scholarly journals Wealth Distribution and Social Mobility in the US: A Quantitative Approach

2019 ◽  
Vol 109 (5) ◽  
pp. 1623-1647 ◽  
Author(s):  
Jess Benhabib ◽  
Alberto Bisin ◽  
Mi Luo
Keyword(s):  
United States ◽  
Stochastic Process ◽  
Social Mobility ◽  
Wealth Distribution ◽  
The United States ◽  
Critical Factors ◽  
Cross Sectional ◽  
Distribution Of Wealth ◽  
The Us ◽  
Saving Rates

We quantitatively identify the factors that drive wealth dynamics in the United States and are consistent with its skewed cross-sectional distribution and with social mobility. We concentrate on three critical factors: (i) skewed earnings, (ii) differential saving rates across wealth levels, and (iii) stochastic idiosyncratic returns to wealth. All of these are fundamental for matching both distribution and mobility. The stochastic process for returns which best fits the cross-sectional distribution of wealth and social mobility in the United States shares several statistical properties with those of the returns to wealth uncovered by Fagereng et al. (2017) from tax records in Norway. (JEL D31, E13, E21, E25)

scholarly journals Gender-Inclusive Fellowship Naming and Equity, Diversity, and Inclusion in Radiology: An Analysis of Radiology Department Websites in Canada and the United States

2022 ◽  
pp. 084653712110661
Author(s):  
Tyler D. Yan ◽  
Lauren E. Mak ◽  
Evelyn F. Carroll ◽  
Faisal Khosa ◽  
Charlotte J. Yong-Hing
Keyword(s):  
United States ◽  
Breast Imaging ◽  
The United States ◽  
Radiology Department ◽  
Imaging Data ◽  
Body Imaging ◽  
Cross Sectional ◽  
Diversity And Inclusion ◽  
The Us ◽  
The Impact

Purpose: Transgender and gender non-binary (TGNB) individuals face numerous inequalities in healthcare and there is substantial work to be done in fostering TGNB culturally competent care in radiology. A radiology department’s online presence and use of gender-inclusive language are essential in promoting an environment of equity, diversity, and inclusion (EDI). The naming of radiology fellowships and continuing medical education (CME) courses with terminology such as “Women’s Imaging” indicates a lack of inclusivity to TGNB patients and providers, which could result in suboptimal patient care. Methods: We conducted a cross-sectional analysis of all institutions in Canada and the United States (US) offering training in Breast Imaging, Women’s Imaging, or Breast and Body Imaging. Data was collected from each institution’s radiology department website pertaining to fellowship names, EDI involvement, and CME courses. Results: 8 Canadian and 71 US radiology fellowships were identified. 75% of Canadian and 90% of US fellowships had gender-inclusive names. One (12.5%) Canadian and 29 (41%) US institutions had EDI Committees mentioned on their websites. Among institutions publicly displaying CME courses about breast/body or women’s imaging, gender-inclusive names were used in only 1 (25%) of the Canadian CME courses, compared to 81% of the US institutions. Conclusions: Most institutions in Canada and the US have gender-inclusive names for their radiology fellowships pertaining to breast and body imaging. However, there is much opportunity to and arguably the responsibility for institutions in both countries to increase the impact and visibility of their EDI efforts through creation of department-specific committees and CME courses.

scholarly journals Prevalence of hypotension in populations of the Russian Federation and the United States of America according to 30-year follow-up

2020 ◽  
Vol 19 (3) ◽  
pp. 2497
Author(s):  
V. G. Vilkov ◽  
S. A. Shalnova ◽  
Yu. A. Balanova ◽  
S. E. Evstifeeva ◽  
A. E. Imaeva ◽  
...  
Keyword(s):  
United States ◽  
Adult Population ◽  
Age Groups ◽  
The United States ◽  
Cross Sectional ◽  
Men And Women ◽  
National Medical ◽  
Health And Nutrition ◽  
The Us ◽  
The Usa

