Medicaid, Earnings, and Heterogeneous Treatment Effects: Evidence from the Oregon Health Insurance Experiment

The Medicaid and labor supply empirical literature offers competing conclusions of zero effects and significant reductions in earnings. However, zero effects are only theoretically consistent with the earnings distribution’s extremes. Medicaid participants with positive pre-treatment labor supply should unequivocally decrease earnings. This paper clarifies the literature’s ambiguity by combining quantile regression with data from the Oregon Health Insurance Experiment. The distributional impacts imply that zero effects are not universally representative of Medicaid households. The annual earnings impact of Medicaid participation ranges between increases of $1400 to deceases of $3120 for single adults. Pre-existing mental illness or health constraints on work account for counterintuitive positive earnings impacts. By demonstrating that sample compositional differences determine whether Medicaid’s labor supply impact is zero or negative, this paper offers a reconciliation to the range of existing estimates in the empirical literature.

The Extra Costs Associated With Living With a Disability in the United States

People with disabilities encounter many financial expenses that those without disabilities do not incur. In this article, we provide estimates of the extra costs associated with living with a disability in the United States. Drawing on four nationally representative surveys, we estimate that a household containing an adult with a work disability requires, on average, 29% more income (or an additional $18,322 a year for a household at the median income level) to obtain the same standard of living as a comparable household without a member with a disability. Single adults with disabilities are estimated to have higher costs than those with disabilities who are married, and adults with cognitive impairments are estimated to have higher costs compared to those with other kinds of impairments. We further calculate the federal poverty rate for households that include adults with disabilities adjusted for the direct additional costs of disability. The rate rises from 24% to 35% after adjusting for the extra costs of disability, which would result in an estimated 2.2 million more people with disabilities counted as poor. This suggests that the official poverty measure in the United States substantially underestimates the degree of deprivation experienced by people with disabilities.

Unsupported and Stigmatized? The Association Between Relationship Status and Well-Being Is Mediated by Social Support and Social Discrimination

Single adults, on average, experience worse well-being compared to coupled adults. But why? The current research bridged interpersonal and intergroup perspectives to examine the influence of social support and social discrimination on single versus coupled adults’ well-being. We drew on a nationally representative prospective study from New Zealand (Study 1, N = 4,024) and an integrative data analysis of three North American data sets examining peoples’ general (Study 2, N = 806) and day-to-day (Study 2, N = 889 and 9,228 observations) social experiences. The results demonstrated that single adults reported lower life satisfaction compared to coupled adults, and this may be partly due to single adults reporting lower perceptions of social support availability and greater experiences of negative treatment and discrimination compared to coupled adults. These novel findings move away from stereotypical assumptions about singlehood and highlight the important role of social relationships and interactions in determining single adults’ happiness and well-being.

Desire, Familiarity, and Engagement in Polyamory: Results From a National Sample of Single Adults in the United States

Coupledom and notions of intimacy and family formation with one committed partner are hallmarks of family and relationship science. Recent national surveys in the United States and Canada have found that consensually non-monogamous relationships are common, though prevalence of specific types of consensual non-monogamy are unknown. The present research draws on a United States Census based quota sample of single adults (N = 3,438) to estimate the prevalence of desire for, familiarity with, and engagement in polyamory—a distinct type of consensually non-monogamous relationship where people typically engage in romantic love and sexual intimacy with multiple partners. Results show that 1 out of 6 people (16.8%) desire to engage in polyamory, and 1 out of 9 people (10.7%) have engaged in polyamory at some point during their life. Approximately 1 out of 15 people (6.5%) reported that they knew someone who has been or is currently engaged in polyamory. Among participants who were not personally interested in polyamory, 1 out of 7 (14.2%) indicated that they respect people who engage in polyamory. Few sociodemographic correlates emerged; no differences in prevalence were found based on political affiliation, income, religion, geographic region, or race/ethnicity. Sexual minorities, men, and younger adults reported greater desire to engage in polyamory (compared to heterosexuals, women, and older adults, respectively). Men and people with lower education backgrounds were more likely to have previously engaged in polyamory (compared to women and people with higher education backgrounds, respectively). Given that emotional and sexual intimacy is an important part of most people’s lives, understanding the varied ways in which people navigate their intimate lives is critical for the fields of relationship, sexuality, and family science.

