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Social and Behavioral Sciences Commons

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University of Kentucky

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2019

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Articles 1 - 30 of 98

Full-Text Articles in Social and Behavioral Sciences

Family Conflict Observations And Outcomes Among Adopted School-Age Children With Lesbian, Gay, And Heterosexual Parents, Rachel H. Farr, Samuel T. Bruun, Kyle A. Simon Dec 2019

Family Conflict Observations And Outcomes Among Adopted School-Age Children With Lesbian, Gay, And Heterosexual Parents, Rachel H. Farr, Samuel T. Bruun, Kyle A. Simon

Psychology Faculty Publications

Children’s externalizing problems are associated with family conflict among children and their biological parents, yet these linkages have remained unexamined among adoptive or lesbian and gay parent families. Investigating family processes facilitative of adjustment among adoptees, who face unique developmental challenges, is warranted. This multimethod study of 96 (26 lesbian, 29 gay, 41 heterosexual parent) adoptive families examined observations of adoptive family conflict and associations with child adjustment and feelings about adoption (children’s Mage = 8 years). The sample was recruited from 5 private, domestic infant adoption agencies across the United States. Parents and children reported about children’s externalizing …


Reviewing Basic Leadership Competencies--Emotional Intelligence, Jennifer A. Bartlett Dec 2019

Reviewing Basic Leadership Competencies--Emotional Intelligence, Jennifer A. Bartlett

Library Faculty and Staff Publications

In this "New and Noteworthy" column, we highlight recent and basic publications pertaining to emotional intelligence, one of the 14 Foundational Competencies identified by LLAMA as being necessary for leaders and managers.


Legacy Missions In Times Of Change: Defining And Shaping Collections In The 21st Century, Antje Mays, Oya Y. Rieger Nov 2019

Legacy Missions In Times Of Change: Defining And Shaping Collections In The 21st Century, Antje Mays, Oya Y. Rieger

Library Presentations

Despite the rapidly changing information and technology landscape, collections remain at the heart of academic libraries, signifying their enduring importance in providing access to our cultural heritage. Given broader trends in research and the current information ecology of an increasingly networked, distributed, and licensed environment, building collections and developing collection polices is increasingly ambiguous. These trends impact librarians in form of ever-expanding portfolios, diffusion of effort, weakened sense of focus, and a rising sense of persistent yet unmet needs for developing new skills. This paper outlines current research on collection trends and summarizes the interactive exchanges from the 2019 Charleston …


[Review Of] Smart Girls: Success, School, And The Myth Of Post-Feminism. By Shauna Pomerantz And Rebecca Raby. Oakland: University Of California Press, 2017., Edward W. Morris Nov 2019

[Review Of] Smart Girls: Success, School, And The Myth Of Post-Feminism. By Shauna Pomerantz And Rebecca Raby. Oakland: University Of California Press, 2017., Edward W. Morris

Sociology Faculty Publications

No abstract provided.


Aliados De La Historia: Ayudando A Proteger Su Pasado: Recursos Sobre La Gestión De Archivos Y Registros Para Organizaciones Comunitarias, Ruth E. Bryan, Sarah Dorpinghaus, Matthew Strandmark, Laura M. Cuevas Meléndez Nov 2019

Aliados De La Historia: Ayudando A Proteger Su Pasado: Recursos Sobre La Gestión De Archivos Y Registros Para Organizaciones Comunitarias, Ruth E. Bryan, Sarah Dorpinghaus, Matthew Strandmark, Laura M. Cuevas Meléndez

Library Presentations

Desde 2015, University of Kentucky Libraries Special Collections Research Center (UK SCRC) ha ofrecido talleres sobre básicos de archivos para organizaciones comunitarias en el centro del estado de Kentucky. Estos talleres, titulados "Aliados de la historia: ayudando a proteger su pasado," son gratuitos y abiertos al público y, a menudo, se organizan en colaboración con las bibliotecas públicas del área. Los asistentes han sido de iglesias afroamericanas, organizaciones LGBTQIA, grupos genealógicos, museos y más. Los temas incluyen el valor histórico de los registros de la organización, la selección de registros para la retención permanente, el inventario y el almacenamiento de …


