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. The Age-Graded Nature of Advice: Distributional Patterns and Implications for Life Meaning

    Drawing from life course, social networks, and developmental social psychology scholarship, this article considers how advice transmission varies across age groups and examines the age-contingent associations between advice-giving and life meaning. Binomial and ordered logistic regression using the 2006 Portraits of American Life Study (n = 2,583) reveal that adults in their twenties are most likely to report offering advice to multiple social targets.

  4. Who Are the People in Your Neighborhood? Neighborhood Age Composition and Age Discrimination

    Age discrimination is pervasive in the United States, yet little is known about the social contexts in which it occurs. Older persons spend much of their time in their neighborhoods, where a density of other older persons may protect against age discrimination. Extending group density theory to age, we analyze data from 1,561 older adults from the second wave of the National Survey of Midlife Development in the United States, using neighborhood-level data from the 2010 U.S. census.

  5. 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.

  6. Healthy Time Use in the Encore Years: Do Work, Resources, Relations, and Gender Matter?

    Social engagement is theorized to promote health, with ages 55 to 75—what some call “encore” adulthood—potentially being a time for ongoing engagement or social isolation. We use the American Time Use Survey (N = 11,952) and a life course perspective to examine associations between paid work, resources, relations, and healthy time use for men and women in the first (55–64) and second (65–74) halves of the encore years. Work limits sufficient sleep (full-time working men) and television watching (all workers) but also time spent in physical activity (full-time workers).

  7. Physical Disability and Increased Loneliness among Married Older Adults: The Role of Changing Social Relations

    Examining the social context of disablement, we investigated how changes in social relations affect loneliness among married older men and women. With longitudinal data on 914 married persons from the National Social Life, Health, and Aging Project (NSHAP), we found that changes in the quality of marital and nonmarital relations moderate the effect of disability on loneliness in unexpected ways. Increases in negative marital quality buffer the effect of physical disability, while increases in nonmarital support exacerbate it.

  8. The Social Connectedness of Older Adults: A National Profile

    For decades, scholars have wrestled with the assumption that old age is characterized by social isolation. However, there has been no systematic, nationally representative evaluation of this possibility in terms of social network connectedness. In this article, we develop a profile of older adults' social integration with respect to nine dimensions of interpersonal networks and voluntary associations. We use new data from the National Social Life, Health, and Aging Project (NSHAP), a population-based study of noninstitutionalized older Americans ages 57 to 85, conducted in 2005 to 2006.

  9. Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities: The Intersecting Consequences of Race, Gender, SES, and Age

    This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification additive or multiplicative? Second, does this combined inequality in health decrease, remain stable, or increase between middle and late life?

  10. 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.