RESUMEN
Using public housing developments as a strategic site, our research documents a distinct pathway linking disadvantaged context to incarceration-the public-housing-to-prison pipeline. Focusing on New York City Housing Authority (NYCHA) housing developments as a case study, we find that incarceration rates in NYCHA tracts are 4.6 times higher than those in non-NYCHA tracts. More strikingly, 94% of NYCHA tracts report rates above the median value for non-NYCHA tracts. Moreover, 17% of New York State's incarcerated population originated from just 372 NYCHA tracts. Compared with non-NYCHA tracts, NYCHA tracts had higher shares of Black residents and were significantly more disadvantaged. This NYCHA disadvantage in concentrated incarceration is also robust at different spatial scales. Our findings have implications for policies and programs to disrupt community-based pipelines to prison.
Asunto(s)
Prisiones , Vivienda Popular , Población Negra , Humanos , Ciudad de Nueva York/epidemiología , Características de la Residencia , Poblaciones VulnerablesRESUMEN
Emergency visits are rising nationally, whereas the number of emergency departments is shrinking. However, volume has not increased uniformly at all emergency departments. It is unclear what factors account for this variability in emergency volume growth rates. The objective of this study was to test the association of hospital and population characteristics and the effect of hospital closures with increases in emergency department volume. The study team analyzed emergency department volume at New York State hospitals from 2004 to 2010 using data from cost reports and administrative databases. Multivariate regression was used to evaluate characteristics associated with emergency volume growth. Spatial analytics and distances between hospitals were used in calculating the predicted impact of hospital closures on emergency department use. Among the 192 New York hospitals open from 2004 to 2010, the mean annual increase in emergency department visits was 2.7%, but the range was wide (-5.5% to 11.3%). Emergency volume increased nearly twice as fast at tertiary referral centers (4.8%) and nonurban hospitals (3.7% versus urban at 2.1%) after adjusting for other characteristics. The effect of hospital closures also strongly predicted variation in growth. Emergency volume is increasing faster at specific hospitals: tertiary referral centers, nonurban hospitals, and those near hospital closures. This study provides an understanding of how emergency volume varies among hospitals and predicts the effect of hospital closures in a statewide region. Understanding the impact of these factors on emergency department use is essential to ensure that these populations have access to critical emergency services.
Asunto(s)
Servicio de Urgencia en Hospital/estadística & datos numéricos , Clausura de las Instituciones de Salud/tendencias , Vigilancia de la Población , Humanos , Ciudad de Nueva York , Estudios RetrospectivosAsunto(s)
Antifúngicos/administración & dosificación , Dermatomicosis/microbiología , Itraconazol/administración & dosificación , Talaromyces/aislamiento & purificación , Administración Oral , Anciano , Dermatomicosis/diagnóstico , Dermatomicosis/tratamiento farmacológico , Dermatomicosis/patología , Femenino , Humanos , Piel/microbiología , Piel/patología , Resultado del TratamientoRESUMEN
This article examines the debate between key theories of immigrant assimilation by exploring the effect of acculturation types - dissonant, consonant, and selective - on socioeconomic outcomes in young adulthood. Drawing on survey data from the Immigrant Second Generation in Metropolitan New York, we show that while all three types occur, dissonant acculturation is the exception, not the norm, among second generation young adults. Our results also suggest that neither the type of acculturation nor the level of ethnic embeddedness can account for the variation in mobility patterns both across and within second generation groups. These findings lead us to question assumptions about the protective effect of selective acculturation and the negative effect of dissonant acculturation.