The purpose of this study was to assess sociodemographic changes within north Georgia counties in the southern region of the Appalachian Mountains. A longitudinal comparison from 1990 to 2010 was completed in context of existing wilderness non-use values and environmental justice. A geographic information system (GIS) analysis was then utilized. The sociodemographic trends of eight north Georgia counties were visually and numerically displayed to observe the influence of present wilderness non-use values. The results reflected that an educated white population, with primarily white collar occupations or received a retirement income, resided near the majority of the north Georgia wilderness areas. The graphic depiction of descriptive analyses through GIS maps also displayed an increase in minority populations from 1990 to 2010 throughout the entire studied space. The most notable sociodemographic changes were observed in the locations with lower concentrations of wilderness areas through the implementation of GIS maps with color gradients.

Motivated by the accelerated decline in U.S. entrepreneurship in the past two decades, and using a unique panel dataset of U.S. households, we theoretically and empirically analyze the e§ects of increased product market competition through growth of low-cost imports on household entrepreneurial activity. We Önd strong empirical support (during 1993-2006) for the theoretical predictions that higher penetration of low-cost imports reduces entry by domestic entrepreneurs in the tradable sector, especially for less wealthy individuals, but has positive spillover e§ects on entrepreneurial activity in the non-tradable sector. The results are robust to the alternative hypotheses of latent shocks to U.S. industries and local regions; collateralization e§ects of the housing boom; and feedback e§ects between imports and business activity. Our analysis highlights the signiÖcant and diverse economy-wide e§ects of increased product market competition (in a given industry) on household entrepreneurial activity

We examine the extent to which the Supplemental Poverty Measure (SPM) overestimates the poverty rate of the aged population because it does not account for asset holdings. Following a conservative annuity approach, we use 2010 Health and Retirement Study data to estimate high and low bounds of potential annuitized asset withdrawals and then recalculate 2009 SPM poverty rates. Including annuitized asset principal in family resources reduces the estimated SPM poverty rate for the aged, especially among those who are in poverty because of medical out-of-pocket expenditures. For example, between 30.8 percent and 45.2 percent of the latter group would be reclassified as not SPM poor if they were to annuitize their financial assets. To better represent available family resources, poverty measurements for the aged should incorporate (at minimum) the conservative estimates of available assets produced by the bounded-annuity approach.

The economic convergence of American regions has greatly slowed, and rates of long-term non- employment have even been diverging. Simultaneously, the rate of non-employment for working age men has nearly tripled over the last 50 years, generating a terrible social problem that is disproportionately centered in the eastern parts of the American heartland. Should more permanent economic divisions across space lead American economists to rethink their traditional skepticism about place-based policies? We document that increases in labor demand appear to have greater impacts on employment in areas where not working has been historically high, suggesting that subsidizing employment in such places could particularly reduce the not working rate. Pro-employment policies, such as a ramped up Earned Income Tax Credit, that are targeted towards regions with more elastic employment responses, however financed, could plausibly reduce suffering and materially improve economic performance.

Between 1970 and 2007, Missouri’s growth in income per capita was 41st in the nation. This dismal outcome is largely a function of its educational system. Its schools have not been competitive, either among the U.S. states or internationally. Lifting the quality of schools will by the historical evidence presented here produce large long-run gains for Missouri’s economy. Even though many youth have in the past migrated to other parts of the country, the strength of the Missouri economy will continue to rest mainly on those current students who will become the backbone of the future labor force. Improving the quality of schools is a difficult task that demands policy attention. Simply increasing funding for schools, one oft-proposed solution, is unlikely to lead to increased academic performance unless more attention is given to how money is spent. The key to improvement lies in the quality of the teachers and leaders in the schools. Salaries and incentives for these personnel have not been directly related to student performance. If improvements are to be realized, existing incentives must be changed.

In this paper, I analyze the relationship between racial segregation and income for black and white male workers during this period. I find that racial segregation continues a previously observed downward trend through 2010. Nevertheless, my findings suggest that increased racial segregation is linked to worsened black incomes between 1990 and 2010, especially for low-income black workers. Additionally, I report a previously unobserved negative association between racial segregation and income for both low-income white and high-income black workers that emerges in 2000. Moreover, I find that racial segregation is negatively associated with employment outcomes for black workers, most notably for black high school graduates and dropouts. My results indicate that racial segregation may distort the returns to schooling for black workers. My findings are robust to the inclusion of income and education segregation as well as black income and black education segregation measures.

