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Racial health inequities are not fully explained by socioeconomic status (SES) measures like education, income and wealth. The largest inequities are observed among African American and white college graduates suggesting that African Americans do not receive the same health benefits of education. African Americans do not receive the same income and wealth returns of college education as their white counterparts indicating a racial non-equivalence of SES that may affect health inequities. The aim of this study is to determine whether racial non-equivalence of SES mediates race inequities in self-rated health by education and sex. Using data from the 2007–2016 National Health and Nutrition Examination Survey in the United States, the mediation of the associations between race and self-rated health through household income ≥400% federal poverty line, homeownership, and investment income were assessed among college graduates and non-college graduates by sex. Indirect associations were observed among college graduate women (odds = 0.08, standard error (s.e.) = 0.03), and non-college graduate men (odds = 0.14, s.e. = 0.02) and women (odds = 0.06, s.e. = 0.02). Direct associations between race and self-rated health remained after accounting for household income and wealth indicators suggesting that race differences in income and wealth partially mediate racial inequities in self-rated health. This study demonstrates that the racial non-equivalence of SES has implications for health inequities, but the magnitude of indirect associations varied by sex. Other factors like discrimination, health pessimism and segregation should be considered in light of the racial non-equivalence of SES and racial inequities in self-rated health.

This article introduces the Marketing Science Special Issue on Consumer Protection. This special issue and an accompanying conference were conceived as a partnership with the U.S. Federal Trade Commission. We outline the potential areas and opportunities for academic scholarship in marketing to inform regulation on consumer protection. We group the areas of potential research and the papers in the special issue into three broad buckets: (1) what consumers need protection from, especially the need for regulations in new industries; (2) the impact of existing regulations; and (3) the distributional impact of regulations. The article concludes with a call for ongoing policy-relevant research on consumer protection.

Interviewer-respondent rapport is generally considered to be beneficial for the quality of the data collected in survey interviews; however, the relationship between rapport and data quality has rarely been directly investigated. We conducted a laboratory experiment in which eight professional interviewers interviewed 125 respondents to see how the rapport between interviewers and respondents is associated with the quality of data—primarily disclosure of sensitive information—collected in these interviews. It is possible that increased rapport between interviewers and respondents might motivate respondents to be more conscientious, increasing disclosure; alternatively, increased rapport might inhibit disclosure because presenting oneself unfavorably is more aversive if respondents have a positive relationship with the interviewer. More specifically, we examined three issues: (1) what the relationship is between rapport and the disclosure of information of varying levels of sensitivity, (2) how rapport is associated with item nonresponse, and (3) whether rapport can be similarly established in video-mediated and computer-assisted personal interviews (CAPIs). We found that (1) increased respondents’ sense of rapport increased disclosure for questions that are highly sensitive compared with questions about topics of moderate sensitivity; (2) increased respondents’ sense of rapport is not associated with a higher level of item nonresponse; and (3) there was no significant difference in respondents’ rapport ratings between video-mediated and CAPI, suggesting that rapport is just as well established in video-mediated interviews as it is in CAPI.

Kirsten Stoebenau and Sangeetha Madhavan examine impact of economic inequality through NICHD R03

In the US, African Americans have a higher prevalence of hypertension than Whites. Previous studies show that social support contributes to the racial differences in hypertension but are limited in accounting for the social and environmental effects of racial residential segregation. We examined whether the association between race and hypertension varies by the level of social support among African Americans and Whites living in similar social and environmental conditions, specifically an urban, low-income, racially integrated community. Using data from the Exploring Health Disparities in Integrated Communities-Southwest Baltimore (EHDIC-SWB) sample, we hypothesized that social support moderates the relationship between race and hypertension and the racial difference in hypertension is smaller as the level of social support increases. Hypertension was defined as having systolic blood pressure greater than 140 mmHg and/or diastolic blood pressure greater than 90 mmHg, or the participant reports of taking antihypertensive medication(s). The study only included participants that self-reported as “Black/African American” or “White.” Social support was measured as functional social support and marital status. After adjusting for demographics and health-related characteristics, we found no interaction between social support and race (DUFSS score, prevalence ratio 1.00; 95% confidence interval 0.99, 1.01; marital status, prevalence ratio 1.02; 95% confidence interval 0.86, 1.21); thus the hypothesis was not supported. A plausible explanation is that the buffering factor of social support cannot overcome the social and environmental conditions which the participants live in. Further, these findings emphasize social and environmental conditions of participants in EHDIC-SWB may equally impact race and hypertension.

Fox 5 Washington D.C. program examines (non)use of cameras in Prince Georges County

We examine change across U.S. cohorts born between 1920 and 2000 in their probability of having had sex with same-sex partners in the last year and since age 18. Using data from the 1988–2018 General Social Surveys, we explore how trends differ by gender, race, and class background. We find steep increases across birth cohorts in the proportion of women who have had sex with both men and women since age 18, whereas increases for men are less steep. We suggest that the trends reflect an increasingly accepting social climate, and that women’s steeper trend is rooted in a long-term asymmetry in gender change, in which nonconformity to gender norms is more acceptable for women than men. We also find evidence that, among men, the increase in having had sex with both men and women was steeper for black than for white men, and for men of lower socioeconomic status; we speculate that the rise of mass incarceration among less privileged men may have influenced this trend.

Divorce has become more acceptable, less stigmatized, but also less common

Climate Change and Impaired Population Health – Perspectives From Countries on Opposite Ends of the Economic Spectrum

Segregation in Place: Estimating the Contribution of White Flight to Racial Segregation in the 21st Century