{"title":"Fiscal Impacts of the Opioid Crisis on State and Local Governments","authors":"R. Bifulco, Iuliia Shybalkina","doi":"10.1177/00027162221137171","DOIUrl":"https://doi.org/10.1177/00027162221137171","url":null,"abstract":"Adverse effects of the opioid crisis on individuals influence the need for state and local government expenditures and erode their tax bases. Systematic estimates of the magnitude of such fiscal impacts are lacking. We estimate the magnitude of the effect of the opioid crisis on state and local expenditures and discuss approaches that might be taken to evaluate the impact of the crisis on revenues. We find that the fiscal impacts of the opioid crisis on state and local governments are modest for the U.S. as a whole but are likely to be greater in states with particularly high rates of opioid-use disorders. Our analysis aims to encourage and guide more in-depth studies in the future. Such studies can inform intergovernmental aid policies designed to offset the fiscal impacts of opioid misuse and can also contribute to assessing damages in opioid lawsuits.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"703 1","pages":"324 - 349"},"PeriodicalIF":2.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48649814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Opioid Crisis and Child Maltreatment Across Counties and Time in the United States, 2007-2017.","authors":"Alexander Chapman","doi":"10.1177/00027162221144172","DOIUrl":"10.1177/00027162221144172","url":null,"abstract":"<p><p>Rises in opioid mortality coincides with child maltreatment report rises since the early 2000s. This project joins three literatures to consider mechanisms linking the opioid epidemic and child maltreatment that include: 1) social disorganization which implicates community-level characteristics such as residential mobility and poverty in deviant behaviors 2) geographic and temporal patterning of opioid mortality and 3) community-level substance use and child maltreatment. I combine data from the American Community Survey (ACS), CDC WONDER, and the National Child Abuse and Neglect Data System (NCANDS) in a county-level analysis using fixed effects. I test the relationships between opioid mortality, poverty, residential mobility, and child maltreatment. Regression analyses show a positive association between opioid mortality and child maltreatment with variation across time. They also suggest that opioid mortality has a stronger association with child maltreatment in high poverty counties, and that counties with higher levels of residential mobility have a negative association between opioid mortality and child maltreatment for lower mortality levels. The findings imply that decreasing poverty, opioid mortality, and increasing residential mobility opportunity may decrease child maltreatment.</p>","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"703 1","pages":"139-161"},"PeriodicalIF":2.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44812173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do Federal Grants for Medication-Assisted Opioid Treatment Reduce Homelessness?","authors":"A. Sullivan, Chan-Byoung Park","doi":"10.1177/00027162231156291","DOIUrl":"https://doi.org/10.1177/00027162231156291","url":null,"abstract":"The federal government awarded $115 million to local entities between 2015 and 2018 for medication-assisted treatment (MAT) programs to treat opioid use disorder. These programs integrate the use of medications with counseling and behavioral therapies to reduce withdrawal symptoms and other adverse, individual-level effects of opioid misuse. Mounting evidence shows the benefits of MAT interventions among individuals, but little is known of whether these programs have prosocial, community-level effects. We examine the effect of MAT programs on one such community-level outcome: homelessness. Our event study design shows that MAT grants did not have a discernable relationship to homelessness at the community level; and we argue that while MAT may be an effective approach to treating opioid use disorder among individuals, more must be done to scale up its effects of these programs on community-level outcomes like homelessness.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"703 1","pages":"285 - 302"},"PeriodicalIF":2.8,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47238254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single Mothers’ Income in Twelve Rich Countries: Differences in Disadvantage across the Distribution","authors":"Susan Harkness","doi":"10.1177/00027162221120758","DOIUrl":"https://doi.org/10.1177/00027162221120758","url":null,"abstract":"I examine how single motherhood affects income in different quantiles of the distribution in twelve rich countries. Using harmonized data from the Luxembourg Income Study, I show how the distribution of income for households headed by single mothers differs from households with children that are headed by couples. I show that there is a striking variation by country in the influence of single motherhood on income at different points of the distribution. In some countries, such as the United Kingdom, single motherhood has a greater effect on income at the top of the distribution than at the bottom. In others, such as the United States, effects are largest at the bottom of the distribution. I discuss the role of employment and social policies in driving differences between countries in the income penalties associated with single motherhood across the distribution.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"702 1","pages":"164 - 187"},"PeriodicalIF":2.