absence of social policy that addresses sociodemographic determinants of health, primary care promotion may serve as a palliative strategy for combating stroke mortality and reducing the adverse impact of income inequality on health.

The article reports on racial inequality. The author says the while African-Americans do earn less than whites, asset gaps remain large even when black and white families at the same income levels are compared. For instance, at the lower end of the economic spectrum (incomes less than $ 15,000 per year), the median African-American family has a net worth of zero, while the equivalent white family's net worth is $10,000. Likewise, among the often-heralded new black middle class, the typical white family earning $40,000 per year enjoys a nest egg of around $80,000; its African-American counterpart has less than half that amount.

Immigrant children represent a large and growing proportion of school children in the United States, especially in urban areas. An estimated 10.4 percent of the U.S. population is now foreign-born (the highest percentage since 1930); and in central cities, the proportion has risen to 16 percent (Lollock 2001; Schmidley and Gibson 1997). Yet we know surprisingly little about the experience or isolation levels of foreign-born students. While there is considerable research on the degree to which racial minorities are isolated in U.S. schools and on the disturbing consequences of this segregation, there is no parallel research concerning immigrants.
The goal of this paper is to begin to examine this issue, looking at evidence from New York City. In particular, we address two main questions. First, how segregated are immigrant students in New York's schools and how does that segregation vary across groups with differing language skills and from different regions of the world? Second, to the extent we do see segregation, how different are the schools attended by immigrant children (either overall or from particular regions) in terms of student characteristics, teachers, and funding levels?
New York City is an especially apt place to study immigrant students because the city's public schools educate so many immigrants, from such a broad range of countries (over 200), speaking a great diversity of languages (over 120). In addition, we have been able to assemble an extraordinarily detailed data set, which allows us to exploit the richness that New York City's student body provides.
The paper is organized as follows. In the first section we review the literature on school segregation and explore the ways in which segregation might affect immigrant students. In section two we describe our data and provide a brief statistical portrait of immigrant students in New York City. In section three, we lay out the methods and hypotheses to be explored in this paper, while in section four we present our analysis of segregation of immigrant students. Section five concludes.

The first Status of Women of Color Report originated out of the need to provide data and research focusing on women of color. By drawing attention to the trends seen in income, unemployment, welfare, and incarceration for women of color in New York city , this report summarizes their achievements and lack of it during the 1990's.

Much research has shown that even after controlling for income, African Americans suffer from drastically lower net worths than their white counterparts; these differences in net worth have important implications for the overall well-being of blacks and whites. If not directly from labor market disadvantages-i.e., income differentials-then from what does this racial gap in wealth arise? The current study assesses two complementary accounts of this race difference in asset holdings. The first, the historical legacy thesis, suggests that net wealth differences in the current generation are largely a result of discrimination in past generations; that is, they can be traced to the "head start" that whites have enjoyed in accumulating assets and passing them on. The second theory, the contemporary dynamics thesis, holds that current dynamics of institutional racism in the housing and credit markets are more responsible for the gap. The current study tests the relative impact of multi-generational forces and contemporary property and credit dynamics by using two-generational data from the Panel Study of Income Dynamics. It finds that parental wealth and income levels and inheritance all have a significant impact on the wealth levels of the current generation net of respondent socioeconomic characteristics; however, parental wealth and inheritance fail to explain the black-white gap. Further, this study shows that even predicting net worth from that same family's net worth five years prior (also controlling for savings during the interim), there remains a significantly negative effect of African American race. However, breaking out initial net worth into asset types shows that it may be different investment types and returns that explain the difference in asset accumulation over a five-year period.

Jane Jacobs has recently become the most popular, pop sociologist around. There has been a spiked resurgence of media interest in her 1961 urban studies classic, The Death and Life of Great American Cities. This may be due partly to the recent release of her new book, The Nature of Economies. But there is probably something more to it. For journalists, Jacobs' account of the neighborhood life of New York City's Greenwich Village of the 1950s seems to induce nostalgic longings for a greater sense of community. The bustling, narrow streets Jacobs describes were filled with both small shops and tenement residences, with hoards of pedestrians engaged in both business and sociability, and with strangers and lifelong inhabitants alike. This apparent chaos was actually a ballet of multitudes and Jacobs uncovered the latent order that undergirded the community.

