Using administrative data on a random 50% of the Hungarian population, including individual-level information on incomes, healthcare spending, and mortality for the 2003–2011 period, we develop new evidence on the distribution of healthcare spending and mortality in Hungary by income and geography. By linking detailed administrative data on employment, income, and geographic location with measures of healthcare spending and mortality we are able to provide a more complete picture than the existing literature which has relied on survey data. We compute mean spending and 5-year and 8-year mortality measures by geography and income quantiles, and also present gender and age adjusted results.
We document four patterns: (i) substantial geographic heterogeneity in healthcare spending; (ii) positive association between labor income and public healthcare spending; (iii) geographic variation in the strength of the association between labor income and healthcare spending; and (iv) negative association between labor income and mortality. In further exploratory analysis, we find no statistically significant correlation between simple county-level supply measures and healthcare spending. We argue that taken together, these patterns suggest that individuals with higher labor income are in better health but consume more healthcare because they have better access to services.
Our work suggests new directions for research on the relationship between health inequalities and healthcare spending inequalities and the role of subtler barriers to healthcare access.
Contributing to the burgeoning discourse on economic inequality, we expose an inequality in what the poor are socially permitted to buy. Across 11 experiments (n = 4,179), we demonstrate that lower-income individuals are held to more restrictive standards of permissible consumption, judged negatively for purchasing the same items as their higher-income peers. We rule out the explanation that higher-income people are socially permitted to consume more simply because they can afford more; instead, we find lower-income people are socially permitted to consume less because they are presumed to need less. These findings suggest that—in addition to economic disparities that restrict what lower-income individuals financially can consume—there is an inequality in what they are socially permitted to consume.
This article develops a theory of when and how political nationalization increases interest in local elections using evidence from county sheriff elections. A quintessentially local office, the sheriff has long enjoyed buffers from ideological or partisan politics. However, many sheriff elections since 2016 were waged on ideological grounds as progressive challengers—often backed by outside money—linked their campaigns to opposition to President Trump. I argue that this “redirected nationalization” becomes possible when a salient national issue impinges on a local government service, enabling challengers to expand the scope of conflict against valence-advantaged incumbents. In the highly nationalized 2018 midterm election, the question of cooperation with Immigration and Customs Enforcement in the nation’s jails provided a compelling link between local sheriffs and national politics, infusing new interest and energy in these races. Although redirected nationalization can help align local policies with voter preferences, the politicization of local law enforcement also might undermine police professionalism and credibility.
Concurrent housing and opioid crises have increased exposure to street-crime, homelessness and addiction in American cities. What are the political consequences of this increased neighborhood disorder? We examine a change in social context following the relocation of homelessness and drug treatment services in Boston. In 2014, an unexpected bridge closing forced nearly 1000 people receiving emergency shelter or addiction treatment to relocate from an island in the Boston Harbor to mainland Boston, causing sustained increases in drug-use, loitering, and other features of neighborhood disorder. Residents near the relocation facilities mobilized to maintain order in their community. In the subsequent Mayoral election, their turnout grew 9% points while participation in state and national elections was unchanged. However, increased turnout favored the incumbent Mayor, consistent with voter learning about candidate quality following local shocks. Voters responded to neighborhood changes at the relevant electoral scale and rewarded responsive politicians.
American political observers express increasing concern about affective polarization, i.e., partisans' resentment toward political opponents. We advance debates about America's partisan divisions by comparing affective polarization in the US over the past 25 years with affective polarization in 19 other western publics. We conclude that American affective polarization is not extreme in comparative perspective, although Americans' dislike of partisan opponents has increased more rapidly since the mid-1990s than in most other Western publics. We then show that affective polarization is more intense when unemployment and inequality are high; when political elites clash over cultural issues such as immigration and national identity; and in countries with majoritarian electoral institutions. Our findings situate American partisan resentment and hostility in comparative perspective, and illuminate correlates of affective polarization that are difficult to detect when examining the American case in isolation.
