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Recently I interviewed Debra Umberson, author of Death of family members as an overlooked source of racial disadvantage in the United States. She is a professor of Sociology and Director of the Population Research Center at The University of Texas at Austin, and last week we featured her study on this page. The study examined the grief and loss in Black families and linked them to racial differences in US life expectancy. We hear frequent news accounts of Black people dying due to police shootings along with other sources of untimely deaths. The reality of these multiplied deaths affect the Black community as a whole. Looking at movements such as Black Lives Matter and how conflicts surrounding race recently can no longer be swept under the rug, I wanted to learn more about research suggesting that Black Americans die at much higher rates than White Americans due to historical racial inequalities.

Q: Your study discusses the extreme racial disparities in exposure to the death of family members in non-Hispanic Blacks compared to whites. What brought you to investigate this topic?

DU: Several things came together to lead me to this topic. First, several years ago, I conducted in-depth interviews with Black and White respondents to learn more about how early family relationships influence health habits throughout the life course. Although it wasn’t a focus of the project, the interviews with Black respondents were filled with stories of grief and loss, starting when they were children. This was especially striking in that the Black and White respondents were very similar in education and income and the stories of White respondents rarely included stories of family member loss. Around the same time, more and more stories were surfacing in the media about premature and violent deaths of young Black men in the U.S. and their devastated parents were often featured in those reports. I started thinking about the significant Black-White race gap in U.S. life expectancy and realizing how much more pervasive loss must be in Black families.

Q: Although you hypothesized that the death of family members would be more common among Black Americans than among White Americans, did you find anything that surprised you?

DU: The extent of the race gap in loss was striking. I was somewhat surprised by how big the gap was in the risk of losing a child.  Blacks are about two and half times more likely than Whites to lose a child by age 30. Between the ages of 50 and 70, Blacks are 3 times more likely than Whites to lose a child. For most family member deaths, the race gap begins to close in later life as Whites begin to more family members but that’s not the case for death of a child. Whites are much more likely than Blacks to never lose a child in their lifetime.

Q: In the context of current events such as deaths by the police, a rise in the Black Lives Matter movement, and police brutality, what is next on your research agenda?

DU: Our next step is to consider how exposure to family member deaths may contribute to racial disparities in wide-ranging life outcomes including mental health, physical health, and mortality risk. We will also consider how these effects differ for men and women across the life course. Since we know that even one family member death – whether a spouse, a child, or a parent — has significant adverse effects on health and well-being, we expect that more frequent and earlier family member losses contribute to racial disparities in health.

Bereavement rates, health & racial inequality, and criminal victimization mentioned in this research all illustrate a tragic point of view for Black Americans in the United States. With Black Americans in the news constantly this creates a sense of strain, “collective loss, and personal vulnerability” within the Black community.  If Black Americans have family members—whether that be a spouse, a child, or a sibling—dying earlier in their lives, these losses only create a lifelong ripple effect for generations and reoccurring disadvantages. Whatever can help: policies, interventions, or a simple acknowledgment of bereavement and loss in these populations must be taken into effect—and fast.

Tasia Clemons is a Senior sociology major at Framingham State University, an Administrative Resident Assistant, and a CCF Public Affairs Intern.

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Originally posted 2/10/2017 

One consequence of racial inequalities in the United States is that black Americans die at much higher rates than white Americans. New research by UT Austin’s Debra Umberson and colleagues explores some understudied consequences of this. Umberson’s team finds that black Americans are more likely to lose their parents during childhood than white children. Furthermore, black Americans are more likely to experience the death of multiple close family members by mid-life. Along with the sheer tragedy, in the long run these losses have the potential to damage the health of black Americans. Bereavement following the death of just one family member has shown to have lasting adverse consequences for the health of the individual, with premature deaths having an even larger impact.

Using the National Longitudinal Study of Youth and Health and Retirement Study totaling 42,000 people, the researchers compared non-Hispanic black and non-Hispanic white Americans on their exposure to death of family members and total number of deaths experienced at different ages. The study shows that black Americans were twice as likely as white Americans to experience the death of two or more family members by the age of 30. Black Americans born in the 1980s were three times more likely to lose a mother, more than twice as likely to lose a father, and 20 percent more likely to lose a sibling by age 10. The race gap diminishes slightly at age 70. At that point, whites begin to exceed blacks in experiencing loss. However, black Americans experienced more family member deaths than white Americans overall.

