It is clear there are significant delays in the uptake of best practices as part of routine care in the healthcare system, yet there is conflicting evidence on how to specifically align provider behaviour with best practices. Method We conducted a review of interventions utilized to change any aspect of provider behaviour. To extend prior […]
Category: *Journal Article
Are Foreclosure Spillover Effects Universal? Variation Over Space and Time
Government intervention in the housing market in response to the 2007–2010 mortgage crisis was driven in part by research showing that foreclosures lower neighboring housing values and thus increase neighbors’ risk of foreclosure. Researchers have consistently identified a negative spillover effect of foreclosures on nearby housing values, but the magnitude of the effect varies widely […]
The Process of “Pushing Out”: Accumulated Disadvantage across School Punishment and Math Achievement Trajectories
Students drop out of school for a variety of reasons, yet are “pushed out” when they exhibit traits that are deemed undesirable to school officials, such as misbehavior and academic failure. While much of the previous research on pushouts views the phenomenon as a discrete occurrence often attributed to either misbehavior or academic failure, we […]
Can Workplace Financial Counseling Help Lower-Income Workers Improve Credit Outcomes?
Financial counseling has been found to be effective in improving consumers’ credit outcomes and could be expanded through the workplace to reach lower-income workers who struggle with various financial challenges. We examine engagement and credit outcomes associated with a workplace financial counseling program offered to 2,849 frontline workers in New York City. Age and credit […]
Assessing the Short-Term Stability of Financial Well-Being in Low- and Moderate-Income Households
Much of the literature on household finance tends to focus on relatively objective measures of financial security (e.g., savings, income, financial knowledge), and there has been less research on measures of subjective financial well-being. This gap is due in part to the absence of a common understanding on defining and measuring subjective financial well-being. The Consumer Financial Protection Bureau […]
Racial and Ethnic Disparities in Housing Instability during the COVID-19 Pandemic: The Role of Assets and Income Shocks
Abstract Stable and adequate housing is critical in the midst of a pandemic; without housing, individuals and families cannot shelter in place to prevent the spread of disease. Understanding and combating housing hardships in vulnerable populations is therefore essential to a sound public health response. This study aims to explore the pandemic’s disproportionate impacts on […]
The Impact of State Earned Income Tax Credit Increases on Material and Medical Hardship
The federal Earned Income Tax Credit (EITC) provides substantial financial assistance to low- and moderate-income workers and has been shown to reduce poverty and encourage employment. Many U.S. states have also implemented their own EITCs to supplement the federal tax credits. Leveraging unique administrative and survey data and employing a difference-in-differences approach, this study investigates […]
Material hardship among lower-income households: The role of liquid assets and place
Lower-income households are at risk for material hardship, particularly amidst the economic fallout of COVID-19. Where one lives (e.g., suburb, small town) may affect this risk due to variable access to resources, yet the evidence is mixed concerning the influence of place. We used a pooled, national cross-sectional sample of 66,046 lower-income tax filers to […]
COVID-19 Among Youth in Israel: Correlates of Decisions to Vaccinate and Reasons for Refusal
The primary aim of the present study is to examine the reasons for adolescents’ refusal to get vaccinated with the COVID-19 vaccine, and examine correlates of vaccination among adolescents aged 12–18 years in Israel. A total of 150 youth aged 12–18 years participated in the study. Following parental consent (30% response rate) from an online internet […]
Financial Shocks and Financial Well-Being: What Builds Resiliency in Lower-Income Households?