Strong social connections make communities more resilient. But today Australians have fewer close friends and local connections than in the past, and more of us say we have no-one to turn to in tough times. How can we turn this trend around?
In Reconnected, Andrew Leigh and Nick Terrell look at some of the most successful community organisations and initiatives – from conversation groups to community gardens, from parkrun to Pub Choir – to discover what really works. They explore ways to encourage philanthropy and volunteering, describe how technology can be used effectively, and introduce us to remarkable and inspirational leaders.
Reconnected is an essential guide for anyone interested in strengthening social ties.
The incarceration rate in the United States is the highest of any developed nation, with a prison population of approximately 2.3 million in 2016. Over 700,000 prisoners are released each year, and most face significant educational, economic, and social disadvantages. In After Prison, sociologist David Harding and criminologist Heather Harris provide a comprehensive account of young men’s experiences of reentry and reintegration in the era of mass incarceration. They focus on the unique challenges faced by 1,300 black and white youth aged 18 to 25 who were released from Michigan prisons in 2003, investigating the lives of those who achieved some measure of success after leaving prison as well as those who struggled with the challenges of creating new lives for themselves.
The transition to young adulthood typically includes school completion, full-time employment, leaving the childhood home, marriage, and childbearing, events that are disrupted by incarceration. While one quarter of the young men who participated in the study successfully transitioned into adulthood—achieving employment and residential independence and avoiding arrest and incarceration—the same number of young men remained deeply involved with the criminal justice system, spending on average four out of the seven years after their initial release re-incarcerated. Not surprisingly, whites are more likely to experience success after prison. The authors attribute this racial disparity to the increased stigma of criminal records for blacks, racial discrimination, and differing levels of social network support that connect whites to higher quality jobs. Black men earn less than white men, are more concentrated in industries characterized by low wages and job insecurity, and are less likely to remain employed once they have a job.
The authors demonstrate that families, social networks, neighborhoods, and labor market, educational, and criminal justice institutions can have a profound impact on young people’s lives. Their research indicates that residential stability is key to the transition to adulthood. Harding and Harris make the case for helping families, municipalities, and non-profit organizations provide formerly incarcerated young people access to long-term supportive housing and public housing. A remarkably large number of men in this study eventually enrolled in college, reflecting the growing recognition of college as a gateway to living wage work. But the young men in the study spent only brief spells in college, and the majority failed to earn degrees. They were most likely to enroll in community colleges, trade schools, and for-profit institutions, suggesting that interventions focused on these kinds of schools are more likely to be effective. The authors suggest that, in addition to helping students find employment, educational institutions can aid reentry efforts for the formerly incarcerated by providing supports like childcare and paid apprenticeships.
After Prison offers a set of targeted policy interventions to improve these young people’s chances: lifting restrictions on federal financial aid for education, encouraging criminal record sealing and expungement, and reducing the use of incarceration in response to technical parole violations. This book will be an important contribution to the fields of scholarly work on the criminal justice system and disconnected youth.
Mohr, John W., Christopher A. Bail, Margaret Frye, Jennifer C. Lena, Omar Lizardo, Terence E. McDonnell, Ann Mische, Iddo Tavory, and Frederick F. Wherry. 2020. Measuring Culture . Columbia University Press, 256. Abstract
Social scientists seek to develop systematic ways to understand how people make meaning and how the meanings they make shape them and the world in which they live. But how do we measure such processes? Measuring Culture is an essential point of entry for both those new to the field and those who are deeply immersed in the measurement of meaning. Written collectively by a team of leading qualitative and quantitative sociologists of culture, the book considers three common subjects of measurement—people, objects, and relationships—and then discusses how to pivot effectively between subjects and methods. Measuring Culturetakes the reader on a tour of the state of the art in measuring meaning, from discussions of neuroscience to computational social science. It provides both the definitive introduction to the sociological literature on culture as well as a critical set of case studies for methods courses across the social sciences.