This racial disparity in family member death rates paints a stark picture of black health disadvantages. Death of family members puts strain on other family relationships. This strain often persists throughout a lifetime, thus adding to even more trouble. As Umberson and colleagues emphasize bereavement is a known risk factor for mental and physical health having an even greater impact if it occurs during childhood or early adulthood. The loss-upon-loss quality of this result sets up another reinforcing cycle. Racial inequalities contribute to a high death rate for black Americans. And they add another racial inequality all together; health disadvantages due to the loss of family members.

We also featured an interview with Dr. Umberson about her research.

Megan Peterson is a 2017 sociology graduate of Framingham State University and a Council on Contemporary Families Public Affairs and Social Media Intern.

 

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Most people know that there’s a long and persistent history of racial and ethnic segregation in the United States. There’s less awareness of segregation of gays and lesbians, and gay neighborhoods often get treated as simply a matter of “choice”— much the way that queer identities have historically been treated as a “choice.”

Is it the case that gays and lesbians simply gravitate to similar areas and form gay “enclaves,” or is the segregation of gays and lesbians related to systematic inequalities? According to new work in Population Review by Dudley L. Poston Jr.D’Lane R. Compton, Qian Xiong, and Emily A. Knox, it’s a little of both.

To a degree, discrimination drives the segregation of gays and lesbians. The researchers point to religious intolerance and recent anti-sodomy laws as evidence that gays and lesbians are systematically excluded from some heterosexual communities. But Poston Jr. and colleagues don’t reject the possibility that some gays and lesbians segregate voluntarily. As homophobia decreases, gays and lesbians may still wish to take advantage of the “protective shield and social support” and “stronger political voice” afforded by self-segregation.

It’s likely that the dynamics of segregation might be different for gays and lesbians. Lesbians are more likely to have kids, and thus might voluntarily congregate in places with better school districts. But they’re also more likely to live in poverty than gay men, which leads to fewer living options.

Poston Jr., Compton, Xiong, and Knox examined the relationship between factors related to racial segregation and segregation by sexuality among 100 metropolitan areas with large gay and lesbian populations, using American Community Survey data from 2008 to 2012. The researchers estimated the percentage of gay or lesbian households that would have had to relocate within that metropolitan area for the number of same-sex and different-sex households to be proportional.

In all metropolitan areas examined, gay and lesbian households were segregated from heterosexual ones. On average, about 75 percent of gay male and 69 percent of lesbian couple households would have had to relocate within their metropolitan area to eliminate neighborhood segregation. The lowest estimate of segregation was between lesbians and different-sex couples in Madison, Wisconsin. Even there, though, just over half of lesbian households would have had to relocate for there to be no segregation.

Gay male households were more segregated from heterosexual households than were lesbian couple households in most cases. Provo-Orem, Utah, had the most segregation by sexuality: More than 90 percent of gay male households would have had to relocate to be proportional to heterosexual married and cohabiting couples in the population.

Gay and lesbian households are segregated from each other, too. In El Paso, Texas, which had the most segregation of same-sex households by gender, there was almost complete segregation between lesbians and gay men.

What factors predicted increased segregation between same-sex and different-sex households? For gays and lesbians, high prevalence of gay/lesbian couple households, high rates of Republican voters and Southern Baptists, and high poverty rates in their metropolitan areamade segregation more likely.

For gay men, they also found high population density, anti-sodomy laws, and a lack of non-discrimination laws predictive of increased segregation.

For lesbian households, high racial segregation also made their segregation from different-sex households more likely.

The only factors that predicted segregation between gay male and lesbian households were the gay male prevalence rate and the poverty rate. As the proportion of gay males in an area increased, segregation between gay male and lesbian couple households decreased. Conversely, as the poverty rate in an area increased, segregation of these two groups also increased.

The salience of poverty rates in these patterns suggests that segregation by sexuality is fueled at least partially by inequalities rather than the choices of gay and lesbian couples. But, to the extent that they have the option, gay and lesbian couples might choose to live in areas where they share political ideologies with others and can avoid discrimination.

There are still unexplained factors related to segregation by sexuality. Earlier qualitative research comparing the Castro with other gay enclaves, for example, found that what draws residents toward specific areas varies by the community, often in conjunction with more specific intersecting identities of the gays and lesbians that predominate in each space. Future research could examine individual communities to better understand how inequalities may be perpetuated through the residential patterns of gays and lesbians. But amid researchers’ calls for more research on the geographic distribution of gays and lesbians, there’s currently a policy shift away from data collection on LGBTQ demographics. The findings in this research by Poston Jr., Compton, Xiong, and Knox highlight that data on where sexual minorities live is crucial for understanding, and thus addressing, inequality more generally.