Households in the U.S. regularly experience unexpected negative income or expense shocks, and low- and moderate-income households experience these shocks at disproportionately high rates. Relatively little is known about the impact these shocks have on households’ subjective sense of financial well-being, and how access to different types of liquidity (e.g., liquid assets, credit cards, social […]
How Did School Meal Access Change during the COVID-19 Pandemic? A Two-Step Floating Catchment Area Analysis of a Large Metropolitan Area
SARS-CoV-2 (COVID-19) resulted in school closures and contingencies across the U.S. that limited access to school meals for students. While some schools attempted to provide alternative meal access points where students or parents could pick up meals, many students—especially those in low-income households—lacked adequate transportation to these access points. Thus, physical proximity to meal access […]
Cut me some slack! An exploration of slack resources and technology-mediated human capital investments in entrepreneurship
Purpose In this paper, the authors explore the relationship that slack resources and technology-mediated human capital investments can have on individuals’ entrepreneurial intentions. Focusing on human capital investments that individuals make through education and work, the authors analyze the relationship among formal online learning opportunities, informal skill development in the gig economy and entrepreneurial intentions. […]
Increased School Breakfast Participation from Policy and Program Innovation: The Community Eligibility Provision and Breakfast after the Bell
Abstract School meals provide significant access to food and nutrition for children and adolescents, particularly through universal free meal mechanisms. Alongside added nutritional meal requirements under the Healthy, Hunger-Free Kids Act (2010), schools can utilize meal program and policy mechanisms such as the Community Eligibility Provision (CEP) and Breakfast after the Bell (BATB) to increase […]
Crashing without a Parachute: Racial and Educational Disparities in Unemployment during COVID-19
Abstract The burden of the COVID-19 pandemic has not been shouldered equally by American families. Black and Hispanic communities have been hit the hardest, with the pandemic often exacerbating existing disparities. Using nationally representative data, we assess the economic and public health effects of the pandemic among different socioeconomic groups and whether typical sources of […]
Do Racial and Ethnic Disparities in Savings and Job Loss during COVID-19 Explain Disparities in Housing Hardships? A Moderated Mediation Analysis
Abstract Despite the array of public programs offered to help households mitigate the economic impacts of the COVID-19 pandemic, many still needed to rely on savings, credit, or other assets to make ends meet. This reality may exacerbate existing social and economic inequities because racial and ethnic minorities often have lower access to assets and […]
Introduction: The COVID-19 Shock to Our Deep Inequities: How to Mitigate the Impact
The COVID-19 pandemic affected nearly every aspect of household health, as well as the social and economic well-being of individuals and communities across the United States. Many in our society have faced and continue to face unprecedented challenges. Specifically, the pandemic put a microscope on inequities such as racial disparities in housing, health care, and […]
The Precarity of Self-Employment among Low- and Moderate-Income Households
Abstract Many people in the United States have achieved economic stability through self-employment and are often seen as embracing the entrepreneurial spirit and seizing opportunity. Yet, research also suggests that self-employment may be precarious for many people in the lower socioeconomic strata. Drawing on a unique dataset that combines longitudinal survey data with administrative tax […]
The Impact of Tax Refund Delays on the Experience of Hardship Among Lower-Income Households
Abstract The Earned Income Tax Credit (EITC) provides substantial financial support to low-income workers in the USA, yet around a quarter of EITC payments are estimated to be erroneous or fraudulent. Beginning in 2017, the Protecting Americans from Tax Hikes Act of 2015 requires the Internal Revenue Service to spend additional time processing early EITC […]
Public perceptions and the willingness to get vaccinated against COVID-19: Lessons from Israel
Abstract Objectives To explore the associations between vaccine hesitancy and demographic and socio-economic characteristics, as well as perspective towards the COVID-19 and its vaccines. Methods Data were collected through four online surveys on Israel’s representative sample in March (3/2 to 3/7, n = 1517), August (8/10–8/11, n = 925; 8/18–8/22, n = 1054), and September (9/22-9/24; n=1406), 2021. We employ a […]
Suspended While Black in Majority White Schools: Implications for Math Efficacy and Equity
