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Entering the mainstream economy? Workplace segregation and immigrant assimilation 进入主流经济?工作场所隔离与移民同化
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-11-20 DOI: 10.1093/sf/soae162
Mats Lillehagen, Are Skeie Hermansen
Why do foreign-born immigrant workers often concentrate in low-wage, minority-dense workplaces? Do immigrants’ native-born children—who typically acquire better language skills, education, and country-specific knowledge—experience improved access to workplaces in the mainstream economy? Using economy-wide linked employer–employee administrative data from Norway, we analyze both ethnic and economic workplace segregation across immigrant generations. We find that, on average, 32% of immigrants’ coworkers and 16% of second-generation immigrants’ coworkers have immigrant backgrounds, compared to 7% for natives. In terms of economic segregation, the average percentile rank of coworkers’ salaries is 36, 49, and 52 for immigrants, children of immigrants, and natives, respectively. A formal decomposition analysis shows that differences in employee, workplace, and residential location characteristics collectively explain 54–74% of ethnic and 79–84% of economic workplace segregation for immigrants and their children. Key factors driving this segregation in both immigrant generations include education, occupational attainment, industry of employment, having an immigrant manager, and the concentration of immigrant neighbors. This suggests that both skill-based sorting and network-related processes contribute to immigrant–native workplace segregation. However, children of immigrants’ improved access to less immigrant-dense and higher-paying workplaces, compared to immigrants, is primarily driven by differential skill-based sorting (i.e., higher education and shifts in occupation and industry placement). Our findings reveal a sharp decline in workplace segregation relative to natives as children of immigrants advance into the mainstream economy, highlighting the central role of assimilation in skill profiles for workplace integration across immigrant generations.
为什么外国出生的移民工人往往集中在低工资、少数族裔密集的工作场所?移民在本地出生的子女通常获得了更好的语言技能、教育和特定国家的知识,他们进入主流经济工作场所的机会是否得到了改善?我们利用挪威整个经济范围内的雇主-雇员关联行政数据,分析了跨移民世代的种族和经济工作场所隔离情况。我们发现,平均而言,32% 的移民同事和 16% 的第二代移民同事具有移民背景,而本地人的这一比例仅为 7%。在经济隔离方面,移民、移民子女和本地人同事工资的平均百分位数分别为 36、49 和 52。一项正式的分解分析表明,雇员、工作场所和居住地点特征的差异共同解释了移民及其子女工作场所种族隔离的 54-74% 和经济隔离的 79-84%。导致这两代移民出现隔离的主要因素包括教育程度、职业成就、就业行业、是否有移民经理以及移民邻居的集中程度。这表明,基于技能的分拣和与网络相关的过程都是造成移民-本地人工作场所隔离的原因。然而,与移民相比,移民子女更容易进入移民密度较低、薪酬较高的工作场所,这主要是由基于技能的不同分拣(即高等教育以及职业和行业安排的转变)所驱动的。我们的研究结果表明,随着移民子女进入主流经济,相对于本地人的工作场所隔离现象急剧下降,这凸显了同化技能概况对跨代移民工作场所融合的核心作用。
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引用次数: 0
Defenders of the status quo: energy protests and policy (in)action in Sweden 现状的捍卫者:瑞典的能源抗议和政策(不)行动
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-11-16 DOI: 10.1093/sf/soae166
Katrin Uba, Cassandra Engeman
Are the positions that protesters take—in favor or against change—consequential for their ability to affect policy? While previous research suggests that protests can inform legislative priorities and facilitate policy introduction, this paper emphasizes policy inaction and stasis as goals of some protest actions. Analysis uses novel and detailed data on energy-related protest and policy actions in Sweden covering a forty-year period and considers protest frequency and size in relation to proposal introduction. The research design uniquely distinguishes between protests in favor or against a specific energy source and proposal activity in line with those demands and also controls for public opinion on each energy source. Findings suggest that pro-renewable energy protests do not yield pro-renewable policies but prevent undesired policies that support non-renewable energy sources. In contrast to pro-renewable protests, protests against renewable energy sources are somewhat more influential. They likewise prevent the introduction of their undesired proposals and also influence the introduction of proposals supporting non-renewable energy sources. Overall, the paper examines policy inaction as a desired protest outcome and argues protest—as a tactic—may be more effective when pushing against rather than for policy change.