Braxton Jones earned his MA in Sociology at the University of New Hampshire, and will begin a doctoral program at Boston University in the fall. He serves as a CCF Graduate Research and Public Affairs Scholar. 

Sociologist Joan Maya Mazelis, author of Surviving Poverty: Creating Sustainable Ties among the Poor, is an Associate Professor of Sociology at Rutgers University-Camden. Her research examines the experiences of people in poverty and the role of social ties in their struggles to survive. In her recently published Washington Post Op-ed she critiques the idea that having the right mind-set can help poor people escape poverty, and discusses her research findings that poor people often blame themselves for their circumstances. As a family sociologist, I was interested in finding out more about the social ties that poor people have, or avoid, and how those ties (or lack thereof) can contribute to poverty or alleviate its effects. I was recently able to interview her about her work:

AK: In your recently published book Surviving Poverty: Creating Sustainable Ties among the Poor, you interview people who are experiencing severe poverty. For some of them, a major factor in the difficulties they experience is not having family ties at all, or not having family members who are willing to help them. Some of your interviewees went on to form long term family-like ties with others that you call “sustainable ties” after joining a poor people’s organization that helped them form those ties.

What do your findings tell us about the importance of family ties or other “sustainable ties” and their connection to falling into and getting out of poverty?

JMM: Ties with others are incredibly important for those struggling financially. Social ties may not help people  escape poverty, but they can help them cope with its worst consequences. One of the most vital ways social ties protect people is helping them to avoid homelessness. For people who live from one paycheck to the next, a missed paycheck due to an illness or other crisis can lead to eviction. But people in this situation might avoid homelessness  if family members can loan them money for rent. And if no one can help with money, family members  might provide a place to stay temporarily, allowing them to avoid living on the street. Many of my research participants who didn’t have family to rely on had experienced homelessness.

Sometimes family ties aren’t as positive as we wish they would be. One participant, Rosa, told me about the time she asked to shower at a cousin’s house; the cousin wanted to charge her and her daughter money for the water they used. Alyssa lived for a time with family members but had to turn over much of her wages to them to do so.

But social ties with people who aren’t family can easily dissolve, especially given the pressure that extreme poverty places on them. Many participants described how this had happened in the past when they relied on non-kin ties. Sustainable ties are ties between people who aren’t family, but last for a long time. In my research, I found that the Kensington Welfare Rights Union (KWRU), which brought poor people together in the fight to survive, fostered such sustainable ties between members. Some of these ties have lasted for decades.

KWRU provided housing for members who needed it, and thus filled a void for those who didn’t have family to rely on. As Pauline told me, “when my family didn’t give me nowhere to stay [KWRU] did, and I need somewhere to sleep for my kids. .  .  . When I came here they treated me like a family, like I was part of their little family.” Sustainable  ties people built through KWRU made an enormous difference in members’ lives.

AK: What are some of the differences you found between poor people who were able to build “sustainable ties” through the organization you studied, and poor people who weren’t members of that organization?

JMM: One of the main differences is that those in the organization felt less alone. They had a real sense of community. They also felt enveloped by social support, because they weren’t relying on just one tie. Most of those who weren’t in the organization did have family to rely on, but usually just one or two kin ties. Often those kin ties created a lot of negative feelings, in which family members helped only grudgingly, or the help came with guilt, shame, and strings attached.

People usually turned to KWRU when they were desperate, and therefore the people I interviewed who weren’t members of KWRU were generally a little bit better off—almost all of them had lived with family members as adults and many received other kinds of support from family, like free child care for their kids while they went to work or school.

AK: When doing the research for this book, what important lessons did you learn about addressing poverty and building “sustainable ties” that may be useful for other poor people’s organizations, policy makers, or the average person going through tough financial times?

JMM: One of the key lessons is the importance of reciprocity in building ties that last. Giving back—helping other members, volunteering in the office, and attending rallies—functioned like monetary dues in KWRU. This increased the number of people KWRU could help. It also made members feel better about getting help and helped to foster a sense of community. Organizations that serve poor people could ask them to do small things to invest in additional help and build ties with other clients based on this model.

Policy makers must understand, however, that fundamental needs have to be addressed first. Social ties can do a lot, but they can’t do everything. We need more income supports, child care subsidies, and widely accessible affordable housing. While KWRU members did build sustainable ties with minimal governmental support, their feelings about mutual support outside of KWRU as well as the experiences of those I interviewed who weren’t members of KWRU suggest that desperate poverty makes it very difficult to rely on one another. Positive social policies addressing fundamental needs would take the pressure off; people could be there for each other without worrying about being completely drained.