Aim. To study the prevalence of hypotension according to several criteria in the Russia and the USA.Material and methods. We used data of Russian population studies performed in 1975-1982 and ESSE-RF study performed in 2012-2014 at the National Medical Research Center for Therapy and Preventive Medicine. A comparison was made with the data of cross-sectional stu - dies of the US population — National Health and Nutrition Examination Survey (NHANES): NHANES II (1976-1980) and Continuous NHANES (2007-2012). We analyzed age, sex, and systolic and diastolic blood pressure. The prevalence of individuals with hypotension was calculated in men and women of five age groups using four different criteria for hypertension.Results. The prevalence of hypotension in studies of different years according to different criteria was as follows: in the Russia — 0,3-9,0% in men and 2-15% in women; in the USA — 5-30% in men and 8-45% in women. In age group >30 years, the prevalence of hypotension in Russia, by most criteria, decreased approximately by 50% in men and did not change in women. In the United States, according to all criteria, the prevalence in men and women has increased 2-3 times.Conclusion. The prevalence of hypotension in the adult population ranges from decimal percentages to 45% and varies many times depending on the selected criterion.

Professor Blumin on Age and Inequality

1982 ◽  
Vol 6 (3) ◽  
pp. 381-384
Author(s):  
Robert E. Gallman
Keyword(s):  
United States ◽  
Census Data ◽  
Wealth Distribution ◽  
The United States ◽  
Actual Distribution ◽  
Distribution Of Wealth ◽  
Structure Of Population ◽  
Age Structure Of Population ◽  
The Common ◽  
Comparison Of The Results

In his essay in this issue, Stuart Blumin attempts to sort out the debate between Edward Pessen and me. Professor Blumin begins: “Gallman advances the view that inequality between generations—the association between age and wealth—does explain nearly all of the very striking differences in personal fortune that Pessen and others have discovered.” This is not the view I had intended to advance and is certainly not a view I hold. Many factors bore on the wealth distribution of the United States in the “age of the common man.” The age structure of population surely did not account for “nearly all” of the observed wealth differences. (See, for example, my treatment of this subject— based on manuscript census data for 1860—in Davis et al., 1972: 31-32. This discussion treats the influences on wealth holding of age, sex, nativity, color, occupation, and inheritance.) How Professor Blumin came to misunderstand me so badly I cannot say, but I suspect he was misled by my ill-advised comparison of the results drawn from my model with the actual distribution of wealth in 1860 (Gallman, 1978:198).

scholarly journals Audio-/Videorecording Clinic Visits for Patient�s Personal Use in the United States: Cross-Sectional Survey (Preprint)

2018 ◽  
Author(s):  
Paul J Barr ◽  
Kyra Bonasia ◽  
Kanak Verma ◽  
Michelle D Dannenberg ◽  
Cameron Yi ◽  
...  
Keyword(s):  
United States ◽  
Health Systems ◽  
The United States ◽  
Clinic Visit ◽  
Cross Sectional ◽  
The Public ◽  
The Us ◽  
The Future ◽  
Personal Use ◽  
Clinic Visits

BACKGROUND Few clinics in the United States routinely offer patients audio or video recordings of their clinic visits. While interest in this practice has increased, to date, there are no data on the prevalence of recording clinic visits in the United States. OBJECTIVE Our objectives were to (1) determine the prevalence of audiorecording clinic visits for patients’ personal use in the United States, (2) assess the attitudes of clinicians and public toward recording, and (3) identify whether policies exist to guide recording practices in 49 of the largest health systems in the United States. METHODS We administered 2 parallel cross-sectional surveys in July 2017 to the internet panels of US-based clinicians (SERMO Panel) and the US public (Qualtrics Panel). To ensure a diverse range of perspectives, we set quotas to capture clinicians from 8 specialties. Quotas were also applied to the public survey based on US census data (gender, race, ethnicity, and language other than English spoken at home) to approximate the US adult population. We contacted 49 of the largest health systems (by clinician number) in the United States by email and telephone to determine the existence, or absence, of policies to guide audiorecordings of clinic visits for patients’ personal use. Multiple logistic regression models were used to determine factors associated with recording. RESULTS In total, 456 clinicians and 524 public respondents completed the surveys. More than one-quarter of clinicians (129/456, 28.3%) reported that they had recorded a clinic visit for patients’ personal use, while 18.7% (98/524) of the public reported doing so, including 2.7% (14/524) who recorded visits without the clinician’s permission. Amongst clinicians who had not recorded a clinic visit, 49.5% (162/327) would be willing to do so in the future, while 66.0% (346/524) of the public would be willing to record in the future. Clinician specialty was associated with prior recording: specifically oncology (odds ratio [OR] 5.1, 95% CI 1.9-14.9; P=.002) and physical rehabilitation (OR 3.9, 95% CI 1.4-11.6; P=.01). Public respondents who were male (OR 2.11, 95% CI 1.26-3.61; P=.005), younger (OR 0.73 for a 10-year increase in age, 95% CI 0.60-0.89; P=.002), or spoke a language other than English at home (OR 1.99; 95% CI 1.09-3.59; P=.02) were more likely to have recorded a clinic visit. None of the large health systems we contacted reported a dedicated policy; however, 2 of the 49 health systems did report an existing policy that would cover the recording of clinic visits for patient use. The perceived benefits of recording included improved patient understanding and recall. Privacy and medicolegal concerns were raised. CONCLUSIONS Policy guidance from health systems and further examination of the impact of recordings—positive or negative—on care delivery, clinician-related outcomes, and patients’ behavioral and health-related outcomes is urgently required.