抗议者所持的立场--赞成或反对变革--对他们影响政策的能力有影响吗?以往的研究表明,抗议活动可以为立法重点提供信息并促进政策出台,而本文则强调政策不作为和停滞不前是某些抗议活动的目标。分析使用了瑞典四十年来与能源相关的抗议和政策行动的新颖而详细的数据,并考虑了抗议频率和规模与提案出台的关系。研究设计独特地将支持或反对特定能源的抗议活动与符合这些要求的提案活动区分开来,同时还控制了公众对每种能源的看法。研究结果表明,支持可再生能源的抗议活动不会产生支持可再生能源的政策,但会阻止支持不可再生能源的不良政策。与支持可再生能源的抗议活动相比,反对可再生能源的抗议活动影响更大。它们同样阻止了那些不受欢迎的提案的出台,同时也影响了支持不可再生能源提案的出台。总之,本文将政策不作为作为一种理想的抗议结果,并认为抗议作为一种策略,在推动政策变革时可能更有效。
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引用次数: 0
A room of one’s own? The consequences of living density on individual well-being and social anomie 自己的房间?居住密度对个人福祉和社会失调的影响
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-11-14 DOI: 10.1093/sf/soae163
Sinisa Hadziabdic, Sebastian Kohl
The global housing affordability crisis and COVID shutdowns have put living space inequality back on the political agenda. Drawing on Durkheim’s theory of anomie and density, this paper argues that on how many square meters a society lives matters for how stable or anomic it develops. Using data from the Swiss Household Panel, we examine the selection, short-term, and dynamic effects associated with transitions to overcrowded and under-occupied dwellings. We conceptualize these transitions as disruptive events that require a reconfiguration of personal and social equilibria in individuals’ lives. While overcrowded housing leads to a heightening of emotional states and more tense internal household dynamics, people respond by adjusting their leisure activities and restructuring their support networks from strong to weak ties. Conversely, moving to an under-occupied dwelling is associated with melancholic emotional stabilization, but improves household balance and leads to consolidation of the core network of relatives at the expense of outer social circles. We conclude that the classical characterization of anomie as a mismatch between personal means and societal ends should be understood as a multifaceted phenomenon in which meso-level social networks can be a crucial means to cope with disruptions that arise at other levels.
全球住房可负担性危机和 COVID 的关闭将居住面积不平等问题重新提上了政治议程。本文借鉴了杜克海姆的反常和密度理论,认为一个社会的稳定或反常发展取决于居住面积的多少。我们利用瑞士家庭小组的数据,研究了与过渡到过度拥挤和居住不足的住宅相关的选择、短期和动态效应。我们将这些转变概念化为破坏性事件,需要重新配置个人生活中的个人和社会平衡。过度拥挤的住房会导致情绪状态加剧,家庭内部动态更加紧张,人们会通过调整休闲活动和重组支持网络(从强关系到弱关系)来应对。与此相反,搬到居住条件较差的住房则会导致忧郁情绪的稳定,但同时也会改善家庭平衡,并以牺牲外围社交圈为代价巩固核心亲属网络。我们的结论是,反常现象的经典特征是个人手段与社会目的之间的不匹配,应将其理解为一种多层面现象,在这种现象中,中观层面的社会网络可以成为应对其他层面出现的混乱的重要手段。
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引用次数: 0
Can fertility decline help explain gender pay convergence? 生育率下降是否有助于解释男女薪酬趋同的原因?
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-11-01 DOI: 10.1093/sf/soae153
Alexandra Killewald, Nino José Cricco
Prior scholarship demonstrates that motherhood wage penalties and fatherhood wage premiums contribute to the gender pay gap. These analyses typically take a cross-sectional perspective, asking to what extent gender inequalities in the association between parenthood and wages can explain gender pay inequality for a given cohort or at a given moment in time. By contrast, explorations of gender pay convergence over time have tended to start at the firm’s door, testing the explanatory power of changes in men’s and women’s human capital and job characteristics and neglecting the contributions of fertility change. We bring these two strands of research together, asking to what extent declines 1980–2018 in US employees’ number of children can explain gender pay convergence over the same period. Using a descriptive decomposition and data from the Panel Study of Income Dynamics, we show that, in gross terms, fertility decline can explain almost one-quarter of gender pay convergence from 1980 to 2018. Even net of a host of controls for human capital and job characteristics, fertility decline explains 8 percent of the attenuation of the US gender pay gap 1980–2018—about half as much as changes in education and about a quarter as much as changes in full-time work experience and job tenure combined. Finally, we show that employees’ fertility decline was fastest in the 1980s and subsequently slowed; this, in conjunction with persistent gender differences in parenthood–wage associations, helps explain stalled progress toward gender pay parity.
