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  1. Understanding Recent Growth Dynamics in Small Urban Places: The Case of New England

    This article utilizes recently published US Census data covering the pre‐and post‐Great Recession period (1990–2015) to identify key determinants of growth among small urban places in the New England Region. We find little evidence of random growth and robust evidence of convergence in growth, indicating that smaller urban areas tend to experience faster rates of growth than larger ones, over both the short and long term. Factors such as distance to large city areas and amenities are found to be particularly relevant to population growth rates.

  2. Medical Authority under Siege: How Clinicians Transform Patient Resistance into Acceptance

    Over the past decades, professional medical authority has been transformed due to internal and external pressures, including weakened institutional support and patient-centered care. Today’s patients are more likely to resist treatment recommendations. We examine how patient resistance to treatment recommendations indexes the strength of contemporary professional authority. Using conversation analytic methods, we analyze 39 video recordings of patient-clinician encounters involving pediatric epilepsy patients in which parents resist recommended treatments.
  3. Race-Ethnicity, Social Roles, and Mental Health: A Research Update

    Social role involvement engenders sense of purpose and meaning to life, which sustains positive mental health. Racism within American society, however, results in experiences that disadvantage ethnoracial minorities, thus making it likely that social roles do not have universal remunerations. Using the Collaborative Psychiatric Epidemiology Surveys (N = 12,526), this study explores the association between role participation and psychological distress across nine ethnoracial groups. Results indicate that engaging in many roles is associated with better mental health for all ethnoracial groups.
  4. Pharmaceutical Side Effects and Mental Health Paradoxes among Racial-Ethnic Minorities

    Sociologists have long struggled to explain the minority mental health paradox: that racial-ethnic minorities often report better mental health than non-Hispanic whites despite social environments that seem less conducive to well-being. Using data from the 2008–2013 Medical Expenditure Panel Survey (MEPS), this study provides a partial explanation for the paradox rooted in a very different disparity. Evidence from MEPS indicates that non-Hispanic whites consume more pharmaceuticals than racial-ethnic minorities for a wide variety of medical conditions.
  5. Sexual Abstinence in the United States: Cohort Trends in Abstaining from Sex While Never Married for U.S. Women Born 1938 to 1983

    In this data visualization, the authors document trends in abstaining from sex while never married for U.S. women born 1938–1939 to 1982–1983. Using data from the six most recent National Surveys of Family Growth, the authors’ estimates suggest that for women born in the late 1930s and early 1940s, 48 percent to 58 percent reported abstaining from sex while never married. Abstinence then declined rapidly among women born in the late 1940s through the early 1960s, leveling off at between 9 percent and 12 percent for more recent birth cohorts. Thus, for U.S.

  6. Cancer-Related Debt and Mental-Health-Related Quality of Life among Rural Cancer Survivors: Do Family/Friend Informal Caregiver Networks Moderate the Relationship?

    Social connectedness generally buffers the effects of stressors on quality of life. Is this the case for cancer-related debt among rural cancer survivors? Drawing on a sample of 135 rural cancer survivors, we leverage family/friend informal caregiver network data to determine if informal cancer caregivers buffer or exacerbate the effect of cancer-related debt on mental-health-related quality of life (MHQOL).
  7. Do People in Conservative States Really Watch More Porn? A Hierarchical Analysis

    Recent studies have found that state-level religious and political conservatism is positively associated with various aggregate indicators of interest in pornography. Such studies have been limited, however, in that they either did not include data measuring actual consumption patterns and/or did not include data on individuals (risking the ecological fallacy). This study overcomes both limitations by incorporating state-level data with individual-level data and a measure of pornography consumption from a large nationally representative survey.

  8. Vaccine Refusal and Pharmaceutical Acquiescence: Parental Control and Ambivalence in Managing Children’s Health

    Parents who confidently reject vaccines and other forms of medical intervention often seek out pediatric care, medical treatments, and prescription medications for their children in ways that seem to contradict these views. Drawing on in-depth interviews with 34 parents who rejected some or all vaccines for their children, this article examines the strategies they use to pharmaceutically manage their children’s health, even when espousing a larger rejection of pharmaceutical interventions like childhood vaccines.
  9. Dimensions of Inequality: Black Immigrants’ Occupational Segregation in the United States

    The U.S. labor market is increasingly made up of immigrant workers, and considerable research has focused on occupational segregation as an indicator of their labor market incorporation. However, most studies focus on Hispanic populations, excluding one of the fastest growing immigrant groups: foreign-born blacks. Because of their shared race, African and Caribbean immigrants may experience the same structural barriers as U.S.-born blacks.
  10. Borders within Borders: The Impact of Occupational Licensing on Immigrant Incorporation

    Over the past four decades, occupational regulation, particularly licensing, which creates a legal right to practice, has engulfed the American occupational structure. Occupational licensure research typically offers theoretical arguments suggesting that licensing limits individuals’ entry into an occupation. For migrants arriving with little financial capital, licensing requirements can act as substantial barriers to occupational entry.