This article explores whether racial disparities in mathematics arise in majority White schools for students who receive in-school suspensions (ISS). Using data from the High School Longitudinal Survey and machine learning generated propensity scores to estimate average treatment effects, we find Black suspended students in schools with low White enrollment have math test scores and […]
Public perceptions and the willingness to get vaccinated against COVID-19: Lessons from Israel
Abstract Objectives To explore the associations between vaccine hesitancy and demographic and socio-economic characteristics, as well as perspective towards the COVID-19 and its vaccines. Methods Data were collected through four online surveys on Israel’s representative sample in March (3/2 to 3/7, n = 1517), August (8/10–8/11, n = 925; 8/18–8/22, n = 1054), and September (9/22-9/24; n=1406), 2021. We employ a […]
All over the Map: A Systematic Literature Review and State Policy Scan of Medicaid Buy-In Programs for Working Individuals with Disabilities
Abstract While supports for people with disabilities have increased, significant healthcare and financial barriers persist. State-administered Medicaid Buy-In programs for working people with disabilities, distinct from broader buy-in discussions that have emerged as some states consider expanding access to health insurance, are intended to incentivize employment and protect against a loss of Long-Term Services and […]
Nothing to show for it: Financial Distress and Re-Enrollment Aspirations for those with non-degreed debt
Abstract The number of individuals with student loan debt who do not earn their degrees is on the rise; nevertheless, there is little research that demonstrates their current circumstances and future aspirations. We address this knowledge gap by comparing the financial distresses and re-enrollment aspirations of student debt-holders who started college but did not earn […]
COVID-19 job and income loss and mental health: the mediating roles of financial assets and well-being and the moderating role of race/ethnicity
Abstract Prior research shows unemployment has a negative effect on mental health, yet whether this relationship is affected by financial factors is unknown. For example, having money in savings may mitigate the impact of job loss on mental health. We use structural equation modeling with data from the Socio-Economic Impacts of COVID-19 Survey with a […]
Disrupted and Disconnected: Child Activities, Social Skills, and Race/Ethnicity During the Pandemic
Abstract Early in the COVID-19 pandemic, parents reported that their children spent the majority of their time at home, which can dramatically change their activities and negatively impact their social skills. However, research has yet to uncover the relationships between changes in activities during the pandemic and children’s social skills, nor the degree to which […]
Does a food insecurity intervention improve perinatal outcomes for mother and child? A randomized control study protocol of the Fresh Rx: Nourishing Healthy Starts program
Abstract Pregnancy and postpartum periods represent critical times to support nutrition and household food security, especially for families with limited or strained economic resources. The Fresh Rx: Nourishing Healthy Starts study uses a randomized design to examine a comprehensive, holistic “food is medicine” program targeting food insecure expectant mothers in an area with high rates […]
Household Spending Patterns and Hardships during COVID-19: A Comparative Study of the U.S. and Israel
Abstract The combined supply and demand shocks of the COVID-19 pandemic have created the largest consumer behavior shift in recent history, while exposing millions of households to material hardships like food insecurity and housing instability. In this study, we draw on national surveys conducted early in the pandemic to investigate the pandemic’s effects on self-reported […]
“Take my word for it”: Group Texts and Testimonials Enhance State and Federal Student Aid Applications
Abstract As the cost of college continues to rise, it has become increasingly important for students to apply for financial aid. However, many students are unaware of the benefits of the Free Application for Federal Student Aid (FAFSA). We launched a field experiment with a non-profit organization to explore how both informational- and testimonial-type text […]
At Home and on the Brink: U.S. Parents’ Mental Health during COVID-19
Abstract Though the COVID-19 pandemic required significant changes and adaptations for most Americans, parents faced acute challenges as they had to navigate rapidly changing schooling and child care policies requiring their children to spend more time at home. This study examines the effects of COVID-19 school and workplace policies as well as environmental and economic […]
Timely and well-targeted financial help during COVID-19: an employer-community partnership for hotel workers in New Orleans
Abstract Economic disruptions related to the COVID-19 pandemic left many households without the income necessary to meet basic needs. We describe an innovative, community-based partnership between a financial services company, philanthropic funders, and employers to provide financial assistance to hotel workers in New Orleans who lost jobs and income due to the COVID-19 pandemic. Results […]