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47126320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single-Parent Families and Public Policy in High-Income Countries: Introduction to the Volume","authors":"J. Gornick, Laurie C. Maldonado, Amanda Sheely","doi":"10.1177/00027162221133250","DOIUrl":"https://doi.org/10.1177/00027162221133250","url":null,"abstract":"For the last 100 years, single-parent families in the United States have captured the attention of policy-makers, political actors, and social reformers. Although the national discourse has shifted over time, one theme has been constant: the absence of the second parent, nearly always the father, places single-parent families at risk of economic insecurity and material hardship. Before the Second World War, it was widely assumed that mothers did not, and should not, work outside the home. Thus, the absent father implied the loss of the main or only family breadwinner, leaving the single mother and her children deserving of various forms of support, including the public provision of income. In subsequent years, a crucial change unfolded: single mothers were increasingly expected, and eventually pushed, into paid work. Their status as deserving of publicly provided supports diminished over time. Nevertheless, it remained understood, and it still does today, that a single breadwinner's earnings are often not sufficient to secure a family's economic well-being, especially when that single breadwinner is a woman.Indeed, in the United States, it is well documented that single-parent families are much more likely to be poor than are families headed by couples;likewise, single-parent families headed by women are at greater risk of poverty than those headed by men. Today, about one in three single-mother families in the United States lives in income poverty (Wimer et al. 2021);and for many of these families, income poverty is compounded by food insecurity (Sheely 2022) and precarious housing (Edin and Shaefer 2015;Desmond 2016). Recently, it has been documented that single-parent families have been hit especially hard by the COVID-19 pandemic, due to both unexpected earnings losses and heightened demands on parents' time.The difficulties faced by many single-parent families raise a multitude of concerns, perhaps none more salient or more compelling than child poverty. While poverty is evident throughout the lifecycle—affecting children, prime-age adults, and the elderly—poverty among children has particular resonance. Child poverty captures our collective attention for several reasons: it is widely held that children need and deserve protection from hardship, most children have no control over their economic circumstances, deprivation during childhood can have lifelong consequences, and some of the effects of child poverty have spillover effects. Child poverty in rich countries is especially compelling, because it is rooted not so much in scarce aggregate resources but mainly in distributional arrangements, both private and public.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"702 1","pages":"8 - 18"},"PeriodicalIF":2.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42532739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single Parents in High-Income Countries: What the United States Can Learn from Others","authors":"Isabel V Sawhill","doi":"10.1177/00027162221123446","DOIUrl":"https://doi.org/10.1177/00027162221123446","url":null,"abstract":"In the last 50 years, single parenthood has become more prevalent in the United States. As compared to other high-income countries, the United States does little to support single-parent families and they fare poorly as a result. This volume takes a comparative approach to extend our knowledge of the experiences of single parent families and the best approaches to support their well-being. By looking at the circumstances of single-parent families across many countries, this volume sheds light on important questions pertaining to child poverty and income inequality, the role of public assistance in supporting single-parent families, and the impact of this assistance on employment and marriage. In this article, I summarize the authors’ contributions in addressing these questions and present my own perspective on related issues, including the impact of single-parent families and cohabitation on children. I end with highlighting what researchers can learn from this volume and how U.S. policymakers can apply these lessons.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"702 1","pages":"226 - 235"},"PeriodicalIF":2.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42932813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cross-National Variation in the Relationship between Welfare Generosity and Single Mother Employment","authors":"T. Biegert, David Brady, L. Hipp","doi":"10.1177/00027162221120760","DOIUrl":"https://doi.org/10.1177/00027162221120760","url":null,"abstract":"Reform of the U.S. welfare system in 1996 spurred claims that cuts to welfare programs effectively incentivized single mothers to find employment. It is difficult to assess the veracity of those claims, however, absent evidence of how the relationship between welfare benefits and single mother employment generalizes across countries. This study combines data from the European Union Labour Force Survey and the U.S. Current Population Survey (1992-2015) into one of the largest samples of single mothers ever, testing the relationships between welfare generosity and single mothers’ employment and work hours. We find no consistent evidence of a negative relationship between welfare generosity and single mother employment outcomes. Rather, we find tremendous cross-national heterogeneity, which does not clearly correspond to well-known institutional variations. Our findings demonstrate the limitations of single country studies and the pervasive, salient interactions between institutional contexts and social policies.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"702 1","pages":"37 - 54"},"PeriodicalIF":2.