Suchergebnisse

There are disturbing racial disparities in many health outcomes. However, do health communicators know how to do interventions that redress disadvantage? This article describes what communication campaigns do to address disparities, looks for evidence that segmented campaigns reduce disparities, and describes evidence that might support segmentation decisions (about behaviors, messages, channels, or message executions). The authors note arguments that segmentation can risk negative effects yet find no evidence about whether race or ethnicity-conscious segmentation reduces disparities. Nonetheless, with evidence, some approaches to segmentation are justified on commonsense grounds and for their political legitimacy.

Abstract
Over the last 20 years, numerous states and the federal government enacted mandatory minimum reforms, especially for drug offenses. Yet little is known about how effective these reforms have been at the state-level in lowering drug sentences. Using quasi-experimental methods and administrative data, this study evaluates the impact of state-level mandatory minimum reforms on drug sentences and their concomitant racial-ethnic disparities. We find that state-level mandatory minimum reforms do not lower drug sentences in general or change racial-ethnic disparities statistically significantly. These findings suggest that the profound racial-ethnic bias sparked by state-level mandatory minimums are not fully ameliorated by subsequent state-level reforms.

AbstractThis article examines the importance of neighborhoods in shaping judicial processing and racial/ethnic disparities in court outcomes. Scholarship instructs that court actors—prosecutors, defense counsel, and judges—make legal decisions with local communities in mind. With the rise of geographic information in arrest records and mapping techniques, greater opportunities exist to evaluate the role of neighborhood context in the juvenile and criminal courts. This article synthesizes research on how the characteristics of neighborhoods where defendants live and/or offend influence judicial processing. Attention is given to how scholars define neighborhoods, identify key neighborhood conditions, and analyze the relationships among places and judicial decisions. Emphasis is also placed on unpacking debates on whether neighborhood conditions diminish or aggravate racial/ethnic disparities in court outcomes, such as incarceration decisions. Its analysis reveals findings of neighborhood effects as well as evidence of neighborhood characteristics widening racial/ethnic differences in judicial processing. This article thus encourages the consideration of community context in disparity studies and policy efforts to improve citizens' access to justice.

"The NBER Bulletin on Aging and Health provides summaries of publications like this. You can sign up to receive the NBER Bulletin on Aging and Health by email. This paper studies racial/ethnic disparities in awareness of chronic diseases using biomarker data from the 2006 HRS. We estimate a 3-step sequential probit model which accounts for selection into: (1) participating in biomarker collection; (2) having illness (hypertension or diabetes); (3) being aware of illness. Contrary to studies reporting that African-Americans are more aware of having hypertension than non-Latino whites, we do not find this conclusion holds after self-selection and severity are considered. Likewise, African-Americans and Latinos are less aware of having diabetes compared to non-Latino whites. Disparities in unawareness are exacerbated when we limit the sample to untreated respondents"--National Bureau of Economic Research web site

Structural racism and individual discrimination contribute to racial inequalities in poor housing conditions in the United States. Less is known about whether and how structural racism and individual discrimination shape a parallel, but distinct, process that is also consequential for family wellbeing: experiencing housing unit maintenance delays. Maintenance delays transform acute problems into chronic stressors and increase exposure to physical hazards over time. Using the 2013 American Housing Survey, I examine racial/ethnic disparities in maintenance delays across non-Hispanic White, Black, Hispanic, Asian, and American Indian/Alaska Native renters. Given that 2.3 million low-income households rent using Housing Choice Vouchers (HCVs), a federal housing assistance program with requirements around repair timing, I also examine how renting with a voucher shapes maintenance delays. There are three principal findings. First, White renters are more likely to report timely repairs than either Black or Hispanic renters. Second, for Black renters, both structural racism experienced in rental markets and individual discrimination drive this disparity, whereas Hispanic renters' diverging maintenance experiences are largely explained by pathways impacted by structural racism. Third, renting with an HCV is not associated with repair timeliness for any racial/ethnic group. Taken together, the findings suggest that racial/ethnic disparities in substandard housing emerge not only through unequal exposure to housing quality problems but also through unequal responses to these issues.

Purpose: This study aimed to characterize physical activity (PA) environments in Georgia public elementary schools and to identify socioeconomic status (SES) and racial/ethnic disparities in PA environments. Design: A school setting PA survey was launched in 2013 to 2014 as a cross-sectional online survey assessing PA environment factors, including facility access and school PA practices, staff PA opportunities, parental involvement in school PA, and out-of-school PA opportunities. Setting: All 1333 Georgia public elementary schools were recruited. Participants: A total of 1083 schools (81.2%) responded. Survey respondents included school administrators, physical education (PE) teachers, and grade-level chairs. Measures: Physical activity environment factors were assessed via an online questionnaire adapted from school PA surveys and articles. Analysis: The chi-square and Fisher exact analyses were conducted to examine the reporting of PA environment factors overall and by school SES, as measured by free/reduced lunch rate, and/or racial/ethnic composition. Results: Overall, many PA environment factors were widely prevalent (ie, gym [99%] or field [79%] access), although some factors such as some PA-related programs (ie, a structured walk/bike program [11%]) were less widely reported. Disparities in school PA environment factors were largely patterned by SES, though they varied for some factors by racial/ethnic composition and across SES within racial/ethnic composition categories. For example, lower SES schools were less likely to report access to blacktops and tracks ( p-value < .0001), and higher SES schools were less likely to report access to playgrounds ( p-value = .0076). Lower SES schools were also less likely to report "always/often" giving access to PE/PA equipment during recess ( p-value < .01). Lower SES and majority nonwhite schools were less likely to report having joint use agreements with community agencies ( p-value < .0001). Conclusion: This study highlights SES and racial/ethnic disparities in PA environments in Georgia public elementary schools.