American Sociological Association

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  1. Getting the Most Out of the U.S. Healthcare System

    Kids with life-threatening illnesses need cutting-edge technology and medical expertise, but families face uneven access and paths to such care.

  2. Civic Stratification and the Exclusion of Undocumented Immigrants from Cross-border Health Care

    This paper proposes a theoretical framework and an empirical example of the relationship between the civic stratification of immigrants in the United States, and their access to healthcare. We use the 2007 Pew Hispanic Center/Robert Wood Johnson Foundation Hispanic Healthcare Survey, a nationally representative survey of U.S. Latinos (N = 2,783 foreign-born respondents) and find that immigrants who are not citizens or legal permanent residents are significantly more likely to be excluded from care in both the United States and across borders.

  3. Cancer Diagnosis and Mental Health among Older White Adults: Moderating Role for Social Networks?

    Cancer is a life-changing condition for many American seniors, and a growing body of literature is assessing the mental health implications of living with the disease. This article builds from the well-known buffering hypothesis with insights from recent cancer research to investigate whether social networks moderate the association between cancer and mental health for older men and women.

  4. Defining the State from within: Boundaries, Schemas, and Associational Policymaking

    A growing literature posits the importance of boundaries in structuring social systems. Yet sociologists have not adequately theorized one of the most fraught and consequential sites of boundary-making in contemporary life: the delineation of the official edges of the government—and, consequently, of state from society. This article addresses that gap by theorizing the mechanisms of state boundary formation. In so doing, we extend culturalist theories of the state by providing a more specific model of how the state-society boundary is produced.

  5. The Origins of Race-conscious Affirmative Action in Undergraduate Admissions: A Comparative Analysis of Institutional Change in Higher Education

    What explains the rise of race-conscious affirmative action policies in undergraduate admissions? The dominant theory posits that adoption of such policies was precipitated by urban and campus unrest in the North during the late 1960s. Based on primary research in a sample of 17 selective schools, we find limited support for the dominant theory. Affirmative action arose in two distinct waves during the 1960s. A first wave was launched in the early 1960s by northern college administrators inspired by nonviolent civil rights protests in the South.

  6. Uncertain Expertise and the Limitations of Clinical Guidelines in Transgender Healthcare

    To alleviate uncertainty in the specialized field of transgender medicine, mental and physical healthcare providers have introduced the rhetoric of evidence-based medicine (EBM) in clinical guidelines to help inform medical decision making. However there are no diagnostic tests to assess the effectiveness of transgender medical interventions and no scientific evidence to support the guidelines. Using in-depth interviews with a purposive sample of 23 healthcare providers, I found that providers invoked two strategies for negotiating the guidelines.

  7. A Multilevel Test of Constrained Choices Theory: The Case of Tobacco Clean Air Restrictions

    According to Bird and Rieker’s sociology of constrained choices, decisions and priorities concerning health are shaped by the contexts—including policy, community, and work/family—in which they are formulated. While each level received attention in the original and subsequent research, we contend their constrained choices theory provides a powerful multilevel framework for modeling health outcomes. We apply this framework to tobacco clean air restrictions, combining a comprehensive database of tobacco policies with the National Longitudinal Survey of Youth 1997 from ages 19 to 31.

  8. Socioeconomic and Racial-ethnic Disparities in Prosocial Health Attitudes: The Case of Human Papillomavirus (HPV) Vaccination for Adolescent Males

    Research on prosocial attitudes, social networks, social capital, and social stratification suggest that lower–socioeconomic status (SES), Hispanic, and nonwhite individuals will be more likely than their higher-SES and non-Hispanic white counterparts to engage in health behaviors that serve a social good.

  9. Life Course Pathways of Economic Hardship and Mobility and Midlife Trajectories of Health

    We utilize over 40 years of prospective data from the Panel Study of Income Dynamics (N = 1,229) and repeated-measures latent class analysis to examine how long-term patterns of stability and change in economic hardship from childhood to adulthood are related to subsequent trajectories of midlife health.

  10. Sizing up Peers Adolescent Girls’ Weight Control and Social Comparison in the School Context

    Using the National Longitudinal Study of Adolescent Health and multi-level modeling, we examine the role of social comparison with schoolmates in adolescent girls’ weight control. Specifically, we focus on how girls’ own weight control is influenced by the body sizes and weight-control behaviors of their schoolmates. Our findings suggest that comparisons with similar others (in this case, girls of a similar body size) appear to have the strongest association with individual girls’ reports of trying to lose weight.