以往的研究表明,母亲的工资惩罚和父亲的工资溢价造成了性别薪酬差距。这些分析通常从横截面的角度出发,询问父母身份与工资之间的性别不平等在多大程度上可以解释特定队列或特定时刻的性别薪酬不平等。相比之下,随着时间的推移,对性别薪酬趋同性的探索往往从公司开始,检验男性和女性人力资本和工作特征变化的解释力,而忽视生育率变化的贡献。我们将这两方面的研究结合起来,询问 1980-2018 年美国雇员子女数量的下降在多大程度上可以解释同期的性别薪酬趋同。利用描述性分解和《收入动态面板研究》(Panel Study of Income Dynamics)的数据,我们表明,从总体上看,生育率下降可以解释 1980 年至 2018 年近四分之一的性别薪酬趋同。即使不考虑一系列人力资本和工作特征的控制因素,生育率下降也能解释 1980-2018 年美国性别薪酬差距 8% 的衰减--约为教育变化的一半,约为全职工作经验和工作年限变化总和的四分之一。最后,我们表明,雇员生育率的下降在 20 世纪 80 年代最快,随后放缓;这一点与父母身份-工资关联中持续存在的性别差异相结合,有助于解释在实现男女薪酬平等方面停滞不前的进展。
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引用次数: 0
Double standards in status ascriptions? The role of gender, behaviors, and social networks in status orders among adolescents 地位描述中的双重标准?性别、行为和社交网络在青少年地位排序中的作用
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-10-29 DOI: 10.1093/sf/soae145
Mark Wittek, Xinwei Xu
We examine the gendered distribution of peer-ascribed status in schools. Using network data from more than 14,000 students in 676 classrooms, we explore gender differences in the ascription of status and the types of behavior rewarded with status. On average, girls receive slightly fewer status ascriptions than boys, and students tend to grant status more frequently within the same gender. Contextual analyses show that classroom demographics can moderate some of these patterns. We also uncover gender-specific differences and similarities in status-related behaviors. Notably, girls engaging in substance use are awarded with slightly more status ascriptions than boys. However, network models reveal that most behaviors affect peer status similarly for both genders, suggesting that previous findings of gender-behavioral differences based on regression analysis may be conflated with network processes. Our study updates long-held notions regarding gendered status orders in schools and highlights the value of a multidimensional approach to status processes. We discuss implications for future social network research on status ascriptions and other relational cognitions and consider how school-based interventions might benefit from our findings.
我们研究了学校中同伴赋予地位的性别分布情况。利用来自 676 个班级 14000 多名学生的网络数据,我们探究了在地位赋予和获得地位奖励的行为类型方面的性别差异。平均而言,女生获得的地位描述略少于男生,而且学生倾向于在同一性别内更频繁地授予地位。情境分析表明,课堂人口统计学可以缓和其中的一些模式。我们还发现了与地位相关行为的性别差异和相似性。值得注意的是,与男生相比,使用药物的女生获得的地位描述略多。然而,网络模型显示,大多数行为对两性同伴地位的影响是相似的,这表明以前基于回归分析得出的性别差异可能与网络过程相混淆。我们的研究更新了长期以来关于学校中性别地位排序的观念,并强调了从多维度研究地位过程的价值。我们讨论了未来关于地位描述和其他关系认知的社会网络研究的意义,并考虑了如何从我们的发现中受益于基于学校的干预措施。
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引用次数: 0
Intergenerational family life courses and wealth accumulation in Norway 挪威代际家庭生活历程与财富积累
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-10-19 DOI: 10.1093/sf/soae151
Bettina Hünteler, Theresa Nutz, Jonathan Wörn
While prior research has widely acknowledged the consequences of specific family transitions (e.g., parental death, parenthood, grandparenthood) for individual wealth holdings, the interplay of multiple family transitions and positions occurring at different life stages and in various orderings has received little attention. This is despite the fact that these transitions and positions most likely jointly shape wealth accumulation, both in the shorter and longer run. We apply (1) sequence analysis to identify typical family life course clusters defined by the timing of the death of the parent generation, the timing of the transition into parenthood, and grandparenthood and (2) regression analysis to describe how the accumulation of wealth between ages 40 and 64 differs by family life course cluster. Using Norwegian register data of individuals born in 1953 (N = 47,945), we identified six clusters of family trajectories ranging from childless individuals to individuals who were sandwiched between their parents, children, and grandchildren because of relatively early (grand)parenthood and late parental death. Individuals experiencing patterns with a later transition into (grand)parenthood occupied stable and high wealth positions over time. Individuals without children exhibited a steady increase in their wealth position. Additionally, experiencing parental death later in life was associated with increasing wealth, whereas early parental death was not. These results held net of gender and education. Pronounced and even increasing wealth differences over the life course seem to be associated with the interplay of multiple family transitions.