History Allies: Helping Protect Your Past: Resources On Managing Archives & Records For Community-Based Organizations, Ruth E. Bryan, Sarah Dorpinghaus, Matthew Strandmark Nov 2019

History Allies: Helping Protect Your Past: Resources On Managing Archives & Records For Community-Based Organizations, Ruth E. Bryan, Sarah Dorpinghaus, Matthew Strandmark

Library Presentations

Since 2015, the UK Libraries Special Collections Research Center (UK SCRC) has offered “archives basics” workshops for community-based organizations in central Kentucky. These workshops, titled “History Allies: Helping Protect Your Past,” are free and open to the public and often hosted in partnership with area public libraries. Attendees have been from African American churches, LGBTQIA organizations, genealogical groups, museums, and more. Topics include the historical value of organizational records, selecting records for permanent retention, inventorying and storing physical and digital records, providing access to researchers, managing volunteers and volunteer projects, digitization methods and standards, and outreach and exhibits. The workshops …


Post-Acquisition Processing Confounds In Brain Volumetric Quantification Of White Matter Hyperintensities, Ahmed A. Bahrani, Omar M. Al-Janabi, Erin L. Abner, Shoshana H. Bardach, Richard J. Kryscio, Donna M. Wilcock, Charles D. Smith, Gregory A. Jicha Nov 2019

Post-Acquisition Processing Confounds In Brain Volumetric Quantification Of White Matter Hyperintensities, Ahmed A. Bahrani, Omar M. Al-Janabi, Erin L. Abner, Shoshana H. Bardach, Richard J. Kryscio, Donna M. Wilcock, Charles D. Smith, Gregory A. Jicha

Neurology Faculty Publications

BACKGROUND: Disparate research sites using identical or near-identical magnetic resonance imaging (MRI) acquisition techniques often produce results that demonstrate significant variability regarding volumetric quantification of white matter hyperintensities (WMH) in the aging population. The sources of such variability have not previously been fully explored.

NEW METHOD: 3D FLAIR sequences from a group of randomly selected aged subjects were analyzed to identify sources-of-variability in post-acquisition processing that can be problematic when comparing WMH volumetric data across disparate sites. The methods developed focused on standardizing post-acquisition protocol processing methods to develop a protocol with less than 0.5% inter-rater variance.

RESULTS: A series …


Turning Doctoral Students Into Faculty In Gerontological Social Work: The AgeSw Experience, Nancy Kusmaul, Stephanie P. Wladkowski, Sally Hageman, Allison Gibson, Rebecca L. Mauldin, Jennifer C. Greenfield, Noelle L. Fields Oct 2019

Turning Doctoral Students Into Faculty In Gerontological Social Work: The AgeSw Experience, Nancy Kusmaul, Stephanie P. Wladkowski, Sally Hageman, Allison Gibson, Rebecca L. Mauldin, Jennifer C. Greenfield, Noelle L. Fields

Social Work Faculty Publications

Developing faculty interested in aging may help social work meet the needs of our growing aging population. However, doctoral students need a variety of supports to complete PhDs and become gerontological social work faculty. This study explored one program’s role in supporting the development of social work doctoral students to faculty in gerontology. An e-mail invitation was sent to all former participants (2010–2016 cohorts) of the Association for Gerontology Education in Social Work (AGESW) Pre-Dissertation Fellows Program (PDFP). The 38-question online survey consisted of Likert-type scales, multiple answers, and one open-ended question per section about the program’s impacts on …


Co-Prescription Network Reveals Social Dynamics Of Opioid Doctor Shopping, Brea L. Perry, Kai Cheng Yang, Patrick Kaminski, Meltem Odabas, Jaehyuk Park, Michelle M. Martel, Carrie B. Oser, Patricia R. Freeman, Yong-Yeol Ahn, Jeffery C. Talbert Oct 2019