In terms of what the average person going through tough financial times can do, it’s so easy and common to want to withdraw from other people when you’re struggling financially. People feel embarrassed; they blame themselves, even when larger forces are at work, like a high unemployment rate. I found many participants in my study had done this, and it increased their desperation and depression. So to people going through tough times, I would say, remember that you’re not alone. And everyone needs help sometimes. Don’t be afraid to look for the right community and reach out to it.

Joan Maya Mazelis is Associate Professor of Sociology and an affiliated scholar at the Center for Urban Research and Education at Rutgers University-Camden. Her book, Surviving Poverty: Creating Sustainable Ties among the Poor, is available from NYU Press. Follow her on Twitter @JoanieMazelis. Arielle Kuperberg is an Associate Professor of Sociology at the University of North Carolina at Greensboro. Follow her on twitter at @ATKuperberg.

 

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New research in the Journal of Marriage and Family by Hui Liu and Lindsey Wilkinson reveals that married trans people (and particularly trans women) experience less discrimination than those who are unmarried. This doesn’t mean that marriage per se is what protects trans people from discrimination. As with other work examining the benefits of marriage, the issue of “selection into marriage” – or the idea that being well-off is a precursor to, rather than a result of marriage – seems to come up for trans women as well. “Transition stage,” or the extent of a respondent’s transgender visibility, as well as income and health insurance access, was linked to perceived discrimination more so than marital status. In the end, a few differences between married vs. cohabiting vs. previously-married trans people remained, but those who were never married at all perceived nearly the same (lower) amount of discrimination as married respondents.

The data come from the National Transgender Discrimination Survey, a non-representative sample of 6,456 respondents collected between 2008 and 2009. The analyses are based on a sub-sample of 4,286 transgender (thus, excluding people who identify as non-binary) respondents who sufficiently answered questions about marital status and their perceptions of discrimination in the areas of work, family, public accommodations, and health care. In addition to analyzing the relationship between marital status and discrimination for the entire trans sample, the authors looked for differences by gender.

Initially, Hui and Wilkinson found the hypothesized differences by marital status: trans people who were married experienced significantly less discrimination than those who weren’t. This would make sense, according to some sociological theorizing on marriage. On the one hand, being in a “stigmatized category” generates negative effects, including discrimination (per the minority stress perspective). Yet, if one follows the marital advantage theory, that observes that there are distinct economic and social benefits to marriage, it appeared to be the case that marriage protects against transphobic discrimination. Before engaging this possibility, though, the authors accounted for other factors beyond marital status that could conceivably relate to discrimination against trans people.

Hui and Wilkinson understand that not all trans people are the same, and investigated the impact of transition stage on perceived discrimination, including how well the respondent “passed,” whether the respondent had medically transitioned, and whether they were out about their trans identity. Some of the power previously attributed to marital status was shifted after accounting for transition stage, because married people generally had characteristics that were less conducive to discrimination than those who weren’t married. Married trans women, for example, were less likely to live full-time as transgender or to be out about their trans identity than individuals in other categories, and rated their visual conformity higher than those who were never- or previously-married.  

 When taking transition stage into account, the “benefits” of marriage were still present, but they were reduced. Previously-married and cohabiting respondents still perceived more discrimination than married respondents in three out of the four areas each, but the disparities were less drastic. Never-married trans people reported nearly the same perception of discrimination as married trans respondents in all cases except for family discrimination. With family discrimination – indicated by relationship dissolution and family- and court-based restrictions on being with children – never-married respondents experienced more discrimination than those who were married. In other words, marriage for trans people was associated with also being more conventional; that conventionality—more so than marriage itself—explained the lower level of perceived discrimination, particularly for women.

There is also economics. Married trans men and women were better off, and this may have made a difference for perceptions of discrimination too. In the National Transgender Discrimination Survey sample, for example, the median family income for married trans women was at least $30,000 more than for unmarried respondents. More than 90 percent of married trans women had health insurance, compared to only 76 percent of those who weren’t married.  The greater economic and insurance advantages held by married trans women, Hui and Wilkinson found, helped to explain why they felt less discrimination. After considering economic resources, there were very few differences in discrimination by marital status. Still, cohabiters experienced more discrimination in family and public accommodations, and those who were previously married experienced more family discrimination, when compared to married trans people. There were no differences in perceived discrimination in work, family, public accommodations, or health care between never-married and married trans people.