Importance:he share of the population covered by accountable care organizations (ACOs) is growing, but the association between this increase and physician employment is unknown. Objective: To investigate the association between the growth of ACOs and changes in physician work hours, probability of being self-employed, and probability of working in a hospital.Design, Setting, and Participants: A fixed-effects design was used in this cross-sectional study to compare changes in physician employment in hospital referral regions with high vs low ACO growth. A nationally representative 1% sample of all working US physicians obtained annually from 2011 through 2015 from the American Community Survey (N = 49 582) was included. Data analysis was conducted from March 28, 2017, to April 10, 2018. Main Outcomes and Measures: Physician hours worked per week, probability of being self-employed, and probability of working in a hospital. Results: Of the 49 582 physicians included in the study, 63.5% were men; the mean (SD) age of sampled physicians was 46.01 (11.59) years. In 2011, sampled physicians worked a mean (SD) of 52.2 (16.1) hours per week, 24.43% were self-employed, and 42.03% worked in a hospital. A 10–percentage point increase in ACO enrollment in a hospital referral region was associated with a statistically significant reduction of 0.82 (95% CI, −1.52 to −0.13;P = .02) work hours in men and a decrease of 2% (95% CI, −3.8% to −0.1%;P = .04) in the probability of all physicians being self-employed. The association with self-employment was strongest (−5.0%; 95% CI, −8.7% to −1.4%;P = .006) in physicians aged 50 to 69 years, who were also more likely (4.0%; 95% CI, 1.0% to 6.9%;P = .009) to work in a hospital. Conclusions and Relevance: The growth of ACOs within hospital referral regions appears to be associated with a reduction in hours of work and self-employment among physicians. These results suggest that ACOs may affect physician employment patterns.

Most studies of female workers in the 1940s focus on labor supply. We use the basics of supply and demand to measure the impact of WWII on the short- and medium-run demand for female workers in manufacturing. Demand rose for both salaried and production female workers during the war and then fell after the war. However, the post-war demands for both groups were substantially higher than before the war and higher than the levels that would have been reached had the demands followed a counterfactual growth path from the boom period in the 1920s.

Using data from individual Census records on the wealth of managers’ parents, we find that mutual fund managers from poor families outperform managers from rich families. We argue that managers born poor face higher entry barriers into asset management. Consistent with this view, managers born poor are promoted only if they outperform, while those born rich are more likely to be promoted for reasons unrelated to performance. Overall, we establish a first link between fund managers’ family descent and their ability to create value . . .

The aim of this paper is twofold: (a) to define a new concept, the welfare loss that a society experiences due to the segregation of the demographic groups that comprise it and (b) to propose measures that quantify this phenomenon satisfying a set of normative properties. In aggregating the well-being losses (gains) of the groups derived for being concentrated in low-status (high-status) organizational units, this paper embraces the distributive approach adopted in the literature on economic deprivation and poverty. The advantages of these measures are shown by exploring the welfare losses that the United States has experienced from 1980 to 2012 due to occupational segregation by both gender and race/ethnicity. Our analysis shows that our measures reveal certain aspects of the phenomenon that do not emerge when using overall segregation measures. Thus, for example, while nothing seems to have changed in U.S. labor market in the last decade according to some well-known overall segregation measures, the social welfare loss due to segregation has actually increased.

We examine the extent to which assimilation and residential ethnic enclaves are associated with immigrant access to smoking‐related fringe benefits. In particular, we consider access to office smoking bans and employer‐sponsored smoking cessation programs. We first document differences in access to these benefits between immigrant and native workers. Second, we show that assimilation is positively associated with smoking‐related fringe benefit access while enclave residence does not predict access. These findings broaden our understanding of immigrant employment.

Purpose: The objective of this study was to compare cancer diagnoses by age, gender, and sexual orientation. Methods: This study used data on 129,431 heterosexual adults and 3,357 lesbian, gay, and bisexual (LGB) adults in the 2013–2016 National Health Interview Survey. Logistic regression models compared the prevalence of cancer diagnoses by sexual orientation while controlling for demographics, socioeconomic status, and health profiles. Then, using coefficients from fully adjusted models, we estimated average marginal effects to compare the probability of a cancer diagnosis by sexual orientation across five age categories. Results: After controlling for demographic and socioeconomic characteristics, gay men (odds ratio [OR] 1.54; 95% confidence interval [CI] 1.10–2.18) were more likely to have been diagnosed with cancer compared to heterosexual men, and bisexual women (OR 1.70; 95% CI 1.16–2.48) were more likely to have been diagnosed with cancer compared to heterosexual women. Gay men aged 65 years and older were 6.0% points (p < 0.05) more likely to be diagnosed with cancer compared to heterosexual men of the same age. Bisexual women . . .

A historical case study of how United States Public Health Service (USPHS) officials used public relations in an active attempt to construct meanings within cultural contexts both illuminates and extends the cultural-economic model (CEM) of public relations, which is based on the circuit of culture. The case shows how the CEM would benefit from exploring why practitioners act as they do, as understanding a producer’s motivation can provide even more understanding of the attempts to create a desired meaning.