scholarly journals The Association of E-cigarette Flavors With Satisfaction, Enjoyment, and Trying to Quit or Stay Abstinent From Smoking Among Regular Adult Vapers From Canada and the United States: Findings From the 2018 ITC Four Country Smoking and Vaping Survey

2020 ◽  
Vol 22 (10) ◽  
pp. 1831-1841 ◽  
Author(s):  
Shannon Gravely ◽  
K Michael Cummings ◽  
David Hammond ◽  
Eric Lindblom ◽  
Danielle M Smith ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Cross Sectional Study ◽  
Future Research ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Wide Range ◽  
The Us ◽  
Former Smokers

Abstract Aims This study examined whether nontobacco flavors are more commonly used by vapers (e-cigarette users) compared with tobacco flavor, described which flavors are most popular, and tested whether flavors are associated with: vaping satisfaction relative to smoking, level of enjoyment with vaping, reasons for using e-cigarettes, and making an attempt to quit smoking by smokers. Methods This cross-sectional study included 1603 adults from Canada and the United States who vaped at least weekly, and were either current smokers (concurrent users) or former smokers (exclusive vapers). Respondents were categorized into one of seven flavors they used most in the last month: tobacco, tobacco–menthol, unflavored, or one of the nontobacco flavors: menthol/mint, fruit, candy, or “other” (eg, coffee). Results Vapers use a wide range of flavors, with 63.1% using a nontobacco flavor. The most common flavor categories were fruit (29.4%) and tobacco (28.7%), followed by mint/menthol (14.4%) and candy (13.5%). Vapers using candy (41.0%, p < .0001) or fruit flavors (26.0%, p = .01) found vaping more satisfying (compared with smoking) than vapers using tobacco flavor (15.5%) and rated vaping as very/extremely enjoyable (fruit: 50.9%; candy: 60.9%) than those using tobacco flavor (39.4%). Among concurrent users, those using fruit (74.6%, p = .04) or candy flavors (81.1%, p = .003) were more likely than tobacco flavor users (63.5%) to vape in order to quit smoking. Flavor category was not associated with the likelihood of a quit attempt (p = .46). Among exclusive vapers, tobacco and nontobacco flavors were popular; however, those using tobacco (99.0%) were more likely than those using candy (72.8%, p = .002) or unflavored (42.5%, p = .005) to vape in order to stay quit. Conclusions A majority of regular vapers in Canada and the US use nontobacco flavors. Greater satisfaction and enjoyment with vaping are higher among fruit and candy flavor users. While it does not appear that certain flavors are associated with a greater propensity to attempt to quit smoking among concurrent users, nontobacco flavors are popular among former smokers who are exclusively vaping. Future research should determine the likely impact of flavor bans on those who are vaping to quit smoking or to stay quit. Implications Recent concerns about the attractiveness of e-cigarette flavors among youth have resulted in flavor restrictions in some jurisdictions of the United States and Canada. However, little is known about the possible consequences for current and former smokers if they no longer have access to their preferred flavors. This study shows that a variety of nontobacco flavors, especially fruit, are popular among adult vapers, particularly among those who have quit smoking and are now exclusively vaping. Limiting access to flavors may therefore reduce the appeal of e-cigarettes among adults who are trying to quit smoking or stay quit.

