scholarly journals Intra-Year Employment Instability and Economic Wellbeing Among Urban Households: Mitigating Effects of the Social Safety Net

2021 ◽  
Author(s):  
Julie Y. Cai ◽  
Christopher Wimer ◽  
Lonnie Berger
Keyword(s):  
Low Income ◽  
Negative Impact ◽  
Well Being ◽  
Safety Net ◽  
The United States ◽  
Material Hardship ◽  
Employment Trajectories ◽  
Poverty Status ◽  
Future Policy ◽  
Employment Instability

Labor market structures and job characteristics have changed in the United States over the last few decades – often making work more unpredictable. Employment instability, or job churning, may have distinct consequences for households’ economic well-being. Meanwhile, American social policies have shifted from cash-based benefits toward in-kind and work-conditioned programs. Yet, we know little about how social programs buffer the financial hardships imposed by economic shocks due to job churning. This paper harnesses novel data collected at 3-month intervals to study the associations between household members’ employment trajectories and (1) household income packages, (2) poverty status, and (3) material hardships, paying particular attention to whether government benefit receipt buffers against the adverse financial consequences of unstable employment. We find that consistent unemployment is most strongly associated with low income and poverty but not material hardship. Unstably employed households have almost twice the likelihood of experiencing all domains of material hardship relative to consistently employed households. Our results also suggest that cash transfers buffer against the negative impact of persistent unemployment, while in-kind transfers buffer against the impacts of unstable employment. Altogether, the results highlight the roles and extent of impacts of cash, in-kind benefits, and tax system, which can inform future policy recommendations in an age of high levels of economic inequality.

scholarly journals Transportation and Other Nonfinancial Barriers Among Uninsured Primary Care Patients

2018 ◽  
Vol 5 ◽  
pp. 233339281774968 ◽  
Author(s):  
Akiko Kamimura ◽  
Samin Panahi ◽  
Zobayer Ahmmad ◽  
Mu Pye ◽  
Jeanie Ashby
Keyword(s):  
Health Care ◽  
Low Income ◽  
Underserved Populations ◽  
Unmet Need ◽  
Care Facility ◽  
Well Being ◽  
Safety Net ◽  
The United States ◽  
Free Clinic ◽  
Transportation Barriers

Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States. Results: Levels of transportation barriers were associated with levels of other nonfinancial barriers. Higher levels of nonfinancial barriers were associated with elevation in levels of stress and poorer self-rated general health. Higher educational attainment and employment were associated with an increase in other nonfinancial barriers. Conclusion: Focusing only on medical interventions might not be sufficient for the well-being of the underserved populations. Future studies should examine integrative care programs that include medical treatment and social services together and evaluate such programs to improve care for underserved populations.

Clinical staff impressions on implementation of a teleophthalmology program to improve diabetic retinopathy surveillance informed by implementation science frameworks (Preprint)

2021 ◽  
Author(s):  
Rajeev S. Ramchandran ◽  
Reza Yousefi-Nooraie ◽  
Porooshat Dadgostar ◽  
Sule Yilmaz ◽  
Jesica Basant ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Care Coordination ◽  
Low Income ◽  
Safety Net ◽  
The United States ◽  
Eye Care ◽  
Continuous Training ◽  
Effective Care ◽  
Store And Forward

BACKGROUND Store and forward camera based evaluation or teleophthalmology is considered an effective way to identify diabetic retinopathy, the leading cause of blindness in the United States, but uptake has been slow. OBJECTIVE Understanding the barriers and facilitators of implementing teleophthalmology programs from those actively adopting, running, and sustaining such programs is important for widespread adoption. METHODS This qualitative study in three urban low-income, largely minority-serving safety-net primary care clinics in Rochester, NY, USA interviewed nurses and doctors on implementing a teleophthalmology program using questions informed by Practical, Robust Implementation and Sustainability Model (PRISM) and Consolidated Framework for Implementation Research (CFIR) frameworks. RESULTS Primary care nurses operationalizing the program in their clinics saw increased work burden and lack of self-efficacy as barriers. Continuous training on the teleophthalmology process for nurses, doctors, and administrative staff through in-service and peer-training by champions/super-users were identified by interviewees as needs. Facilitators included the perceived convenience for the patient and a perceived educational advantage to the program as it gave an opportunity for providers to discuss the importance of eye care with patients. Concerns in making and tracking referrals to ophthalmology due to challenges related to care coordination were highlighted. Financial aspects of the program (e.g. patient coverage and care provider reimbursement) were unclear to many staff, influencing adoption and sustainability. CONCLUSIONS Streamlining of processes and workflows, training and assigning adequate staff, effective care coordination between primary care and eye care to improve follow-ups, and ensuring financial viability can all help streamline the adoption of teleophthalmology.

