Search results

This chapter examines the trend in school enrollment and transitions to senior high school and to college in China for selected young cohorts since the 1990s, based on the analyses of the sample data from population censuses in 1990 and 2000 and the mini-census in 2005. We pay particular attention to educational inequality based on gender and the household registration system (hukou) in the context of educational expansion. Results show a substantial increase in educational opportunities over time at all levels. In particular, women have gained relatively more; gender inequality has decreased over time, and the gap in college enrollments was even reversed to favor women in 2005. However, rural–urban inequality was enlarged in the 1990s. The educational expansion has mainly benefited females and urban residents.

Purpose – This study analyzed individual factors of race and dual eligibility on emergency room (ER) utilization of older adult Medicare patients treated by RHCs in CMS Region 4.

Methodology/approach – A prospective, longitudinal design was employed to analyze health disparities that potentially exist among RHC Medicare beneficiary patients (+65) in terms of ER use. The years of investigation were 2010 through 2012, using mixed multilevel, binary logistic regression.

Findings – This study found that dual eligible RHC patients utilized ER services at higher rates than nondual eligible, Medicare only RHC patients at: 77%, 80%, and 66%, in 2010, 2011, and 2012, respectively; and above the White reference group, Black RHC Medicare patients utilized ER services at higher rates of: 18%, 20%, and 34%, in 2010, 2011, and 2012, respectively.

Research limitations/implications – Regarding limitations, cohort data observations within the window of 3 years were only analyzed; regarding generalizability, in different CMS regions, results will likely vary; and linking other variables together in the study was limited by the accessible data. Future research should consider these limitations, and attempt to refine. The findings support that dual Medicare and Medicaid eligibility, as a proxy measure of socioeconomic status, and race continue to influence higher rates of ER utilization in CMS Region 4.

Originality/value – In terms of ER utilization disparities, persistently, as recent as 2012, Black, dual eligible RHC Medicare beneficiary patients age 65 years and over may be twice as likely to utilize ER services for care than their counterparts in the Southeastern United States.

The impact of globalization on individual well-being through the interplay of self and standard forms of lifestyle aspirations, has generally received less attention than the merits of globalization at the macro-level. This chapter addresses this question by testing the hypothesis that poor rural-dwelling Botswana men suffer diminished well-being compared to their relatively well-off urban-dwelling counterparts as a result of unfulfilled lifestyle aspirations. The study combines ethnographic, psychological, and psychosomatic data to compare well-being among rural and urban adult Botswana men. Results indicate that failed urban migration associates with low cortisol and high depressive affect, and rural residence is also independently associated with high depressive affect. This psychosomatic syndrome may be similar to that observed in posttraumatic stress disorder, suggesting that the experience of failed urban migration is considerably more stressful than the demands of employed urban life in contemporary Botswana.

Recent qualitative social research about Mexican families and gender relations underlines the fact that changes in male involvement in domestic life have occurred and that significant changes in paternal responsibilities have been reported, especially among younger fathers with high educational levels and living in urban settings. Significant lags have also been detected in rural and indigenous communities regarding women’s status and the reduction of gender gaps.

On the basis of this, we analysed data from the 2014 National Time Use Survey of Mexico in order to determine whether there are significant differences in the time spent on child raising between rural and urban fathers. We also used a regression model to measure the effect of the place of residence and other socio-demographic characteristics on Mexican fathers’ level of involvement in raising their children.

Our results updated the indicators on the generational change in fathers’ collaboration in childcare and show that fathers living in urban settings are more involved – measured in time effectively spent in child raising than their rural counterparts. Furthermore, the occupations of fathers and especially that of mothers are of particular interest as factors that encourage or discourage greater male involvement in child raising.

The US fertility transition in the nineteenth century is unusual. Not only did it start from a very high fertility level and very early in the nation’s development, but it also took place long before the nation’s mortality transition, industrialization, and urbanization. This paper assembles new county-level, household-level, and individual-level data, including new complete-count IPUMS microdata databases of the 1830–1880 censuses, to evaluate different theories for the nineteenth-century American fertility transition. We construct cross-sectional models of net fertility for currently-married white couples in census years 1830–1880 and test the results with a subset of couples linked between the 1850–1860, 1860–1870, and 1870–1880 censuses. We find evidence of marital fertility control consistent with hypotheses as early as 1830. The results indicate support for several different but complementary theories of the early US fertility decline, including the land availability, conventional structuralist, ideational, child demand/quality-quantity tradeoff, and life cycle savings theories.