The few remaining differences in discrimination by marital status were mostly confined to trans women. Even before considering transition stage and economic resources, there were fewer differences in discrimination by marital status for trans men, and these were mostly in the family. After accounting for socio-demographics, transition stage, and economic factors, married and unmarried trans men did not perceive differences in discrimination in work, health care, or public accommodations. In the final model, the only difference in perceived discrimination by marital status for trans men was that previously-married trans men experienced more family discrimination than married trans men. There are many possible explanations for why there were fewer differences in discrimination by marital status for trans men when compared to women. It could relate to findings that trans men generally experience less discrimination than trans women. It may also be because there were fewer differences by trans men’s marital status on other key explanatory variables. Unlike for women, for example, there were no differences for men in being out as transgender by marital status in any of the four areas studied by the researchers.

Hui and Wilkinson ask the question, “Does marriage matter?” In statistical models, and in predicting disadvantage, the answer is a qualified yes.  But it’s not quite clear, according to the authors, if marriage is responsible for reduced disadvantage, or if trans women with more disadvantage are simply less likely to marry in the first place. This means that, as with efforts to reduce disadvantage for cisgender couples, effective policy will likely require more than simply recommending marriage to trans individuals. By re-attributing much of the initial discrepancies in discrimination by marital status to economic factors, this research suggests that a fruitful avenue for reform will be addressing the economic injustices faced by trans people. In addition to transphobia, these economic injustices may actually contribute to the low ranking of trans people in the marriage market identified by the researchers.

Braxton Jones earned his MA in Sociology at the University of New Hampshire, and will begin a doctoral program at Boston University in the fall. He serves as a CCF Graduate Research and Public Affairs Scholar.

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Whether people are talking in 1997, 2007, or 2017, kids today are reckoned to be oversexed. In this past decade, media representation of teen mothers has hyped this idea using inaccurate stereotypes. A great rebuttal to move us beyond the “oversexed” cliché comes from Joyce C. Abma and Gladys M. Martinez. Their report for the Center for Disease Control (CDC) presents national estimates of sexual activity as well as contraceptive use among males and females.

The report summarized data collected using in-person interviews from 2011-2015 with people between ages 15 and 44. A total of 20,621 people were interviewed, including 4,134 teenagers. The teen group involved 2,047 women and 2,087 men.

They learned whether the respondent had ever had sex—and if so, whether they had had sex recently. Respondents who had ever had sexual intercourse were defined as “sexually experienced”; for these teens, researchers also learned how recently and how often they had had sex. These respondents were also asked about contraceptive methods they had used—if at all. In the report, they compared what they found to data from the 1988, 1995, 2002, and 2006 National Survey of Adolescent Males, which had been conducted by the Urban Institute. This way, they could learn really how the sex lives of kids today measure up with those of the past.

What differences were found… and were there any similarities? Rates of sexual experience across the years remained similar. In 2011—2015, 42.4 percent of never-married teen women and 44.2 percent of never married teen men were sexually experienced. And this was the same as a decade before, in the 2002 data, as well as the 2006-2010 data.

And, contraception use was up. Teen womens’ use of contraception increased from 74.5 percent in 2002 to 81 percent in 2011-2015. Teen men used condoms more, too, increasing from 70.9 percent in 2002 to 76.8 percent in 2011-2015.

Black women teens are slowing down, while white men teens speeding up. The researchers reported significant racial differences. For example, never-married non-Hispanic Black women teenagers decreased from approximately 57 percent sexually experienced in 2002 to 47 percent sexual experienced in 2011-2015. Conversely, never married non-Hispanic teen white men’s sexual experience increased from a rate of 37 percent in 2006-2010 to 43 percent in 2011-2015.

But it also looks like age plays a role.  They found that in 2011-2015, men were more likely than women to have had sexual intercourse during the ages of 15 and 16. Once they got to age 17, the probabilities were similar for both sexes. Specifically, 16 percent of men had sexual intercourse earlier compared with 11 percent of women, but by age 18, 55 percent of all teenagers were sexually experienced. Other factors included race, living situations, and parental education. The probability of having sexual intercourse by age 18 was high for non Hispanic Black teenagers when compared with non-Hispanic White and Hispanic teenagers, adolescents who did not live with both biological parents at age 14, and those who had mothers who did not attend college at all.

So, what exactly does this mean? It looks like adolescents are taking the steps they need to be protected: contraceptive use is up in both men and women. While both sexes have different rates of sexual experience and different contraceptive methods, this report suggests that “it gets better” – in the sense that teens are doing their share to promote sexual health.

Note for further consideration! It gets better might have another meaning too, not addressed in this study: in a 2014 study that looked at people starting at age 20, young people are having more oral sex and more oral sex as part of their sexual debut. This might factor into trends in teen sexual health, too.

