Springer Science and Business Media LLC

Intimate partner violence (IPV) affects 36% of women in Sub-Saharan Africa. In this paper, we examine the relationship between decision-making within 31,243 couples and the incidence of IPV across 12 African countries. Using the wife’s responses to survey questions, we find that compared to joint decision-making, sole decision-making by the husband is associated with a 3.3 percentage point higher incidence of physical IPV in the last year, while sole decision-making by the wife is associated with a 10 percentage point higher incidence. Similar patterns hold for emotional and sexual violence. When we include the combined responses of the husband and wife about decision-making in the analysis, we identify joint decision-making as protective only when spouses agree that decisions are made jointly. Notably, agreement on joint decision-making is associated with lower IPV than agreement on decision-making by the husband. Constructs undergirding common IPV theories, namely attitudes towards violence, similarity of preferences, marital capital, and bargaining, do not explain the relationship. Our results are instead consistent with joint decision-making as a mechanism that allows spouses to share responsibility and mitigate conflict if the decision is later regretted.

The literature on child development shows that the promotion of cognitive and non-cognitive skills is essential to prevent inequalities in adult socioeconomic outcomes. In this context, the family environment plays a strategic role, as during childhood, it represents the most important institution for child development. This paper evaluates the long-term impact of various family difficulties during childhood on adult labor market outcomes. Evidence of negative impacts on employment probability and wages emerges from applying propensity score matching to the UK National Child Development Study. Simulation-based sensitivity analysis and standard parametric techniques support our findings. We also find that the intensity of the negative impact appears to increase with the number of recorded family difficulties, while the negative effect does not decline over the cohort’s working life. Moreover, we find that housing and economic (financial and unemployment) problems are responsible for the more serious disadvantages, while disabilities of family members and familial disharmony do not produce statistically negative impacts per se but tend to do so only if associated with other family difficulties, including economic and housing difficulties.

This study examines whether financial literacy can help to reduce anxiety about life in old age. We hypothesized that financially literate people are more able to earn income and accumulate assets, leading them to have a less anxious life in old age. On the other hand, less financially literate people rely more on social security to secure themselves in the old age as they are not able to accumulate sufficient assets. By using US survey data, we provide evidence that assets significantly reduce anxiety about life in old age only for people who are more financially literate. For less financially literate people, social security plays an important role in reducing anxiety about life in old age. Besides these, having a child and doing regular exercise also reduced anxiety for all respondents but marital status reduced anxiety in respondents over 40 years of age. The results of our study are robust to measurement of financial literacy and endogeneity problems.

When enacted in 1965, the original Medicaid legislation sought to finance access to mainstream medical care for the poor. I use data on visits to office-based physicians from the National Ambulatory Medical Care Survey in four years—1989, 1993, 1998 and 2003—to test the extent to which this goal has been achieved. Specifically, I test whether this goal has been achieved more in states that pay higher fees to physicians who treat Medicaid patients compared to states that pay lower fees. By comparing the treatment of Medicaid patients to that of privately-insured patients and by using state fixed effects, I am able to estimate the effects of changes in the generosity of Medicaid physician payment within a state on changes in access to care for Medicaid patients, therefore separating Medicaid’s effect on access to health care from any correlation between the Medicaid fee and other attributes of the state in which a patient lives. Using this method, I examine the effect of Medicaid fees on whether or not an office-based physician accepts Medicaid patients, on the fraction of a physician’s practice that is accounted for by Medicaid, and on the length of visit times with physicians. Results imply that higher Medicaid fees increase the number of private physicians, especially in medical and surgical specialties, who see Medicaid patients. Higher fees also lead to visit times with physicians that are more comparable to visit times with private pay patients.

COVID-19 has wide-ranging and long-term implications for individual and household outcomes. Policymakers expect that the economic impact of COVID-19, channeled through labor markets, will disproportionately fall on women and girls, relative to men and boys. Surprisingly, little evidence exists for informing gender-sensitive COVID-19 recovery policies. This study examines the existence of gender-differentiated dynamic responses of labor market and other household welfare outcomes to GDP contractions using historical country level panel data for South/South-East Asia and West Africa. The econometric results reveal large gender differences in economic outcomes post crisis and provide insights for designing gender-sensitive COVID-19 recovery policies.

In response to the dramatic rise in childhood obesity, particularly among low income individuals, federal nutrition assistance programs have come under scrutiny. However, the vast majority of this research focuses on the direct relationship between these programs and child health, while little is known about the mechanisms by which such relationships arise. Using the 2007 American Time Use Survey and the Eating and Health Module, we explore differences in time use—albeit in a non-causal framework—across families that participate in the Supplemental Nutrition Assistance Program, the School Breakfast Program, and the National School Lunch Program to better understand behavioral differences across participants and non-participants. These differences have important implications for future research and policy.

This paper examines the effect of excessive mortgage indebtedness on health among homeowners using nine waves of the Health and Retirement Study from 1992 to 2008. Health status is measured by subjective well-being, number of depressive symptoms, and incidence of hypertension. Using average annual state-level home prices as an instrument, we attempt to identify the causal effect in an panel IV framework. Results from the panel IV estimations suggest that having a high mortgage loan to home value (LTV), defined as LTV at or above 80 %, leads to more depressive symptoms and a higher incidence of hypertension, but has no effect on subjective well-being. Since the results from panel estimations did not show that debt affects health, whether the panel IV results demonstrate a causal relationship depends critically on the exclusion assumption.

Naturalization bestows economic benefits to immigrants, their families, and communities through greater access to employment opportunities, higher earnings, and homeownership. It is the cornerstone of immigrant assimilation in the United States. Yet, less than 720,000 of the estimated 8.5 million legal permanent residents (LPRs) eligible to naturalize do so on a yearly basis. Using data from the 2008–2018 American Community Survey, we analyze how the expansion of interior immigration enforcement impacts the decision to naturalize. We find that the adoption over an entire year of one enforcement initiative, or of two enforcement initiatives for half a year, raises the naturalization hazard by 2 percent. The effect is more pronounced among LPRs who are Mexican, women, or reside in non-mixed status households. Finally, the impact is driven by police-based, as opposed to employment-based, interior immigration enforcement. In sum, immigrants who naturalize in response to intensified enforcement may be doing so out of fear or uncertainty about their ability to secure their citizenship status and rights in a rapidly changing immigration policy environment increasingly hostile towards immigrants.

This article examines changes in the frequency and characteristics of domestic violence reports following the onset of the COVID-19 pandemic and the imposition of mobility restrictions in six Latin American countries. We find significantly different patterns between reports of psychological and physical violence, non-cohabitant and cohabitant violence, and across alternative reporting channels (domestic violence hotlines, emergency lines, and police reports). Calls to domestic violence hotlines soared, suggesting that this channel was best suited to respond to victims’ needs during the pandemic. In turn, calls to emergency lines and police complaints declined (especially in the first weeks of the pandemic), consistent with an increase in the perceived (relative) cost of using these channels. The results reveal how the pandemic altered domestic violence victims’ demand for institutional help and highlight the relevance of domestic violence hotlines as an accessible and valuable service.