Relationship between Mental Health and House Sharing: Evidence from Seoul

While the association between general housing and mental health has been well documented, little is known about the mental health outcomes of house sharing. As shared housing has been viewed as an economically and socially viable housing option for young adults, a broader understanding of how shared housing affects the residents’ quality of life, including mental health, is needed. In this context, this study aims to provide empirical evidence about the relationship between mental health and house sharing after controlling for residents’ self-selection. We conducted a survey of 834 young single adults living in shared housing and non-shared housing in Seoul, Korea. Then, to control for residential self-selection, we applied the residential dissonance framework. The main findings of this study were two-fold: first, house-sharers with a positive attitude toward shared housing were more likely to respond that their mental health status improved after they started residing in shared housing; second, if young adults are forced to live in shared housing, this could increase the potential risk of social dysfunction of house-sharers. Based on these findings, we suggest policy measures for shared housing, including pre-occupancy interviews, resident behavior codes, and fostering a livable dwelling environment to ensure a healthier life in shared living arrangements.

Racial Inequity and Homelessness: Findings from the SPARC Study

This study examines racial inequities and homelessness in the United States through mixed methods research in eight communities. We compare the race and ethnicity of those experiencing homelessness to the general population and to people in poverty, and we also explore how race and ethnicity are associated with housing outcomes. Interviews with 195 individuals of color explore pathways into homelessness and drivers of outcomes. We find that Black/African Americans and Native Americans were the most overrepresented among those experiencing homelessness in each community, and interview data suggest that factors associated with homelessness for people of color include barriers to housing and economic mobility, racism and discrimination within homeless services, and involvement in multiple systems, including criminal justice. How race and ethnicity were associated with outcomes varied for youth, single adults, and families. We argue that researchers and policy-makers need to address homelessness with attention to racial justice.

A Systematic Review of the Association Between Partnership and Life Satisfaction

Demographic trends in partnership have revealed that more people are remaining single or becoming single as they grow older by choice or life circumstance. Understanding whether there is an association between partnership and life satisfaction may provide relevant information on how to better support individuals either choosing or finding themselves single. Although there are a limited number of studies with the explicit purpose of examining partnership status and life satisfaction, this review intended to synthesize current knowledge in order to better understand and explore the context of this important demographic trend. This review examined published peer-reviewed articles in three major social science databases (PsycArticles, PsycINFO, and Social Services Abstract) between 2009 and 2020 and identified nine articles for inclusion. Examining single persons compared to those in marital or nonmarital partnerships, the results of this review indicate a more positive association between partnership and life satisfaction while also demonstrating several gaps and a lack of research. The results of this review support the need for more in-depth research on the life satisfaction of adults as well as a greater exploration of the context of life satisfaction among diverse groups of single adults.

Addressing Unintentional Exclusion of Vulnerable and Mobile Households in Traditional Surveys in Kathmandu, Dhaka, and Hanoi: a Mixed-Methods Feasibility Study

The methods used in low- and middle-income countries’ (LMICs) household surveys have not changed in four decades; however, LMIC societies have changed substantially and now face unprecedented rates of urbanization and urbanization of poverty. This mismatch may result in unintentional exclusion of vulnerable and mobile urban populations. We compare three survey method innovations with standard survey methods in Kathmandu, Dhaka, and Hanoi and summarize feasibility of our innovative methods in terms of time, cost, skill requirements, and experiences. We used descriptive statistics and regression techniques to compare respondent characteristics in samples drawn with innovative versus standard survey designs and household definitions, adjusting for sample probability weights and clustering. Feasibility of innovative methods was evaluated using a thematic framework analysis of focus group discussions with survey field staff, and via survey planner budgets. We found that a common household definition excluded single adults (46.9%) and migrant-headed households (6.7%), as well as non-married (8.5%), unemployed (10.5%), disabled (9.3%), and studying adults (14.3%). Further, standard two-stage sampling resulted in fewer single adult and non-family households than an innovative area-microcensus design; however, two-stage sampling resulted in more tent and shack dwellers. Our survey innovations provided good value for money, and field staff experiences were neutral or positive. Staff recommended streamlining field tools and pairing technical and survey content experts during fieldwork. This evidence of exclusion of vulnerable and mobile urban populations in LMIC household surveys is deeply concerning and underscores the need to modernize survey methods and practices.