Remote Work, Sexual Harassment, and Worker Well-Being

2021 ◽  
pp. 32-52
Author(s):  
Jacqueline Strenio ◽  
Joyita Roy Chowdhury
Keyword(s):  
Sexual Harassment ◽  
Well Being ◽  
The United States ◽  
Information And Communications Technology ◽  
Communications Technology ◽  
Occupational Hazard ◽  
Remote Work ◽  
Employment Trajectories ◽  
Global North ◽  
Mental And Physical Health

Workplace sexual harassment is a serious occupational hazard, adversely affecting workers' employment trajectories, economic well-being, and mental and physical health. Prior to COVID-19, it was widespread and primarily perpetrated by men against women, both in the physical workplace and physical and virtual public spaces associated with work. This chapter examines how the transition to remote work has effected changes in the prevalence and types of sexual harassment, paying attention to its gendered nature. Remote work holds both promise and peril. While exposure to physical harassment has fallen, information and communications technology has increased the risk of sexual harassment in virtual spaces. The cases of the United States and India are explored in more detail to compare worker experiences across the Global North and Global South, in countries with vastly different socioeconomic structures. This chapter contributes to the understanding of the benefits and challenges of remote work in combatting sexual harassment.

scholarly journals Stress of Language Brokering and Mexican American Adolescents’ Adjustment: The Role of Cumulative Risk

2019 ◽  
Vol 40 (3) ◽  
pp. 400-425
Author(s):  
Yishan Shen ◽  
Eunjin Seo ◽  
Dorothy Clare Walt ◽  
Su Yeong Kim
Keyword(s):  
Depressive Symptoms ◽  
Low Income ◽  
Mexican American ◽  
Cumulative Risk ◽  
Early Adolescents ◽  
Well Being ◽  
The United States ◽  
Language Brokering ◽  
Adjustment Problems

This study focused on early adolescents’ stress of language brokering and examined the moderating role of family cumulative risk in the relation of language brokering to adjustment problems. Data came from self-reports of 604 low-income Mexican American adolescent language brokers (54% female; [Formula: see text]= 12.4; SD = 0.97; 75% born in the United States) and their parents (99% foreign-born) in central Texas. Path analyses revealed that brokering stress, but not frequency, was positively associated with adolescents’ adjustment problems, including depressive symptoms, anxiety, and delinquency. We also found that the relation between stress of brokering for mothers and adolescents’ depressive symptoms was stronger among families with a high cumulative risk. Further, with a high cumulative risk, adolescents exhibited delinquent behaviors regardless of the levels of stress from translating for fathers. Current findings underscore the importance of examining family contexts in assessing the consequences of language brokering for Mexican American early adolescents’ well-being.

scholarly journals OLD AND FORGOTTEN? CARE FOR ELDERS IN MEXICO AND THE U.S.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S64-S65
Author(s):  
Emma Aguila ◽  
Jaqueline L Angel ◽  
Kyriakos Markides
Keyword(s):  
United States ◽  
Old Age ◽  
Low Income ◽  
Health Care Financing ◽  
Safety Net ◽  
The United States ◽  
Welfare States ◽  
The Government ◽  
The U.S