Where do teens learn how to promote sexual health? Likely through messages provided through media, school, community, and family. Sounds like sex ed to me. To continue this good trend, this means we have to start separating the truth from stereotypes surrounding teenagers and see that sex education is valuable. Oh, and let’s make sure that sex ed addresses oral sex too!

Tasia Clemons is a Senior Sociology major at Framingham State University, an Administrative Resident Assistant, and a CCF Public Affairs Intern.

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We are still in a world of pain and wondering what will happen with health care. So let’s go over a few facts again. 

The opioid epidemic may be about to get worse. Under the new Republican administration, the Affordable Care Act and other policies to support families are under fire. To understand the impact Republican policy changes could have on the opioid epidemic we sought to learn more from someone who has studied it. Eliza Schultz is a Research Assistant for the Poverty to Prosperity program at the Center for American Progress. One of Eliza’s recent reports (with Katherine Gallagher Robbins) is How Republican Budget Cuts Would Make the Opioid Epidemic Even Worse. The report takes a more inclusive perspective on the impact of the opioid epidemic by addressing how it affects families and communities. When I spoke with Eliza she expanded on the opioid epidemics connection to family and community, what policymakers should be doing, and the threats to well-being that these Republican policies create.

Q: I know that you do policy research. So how did opioid addiction come up as a topi­­c––and how did you recognize it as a family and community issue (as opposed to a personal one)?

ES: Opioid use has escalated into a full-blown crisis in the United States—more than 30,000 people died from overdoses in 2015, and, in some pockets of the country, particularly rural ones, it’s ushered in mass trauma—so it’s hard to ignore. It’s been covered so widely in the media and on the campaign trail, but what makes this coverage noteworthy is that, for the first time, the consensus is that the epidemic has been spurred by factors outside the control of people struggling with addiction, like economic insecurity.

Historically, drug use has been framed as a personal failure. Take, for example, the crack-cocaine epidemic of the 1980s. The reaction was to incarcerate people, which, of course, decimated families and communities, compounding whatever havoc the drugs themselves wreaked. It’s fair to say racism played a huge role in these different responses because now that the face of a drug epidemic is white, the country is more sympathetic. This moment presents an opportunity to understand drug addiction in general—not just the opioid epidemic, and no matter who is most affected—not as a personal failure but as a symptom of larger issues, like the lack of good jobs, and address those root causes.

To me, it’s hard not to recognize substance abuse as an issue that impacts families and communities. A phenomenon like opioid use does not happen in isolation to individuals—it inevitably affects the people around them. Adequate solutions to drug epidemics need to acknowledge and support those families and communities. Mass incarceration did precisely the opposite.

Q: What should policymakers do to address issues raised in your study?

ES: Well, the first key step is to do no harm. Under the American Health Care Act, health care costs will jump to the tune of $1,400 on average, but Americans who face the biggest cost increase—about $5,000 annually—are those ages 55 to 64, the same cohort that has seen the biggest rise in fatal opioid overdoses. We also know that rural communities—which, again, are disproportionately impacted by the opioid epidemic—face severe unmet needs for medical care, with more than 30 million people in counties that have not one licensed provider of medication-assisted drug treatment. The Affordable Care Act has helped to address that gap in services, in part because it incentivizes providers to serve rural counties. Under the current replacement plan, the existence of those 1,300 community health centers—many in rural areas—is threatened. Similarly, we can’t afford to roll back Medicaid expansion, or institute per capita caps, as the replacement bill proposes. All that will do is leave low-income people without insurance, or with significantly worse coverage.

As for a proactive agenda to address opioid addiction, a robust safety net is essential. Dr. Anna Lembke, chief of addiction medicine at Stanford School of Medicine, attributed part of this epidemic to the fact that, in the absence of adequate economic supports, painkillers have become a stop-gap for people with not only physical problems, but also psychological and economic ones.

Q: There’s serious potential for repeal of ACA and elimination of supports for families faced with opioid addiction. What can be done for the foster care system that, as you report, is heavily impacted by opioid addiction?

ES: By way of background, substance abuse now accounts for why about one in three children end up in foster care, and that figure is on the rise, in large part because of the opioid epidemic. State foster care systems have not been able to keep up with the increased demand, forcing states to turn to outside organizations for assistance. While it’s great that a lot of non-profits and religious institutions have stepped up in some parts of the country, reliance on volunteer organizations to plug holes like those in state foster care systems is so far from an adequate long-term solution. These systems need more financial support, but, unfortunately, the primary revenue sources for foster care are under attack. It’s hard to wrap my mind around how an administration can vow to support a population and then threaten to make budget cuts that really just exacerbate the problem at hand.