How Would Americans Respond to Direct Cash Transfers? Results from Two Survey Experiments
Abstract Universal basic income has gained renewed interest among policymakers and researchers in the U.S. While research indicates that unconditional cash transfers produce diverse benefits for households, public support lags in part due to the predicted unemployment and frivolous spending. To understand how Americans would reorganize their lives around unconditional cash transfers, this paper examines […]
All over the Map: A Systematic Literature Review and State Policy Scan of Medicaid Buy-In Programs for Working Individuals with Disabilities
Abstract While supports for people with disabilities have increased, significant healthcare and financial barriers persist. State-administered Medicaid Buy-In programs for working people with disabilities, distinct from broader buy-in discussions that have emerged as some states consider expanding access to health insurance, are intended to incentivize employment and protect against a loss of Long-Term Services and […]
Prevalence of Long-COVID Among Low-Income and Marginalized Groups: Evidence From Israel
Abstract Objective: To identify the socioeconomic and demographic factors associated with the prevalence of self-reported long-COVID symptoms. Method: We examined the association between acute-COVID (SARS-CoV-2) and long-COVID symptoms, by a cross-sectional analysis of data obtained on a prospective online-survey, conducted from November to December 2021 on a nationally-representative sample of the Israeli population (N = 2,246). Results: Findings […]
Predictors of and Barriers to Receipt of Advance Premium Tax Credits
Abstract Objectives: The Advance Premium Tax Credit (APTC) is designed to remedy lack of health insurance due to cost; however, approximately 30 million Americans remain without health insurance, and millions of households leave billions in tax credits unclaimed each year. A prerequisite of APTC is to file one’s taxes; however, few studies have examined tax filing […]
Male Caregivers and Engagement in a Family Strengthening Program for Child Disruptive Behavior Disorders
Abstract Awareness and interest in involving male caregivers in child mental health treatment has grown, especially for youth with disruptive behavior disorders like oppositional defiant disorder (ODD). The purpose of this study was to examine the relationship between male caregiver involvement and treatment engagement for child ODD. Children (n = 122) ages 7–11 and their caregivers participated […]
Perceptions of School Quality and Student Learning During the Pandemic: Exploring the Role of Students, Families, Schools, and Neighborhoods
Abstract Given the inequitable distribution of resources across school, neighborhood, and home contexts in the United States, lower resourced students may have had fewer opportunities to learn during the coronavirus disease 2019 pandemic, which may have caused previous disadvantages to accumulate during the pandemic. Nevertheless, research has yet to comprehensively explore how school, neighborhood, and […]
Infrastructure of social control: A multi-level counterfactual analysis of surveillance and Black education
Abstract In response to the continued reoccurrence of school shootings, policymakers have increased surveillance measures to ensure safer learning environments. However, in addition to being used to preempt school shootings, these surveillance measures may have increased the capacity of schools to identify and punish students for more common and less serious offenses, which may negatively […]
Intersecting Race and Gender Across Hardships and Mental Health During COVID-19: A Moderated-Mediation Model of Graduate Students at Two Universities
Abstract While the effects of the pandemic on the mental health of college students can vary across race and gender, few studies have explored the role of hardships and university assistance in these disparities, as well as how these disparities can manifest themselves differently across intersections of race and gender. We address this gap by […]
COVID-19 Safety Concerns, School Governance Models, and Instructional Modes: An Exploration of School Quality Perspectives during the Pandemic
Abstract This paper explores how parents’ COVID-19 safety concerns relate to school governance models (SGMs), instructional modes (i.e. in-person, hybrid, online), and perceptions of school quality during the pandemic. Leveraging two waves of household survey data across 47 states and the District of Columbia, we first conduct a series of multinomial regression analyses to explore […]
Can behavioral nudges and incentives help lower-income households build emergency savings with tax refunds? Evidence from field and survey experiments
Abstract Tax refunds are an opportunity for lower-income households to accumulate emergency savings so they have cash on hand to cover expenses when income is insufficient. Our field experiments testing different behavioral interventions to encourage refund saving via online tax filing show small effect sizes (0.12–0.14) and a low aggregate savings rate (12%) that might […]