PURPOSE Screening for social determinants of health is challenging but critically important for optimizing child health outcomes. We aimed to test the feasibility of using an integrated state agency administrative database to identify social complexity risk factors and examined their relationship to emergency department (ED) use. METHODS We conducted a retrospective cohort study among children younger than 18 years with Washington State Medicaid insurance coverage (N = 505,367). We linked child and parent administrative data for this cohort to identify a set of social complexity risk factors, such as poverty and parent mental illness, that have either a known or hypothesized association with suboptimal health care use. Using multivariate analyses, we examined associations of each risk factor and of number of risk factors with the rate of ED use. RESULTS Nine of 11 identifiable social complexity risk factors were associated with a higher rate of ED use. Additionally, the rate increased as the number of risk factors increased from 0 to 5 or more, reaching approximately twice the rate when 5 or more risk factors were present in children aged younger than 5 years (incidence rate ratio = 1.92; 95% CI, 1.85–2.00) and in children aged 5 to 17 years (incidence rate ratio = 2.06; 95% CI, 1.99–2.14). CONCLUSIONS State administrative data can be used to identify social complexity risk factors associated with higher rates of ED use among Medicaid-insured children. State agencies could give primary care medical homes a social risk flag or score to facilitate targeted screening and identification of needed resources, potentially preventing future unnecessary ED use in this vulnerable population of children.

The labor market institution of occupational licensing continues to grow in scope in the United States and abroad. In this paper, we estimate the effects of occupational licensing on opticians using data from the US Census and American Community Survey. Our results suggest that optician licensing is associated with opticians receiving as much as 16.9 percent more in annual earnings. In an examination of malpractice insurance premiums in all states and participation rates in optician certification programs in Texas, we find little evidence that optician licensing has enhanced the quality of services delivered to consumers. By and large, optician licensing appears to be reducing consumer welfare by raising the earnings of opticians without enhancing the quality of services delivered to consumers.

The American Civil War fractured communities in border states where families who would eventually support the Union or the Confederacy lived together prior to the conflict. We study the subsequent migration choices of Civil War veterans and their families using a unique longitudinal dataset covering enlistees from the border state of Kentucky. Nearly half of surviving Kentucky veterans moved to a new county between 1860 and 1880. We find strong evidence of sorting along ideological dimensions for veterans from both sides of the conflict. However, we find limited evidence of a positive economic return to these relocation decisions.

Women in North Carolina face unequal employment practices, a lack of representation in leadership roles, and barriers to quality health care. Lawmakers must take steps to secure the economic security of women by prioritizing policies that promote equal pay for equal work; higher, livable wages; and access to reproductive health care to ensure the success of women and their families. Women need policies that reflect their roles as providers and caregivers. In North Carolina, mothers are the sole, primary, or co-breadwinners in 63.1 percent of families, and these numbers are higher for some women of color.1 The following policy recommendations can help support the economic security of women and families in North Carolina.

Background: Hepatitis C virus (HCV) is a global medical health concern. Egypt has the highest HCV prevalence. Few studies have assessed the HCV prevalence rates among Egyptian-born expatriates. We sought to define the HCV prevalence Egyptian-born individuals residing in the Southern California area. Patients and Methods: We screened Egyptian-born individuals in houses of worship in the Southern California area using a point of care test HCV antibody test. Results were confirmed by testing the blood for viral load. Demographic information including risk factors were also collected. Individuals were contacted with their results, and those found to be detectable HCV antibodies were referred for further testing and additional care. Results: Three hundred twenty-six Egyptian expatriates from 7 houses of worship in Southern California were screened for the HCV infection. Most of the participants were screened at Coptic Churches. Nine of these individuals were found to be HCV infected (2.8%). We found an increased HCV seroprevalence in subjects were male and born in Egyptian urban areas. Five of the 9 subjects (56%) who tested positive were not baby boomers and only 2 of these 9 subjects (22%) had recognized Center for Disease Control risk factors. Conclusions: The HCV prevalence rate of Egyptian-born individuals living in the Southern California area was lower compared with the prevalence rate in the general Egyptian population, but higher than that seen in the general US population. The utility of using Center for Disease Control risk factors to define individuals at risk of HCV among Egyptian expatriates is not applicable.

To study the drivers of the employment reallocation across sectors and occupations between 1960 and 2010 in the US we propose a model where technology evolves at the sector-occupation cell level. This framework allows us to quantify the bias of technology across sectors and across occupations. We implement a novel method to extract changes in sector-occupation cell productivities from the data. Using a factor model we find that occupation and sector factors jointly explain 74-87 percent of cell productivity changes, with the occupation component being by far the most important. While in our general equilibrium model both factors imply similar reallocations of labor across sectors and occupations, quantitatively the bias in technological change across occupations is much more important than the bias across sectors.

Fiscal policy analysis in heterogeneous-agent models typically involves the use of smooth tax functions to approximate complex present tax law and proposed reforms. In this paper, we explore the extent to which the tax detail omitted under this conventional approach has macroeconomic implications relevant for policy analysis. To do this, we develop an alternative approach by embedding an internal tax calculator into a large-scale overlapping generations model that, while conditioning on idiosyncratic household characteristics, explicitly models key provisions in the Internal Revenue Code applied to labor income. We find that for a comparative-static steady state analysis of a given tax policy change, both approaches generate similar policy-induced patterns of macroeconomic activity despite variation in the underlying patterns of household tax-preferred consumption and labor supply behavior. However, this variation in underlying behavior is associated with significant quantitative and qualitative differences in macroeconomic aggregates along the transition path immediately following a policy change. Consequentially, although the use of unconditional smooth tax functions may be a reasonable modeling simplification for steady state analysis of tax policy, caution should be taken for their use in transition path analysis within heterogeneous-agent models