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The following is a re-post in honor of the (2014) 50th Anniversary of the Civil Rights Act.

Catholic and Jewish Americans since The Civil Rights Era

The Civil Rights Act of 1964 not only ushered in stronger federal protections for racial and ethnic minorities and women, but also for religious minorities. Antipathy toward Catholics and Jews in the US was a persistent and prevalent theme through much of American history. It was common for these groups to be labeled “un-American” and even categorized as “non-white.” Members of these religions were often discriminated against in hiring and in admission to institutions of higher learning (this was especially common for Jewish applicants) and excluded from many neighborhoods, clubs, and political positions. From the late 19th through the mid-20th century, organized hate groups, most notably the Ku Klux Klan, used the threat of violence to intimidate not only African-Americans but Jews and Catholics as well.

After World War II, these restrictions and prejudices eased somewhat. By 1955 the now-classic essay Protestant Catholic Jew could proclaim that although these three religions were the primary sources of identity in America, they were now “alternative ways of being an American” rather than two of them being seen as Un-American.

Still, anti-Semitism and anti-Catholicism persisted. In the 1960s, some commentators worried that President Kennedy, a Catholic, would take orders from the Pope. In the 1970s, President Richard Nixon was recorded making several anti-Semitic comments. And even today nativist hate groups continue to perpetuate centuries-old hostilities against Catholic and Jewish Americans. But the Civil Rights Act did give these minorities protection against outright exclusion and discrimination, and other religious minorities have also looked to it for security as the American religious landscape has diversified. more...

Ashton Applewhite is a Council on Contemporary Families expert and has been recognized by the New York Times, National Public Radio, and the American Society on Aging as an expert on ageism. Her new book, “This Chair Rocks: A Manifesto Against Ageism,” was just published in April 2016. She blogs at “This Chair Rocks,” where you can follow her ongoing insights, speaks widely, and is the voice of “Yo, is this ageist?” Ashton’s work is a call to wake up to the ageism in and around us, embrace a more accurate and positive view of growing older, and push back. She agreed to answer a few questions for us:

Q: First, a challenge: what’s one single thing you “know” with certainty, after years of research into modern families?

AA: One of the biggest obstacles to the well-being of modern families is the all-American myth of self-reliance—that people can and should “go it alone”—and we don’t call it out enough. That myth, which equates needing help with physical frailty and weakness of character, serves none of us well—least of all caregivers, people with disabilities, and older people (increasingly overlapping circles on the Venn diagram of life).

The myth exacts an immense personal cost: it downplays life’s challenges, it needlessly exhausts, and it shames us when, inevitably, we fall short. The social cost is high too: a culture that idealizes self-reliance serves the anti-welfare agenda of proponents of small government, because it silences and deflects questions about the structures that strand us. This go-it-alone ethic is one reason that care for the very young and very old is not publicly funded, which typically leaves family members holding the bag. Another reason is ageism, the last socially sanctioned prejudice, which disproportionately affects people at either end of the age spectrum.

Q: Give us the “Twitter” version of your current research — in 140 characters (give or take), what are you working on now?

AA: I’ll give you two tweets worth: I’m an author, speaker, blogger, and activist working to make discrimination on the basis of age as unacceptable as any other kind of prejudice. It’s time for a radical age movement, and I hope my new book, This Chair Rocks: A Manifesto Against Ageism, will help catalyze it.

Q: How would you encourage a scholar of family life to work to get their research into public life, affecting policy and challenging assumptions about “average families”?

AA: Consider self-publishing. Jane Friedman’s site is a good starting point. I’ve been published by four of the big five publishers but elected to bring this book to market myself, partly because of their general cluelessness about the new digital landscape and partly because of my subject matter. Self-publishing means more control, more work, and more reliance on the network of friends and colleagues that social media enables. Like many of your publications, my book is a call for progressive social change—in this case to mobilize against ageism as we have against racism, sexism, and homophobia. Hence my slogan: Self-publish together! It’s different, and a lot more congenial, to ask for help from readers who share a goal that benefits many. People respond to a persuasive case that an issue requires collective action. I’m getting real traction, and I think many of my CCF colleagues would too. Self-publish together to change the world!

Molly McNulty was a CCF public affairs intern at Framingham State University 2015-2017. She graduated in May 2017 as a joint Sociology and Education major.

