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The authors draw on Klinenberg's (2002) ethnography and recent neighborhood theory to explain community-level variation in mortality during the July 1995 Chicago heat wave. They examine the impact of neighborhood structural disadvantage on heat wave mortality and consider three possible intervening mechanisms: social network interaction, collective efficacy, and commercial conditions. Combining Census and mortality data with the 1995 Project on Human Development in Chicago Neighborhoods Community Survey and Systematic Social Observation, the authors estimate hierarchical Poisson models of death rates both during the 1995 heat wave and comparable, temporally proximate July weeks (1990-94, 1996). They find that neighborhood affluence was negatively associated with heat wave mortality. Consistent with Klinenberg's ethnographic study of the Chicago heat wave, commercial decline was positively associated with heat wave mortality and explains the affluence effect. Where commercial decline was low, neighborhoods were largely protected from heat-related mortality. Although social network interaction and collective efficacy did not influence heat wave mortality, collective efficacy was negatively associated with mortality during comparable July weeks (when no heat wave occurred). Unequal distribution of community-based resources had important implications for geographic differences in survival rates during the Chicago heat wave, and may be relevant for other disasters.

BackgroundRwanda has made significant strides in improving the health of its people, including increasing access to and use of family planning. Contraceptive use has increased from 17% to 53% in just one decade, from 2005 to 2015.MethodsThe data consist of 13 in-depth interviews conducted with family planning program experts in Rwanda to better understand the mechanisms for success, elucidate remaining challenges, speculate on the future of the program, and discuss potential applicability for translating aspects of the program in other settings.ResultsAll respondents first noted the positive aspects of government will, leadership, and management of the family planning program when asked to describe the reasons for success. The challenges that loomed the largest for the program were service accessibility for rural Rwandans, adolescent access to and use of contraceptives, opposition from religious institutions, as well as inadequate human resources and funding. These challenges were openly acknowledged and are in the process of being addressed.ConclusionThe importance of government leadership and focus in the success of Rwanda’s family planning program was prominent. All positive aspects of the program are based upon the strong foundation the government has built and nurtured. Since innovation is welcomed and program evaluation is considered essential, the outlook for Rwanda’s family planning program is favorable. The issues that remain are common and persistent challenges for family planning programs. Other nations could learn tangible practices from Rwanda’s success and follow Rwanda’s efforts to mitigate the remaining challenges.

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This article focuses on the effect of labor market restrictions on worker dignity during the recruitment and hiring processes by examining a labor-market case study in which worker power is severely constrained through industry practices. Specifically, the authors study workers who attempted to gain employment in the National Football League to explore how artificially restricted labor markets limit workers' market power. Findings from extensive field notes, observations of player assessments, and semistructured interviews suggest that although workers possess elite skills necessary for employment, industry restrictions on employees' market power enable employers to demand painful and dehumanizing concessions that seriously challenge workers' dignity. The findings presented here extend previous studies of threats to worker dignity from shop floors and workplaces to labor markets and to elite, highly skilled workers.