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Utilization of cost-effective essential preventive health services increased after the implementation of the Affordable Care Act’s (ACA) provision that non-grandfathered private insurers provide cost-effective preventive services without cost sharing in 2010. Little is known, however, whether this change is also observed among Asians in the US. We examined patterns of preventive services utilization among Asian subgroups relative to non-Latino whites (whites) after the implementation of the ACA’s preventive services provisions. Using 2013–2016 Medical Expenditure Panel Survey data, we examined utilization trends in preventive services among Asian Indians, Chinese, Filipinos, and other Asians relative to whites. We also ran logistic regression models to estimate the likelihood of having received each of the seven essential preventive services (routine checkups, flu vaccinations, cholesterol screenings, blood pressure checkups, Papanicolaou “pap” tests, mammograms, and colorectal cancer screenings). Compared to whites, Asians had higher rates of utilization of routine checkups, cholesterol screenings, and flu vaccinations, but they had lower utilization rates of blood pressure checkups, pap tests, and mammograms. The patterns of preventive services utilization differed across the Asian subgroups. All Asian subgroups, except for Filipinos, were less likely to have pap tests or mammograms than whites. Moreover, we observed a decreasing trend in having pap tests, mammograms, or colorectal cancer screenings among all Asian subgroups between 2013 and 2016. Our findings suggest that there are low cancer screening rates across Asian subgroups. This indicates the need for programs tailored to specific Asian subgroups to improve cancer screening.

Buying Time with Children: Women’s Employment and Time-Intensive Parenting across the Life Course

Environmental and social impacts for women deriving from menstrual sanitation practices

This paper assesses if voting for democracy affects long-term electoral participation. We study the effects of participating in Chile's 1988 plebiscite, which determined whether democracy would be reinstated after a 15-year long military dictatorship. Taking advantage of individual-level voting data for upwards of 13 million Chileans, we implement an age-based RD design comparing long run registration and turnout rates across marginally eligible and ineligible individuals. We find that Plebiscite eligibility (participation) significantly increased electoral turnout three decades later, reaching 1.8 (3.3) percentage points in the 2017 Presidential election. These effects are robust to different specifications and distinctive to the 1988 referendum. We discuss potential mechanisms concluding that the scale of initial mobilization explains the estimated effects. We find that plebiscite eligibility induced a sizable share of less educated voters to register to vote compared to eligibles in other upstream elections. Since less educated voters tended to support Chile's governing left-wing coalition, we argue that the plebiscite contributed to the emergence of one party rule the twenty years following democratization.

Juvenile Arrest and Interpersonal Exclusion: Rejection, Withdrawal, and Homophily among Peers

Inequality in Latin America fell substantially in the early 2000s. In this paper, we take advantage of administrative matched employee-employed data in Brazil, Chile and Ecuador to examine whether these inequality trends held in the formal sector, as well. We document a significant decrease in the log variance of earnings in Brazil and Ecuador in the early 2000s, whereas inequality in Chile between 2008 and 2015 remained largely flat. In this context, we find that inequality among salaried workers is largely a between-firm phenomenon across these three countries. We expand on our descriptive analysis and estimate an additive worker and firm fixed effects model to understand the driving factors behind inequality in the region. We find a significant decline in between-firm inequality in Brazil and a modest one in Chile. We last focus our attention on the commodities and manufacturing sectors, which were directly exposed to two large external shocks, the commodity-boom and the ''China Shock". We find an increase in inequality in the former sector accompanied by an reduction in inequality in the latter across the region.

Fiscal Implications of Population Aging and Economic Change in China

Police 'jump outs' target mostly Black youth

Continuity and Change in Verbal Conflict and Intimate Partner Violence During the COVID-19 Pandemic: A Prospective Analysis of Adults

Panelists: Steve Lopez, Dr. Jack Monell, and The Honorable Alexander Williams, Jr.