Abstract The United States and Mexico differ greatly in the organization and financing of their old-age welfare states. They also differ politically and organizationally in government response at all levels to the needs of low-income and frail citizens. While both countries are aging rapidly, Mexico faces more serious challenges in old-age support that arise from a less developed old-age welfare state and economy. For Mexico, financial support and medical care for older low-income citizens are universal rights, however, limited fiscal resources for a large low-income population create inevitable competition among the old and the young alike. Although the United States has a more developed economy and well-developed Social Security and health care financing systems for the elderly, older Mexican-origin individuals in the U.S. do not necessarily benefit fully from these programs. These institutional and financial problems to aging are compounded in both countries by longer life spans, smaller families, as well as changing gender roles and cultural norms. In this interdisciplinary panel, the authors of five papers deal with the following topics: (1) an analysis of old age health and dependency conditions, the supply of aging and disability services, and related norms and policies, including the role of the government and the private sector; (2) a binational comparison of federal safety net programs for low-income elderly in U.S. and Mexico; (3) when strangers become family: the role of civil society in addressing the needs of aging populations; and (4) unmet needs for dementia care for Latinos in the Hispanic-EPESE.

Variability in Interpreting “Educational Performance” for Children With Speech Sound Disorders

2018 ◽  
Vol 49 (4) ◽  
pp. 938-949 ◽  
Author(s):  
Kelly Farquharson ◽  
Lisa Boldini
Keyword(s):  
United States ◽  
Public Schools ◽  
Negative Impact ◽  
Speech Sound ◽  
Well Being ◽  
The United States ◽  
Educational Performance ◽  
Speech Sound Disorders ◽  
Performance Factors ◽  
State And Local

Purpose Speech sound disorders (SSDs) can have a negative impact on literacy development, social–emotional well-being, and participation across the life span. Despite this, many public schools do not provide appropriate or timely services to this population of children. In large part, this is a result of variation in how state and local agencies interpret “educational performance” as outlined within the Individuals With Disabilities Education Act. The purpose of this study was to explore which educational performance factors speech-language pathologists (SLPs) consider when determining eligibility for children with SSDs. Method This study surveyed public school SLPs to investigate how educational performance is interpreted for children with SSDs. Data from 575 SLPs across the United States are included. Results Results supported variability in interpretation of educational performance within a nationwide sample of SLPs. Specifically, SLPs appear to consider educational performance as multidimensional. We also found within-state and between-states variability, indicating ambiguity in interpreting federal mandates. Finally, caseload size and number of years of experience were significantly related to which educational performance factors SLPs chose. Conclusion There is significant variability across the United States with respect to factors considered part of educational performance for children with SSD. This variability reflects the general quality and specificity of guidelines and/or special education code published by individual states. Clinical and legislative recommendations are included.

Hard Times and Harder Minds: Material Hardship and Marital Well-Being Among Low-Income Families in South Korea

2016 ◽  
Vol 38 (18) ◽  
pp. 2545-2566 ◽  
Author(s):  
Joyce Shim ◽  
RaeHyuck Lee ◽  
Jaeseung Kim
Keyword(s):  
Low Income ◽  
Family Life ◽  
Panel Study ◽  
Married Couples ◽  
Well Being ◽  
Negative Consequences ◽  
Material Hardship ◽  
Spousal Relationship ◽  
Low Income Families ◽  
Household Heads

Experiencing material hardship may bring various negative consequences for married couples and family members. However, little is known about this topic in Korea. Using a nationally representative sample from the Korean Welfare Panel Study, we examined how material hardship was associated with marital well-being among low-income families in Korea, separately for husbands (i.e., male household heads) and wives. Overall, we found experiencing any material hardship was associated with lower levels of satisfaction of both family life and spousal relationship, consistently for husbands and wives. We also found depression and self-esteem partially mediated the associations in both groups. Furthermore, among individual items of material hardship, experiencing food hardship was associated with lower levels of satisfaction of family life for both husbands and wives, whereas experiencing problems with credit was associated with lower levels of satisfaction of both family life and spousal relationship for wives but not for husbands.