Co-Prescription Network Reveals Social Dynamics Of Opioid Doctor Shopping, Brea L. Perry, Kai Cheng Yang, Patrick Kaminski, Meltem Odabas, Jaehyuk Park, Michelle M. Martel, Carrie B. Oser, Patricia R. Freeman, Yong-Yeol Ahn, Jeffery C. Talbert

Psychology Faculty Publications

This paper examines network prominence in a co-prescription network as an indicator of opioid doctor shopping (i.e., fraudulent solicitation of opioids from multiple prescribers). Using longitudinal data from a large commercially insured population, we construct a network where a tie between patients is weighted by the number of shared opioid prescribers. Given prior research suggesting that doctor shopping may be a social process, we hypothesize that active doctor shoppers will occupy central structural positions in this network. We show that network prominence, operationalized using PageRank, is associated with more opioid prescriptions, higher predicted risk for dangerous morphine dosage, opioid overdose, …


Trouble In The Tails? What We Know About Earnings Nonresponse 30 Years After Lillard, Smith, And Welch, Christopher R. Bollinger, Barry T. Hirsch, Charles M. Hokayem, James P. Ziliak Oct 2019

Trouble In The Tails? What We Know About Earnings Nonresponse 30 Years After Lillard, Smith, And Welch, Christopher R. Bollinger, Barry T. Hirsch, Charles M. Hokayem, James P. Ziliak

Economics Faculty Publications

Earnings nonresponse in household surveys is widespread, yet there is limited knowledge of how nonresponse biases earnings measures. We examine the consequences of nonresponse on earnings gaps and inequality using Current Population Survey individual records linked to administrative earnings data. The common assumption that earnings are missing at random is rejected. Nonresponse across the earnings distribution is U-shaped, highest in the left and right tails. Inequality measures differ between household and administrative data due in part to nonresponse. Nonresponse biases earnings differentials by race, gender, and education, particularly in the tails. Flexible copula-based models can account for nonrandom nonresponse.


Military Coalitions And Crisis Duration, Daina Chiba, Jesse C. Johnson Oct 2019

Military Coalitions And Crisis Duration, Daina Chiba, Jesse C. Johnson

Political Science Faculty Publications

Forming a military coalition during an international crisis can improve a state’s chances of achieving its political goals. We argue that the involvement of a coalition, however, can have unintended adverse effects on crisis outcomes by complicating the bargaining process and extending the duration of crises. This argument suggests that crises involving coalitions should be significantly longer than crises without coalitions. However, other factors that affect crisis duration are also likely to influence coalition formation. Therefore, taking into account the endogeneity of the presence of a coalition is essential to testing our hypothesis. To deal with this inferential challenge, we …


Southeastern Law Librarian Fall 2019, Seaall Oct 2019

Southeastern Law Librarian Fall 2019, Seaall

Newsletters

No abstract provided.


Best Practice Recommendations For Replicating Experiments In Public Administration, Richard M. Walker, Gene A. Brewer, M. Jin Lee, Nicolai Petrovsky, Arjen Van Witteloostuijn Oct 2019

Best Practice Recommendations For Replicating Experiments In Public Administration, Richard M. Walker, Gene A. Brewer, M. Jin Lee, Nicolai Petrovsky, Arjen Van Witteloostuijn

Public Policy and Administration Faculty Publications

Replication is an important mechanism through which broad lessons for theory and practice can be drawn in the applied interdisciplinary social science field of public administration. We suggest a common replication framework for public administration that is illustrated by experimental work in the field. Drawing on knowledge from other disciplines, together with our experience in replicating several experiments on topics such as decision making, organizational rules, and government–citizen relationships, we provide an overview of the replication process. We then distill this knowledge into seven decision points that offer a clear set of best practices on how to design and implement …


The Importance Of Shared Language In Rural Behavioral Health Interventions: An Exploratory Linguistic Analysis, Michele Staton, Jennifer Cramer, Robert Walker, Claire Snell-Rood, Athena Kheibari Oct 2019