以往的研究普遍承认特定的家庭转变(如父母去世、为人父母、为人祖父母)对个人财富持有的影响,但在不同人生阶段以不同顺序发生的多种家庭转变和地位的相互作用却很少受到关注。尽管这些转变和地位很可能在短期和长期内共同影响财富的积累。我们采用(1)序列分析法来确定典型的家庭生命历程群组,这些群组由父母一代的死亡时间、转变为父母的时间以及成为祖父母的时间所界定;(2)回归分析法来描述不同家庭生命历程群组在 40 岁至 64 岁之间的财富积累有何不同。我们利用挪威1953年出生的个人登记数据(N = 47,945),确定了六个家庭轨迹群组,既有无子女的个人,也有因相对较早成为(祖)父母和父母较晚去世而夹在父母、子女和孙辈之间的个人。随着时间的推移,较晚转变为(孙)父母的个人占据了稳定和较高的财富地位。没有子女的个人的财富地位则稳步上升。此外,父母晚年去世与财富增长相关,而父母早年去世则与财富增长无关。这些结果与性别和教育程度无关。生命过程中明显的甚至是不断增加的财富差异似乎与多种家庭转变的相互作用有关。
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引用次数: 0
Why do partners often prefer the same political parties? Evidence from couples in Germany 为什么伴侣往往喜欢相同的政党?来自德国夫妇的证据
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-09-19 DOI: 10.1093/sf/soae133
Ansgar Hudde, Daniela Grunow
Research has demonstrated that couples have similar partisan preferences, a finding associated with political polarization. However, it remains debated to what extent different mechanisms contribute to this homogamy. Analyzing dyadic panel data from the German Socio-Economic Panel 1984–2020, we distinguish analytically between (1) direct political matching (i.e., partner selection on matching party preferences); (2) indirect political matching (i.e., social structural homogamy with political homogamy as a by-product); and (3) couples’ political alignment over time, to explain party preference similarity. First, we study matching among recently formed couples using an innovative method that compares real-world couples with three types of counterfactuals: couples that are matched (1) randomly, (2) by multidimensional social structural characteristics, and (3) by maximizing similarity in party preference. Second, we study couples’ political alignment over the course of relationships, tracking real-world couples over time and controlling for macro-level changes in the party-political landscape. Results indicate substantial political homogamy among recently formed couples, which is best explained by political matching (i.e., direct selection based on partisan preferences). Effects of social structural homogamy appear weak in comparison and rather stable across cohorts. Couples further align in their partisan preferences over time, but this effect is countered by an increasing heterogeneity of the German political landscape.