School Hopscotch: A Comprehensive Review of K–12 Student Mobility in the United States

2016 ◽  
Vol 87 (3) ◽  
pp. 475-511 ◽  
Author(s):  
Richard O. Welsh
Keyword(s):  
United States ◽  
Low Income ◽  
Negative Impact ◽  
Student Mobility ◽  
The United States ◽  
Policy Implications ◽  
Cross Sectional ◽  
Transition Costs ◽  
K 12 ◽  
Changing Schools

This article provides an integrative review of the extant literature on K–12 student mobility in the United States. Student mobility is a widespread phenomenon with significant policy implications. Changing schools is most prevalent among minority and low-income students in urban school districts. There is an ongoing debate about whether student mobility is helpful or harmful. Earlier research compared movers with nonmovers using cross-sectional data and did not always include controls for the students’ prior achievement and demographic characteristics. Studies in the past decade compared movers with themselves over time using longitudinal data and provided more convincing estimates. Overall, switching schools is associated with a negative impact on students’ educational outcomes; however, transferring to higher quality schools may offset and outweigh the transition costs of moving. Strong causal claims are elusive due to considerable data and methodological challenges and the inability to account for the motivating reasons for changing schools.

scholarly journals Occupational Stress and Mental Health Among Healthcare Workers Serving Socially Vulnerable Populations During the COVID-19 Pandemic

2021 ◽  
Vol 9 ◽  
Author(s):  
V. Nelly Salgado de Snyder ◽  
Alice P. Villatoro ◽  
Marisol D. McDaniel ◽  
Ana Sofia Ocegueda ◽  
Deliana Garcia ◽  
...  
Keyword(s):  
Mental Health ◽  
Vulnerable Populations ◽  
Healthcare Workers ◽  
Well Being ◽  
Safety Net ◽  
The United States ◽  
Lessons Learned ◽  
Community Safety ◽  
Vulnerable Groups ◽  
Work Place

The purpose of this study was to analyze occupational and personal stressors, mental health indicators, perceived discrimination and help-seeking behaviors among healthcare workers and providers (HCWPs) serving socially vulnerable groups such as immigrants, refugees, farmworkers, homeless individuals, people living in poverty, and other disadvantaged populations in the United States (U.S.) during the COVID-19 pandemic. Using a cross-sectional descriptive approach, we gathered information between July and September 2020, from a sample of 407 affiliates of two national organizations of clinic-based HCWPs who worked at federally funded and community safety-net clinics. Informed consent was obtained from all participants who completed a self-administered online survey available in English and Spanish. Our results indicated that the HCWPs serving vulnerable groups in the midst of the pandemic experienced high levels of occupational and personal stressors as well as anxiety and depressive symptomology. Major occupational stressors were excessive workload, long working-hours, and institutional barriers to refer and follow-up on their clients' access to needed social services. High-rated personal stressors included sleep disorders, lack of and child-care, partner's loosing job, and other family related situations. Our findings suggest that HCWPs working with vulnerable populations need specialized interventions that bolster their mental health and well-being as the pandemic continues to unfold. We recommend implementing initiatives that encourage HCWPs' to be actively involved in clinic decisions regarding employee safety and protection as well as in management decisions to improve work place infrastructure and capacity to respond to the social needs of their clients. Lessons learned from the pandemic are useful tools in designing protocols for addressing the mental-health needs of HCWPs in health-care organizations that attend to socially underprivileged populations.

scholarly journals Evaluating The Economic Impact Of Marriage Versus Cohabitation In Same-Sex Couples Age 50+

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 876-876
Author(s):  
Setarreh Massihzadegan ◽  
Jan Mutchler
Keyword(s):  
Older Adults ◽  
Marital Status ◽  
Low Income ◽  
Well Being ◽  
The United States ◽  
Economic Security ◽  
Policy Implications ◽  
Future Research ◽  
Same Sex ◽  
Same Sex Couples

Abstract Utilizing the first set of 5-year American Community Survey data available since the United States’ legalization of same-sex marriage in mid-2015, this poster investigates the economic security of older adults (age 50+) in same-sex marriages compared to those in same-sex partnerships who are cohabiting but not married. Viewed through the lens of cumulative disadvantage theory, we consider differences in the economic circumstances of same-sex couples by gender and by geographic location. Findings point to gender differences in economic well-being, but relatively few differences based on marital status. For example, rates of low income are somewhat higher among female couples than among their male counterparts, but marital status differences are not substantial. These findings suggest that the benefits of being married that have long been recognized among older adults may not extend equally to same-sex couples. Findings are discussed with respect to the emerging salience of marriage within the LGBTQ older community, future research opportunities, and important policy implications.

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