In the waning decades of the 20 century, New York City was transformed from a magnet for U.S.- and Caribbean-born blacks to the center of the Diaspora of people of African descent. From Ethiopia to Panama, from Ghana to Brazil, immigrants of African descent streamed into the city's neighborhoods, enriching black culture with their languages and religions, and extending the range of black political interests.

Bringing together new articles and essays from the controversial Berkeley conference of the same name, "The Making and Unmaking of Whiteness" presents a fascinating range of inquiry into the nature of whiteness. Representing academics, independent scholars, community organizers, and antiracist activists, the contributors are all leaders in the "second wave" of whiteness studies who collectively aim to combat the historical legacies of white supremacy and to inform those who seek to understand the changing nature of white identity, both in the United States and abroad. The editors not only raise provocative questions about the intellectual, social, and political goals of those interested in the study of whiteness but assess several of the topic's major recurrent themes: the visibility of whiteness (or the lack thereof); the "emptiness" of whiteness as a category of identification; and conceptions of whiteness as a structural privilege, a harbinger of violence, or an institutionalization of European imperialism.

Over the past three decades, average household wealth in the United States has declined among all but the richest families, with a near 80 percent drop among the nation's poorest families. Although the national debate about inequality has focused on income, it is wealth - the private assets amassed and passed on within families -- that provides the extra economic cushion needed to move beyond mere day-to-day survival. Assets for the Poor is a full-scale investigation into the importance of family wealth and the need for policies to encourage asset-building among the poor.

This paper outlines the race-based, neighbourhood projection hypothesis which holds that, in choosing neighbourhoods, households care less about present racial composition than they do about expectations about future neighbourhood conditions, such as school quality, property values and crime. Race remains relevant, however, since households tend to associate a growing minority presence with structural decline. Using a unique data-set that links households to their neighbourhoods, this paper estimates both exit and entry models and then constructs a simple simulation model that predicts the course of racial change in different communities. Doing so, the paper concludes that the empirical evidence is more consistent with the race-based projection hypothesis than with other common explanations for neighbourhood racial transition.

The rapid rise in immigration over the past few decades has transformed the American social landscape, while the need to understand its impact on society has led to a burgeoning research literature. Predominantly non-European and of varied cultural, social, and economic backgrounds, the new immigrants present analytic challenges that cannot be wholly met by traditional immigration studies. Immigration Research for a New Century demonstrate show sociology, anthropology, history, political science, economics, and other disciplines intersect to answer questions about today's immigrants. In Part I, leading scholars examine the emergence of an interdisciplinary body of work that incorporates such topics as the social construction of race, the importance of ethnic self-help and economic niches, the influence of migrant-homeland ties, and the types of solidarity and conflict found among migrant populations. The authors also explore the social and national origins of immigration scholars themselves, many of whom came of age in an era of civil rights and ethnic reaffirmation, and may also be immigrants or children of immigrants. Together these essays demonstrate how social change, new patterns of immigration, and the scholars' personal backgrounds have altered the scope and emphases of the research literature,allowing scholars to ask new questions and to see old problems in new ways. Part II contains the work of a new generation of immigrant scholars, reflecting the scope of a field bolstered by different disciplinary styles. These essays explore the complex variety of the immigrant experience, ranging from itinerant farmworkers to Silicon Valley engineers. The demands of the American labor force, ethnic, racial, and gender stereotyping, and state regulation are all shown to play important roles in the economic adaptation of immigrants. The ways in which immigrants participate politically, their relationships among themselves, their attitudes toward naturalization and citizenship, and their own sense of cultural identity are also addressed. Immigration Research for a New Century examines the complex effects that immigration has had not only on American society but on scholarship itself, and offers the fresh insights of a new generation of immigration researchers.

