Monthly Archive for December, 2010
Page 2 of 2
Family Change and Time Allocation in American Families
By: Suzanne M. Bianchi
Source: Alfred P. Sloan Foundation/Focus on Workplace Flexibility
In this paper, I briefly discuss family demographic changes. Then I use the American Time Use Survey (ATUS) and the historical time diary studies in the U.S. to document trends in parents’ time spent in paid work, housework and childcare. I also describe the activities parents forego in order to meet work and family demands. Finally, I discuss time devoted to adult care and help given to adult children, elderly parents, and friends later in the life course.
The Annie E. Casey Foundation’s KIDS COUNT Data Center has been updated to include poverty data from the 2009 American Community Survey that was released on September 28 by the U.S. Census Bureau. The Data Center for the first time breaks down child poverty rates by congressional district, highlighting those with the highest and lowest percent of children living below the poverty line. To see how all 435 districts ranked, visit the Data Center.
Factors Influencing Rural Residents’ Utilization of Urban Hospitals
By: Margaret Jean Hall, Jill Marsteller, and Maria Owings
Source: National Center for Health Statistics
Objective—To examine, using nationally representative data, which patient, hospital, and county characteristics influence rural residents’ urban hospitalization.
Methods—Rural residents hospitalized in urban hospitals (crossovers) are compared with those hospitalized in rural hospitals (noncrossovers). National Hospital Discharge Survey data were merged with Area Resource File and Centers for Medicare & Medicaid Services data to study rural inpatients’ characteristics; hospital descriptors; and county or state socioeconomic and health service variables. Multivariate logistic regression analysis identified covariates of the likelihood of being a crossover.
Findings—About one-third of the rural resident hospitalizations in 2003 were in urban hospitals. Other factors constant, those requiring greater resources had higher odds of crossing over, as did younger inpatients, those transferred from other hospitals, receiving surgery, and with mental diagnoses or congenital anomalies. Males, emergency admissions, and intervertebral disk disorder inpatients had lower odds of crossing over compared with those who were not in these categories. Crossover patients’ hospitals had higher Medicare case mix indices than hospitals used by noncrossovers. Rural inpatients in government hospitals, rather than proprietary or non-profit hospitals, had greater odds of crossing over, as did rural patients from counties with lower population density, fewer hospital beds, more hospitals, more commuters, and lower per capita income compared with those in other categories.
Conclusions—Rural hospitals continue to be an important source of inpatient care, but rural residents travel to urban hospitals in some specific instances.
The Influence of Personal, Family, and School Factors on Early Adolescent Substance Use
By: Regina A. Shih, Elizabeth D’Amico, Jeremy N. V. Miles, Joan S. Tucker, Annie Jie Zhou
Source: RAND Corporation
This study of middle school students in Southern California found that racial and ethnic variations in substance use among young adolescents are influenced by individual, family and school factors.