BackgroundDebates exist as to whether, as overall population health improves, the absolute and relative magnitude of income- and race/ethnicity-related health disparities necessarily increase—or derease. We accordingly decided to test the hypothesis that health inequities widen—or shrink—in a context of declining mortality rates, by examining annual US mortality data over a 42 year period.Methods and FindingsUsing US county mortality data from 1960–2002 and county median family income data from the 1960–2000 decennial censuses, we analyzed the rates of premature mortality (deaths among persons under age 65) and infant death (deaths among persons under age 1) by quintiles of county median family income weighted by county population size. Between 1960 and 2002, as US premature mortality and infant death rates declined in all county income quintiles, socioeconomic and racial/ethnic inequities in premature mortality and infant death (both relative and absolute) shrank between 1966 and 1980, especially for US populations of color; thereafter, the relative health inequities widened and the absolute differences barely changed in magnitude. Had all persons experienced the same yearly age-specific premature mortality rates as the white population living in the highest income quintile, between 1960 and 2002, 14% of the white premature deaths and 30% of the premature deaths among populations of color would not have occurred.ConclusionsThe observed trends refute arguments that health inequities inevitably widen—or shrink—as population health improves. Instead, the magnitude of health inequalities can fall or rise; it is our job to understand why.
Contemporary patterns of homeownership reflect the continuing racial and ethnic stratification that exists in nearly all areas of American society. Of particular interest, especially within the context of recent immigration legislation, are the homeownership experiences of Mexican immigrants in the United States. Copyright (c) 2007 Southwestern Social Science Association.
Annual U.S.‐Mexico pecuniary remittances are estimated to have more than doubled recently to at least $10 billion ‐ augmenting interest among policymakers, financial institutions, and transnational migrant communities concerning how relatively poor expatriate Mexicans sustain such large transfers and the impact on immigrant integration in the United States. We employ the 2001 Los Angeles County Mexican Immigrant Residency Status Survey (LAC‐MIRSS) to investigate how individual characteristics and social capital traditionally associated with integration, neighborhood context, and various investments in the United States influenced remitting in 2000. Remitting is estimated to have been inversely related to conventional integration metrics and influenced by community context in both sending and receiving areas. Contrary to straight‐line assimilation theories and more consistent with a transnational or nonlinear perspective, however, remittances are also estimated to have been positively related to immigrant homeownership in Los Angeles County and negatively associated with having had public health insurance such as Medicaid.
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