This study evaluates the effectiveness of two strategies�communication and condom skills training�for increasing condom-protected sex in a sample of 510 high-risk women ages 17 to 61. Baseline and 3- and 6-month postintervention interview data were gathered in three cities participating in a randomized trial of a six-session, group skill-building intervention. This analysis was conducted for the entire sample and for six subgroups categorized by age, single or multiple partners, and history of childhood sexual abuse. The dependent variable was the odds ratio of protected sex acts at each follow-up. Structural equation modeling was used to estimate effects for two intervention pathways. The pathway through condom skills increased the odds of protected sex for the intervention group (2 difference = 35, df = 2, p < .05) as well as for all subgroups. The pathways through communication were significant for the intervention group (2 difference = 23, df =3, p < .05) but fully effective only for participants under 30 and participants who reported childhood sexual abuse. The effectiveness of both pathways diminished at 6 months. WINGS demonstrates that condom skills training can increase protected sex for a heterogeneous group of women. Further research needs to examine how such skill training translates into use of condoms by male partners. To increase the duration of intervention effects, booster sessions may need to be incorporated.

This edited collection examines joint efforts by Latinos and African Americans to confront problems faced by populations of both groups in urban settings (in particular, socioeconomic disadvantage and concentration in inner cities). The essays address two major issues: experiences and bases for collaboration and contention between the two groups; and the impact of urban policies and initiatives of recent decades on Blacks and Latinos in central cities.

What is more important--race or class--in determining the socioeconomic success of the blacks and whites born since the civil rights triumphs of the 1960s? When compared to whites, African Americans complete less formal schooling, work fewer hours at a lower rate of pay and are more likely to give birth to a child out of wedlock and to rely on welfare. Are these differences attributable to race per se, or are they the result of differences in socioeconomic background between the two groups?Being Black, Living in the Red demonstrates that many differences between blacks and whites stem not from race but from economic inequalities that have accumulated over the course of American history. Property ownership--as measured by net worth--reflects this legacy of economic oppression. The racial discrepancy in wealth holdings leads to advantages for whites in the form of better schools, more desirable residences, higher wages, and more opportunities to save, invest, and thereby further their economic advantages.Dalton Conley shows how factoring parental wealth into a reconceptualization of class can lead to a different future for race policy in the United States. As it currently stands, affirmative action programs primarily address racial diversity in schooling and work--areas that Conley contends generate paradoxical results with respect to racial equity. Instead he suggests an affirmative action policy that fosters minority property accumulation, thereby encouraging long-term wealth equity, or one that--while continuing to address schooling and work--is based on social class as defined by family wealth levels rather than on race.

When capital and labor markets are imperfect, choice sets narrow, and parents must choose how to ration available funds and time between their children. One consequence is that children become rivals for household resources. In economies with pro-male bias, such rivalries can yield gains to having relatively more sisters than brothers. Using a rich household survey from Ghana, we find that on average if children had all sisters (and no brothers) they would do roughly 25-40% better on measured health indicators than if they had all brothers (and no sisters). The effects are as large as typical quantity-quality trade-offs, and they do not differ significantly by gender.

This paper tests the importance of the spatial isolation of minority and poverty households for youth employment in large metropolitan areas. We estimate a model relating youth employment probabilities to individual and family characteristics, race, and metropolitan location. We then investigate the determinants of the systematic differences in employment probabilities by race and metropolitan area. A substantial fraction of differences in youth employment can be attributed to the isolation of minorities and poor households. Minority youth residing in more segregated cities or cities in which minorities have less contact with nonpoor households have lower employment probabilities than otherwise comparable youth. Simulations suggest that these spatial effects explain a substantial fraction of the existing differences in youth employment rates by race.

Racial segregation in America's schools remains persistently and disturbingly high, despite decades of institutional and policy changes. This paper considers one recent change common to many urban school districts - immigration - and examines whether and how the presence of a large number of immigrant students affects racial segregation. Exploiting a student-level data set including all elementary and middle school students in New York City's public schools, sixteen percent of whom are immigrants, we conduct a series of descriptive and exploratory analysis of possible avenues of influence. While it is unclear ex ante, both theoretically and compositionally, whether the presence of immigrants should increase or decrease inter-racial interaction, our results point to a decrease. Racial stratification of foreign-born students is generally higher than that of their native-born counterparts, and this is not solely attributable to income or language-skill differences. And while this heightened segregation decreases with time in the school system, the foreign-born/native-born differential is never eliminated. Importantly, we do find that there are very large differences within the immigrant population. Thus, the effect of immigrants on patterns of racial interaction in any district will depend crucially not only on the race of the immigrants, but also on their particular country of origin.