Implementation of Flexibilities to the National School Lunch and Breakfast Programs and Their Impact on Schools in Missouri
Abstract Background: In 2018, the United States Department of Agriculture (USDA) issued flexibilities to the National School Lunch and Breakfast Programs, relaxing the nutrition standards for milk, whole grains, and sodium. This study examines the implementation decision-making among Missouri school food services and the impact of implementing these flexibilities on the meals served. Methods: We […]
Emergency Savings among Persistently Poor Households: Evidence from a Field Experiment
Abstract Low-income households struggle to accumulate emergency savings, which increases economic vulnerability in the face of unexpected events like expensive car repairs. This vulnerability may be even greater among persistently low-income households, which might benefit most from building emergency savings using tax refunds. This study examined the effects of randomly assigned behavioral interventions that incorporated […]
Does Frequency or Amount Matter? An Exploratory Analysis the Perceptions of Four Universal Basic Income Proposals
Abstract Advocates for a Universal Basic Income (UBI) argue that it would provide citizens with a basic foundation for financial security, boost the economy, alleviate poverty, encourage entrepreneurship, reduce crime, and insulate the employment sector against job losses due to automation. Still, the idea lags in popularity in the United States compared to existing cash […]
Timely and well-targeted financial help during COVID-19: an employer-community partnership for hotel workers in New Orleans
Abstract Economic disruptions related to the COVID-19 pandemic left many households without the income necessary to meet basic needs. We describe an innovative, community-based partnership between a financial services company, philanthropic funders, and employers to provide financial assistance to hotel workers in New Orleans who lost jobs and income due to the COVID-19 pandemic. Results […]
How Would Americans Respond to Direct Cash Transfers? Results from Two Survey Experiments
Abstract Universal basic income has gained renewed interest among policy makers and researchers in the United States. Although research indicates that unconditional cash transfers produce diverse benefits for households, public support lags in part because of predicted unemployment and frivolous spending. To understand how Americans would reorganize their lives around unconditional cash transfers, this article […]
Coping with COVID-19: Differences in hope, resilience, and mental well-being across U.S. racial groups
Abstract Objectives To explore if the COVID-19 pandemic revealed differences across racial groups in coping, resilience, and optimism, all of which have implications for health and mental well-being. Methods We collect data obtained from four rounds of a national sample of 5,000 US survey respondents in each round from April 2020 to February 2021. Using […]
Racial and Ethnic Disparities in Housing Instability During the COVID-19 Pandemic: the Role of Assets and Income Shocks
Abstract Stable and adequate housing is critical to sound public health responses in the midst of a pandemic. This study explores the disproportionate impact of the COVID-19 pandemic on housing-related hardships across racial/ethnic groups in the USA as well as the extent to which these disparities are mediated by households’ broader economic circumstances, which we […]
Perceptions of School Quality and Student Learning During the Pandemic: Exploring the Role of Students, Families, Schools, and Neighborhoods
Abstract Given the inequitable distribution of resources across school, neighborhood, and home contexts in the United States, lower resourced students may have had fewer opportunities to learn during the coronavirus disease 2019 pandemic, which may have caused previous disadvantages to accumulate during the pandemic. Nevertheless, research has yet to comprehensively explore how school, neighborhood, and […]
COVID-19-Related Fear among Youth in Israel
Abstract The present study sought to expand the now expansive research on COVID-19 by examining COVID-19-related fear among adolescents in Israel, focusing on demographic variables, COVID-19-related variables (e.g., exposure and vaccination), psychosocial variables (e.g., adolescent wellbeing and perceived social support), and technology usage (e.g., amount of time spent on social media). Data from parents were […]
How Would Americans Respond to Direct Cash Transfers? Results from Two Survey Experiments
Abstract Universal basic income has gained renewed interest among policy makers and researchers in the United States. Although research indicates that unconditional cash transfers produce diverse benefits for households, public support lags in part because of predicted unemployment and frivolous spending. To understand how Americans would reorganize their lives around unconditional cash transfers, this article […]