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46302485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effective Policies for Single-Parent Families and Prospects for Policy Reforms in the United States: Concluding Reflections","authors":"J. Gornick, Laurie C. Maldonado, Amanda Sheely","doi":"10.1177/00027162221133682","DOIUrl":"https://doi.org/10.1177/00027162221133682","url":null,"abstract":"This conclusion engages two questions catalyzed by the articles in this volume. First, which policies are effective in reducing economic hardship among single-parent families overall and minimizing disparities across subgroups? Second, what are the prospects for related reforms in the United States? We draw four lessons from the articles in this volume and from prior research about effective policy design: (1) work-family reconciliation policies are crucial; (2) strengthening and stabilizing employment is necessary, but not sufficient; (3) it is important to support the accumulation of wealth in addition to shoring up income; and (4) policies can be designed to include and protect those single parents and their children who are especially at risk. Turning to the feasibility of policy change in the United States, we conclude that some factors—especially policy elements that encourage self-reliance, shifting public opinion, the COVID-19 crisis, and federalism itself—may enhance opportunities for policy development in support of single parents.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"702 1","pages":"236 - 251"},"PeriodicalIF":2.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45756253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Hakovirta, Laura Cuesta, Mari Haapanen, D. Meyer
{"title":"Child Support Policy across High-Income Countries: Similar Problems, Different Approaches","authors":"M. Hakovirta, Laura Cuesta, Mari Haapanen, D. Meyer","doi":"10.1177/00027162221119959","DOIUrl":"https://doi.org/10.1177/00027162221119959","url":null,"abstract":"We provide an overview of child support policy in high-income countries, highlighting differences in institutional arrangements, the amount of child support due, and the amount of child support received. We show that the United States expects high levels of child support from nonresident parents when compared to other countries, that noncompliance is a problem across countries, and that most European countries deal with nonpayment of child support by providing guarantees of public support for children and resident parents. The guarantee schemes vary in terms of eligibility and generosity. Throughout, we find that child support policy approaches differ across countries. A key policy implication from this review is that the United States may be expecting too much child support from nonresident parents and that it could consider guaranteeing a modest amount of public support to single-parent households.","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"702 1","pages":"97 - 111"},"PeriodicalIF":2.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46112706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia Ferrario, Gabriele Sorrentino, Giacomo Cavallaro, Ivan Cortinovis, Silvia Traina, Salvatore Muscolo, Alessandro Agosteo, Germana Santini, Elisa Lagostina, Fabio Mosca, Laura Plevani
{"title":"Near-infrared system's efficiency for peripheral intravenous cannulation in a level III neonatal intensive care unit: a cross-sectional study.","authors":"Silvia Ferrario, Gabriele Sorrentino, Giacomo Cavallaro, Ivan Cortinovis, Silvia Traina, Salvatore Muscolo, Alessandro Agosteo, Germana Santini, Elisa Lagostina, Fabio Mosca, Laura Plevani","doi":"10.1007/s00431-022-04480-1","DOIUrl":"10.1007/s00431-022-04480-1","url":null,"abstract":"<p><p>Venipuncture is a painful and invasive procedure for hospitalised newborns and represents a challenge for neonatal healthcare professionals. This study evaluated the most efficient cannulation method based on the proportion of success at the first attempt, standard care or near-infrared (NIR) device use, and pain assessment. An observational study with two arms was conducted in the neonatal intensive care unit (NICU) of a tertiary-care university hospital in Italy. All newborns undergoing peripheral vein cannulation and only nurses with more than 5 years of professional experience in the NICU were eligible for the first arm. Only newborns with a body weight of >2500 g at cannulation and all nurses working in the NICU were involved in the second arm. In the first arm of the study, no statistically significant differences between the NIR and control groups were found in terms of proportion of successful at the first attempt 60.6% (confidence interval [CI] 95%: 48.8; 72.4) vs. 56.1% (CI 95%: 44.1; 68.0) and the mean premature infant pain profile score 6.3 (CI 95%: 5.4-7.1) vs. 5.8 (CI 95%: 5.0-6.6). In the second arm, only among less experienced nurses (<1 year), we observed a significant increase in the proportion of success in the NIR group compared with the control group, nearly tripling the success rate (72.7% [54.1; 91.3] vs. 23.1% [0.2; 46.0]). Conclusion: This study reported no differences between the NIR and control groups. The results also suggest that using a NIR device may be advantageous for healthcare professionals with less experience during first-time cannulation. What is Known: • Venipuncture is a painful procedure commonly used to place a peripheral venous catheter for administering nutrients or drugs. • Near-infrared light facilitates the visualisation of veins and consequently, the performance of cannulation in the paediatric population. What is New: • The near-infrared light device was not associated with fewer attempts and a lower premature infant pain profile score in placing venous access in newborns than the traditional method. • The near-infrared light device could help nurses with less professional experience place a peripheral venous catheter.</p>","PeriodicalId":48352,"journal":{"name":"Annals of the American Academy of Political and Social Science","volume":"128 1","pages":"2747-2755"},"PeriodicalIF":3.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86767377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}