Written by two leading experts in education research and policy, Common-Sense Evidence is a concise, accessible guide that helps education leaders find and interpret data and research, and then put that knowledge into action.
In the book, Nora Gordon and Carrie Conaway empower educators to address the federal Every Student Succeeds Act mandate that schools use evidence-based improvement strategies.
The authors walk readers through the processes for determining whether research is relevant and convincing; explain useful statistical concepts; and show how to quickly search for and scan research studies for the necessary information.
The book directs readers through case studies of typical scenarios including a superintendent trying to reduce chronic absenteeism; a middle school math department chair trying to improve student performance on exams; and a chief state school officer attempting to recruit teachers for rural schools.
Common-Sense Evidence helps education leaders build capacity for evidence-based practice in their schools and
All children deserve the best possible future. But in this era of increasing economic and social inequality, more and more children are being denied their fair chance at life.
This book examines the impact of inequality on children’s health and education, and offers a blueprint for addressing the impact of inequality among children in economic, sociological, and psychological domains.
Chapters examine a wide range of studies including exposure to stress and its biological consequences; the impact of federal programs offering access to nutrition for mothers and children; the impact of parental decision-making and child support systems; the effects of poverty on child care and quality of education, parental engagement with schools, parent-child interactions, friendship networks, and more.
The book concludes with commentaries from leading scholars about the state of the field, and efforts to help mitigate the effects of inequality for children in the U.S. and throughout the world.
Natural hazards and disasters distress populations and inflict damage on the built environment, but existing studies yield mixed results regarding their lasting demographic implications. I leverage variation across three decades of block group exposure to an exogenous and acute natural hazard—severe tornadoes—to focus conceptually on social vulnerability and to empirically assess local net demographic change. Using matching techniques and a difference-in-difference estimator, I find that severe tornadoes result in no net change in local population size but lead to compositional changes, whereby affected neighborhoods become more white and socioeconomically advantaged. Moderation models show that the effects are exacerbated for wealthier communities and that a federal disaster declaration does not mitigate the effects. I interpret the empirical findings as evidence of a displacement process by which economically disadvantaged residents are forcibly mobile, and economically advantaged and white locals rebuild rather than relocate. To make sense of demographic change after natural hazards, I advance an unequal replacement of social vulnerability framework that considers hazard attributes, geographic scale, and impacted local context. I conclude that the natural environment is consequential for the socio-spatial organization of communities and that a disaster declaration has little impact on mitigating this driver of neighborhood inequality.
We review the findings from the last decade of research on the effects of disasters, concentrating on three important themes: the differences between the recovery of places vs. people, the need to differentiate between short and long term recovery trajectories, and the changing role of government and how it has exacerbated inequality in recovery and engendered feedback loops that create greater vulnerability. We reflect the focus of the majority of sociological studies on disasters by concentrating our review on studies in the United States, but we also include studies on disasters throughout the world if they contribute to our empirical and theoretical understanding of disasters and their impacts. We end with a discussion of the inevitability of more severe disasters as climate change progresses and call on social scientists to develop new concepts and to use new methods to study these developments.
This paper reassesses the prominent claim from Desmond, Papachristos, and Kirk (2016) that 911 calls plummeted – and homicides surged – because of a police brutality story (the Jude story). The results in DPK depend on a substantial outlier 47 weeks after the Jude story, the final week of data. Identical analyses without the outlier final week show that the Jude story had no statistically significant effect on either total 911 calls or violent crime 911 calls. Modeling choices which do not extrapolate from data many weeks after the Jude story – including an event study and "regression discontinuity in time" – also find no evidence that calls declined, a consistent result across predominantly Black neighborhoods, predominantly White neighborhoods, and citywide. Finally, plotting the raw data demonstrates stable 911 calls in the weeks around the Jude story. Overall, the existing empirical evidence does not support the theory that publishing brutality stories decreases crime reporting and increases murders.