scholarly journals Comparative analysis of death by suicide in Brazil and in the United States: descriptive, cross-sectional time series study

2017 ◽  
Vol 135 (2) ◽  
pp. 150-156 ◽  
Author(s):  
Alexander Abuabara ◽  
Allan Abuabara ◽  
Carin Albino Luçolli Tonchuk
Keyword(s):  
United States ◽  
Time Series ◽  
The United States ◽  
Cross Sectional ◽  
Gini Coefficients ◽  
Time Series Study ◽  
Suicide Rates ◽  
The Us ◽  
The World ◽  
Series Study

ABSTRACT CONTEXT AND OBJECTIVE: The World Health Organization recognizes suicide as a public health priority. Increased knowledge of suicide risk factors is needed in order to be able to adopt effective prevention strategies. The aim of this study was to analyze and compare the association between the Gini coefficient (which is used to measure inequality) and suicide death rates over a 14-year period (2000-2013) in Brazil and in the United States (US). The hypothesis put forward was that reduction of income inequality is accompanied by reduction of suicide rates. DESIGN AND SETTING: Descriptive cross-sectional time-series study in Brazil and in the US. METHODS: Population, death and suicide death data were extracted from the DATASUS database in Brazil and from the National Center for Health Statistics in the US. Gini coefficient data were obtained from the World Development Indicators. Time series analysis was performed on Brazilian and American official data regarding the number of deaths caused by suicide between 2000 and 2013 and the Gini coefficients of the two countries. The suicide trends were examined and compared. RESULTS: Brazil and the US present converging Gini coefficients, mainly due to reduction of inequality in Brazil over the last decade. However, suicide rates are not converging as hypothesized, but are in fact rising in both countries. CONCLUSION: The hypothesis that reduction of income inequality is accompanied by reduction of suicide rates was not verified.

scholarly journals Risk for Disability and Poverty Among Central Asians in the United States

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Carlos Siordia ◽  
Athena K. Ramos
Keyword(s):  
United States ◽  
Risk Factors ◽  
Former Soviet Union ◽  
English Language ◽  
Minority Groups ◽  
Well Being ◽  
The United States ◽  
Limited Information ◽  
Cross Sectional ◽  
The Us

Understanding the disability-poverty relationship among minority groups within the United States (US) populations may help inform interventions aimed at reducing health disparities. Limited information exists on risk factors for disability and poverty among “Central Asians” (immigrants born in Kazakhstan, Uzbekistan, and other Central Asian regions of the former Soviet Union) in the US. The current cross-sectional analysis used information on 6,820 Central Asians to identify risk factors for disability and poverty. Data from the 2009-2013 Public Use Microdata Sample (PUMS) file from the American Community Survey (ACS) indicate that being married, non-Latino-white, and having higher levels of educational attainment are protective against disability and poverty. In contrast, older age, residing in the Middle Atlantic geographic division, and having limited English language ability are risk factors for both disability and poverty. Research should continue to develop risk profiles for understudied immigrant populations. Expanding knowledge on the well-being of Central Asians in the US may help impact public health interventions and inform health policies.

scholarly journals Prevalence of vaping and smoking among adolescents in Canada, England, and the United States: repeat national cross sectional surveys

BMJ ◽  
2019 ◽  
pp. l2219 ◽  
Author(s):  
David Hammond ◽  
Jessica L Reid ◽  
Vicki L Rynard ◽  
Geoffrey T Fong ◽  
K Michael Cummings ◽  
...  
Keyword(s):  
United States ◽  
Regression Models ◽  
Smoking Prevalence ◽  
The United States ◽  
Close Monitoring ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Nicotine Concentration ◽  
The Past ◽  
The Us