The Importance Of Shared Language In Rural Behavioral Health Interventions: An Exploratory Linguistic Analysis, Michele Staton, Jennifer Cramer, Robert Walker, Claire Snell-Rood, Athena Kheibari

Behavioral Science Faculty Publications

A focus on the use of shared language to enhance congruence in interventionist-client dialogue is missing from traditional research on evidence-based practices and rural behavioral health. This study incorporates qualitative interactional sociolinguistics, which includes discourse analysis (typically written or audio recordings of face-to-face encounters with 11 clients and a study interventionist), to describe those speech patterns in a broad sense (dialect), as well as more specific use of communicative strategies to increase parity in the interaction between a rural interventionist delivering an evidence-based practice in the context of a research study with rural women opioid users in a non-therapeutic context. …


Hospitalization-Associated Change In Gait Speed And Risk Of Functional Limitations For Older Adults, Wei Duan-Porter, Tien N. Vo, Kristen Ullman, Lisa Langsetmo, Elsa S. Strotmeyer, Brent C. Taylor, Adam J. Santanasto, Peggy M. Cawthon, Anne B. Newman, Eleanor M. Simonsick, Teresa M. Waters, Kristine E. Ensrud Oct 2019

Hospitalization-Associated Change In Gait Speed And Risk Of Functional Limitations For Older Adults, Wei Duan-Porter, Tien N. Vo, Kristen Ullman, Lisa Langsetmo, Elsa S. Strotmeyer, Brent C. Taylor, Adam J. Santanasto, Peggy M. Cawthon, Anne B. Newman, Eleanor M. Simonsick, Teresa M. Waters, Kristine E. Ensrud

Health Management and Policy Faculty Publications

BACKGROUND: Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs).

METHODS: We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70-79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. …


Socioemotional Selectivity And Psychological Health In Amyotrophic Lateral Sclerosis Patients And Caregivers: A Longitudinal, Dyadic Analysis, Suzanne C. Segerstrom, Edward J. Kasarskis, David W. Fardo, Philip M. Westgate Oct 2019

Socioemotional Selectivity And Psychological Health In Amyotrophic Lateral Sclerosis Patients And Caregivers: A Longitudinal, Dyadic Analysis, Suzanne C. Segerstrom, Edward J. Kasarskis, David W. Fardo, Philip M. Westgate

Psychology Faculty Publications

Objective: Socioemotional selectivity theory predicts that as the end of life approaches, goals and resources that provide immediate, hedonic reward become more important than those that provide delayed rewards. This study tested whether these goal domains differentially affected psychological health in the context of marital dyads in which one partner had been diagnosed with amyotrophic lateral sclerosis (ALS), a life-limiting disease.

Design: ALS patients (N = 102) being treated in three multidisciplinary clinics and their spouses (N = 100) reported their loneliness, financial worry and psychological health every 3 months for up to 18 months.

Main …


Future And Value: The Library As Strategic Partner, Antje Mays Oct 2019

Future And Value: The Library As Strategic Partner, Antje Mays

Library Faculty and Staff Publications

Broader economic trends spawn budget pressures for education and libraries, prompting a plethora of studies on the value and relevance of libraries. Numerous reports on economic decline in libraries and studies with mixed pronouncements on the value of libraries have led to a negative self-image within the library profession. Yet libraries' leadership in connecting learners to knowledge is at the heart of producing many of the key skills sorely needed in robust societies and economies. Librarianship has many untapped opportunities for positioning itself as a prominent strategic partner. This paper outlines current research on the economic and societal context for …


Dangerous Liaisons: Brainstorming The 21st Century Academic Liaison, Antje Mays Oct 2019

Dangerous Liaisons: Brainstorming The 21st Century Academic Liaison, Antje Mays

Library Faculty and Staff Publications

Academic liaison roles have seen massive changes over time and grown into an ever-broadening range of duties. What began as subject-focused collection involvement has evolved into a mix of instruction, reference, and various forms of course-embedded services, all while also retaining the earlier focus on subject-specific collection management.