Photo by Jeff Djevdet via Flikr

The term “millennial,” according to Frank Furstenberg, is an overly simplistic blanket term frequently used to describe the generation born anywhere between 1980 and 2004. This leads to confusion when we see debates in the media about where millennials fall on either side of the conservative or liberal binary, even when research shows significant complexity in millennial attitudes and behaviors. This month, I asked Barbara Risman, Professor of Sociology at University of Illinois at Chicago and President of the Board for the Council on Contemporary Families, about new research for her forthcoming book Where Will the Millennials Take Us: Transforming the Gender Structure? The research is in Social Currents. Risman’s findings suggest that as gender itself challenges binaries, so do millennials’ negotiations with the gender structure. Rather than a clear-cut conclusion about “millennial” approaches to gender, Risman finds four unique typologies that situate millennials within the gender structure: the true believers, innovators, rebels, and straddlers.

Q: In your typology, I was intrigued by the gender rebels: This is the millennial group that seems most different from previous generations. They emerged in your investigation when you demarcated material and cultural dimensions of the gender structure. Can you tell us more about how you came to recognize the gender rebels?

BR: I agree with your assessment that these gender rebels are perhaps the one group in my research that appear to be an invention of the millennial generation. Gender rebels are very much like a group I call the innovators; both could be described as trying to walk the walk of feminism, even if feminism is so in the air they breathe, they sometimes do not use the word. At the individual level of analysis, both groups reject being constrained to stereotypically feminine or masculine personality traits, both reject the cultural expectations that men and women should live different kinds of lives, and both are ideologically opposed to gender inequality. They are very similar in their cultural rejection of gender at the individual, interactional and macro ideological levels.

But when it came to the material aspects of gender, not ideas, but bodies and the class between their bodily presentations and the organization of social life, rebels and innovators couldn’t have been more different. The rebels rejected the notion that just because they were born female (or in one case, male) that meant they should present their bodies as feminine (or in one case, masculine). These rebels rejected the material expression of gender with their bodies. At the individual level they were androgynous, or if female, they presented their bodies in ways traditionally associated with masculinity. This had repercussions for how people treated them, with gender policing especially dramatic for men who challenged gender norms, but also for women who challenged how they presented their bodies once they reached puberty. At the macro level of organizational design, anyone who falls between the binary of male and female faces constant oppression as they do not fit within standard social categories. As you suggest, my distinction between cultural and material dimensions of the gender structure help us to understand why the experiences of rebels are so different from those of innovators.   

Q: What do you see as the practical/policy implications of your findings about the complexity of millennial gender typologies for the advancement of gender equality?

BR: There was one response that didn’t differ across groups. It didn’t matter if someone was a true believer in essential gender differences or a rebel, everyone, male or female, or somewhere in between, expected to work throughout their lives. That has great policy implications. We need to change our workplace policies to reflect the reality that all people in this generation expect to work in the paid labor force, and thus, workplaces have to be re-designed to be more family friendly. In this and no doubt future generations, employed adults will also be caretakers of young children, sick relatives and aging parents. We must use social policy to re-design the world of paid work to make this possible. Every society needs both economic activity and caretaking, and if the same people do both, social organizations have to reflect that reality.

A second policy implication reflects the needs of the rebels. Now that we have people who refuse the label of man or woman, and gender categories themselves are under siege by at least a small group of millennials, we have to begin to allow for gender variation in our social world. If there are people who are neither women nor men, then we need bathrooms that anyone can use. One policy implication is to move beyond single-sex bathrooms. Why not continue to require all stalls to have doors, and perhaps add curtains for urinals, and allow everyone to use every bathroom, and wash their hands next to people who are their same sex and those who are not? Why gender products? Why do we need different colored razors for men and women? At the end of my book, I call for a fourth wave of feminism that seeks to eradicate not just sexism but the gender structure itself. Only then will people who are constrained by gender, all of us, will be free.

Q: Your qualitative research makes a strong argument for the heterogeneity of millennials’ relations to the gender structure. That heterogeneity is very important to understanding things as they are, but sometimes in media the message gets lost. What advice do you have for researchers communicating nuanced findings to public audiences, when many in popular media depict millennials as falling on one side of a progressive/not progressive dichotomy?

BR: This is a problem for both qualitative and quantitative researchers. For qualitative research, I suggest creating catchy names for groups that differ, and insisting that the range of responses be covered. For quantitative researchers, I think a suggestion often given by Stephanie Coontz is right on target, and that is to discuss both means and standard deviations, especially when there is great variation around the average, and so people are really having different experiences.

Braxton Jones earned his MA in Sociology at the University of New Hampshire, and serves as a CCF Graduate Research and Public Affairs Scholar.