Abstract Objective To examine differences in vaping and smoking prevalence among adolescents in Canada, England, and the United States. Design Repeat cross sectional surveys. Setting Online surveys in Canada, England, and the US. Participants National samples of 16 to 19 year olds in 2017 and 2018, recruited from commercial panels in Canada (n=7891), England (n=7897), and the US (n=8140). Main outcome measures Prevalence of vaping and smoking was assessed for use ever, in the past 30 days, in the past week, and on 15 days or more in the past month. Use of JUUL (a nicotine salt based electronic cigarette with high nicotine concentration) and usual vaping brands were also assessed. Logistic regression models examined differences in vaping and smoking between countries and over time. Results The prevalence of vaping in the past 30 days, in the past week, and on 15 days or more in the past month increased in Canada and the US between 2017 and 2018 (P<0.001 for all), including among non-smokers and experimental smokers, with no changes in England. Smoking prevalence increased in Canada (P<0.001 for all measures), with modest increases in England, and no changes in the US. The percentage of ever vapers who reported more frequent vaping increased in Canada and the US (P<0.01 for all), but not in England. The use of JUUL increased in all countries, particularly the US and Canada—for example, the proportion of current vapers in the US citing JUUL as their usual brand increased threefold between 2017 and 2018. Conclusions Between 2017 and 2018, among 16 to 19 year olds the prevalence of vaping increased in Canada and the US, as did smoking in Canada, with little change in England. The rapidly evolving vaping market and emergence of nicotine salt based products warrant close monitoring.

scholarly journals Factors affecting the COVID-19 risk in the US counties: an innovative approach by combining unsupervised and supervised learning

2021 ◽  
Author(s):  
Samira Ziyadidegan ◽  
Moein Razavi ◽  
Homa Pesarakli ◽  
Amirhossein Javid ◽  
Madhav Erraguntla
Keyword(s):  
United States ◽  
Wind Speed ◽  
The United States ◽  
County Level ◽  
Classification Models ◽  
Critical Factors ◽  
Factors Affecting ◽  
Innovative Method ◽  
The Us ◽  
Us Counties

Abstract The COVID-19 disease spreads swiftly, and nearly three months after the first positive case was confirmed in China, Coronavirus started to spread all over the United States. Some states and counties reported high number of positive cases and deaths, while some reported lower COVID-19 related cases and mortality. In this paper, the factors that could affect the risk of COVID-19 infection and mortality were analyzed in county level. An innovative method by using K-means clustering and several classification models is utilized to determine the most critical factors. Results showed that mean temperature, percent of people below poverty, percent of adults with obesity, air pressure, population density, wind speed, longitude, and percent of uninsured people were the most significant attributes.

Prevalence of Potential Adult Chronic Rhinosinusitis Symptoms in the United States

2018 ◽  
Vol 159 (3) ◽  
pp. 522-525 ◽  
Author(s):  
Neil Bhattacharyya ◽  
Sapideh Gilani
Keyword(s):  
United States ◽  
Chronic Rhinosinusitis ◽  
Adult Population ◽  
The United States ◽  
National Database ◽  
Cross Sectional ◽  
Data Set ◽  
Duration Of Symptoms ◽  
Nasal Blockage ◽  
The Us

Objective To determine the prevalence of chronic rhinosinusitis–related symptoms in the United States. Study Design Cross-sectional analysis of a national database. Setting Representative sampling of the US adult population. Subjects and Methods The National Health and Nutrition Examination Survey data set, taste and smell supplement 2013-2014 was analyzed for sinonasal question responses regarding discolored nasal mucus, nasal blockage, sinus pain, and dysosmia. The individual prevalences as well as the prevalence of 2 or more of these symptoms (which would be compatible with a diagnosis of chronic rhinosinusitis) were determined for the US population. Results After excluding adults with an intercurrent head cold, 113.5 million adults (mean age 58.2 years; 52.6% female) were analyzed. Individual symptom prevalences were dysosmia (9.17 million, 8.1%), nasal blockage (6.9 million, 6.0%), sinus pain (2.37 million, 2.1%), and discolored mucous (1.28 million, 1.1%). Overall, 14.8 million (13.0%) adults had exactly 1 sinonasal symptom, and 2.37 million adults (2.1%) responded with 2 or more cardinal symptoms for chronic rhinosinusitis. With respect to sex, 1.9% of males reported 2 or more symptoms compatible with chronic rhinosinusitis vs 2.2% of females ( P = .690), which is not statistically significant. Conclusion Of US adults, 2.1% meet symptom criteria for the potential diagnosis of chronic rhinosinusitis at any given time. Further objective corroboration with a physical exam and determination of duration of symptoms would be required to determine the true prevalence of chronic rhinosinusitis, but this point prevalence represents the potential population at risk for chronic rhinosinusitis in the United States.

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