Income inequality among U.S. families with children has increased over recent decades, coinciding with a period of significant reforms in federal welfare policy. In the most recent reform eras, welfare benefits were significantly restructured and redistributed, which may have important implications for income inequality. Using data from the 1968-2016 March Supplement to the Current Population Survey (N = 1,192,244 families with children) merged with data from the historical Supplemental Poverty Measure, this study investigated how income inequality and, relatedly, the redistributive effects of welfare income and in-kind benefits changed, and whether such changes varied across states with different approaches to welfare policy. Results suggest that cash income from welfare became less effective at reducing income inequality after the 1996 welfare reform, because the share of income coming from cash welfare fell and was also less concentrated among the neediest families. At the same time, tax and in-kind benefits reduced inequality until the Great Recession. Consistent with the "race to the bottom" hypothesis, results suggest that the redistributive effects of welfare income dropped in all states regardless of their approach to welfare policy.
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http://dx.doi.org/10.1016/j.childyouth.2020.105615 | DOI Listing |
EClinicalMedicine
August 2024
Section Health Equity Studies & Migration, Department of Primary Care and Health Services Research, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, Heidelberg 69120, Germany.
Background: Evidence amounted early that migrants, who are often side-lined in pandemic response or preparedness plans, are disproportionately affected by the COVID-19 pandemic and its consequences. However, synthesised evidence that quantifies the magnitude of inequalities in infection risk, disease outcomes, consequences of pandemic measures or that explains the underlying mechanisms is lacking.
Methods: We conducted a systematic review searching 25 databases and grey literature (12/2019 to 09/2023) and considered empirical articles covering migrants, refugees, asylum-seekers, and internally displaced persons reporting COVID-19 cases, hospitalisation, ICU admission, mortality, COVID-19 vaccination rates or health consequences of pandemic measures.
NPJ Digit Med
January 2025
Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
Digital interventions are increasingly utilized as a lever to promote population health, yet not everyone may equally benefit from them. This umbrella review pooled the insights from available systematic and scoping reviews regarding potential social inequalities in digital intervention uptake, engagement and effectiveness, focusing on the promotion of weight-related behaviors (diet, physical activity, sedentary behavior) and weight loss (maintenance) in adults. Six databases were searched from 1970 to October 2023.
View Article and Find Full Text PDFJ Epidemiol Community Health
January 2025
University of Warwick Warwick Medical School, Coventry, UK.
Background: Preterm birth (PTB) and small-for-gestational-age (SGA) disproportionately affect women who are Black or Asian. Structural racism produces health inequalities. Identifying latent socioeconomic classes may help to understand the role socioeconomic position (SEP) plays in this inequality.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Background: The rapid shift to video consultation services during the COVID-19 pandemic has raised concerns about exacerbating existing health inequities, particularly for disadvantaged populations. Intersectionality theory provides a valuable framework for understanding how multiple dimensions of disadvantage interact to shape health experiences and outcomes.
Objective: This study aims to explore how multiple dimensions of disadvantage-specifically older age, limited English proficiency, and low socioeconomic status-intersect to shape experiences with digital health services, focusing on video consultations.
Health Syst Reform
December 2025
Department of Health Policy and Management, School of Public Health, Ben-Gurion University of the Negev, Beer Sheva, Israel.
In the pursuit of equitable diabetes care, international knowledge exchange (iKE) serves as a crucial mechanism for narrowing the gaps in quality within and between countries. Little is known about the process of quality measurement exchange among stakeholders from high-income countries (HICs), low- and middle-income countries (LMICs), and international organizations. This study aims to analyze recent international exchanges of quality measures in diabetes care and propose a framework for enhancing quality, focusing on LMICs.
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