Wealth Inequality Trends in Industrializing New England: New Evidence and Tests of Competing Hypotheses

This paper assembles new data and new methods for studying wealth inequality trends in industrializing America. Records of household heads from the census matched with real and personal property tax records for Massachusetts reveal that the Theil entropy measure of inequality approximately doubled over the period from 1820 to 1910, a gain that was divided about evenly between the antebellum and the postbellum periods. A surge between 1870 and 1900 dominated the growth in inequality following the Civil War. Decompositions of changes in the Theil entropy measure reveal that during both periods, inequality was increasing due to the shift of the population out of rural areas and agriculture into urban areas where wealth was less equally distributed. But the increases in inequality were also due to increasing inequality within population groups. Between 1870 and 1910, inequality was growing within occupations, age groups, and the native-born population. Proposed labor market explanations, including sectoral shift that led to higher wages in non-agricultural relative to agricultural sectors, biased technological change, and immigration are inconsistent with the fact that inequality between occupational groups was declining in the last decades of the century. Wealth accumulation patterns by age are also inconsistent with the hypothesis of child default on responsibilities for old age care, at least during the second half of the nineteenth century. To explain the salient facts, we are led to propose a new explanation based on luck, rents and entrepreneurship.

The Fertility of the Irish in America in 1910

In most western societies, marital fertility began to decline in the nineteenth century. But in Ireland, fertility in marriage remained stubbornly high into the twentieth century. Explanations of Ireland’s late entry to the fertility transition focus on the influence of the Roman Catholic Church in Irish society. These arguments are often backed up by claims that the Irish outside of Ireland behaved the same way. This paper investigates these claims by examining the marital fertility of Irish Americans in 1910 and produces three main findings. First, the Irish in America had smaller families than both the rural and urban Irish and their fertility patterns show clear evidence of fertility control. Second, despite the evidence of control, Irish-Americans continued to have large families, much larger, in fact, than the U.S. native-born population. The fertility differential between these populations was not due to differences in other population characteristics. Rather it was due to the fact that conditional on characteristics, Irish-Americans chose to have larger families. Third, the differential fertility patterns of Irish-Americans were not just due to the effects of being immigrants. Germans and English immigrants also had higher fertility than the native-born population, but to a much larger extent than for the Irish, this higher fertility could be explained by the population characteristics of these groups

Immigration: America's nineteenth century "law and order problem"?

Past studies of the empirical relationship between immigration and crime during the first major wave of immigration have focused on violent crime in cities and have relied on data with serious limitations regarding nativity information. We analyze administrative data from Pennsylvania prisons, with high quality information on nativity and demographic characteristics. The latter allow us to construct incarceration rates for detailed population groups using U.S. Census data. The raw gap in incarceration rates for the foreign and native born is large, in accord with the extremely high concern at the time about immigrant criminality. But adjusting for age and gender greatly narrows that observed gap. Particularly striking are the urban/rural differences. Immigrants were concentrated in large cities where reported crime rates were higher. However, within rural counties, the foreign born had much higher incarceration rates than the native born. The interaction of nativity with urban residence explains much of the observed aggregate differentials in incarceration rates. Finally, we find that the foreign born, especially the Irish, consistently have higher incarceration rates for violent crimes, but from 1850 to 1860 the natives largely closed the gap with the foreign born for property offenses.

Do Families Exposed to Adverse Childhood Experiences Report Family Centered Care?

Background: Youth from marginalized groups may be less likely to receive quality health care services. Adverse Childhood Experiences (ACEs) are known to impact long-term health, but it is unclear if there is a relationship between ACEs and receipt of Family Centered Care (FCC)—one indicator of high-quality health care. To assess this relationship, this study used a nationally representative sample of youth from the National Survey of Children’s Health 2016–2017 combined data set. Caregivers of children who had at least one health care visit in the last 12 months (sub-sample n = 63,662) were asked about five indicators of FCC including if they felt the provider: (1) spent enough time, (2) listened carefully, (3) helped family feel like a partner, (4) provided information requested, and (5) showed sensitivity to culture. Methods: Logistic regression analyses examined the association between ACE score and each FCC quality indicator, as well between ACEs score and the overall FCC dichotomous score. Results: ACE exposure did not significantly predict access to a health care visit in the past 12 months. However, children with higher rates of ACEs were significantly less likely to receive FCC. Other factors that significantly predicted lower FCC included child race and ethnicity, insurance type, language in the home, and access to a regular health provider. Conclusions: Providers and health systems must identify, implement, and advocate for effective trauma-informed and care coordination interventions that ensure quality health care services for vulnerable children and families

Vaccine effectiveness against COVID-19 among symptomatic persons aged ≥12 years with reported contact with COVID-19 cases, February-September 2021

BACKGROUND: Individuals in contact with persons with COVID-19 are at high risk of developing COVID-19; protection offered by COVID-19 vaccines in the context of known exposure is poorly understood. METHODS: Symptomatic outpatients aged ≥12 years reporting acute onset of COVID-19-like illness and tested for SARS-CoV-2 between February 1 and September 30, 2021 were enrolled. Participants were stratified by self-report of having known contact with a COVID-19 case in the 14 days prior to illness onset. Vaccine effectiveness was evaluated using the test-negative study design and multivariable logistic regression. RESULTS: Among 2229 participants, 283/451 (63%) of those reporting contact and 331/1778 (19%) without known contact tested SARS-CoV-2-positive. Adjusted vaccine effectiveness was 71% (95% confidence interval [CI], 49%-83%) among fully vaccinated participants reporting a known contact versus 80% (95% CI, 72%-86%) among those with no known contact (p-value for interaction = 0.2). CONCLUSIONS: This study contributes to growing evidence of the benefits of vaccinations in preventing COVID-19 and support vaccination recommendations and the importance of efforts to increase vaccination coverage