研究表明,夫妻双方具有相似的党派偏好,这一发现与政治极化有关。然而,不同的机制在多大程度上促成了这种同质性,目前仍存在争议。通过分析 1984-2020 年德国社会经济面板研究(German Socio-Economic Panel 1984-2020)中的夫妇面板数据,我们在分析中区分了(1)直接政治匹配(即在匹配党派偏好的基础上选择伴侣);(2)间接政治匹配(即作为政治同配副产品的社会结构同配);以及(3)夫妇随着时间推移的政治一致性,以解释党派偏好的相似性。首先,我们使用一种创新方法来研究新近结成的夫妻之间的匹配情况,该方法将现实世界中的夫妻与三种反事实夫妻进行比较:(1) 随机匹配的夫妻,(2) 根据多维社会结构特征匹配的夫妻,(3) 根据政党偏好相似性最大化匹配的夫妻。其次,我们研究了夫妻在恋爱过程中的政治倾向,对现实世界中的夫妻进行了长期跟踪,并对政党政治格局的宏观变化进行了控制。结果表明,在新近结成的夫妻中,政治上的同质性很高,而政治匹配(即基于党派偏好的直接选择)可以很好地解释这一点。相比之下,社会结构同质性的影响似乎较弱,而且在不同组群中相当稳定。随着时间的推移,夫妻双方的党派偏好进一步趋于一致,但德国政治格局的日益异质性抵消了这一效应。
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引用次数: 0
Pay talk in contemporary workplaces 当代工作场所的薪酬问题
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-09-10 DOI: 10.1093/sf/soae130
Patrick Denice, Jake Rosenfeld, Shengwei Sun
Drawing on a unique survey of US workers with information about their employers’ policies on pay discussions and whether workers engage in such talk with their coworkers, we provide the most comprehensive investigation into pay talk in workplaces to date. Unlike existing treatments, we focus on core organizational and relational factors that influence whether workers talk about pay. We theorize pay talk as a challenge to managerial discretion, and we hypothesize that organizational attributes related to pay-setting influence workers’ willingness to discuss wages and salaries with colleagues. Managers, in turn, combat such challenges to their discretion by instituting pay secrecy rules. Particular relational factors within organizations are related to workers’ violations of these rules. Findings indicate that the likelihood of pay discussions varies by workplace pay secrecy rules, managerial relations within organizations, and, in certain model specifications, sector and career turning points. Among status characteristics, only age is associated with discussing pay, with younger workers significantly more likely to talk about pay and to violate organizational rules meant to suppress pay discussions.
通过对美国工人进行的一项独特调查,我们获得了有关雇主的薪酬讨论政策以及工人是否与同事进行薪酬讨论的信息,从而对工作场所的薪酬讨论进行了迄今为止最全面的调查。与现有研究不同的是,我们关注影响工人是否谈论薪酬的核心组织和关系因素。我们将薪酬谈话理论化为对管理者自由裁量权的挑战,并假设与薪酬设定相关的组织属性会影响工人与同事讨论工资和薪金的意愿。反过来,管理者会通过制定薪酬保密规则来应对这种对其自由裁量权的挑战。组织内部的特定关系因素与工人违反这些规则有关。研究结果表明,薪酬讨论的可能性因工作场所的薪酬保密规则、组织内部的管理关系以及某些模型规格中的部门和职业转折点而异。在身份特征中,只有年龄与讨论薪酬相关,年轻工人更有可能讨论薪酬问题,也更有可能违反旨在抑制薪酬讨论的组织规则。
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引用次数: 0
Families of austerity: benefit cutbacks and family stress in the UK 紧缩家庭:英国福利削减与家庭压力
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-09-04 DOI: 10.1093/sf/soae126
Gabriele Mari, Renske Keizer
Benefit cutbacks have been prominent after the Great Recession. The Family Economic Stress Model (FESM) theorizes how financial losses such as those spurred by cutbacks might adversely affect parental and child well-being. Yet, few links with policy have been established. We extend current knowledge by comprehensively assessing how benefits cutbacks may affect parents and their adolescent children. We rely on the first ten waves of the UK Household Longitudinal Study (2009–2019) and an event-study approach to examine the aftermath of an exceptional raft of benefit cutbacks. We find that mothers with lower incomes and single mothers accumulated losses equal to 20–30 percent of their household benefit income. Mothers could not fully compensate for such benefit income losses via their extra earnings, despite increased workforce participation. Financial worries, some forms of material hardship, and mental health worsened among mothers with lower incomes and single mothers exposed to cutbacks. Adolescent socio-emotional difficulties also increased in the period. We find little evidence, though, that cutbacks disrupted parenting. Parents thus display more agency than that accorded by the FESM. Nonetheless, findings point to deepening socioeconomic divides in financial and mental well-being, questioning the rationale for cutbacks.
