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1.
Health Aff (Millwood) ; 41(11): 1598-1606, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36343319

RESUMEN

Research demonstrates that receiving unemployment insurance decreases mental health problems. But researchers have also found racial and ethnic disparities in unemployment insurance receipt resulting from differences in work history and location. We examined a population disproportionately affected by job loss and unemployment insurance exclusions, using a survey of service workers from a single city who were parents of young children and who overwhelmingly had eligible work histories. During the COVID-19 pandemic, workers not identifying as White non-Hispanic in our sample were more likely to get laid off than White workers. Among those who were laid off, these workers and White workers experienced similar increases in material and mental health difficulties and similar gains when they received unemployment insurance. However, these workers were less likely than White workers to receive unemployment insurance at all. These results indicate that unemployment insurance has unrealized potential to reduce material and health disparities. Policies should be implemented to make this coverage more effective and equitable through increased access.


Asunto(s)
COVID-19 , Pandemias , Niño , Humanos , Estados Unidos , Preescolar , Disparidades en Atención de Salud , Desempleo , Seguro de Salud
2.
Pediatrics ; 146(4)2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32764151

RESUMEN

BACKGROUND AND OBJECTIVES: The outbreak of coronavirus disease 2019 has changed American society in ways that are difficult to capture in a timely manner. With this study, we take advantage of daily survey data collected before and after the crisis started to investigate the hypothesis that the crisis has worsened parents' and children's psychological well-being. We also examine the extent of crisis-related hardships and evaluate the hypothesis that the accumulation of hardships will be associated with parent and child psychological well-being. METHODS: Daily survey data were collected between February 20 and April 27, 2020, from hourly service workers with a young child (aged 2-7) in a large US city (N = 8222 person-days from 645 individuals). A subsample completed a one-time survey about the effects of the crisis fielded between March 23 and April 26 (subsample n = 561). RESULTS: Ordered probit models revealed that the frequency of parent-reported daily negative mood increased significantly since the start of the crisis. Many families have experienced hardships during the crisis, including job loss, income loss, caregiving burden, and illness. Both parents' and children's well-being in the postcrisis period was strongly associated with the number of crisis-related hardships that the family experienced. CONCLUSIONS: Consistent with our hypotheses, in families that have experienced multiple hardships related to the coronavirus disease 2019 crisis, both parents' and children's mental health is worse. As the crisis continues to unfold, pediatricians should screen for mental health, with particular attention to children whose families are especially vulnerable to economic and disease aspects of the crisis.


Asunto(s)
Salud Infantil , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Salud Mental , Pandemias , Relaciones Padres-Hijo , Padres/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Afecto , Betacoronavirus , COVID-19 , Niño , Cuidado del Niño/psicología , Preescolar , Costo de Enfermedad , Encuestas Epidemiológicas , Humanos , Renta , SARS-CoV-2 , Desempleo/psicología , Poblaciones Vulnerables/psicología
3.
Am J Public Health ; 104(10): 1964-70, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25122027

RESUMEN

OBJECTIVES: We investigated the impact of statewide job loss on adolescent suicide-related behaviors. METHODS: We used 1997 to 2009 data from the Youth Risk Behavior Survey and the Bureau of Labor Statistics to estimate the effects of statewide job loss on adolescents' suicidal ideation, suicide attempts, and suicide plans. Probit regression models controlled for demographic characteristics, state of residence, and year; samples were divided according to gender and race/ethnicity. RESULTS: Statewide job losses during the year preceding the survey increased girls' probability of suicidal ideation and suicide plans and non-Hispanic Black adolescents' probability of suicidal ideation, suicide plans, and suicide attempts. Job losses among 1% of a state's working-age population increased the probability of girls and Blacks reporting suicide-related behaviors by 2 to 3 percentage points. Job losses did not affect the suicide-related behaviors of boys, non-Hispanic Whites, or Hispanics. The results were robust to the inclusion of other state economic characteristics. CONCLUSIONS: As are adults, adolescents are affected by economic downturns. Our findings show that statewide job loss increases adolescent girls' and non-Hispanic Blacks' suicide-related behaviors.


Asunto(s)
Conducta del Adolescente , Recesión Económica/estadística & datos numéricos , Suicidio/estadística & datos numéricos , Adolescente , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Asunción de Riesgos , Factores Sexuales , Ideación Suicida , Suicidio/etnología , Intento de Suicidio/etnología , Intento de Suicidio/estadística & datos numéricos
4.
Demography ; 50(6): 2151-71, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23884703

RESUMEN

Using North Carolina data for the period 1990-2010, we estimate the effects of economic downturns on the birthrates of 15- to 19-year-olds, using county-level business closings and layoffs as a plausibly exogenous source of variation in the strength of the local economy. We find little effect of job losses on the white teen birthrate. For black teens, however, job losses to 1 % of the working-age population decrease the birthrate by around 2 %. Birth declines start five months after the job loss and then last for more than one year. Linking the timing of job losses and conceptions suggests that black teen births decline because of increased terminations and perhaps also because of changes in prepregnancy behaviors. National data on risk behaviors also provide evidence that black teens reduce sexual activity and increase contraception use in response to job losses. Job losses seven to nine months after conception do not affect teen birthrates, indicating that teens do not anticipate job losses and lending confidence that job losses are "shocks" that can be viewed as quasi-experimental variation. We also find evidence that relatively advantaged black teens disproportionately abort after job losses, implying that the average child born to a black teen in the wake of job loss is relatively more disadvantaged.


Asunto(s)
Aborto Inducido/tendencias , Tasa de Natalidad/tendencias , Conducta Sexual/estadística & datos numéricos , Desempleo/tendencias , Aborto Inducido/economía , Adolescente , Conducta del Adolescente/etnología , Negro o Afroamericano/estadística & datos numéricos , Tasa de Natalidad/etnología , Recesión Económica , Femenino , Humanos , North Carolina , Conducta Sexual/etnología , Población Blanca/estadística & datos numéricos , Adulto Joven
5.
Rev Econ Stat ; 94(1): 37-51, 2012 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-22389533

RESUMEN

This paper considers how oral contraception's diffusion to young unmarried women affected the number and parental characteristics of children born to these women. In the short-term, pill access caused declines in fertility and increases in both the share of children born with low birthweight and the share born to poor households. In the long-term, access led to negligible changes in fertility while increasing the share of children with college-educated mothers and decreasing the share with divorced mothers. The short-term effects appear to be driven by upwardly-mobile women opting out of early childbearing while the long-term effects appear to be driven by a retiming of births to later ages. These effects differ from those of abortion legalization, although we find suggestive evidence that pill diffusion lowered abortions. Our results suggest that abortion and the pill are on average used for different purposes by different women, but on the margin some women substitute from abortion towards the pill when both are available. JELNo. I0, J13, N12.

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