Studies on remarriages based on census data are not available in Bangladesh. Moreover, questions like why the remarriage rate is declining in Bangladesh despite the increasing trend of divorce rate and what factors are associated with this declining trend of remarriage are not answered yet. Thus the purpose of this study is to assess the prevalence of divorces and the extent to which this has influenced the likelihood of remarriage in Bangladesh.

Univariate, bivariate, and multivariate analyses have been performed by analyzing the most recent and largest sample census data of ever married men and women aged 10 years and above collected in 2011.

The prevalence of remarriage is low in Bangladesh but more common in rural places of residence, substantially larger in slums when compared with non-slums, among Bengali ethnic people, rent-free tenancy, the age group of 45 years and over, the male population, people of Muslim religion, who have no education, and poorest wealth quintile. Muslim religion, slum dwelling status, employed status, media exposure, and urban residence stand out as the major determinants in terms of remarriage. Women having higher education and the richest quintile of households are less likely to be remarried than those who have lower education and are from the poorest wealth quintile background. Males who remarry also followed the same pattern. But remarriage is higher among both the divorced males and females as compared to widowed males and females. Strategic targeting and responsive social policies are needed to be implemented toward the differential pattern of remarriage by sub-groups of the population and their vulnerabilities in relation to their marital status and marital relation, to understand remarriage dynamics in Bangladesh.

Taking into account the statistical data from 2004, about 12,300 Roma citizens live in Moldova, which represents 0.4% of the total population. Gypsies call themselves Roma in the Romani language of Europe. Given the challenge created by the lack of reliable and accurate data on the Roma population available from existing Moldovan statistics, the United Nations Development Program in Moldova initiated, in 2005, the first quantitative study covering 600 Roma households and 600 non-Roma households in 81 localities. Conducting surveys on settlements occupied predominantly by the Roma population has allowed the follow-up of results that eventually led to highlighting the aspects of life conditions, health and education system of Roma population.

Speaking about the factors that condition migration, family reasons are mentioned most often. Although official statistics do not provide disaggregated data on life expectancy, infant and maternal mortality for Roma, statistical data show that life expectancy, infant mortality, morbidity and other major health indicators in the Republic of Moldova (as in other countries in the region) are substantial more precarious for the Roma than for the majority of the population. School education is an important aspect in terms of both school attendance and learning outcomes, as the chance of success in life is generally higher with a higher education level. Qualitative education implies not only inclusion in the educational system, but also family participation in socialisation and support for early integration of children.

Purpose – This chapter proposes a new model to explain how increased religiosity among children leads to higher eventual educational attainment; it does so by focusing upon the unique role that parental religiosity plays in this process – this intergenerational dimension has been neglected in previous research on the topic.

Design/Methodology/Approach – Using NLSY97 data, employing regression techniques, and incorporating information on parental religious behaviors, this chapter tests whether parental religiosity only matters because it transmits religiosity to children, and once children become religious themselves, parental religiosity becomes a redundant resource – or it has a powerful independent effect net of this socialization process.

Finding – Results generally support the parental religiosity theory, where parental religious service attendance uniquely produces positive educational effects, even net of religious socialization ones. Religious affiliation differences are generally minor. Additional models also provide evidence that parental religiosity and adolescent education are not related via some omitted variable.

Research limitations/Implications – Under this new perspective, children's educational attainment can rise, even if children are not religious themselves, because parental religiosity can promote parental behaviors conducive to children's schooling.

Originality/Value – Overall, parental religiosity deserves renewed attention as a cultural basis for inequality in the United States today.

Older women living in medically underserved areas (MUA) might have particular problems with access to health care. This is an in-depth report of the accessibility issues raised by six frail older women (age 82–93 years) during a longitudinal descriptive phenomenological study of the experience of home care. Three White women lived in the same rural MUA, and three Black women lived in the same urban MUA. The need for health service was understood subjectively and prospectively as the personal perception of a situation requiring relief or supply. Some women reported presenting needs for accessibility to providers, whereas others reported needs for their future accessibility to providers or services. Some intentions were likely linked to residence location, and residence in a rural MUA was relevant to the phenomenon of securing the help that I might need down the road. Feasibility was proposed as a new parameter of access. Research and practice implications were proposed.