经济大衰退之后,福利削减现象十分突出。家庭经济压力模型(FESM)从理论上解释了经济损失(如削减福利所造成的损失)如何对父母和儿童的福祉产生不利影响。然而,很少有人将其与政策联系起来。我们通过全面评估福利削减如何影响父母及其青少年子女,扩展了现有知识。我们利用英国家庭纵向研究(2009-2019 年)的前十次波次,并采用事件研究的方法,对一系列特殊的福利削减措施的后果进行了研究。我们发现,收入较低的母亲和单身母亲累计损失相当于其家庭福利收入的 20%-30%。尽管增加了劳动力参与,但母亲们无法通过额外收入来完全弥补福利收入的损失。收入较低的母亲和受到削减影响的单身母亲的经济担忧、某些形式的物质困难和精神健康状况都有所恶化。在此期间,青少年的社会情感困难也有所增加。不过,我们几乎没有发现任何证据表明削减开支扰乱了养育子女的工作。因此,家长们所表现出的能动性要比 "家庭经济状况调查 "所赋予的更强。尽管如此,研究结果表明,在经济和精神福祉方面,社会经济鸿沟正在加深,这对削减开支的合理性提出了质疑。
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引用次数: 0
The promise and limits of inclusive public policy: federal safety net clinics and immigrant access to health care in the U.S. 包容性公共政策的承诺与局限:美国联邦安全网诊所与移民获得医疗保健服务
IF 4.8 1区 社会学 Q1 SOCIOLOGY Pub Date : 2024-09-03 DOI: 10.1093/sf/soae111
Emily Parker, Rebecca Anna Schut, Courtney Boen
In the United States, exclusionary public policies generate inequalities within and across labor, financial, and legal status hierarchies, which together undermine immigrant well-being. But can inclusive public policies improve immigrant health? We examine whether and how an immigrant-inclusive federal program, Federally Qualified Health Centers (FQHCs), shaped health care access and use among farmworkers over nearly three decades, paying particular attention to disparities at the intersection of nativity and legal status. Linking historical administrative data on the location and funding of FQHCs with the National Agricultural Workers Survey from 1989–2017, we first document trends in farmworkers’ county-level proximity to FQHCs and identify a steady increase in FQHC access among undocumented farmworkers following the Affordable Care Act. Next, using time-series cross-sectional regressions with a battery of fixed effects, we find that living in a county where FQHCs are available and better resourced is associated with increased health care use among undocumented farmworkers, but not among U.S.-born or documented immigrant farmworkers. We also find that county-level access to FQHCs is associated with reduced reports of language barriers to care among both documented and undocumented foreign-born farmworkers. These findings suggest that FQHCs may improve access for immigrants who are typically excluded from U.S. health care institutions. Still, county-level FQHC infrastructure is not associated with cost-related barriers to care for any nativity or legal status groups. Taken together, our study highlights both the potential and constraints of inclusive public policies for promoting health equity in a welfare state context characterized by commodification and stratification.
在美国,排斥性的公共政策造成了劳动、经济和法律地位等级内部和之间的不平等,共同损害了移民的福祉。但包容性公共政策能否改善移民的健康状况?我们研究了一项包容移民的联邦计划--联邦合格医疗中心(FQHCs)--是否以及如何在近三十年间影响了农民工获得和使用医疗服务的情况,尤其关注了原籍和法律地位交叉点上的差异。通过将有关 FQHC 位置和资金的历史行政数据与 1989-2017 年的全国农业工人调查联系起来,我们首先记录了农民工在县一级接近 FQHC 的趋势,并发现在《平价医疗法案》之后,无证农民工获得 FQHC 的机会稳步增加。接下来,通过使用一连串固定效应的时间序列横截面回归,我们发现,居住在有 FQHC 且资源较好的县,与无证农民工使用医疗服务的增加有关,但与美国出生或有证移民农民工的使用情况无关。我们还发现,在县一级使用联邦定点医疗保健中心与有证和无证外国出生的农民工在就医时遇到语言障碍的报告减少有关。这些研究结果表明,FQHC 可以改善通常被排除在美国医疗机构之外的移民的就医环境。尽管如此,对于任何国籍或法律地位的群体而言,县一级的 FQHC 基础设施都与成本相关的医疗障碍无关。综上所述,我们的研究强调了在以商品化和分层为特征的福利国家背景下,包容性公共政策在促进健康公平方面的潜力和制约因素。
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