This paper outlines current research on academic liaison roles and summarizes the interactive exchanges from the 2018 Charleston Conference Lively Session on academic liaisons. Through live polling and discussion, session participants identified key functions and core competencies for liaisons, as well as factors contributing to success or hindrance for liaison success. Key …


The Effects Of Opioids On Kentucky's Workforce, Michael W. Clark, Jenny A. Minier, Charles J. Courtemanche, Bethany L. Paris, Michael T. Childress Sep 2019

The Effects Of Opioids On Kentucky's Workforce, Michael W. Clark, Jenny A. Minier, Charles J. Courtemanche, Bethany L. Paris, Michael T. Childress

CBER Research Report

From the executive summary:

Opioid abuse represents a significant and growing public health issue for both the nation and Kentucky. In 2016, opioids contributed to more than 62,000 deaths nationally and 1,406 deaths in Kentucky. National studies have placed the societal costs of opioid abuse at $55.7 billion in 2007 and $78.5 billion in 2013 (Birbaum et al. (2011) and Florence et al. (2016)). These costs included increased health care expenditures, higher criminal justice costs, and lost earnings due to reduced employment and premature deaths. The While House Council of Economic Advisors (2017) estimated the societal costs of opioid abuse …


“Okay Okay Okay, Now The Video Is On”: An Analysis Of Young Children’S Orientations To The Video Camera In Recordings Of Family Interactions, Sarah C. Barriage, Darcey K. Searles Sep 2019

“Okay Okay Okay, Now The Video Is On”: An Analysis Of Young Children’S Orientations To The Video Camera In Recordings Of Family Interactions, Sarah C. Barriage, Darcey K. Searles

Information Science Faculty Publications

This paper explores 3- to 6-year-old children’s orientations to the video camera in video recordings of everyday family interactions. Children’s orientations to the video camera in these recordings were identified and analyzed using the constant comparative method. Types of orientations to the video camera included talking about the camera, engaging in camera-directed talk and/or action, and interacting with the camera. In some cases, these orientations occurred after a parent or sibling first oriented to the video camera; however, in other cases no prior orientation was evident. Theoretical and practical implications of the results are discussed.


Alma Analytics, For Fulfillment, Julene L. Jones Sep 2019

Alma Analytics, For Fulfillment, Julene L. Jones

Library Presentations

This presentation covers the following topics:

  • Analytics information in Alma
  • How to get there, Structure of Analytics
  • Create a new analysis
  • Tips and best practices
  • Edit an existing analysis
  • Example analyses
  • Links to Ex Libris information


The Effect Of Smoking On Kentucky’S Workforce, Michael W. Clark, Jenny A. Minier, Charles J. Courtemanche, Bethany L. Paris, Michael T. Childress Sep 2019

The Effect Of Smoking On Kentucky’S Workforce, Michael W. Clark, Jenny A. Minier, Charles J. Courtemanche, Bethany L. Paris, Michael T. Childress

CBER Research Report

Excerpt from the Executive Summary:

Smoking has been estimated to increase health care costs in the United States by $167.5 billion annually (Xu et al. 2015). In Kentucky, smoking adds $2.5 billion in health care expenditures each year. Most of these costs were paid by public programs such as Medicaid and Medicare. While these costs are significant, they represent only a portion of the costs that smoking imposes on society. Smoking also leads to poorer labor market outcomes. Smokers are more likely to be unemployed, earn lower wages, and die prematurely than non-smokers. These negative labor market effects reduce economic …


Beautiful Connector: Collection Showcase Exhibits As Teaching Tools And Community Builders, Antje Mays Sep 2019

Beautiful Connector: Collection Showcase Exhibits As Teaching Tools And Community Builders, Antje Mays

Library Faculty and Staff Publications

Libraries’ quest to strengthen connections with their constituencies often finds expression in new services and repurposed user spaces. Some literature portrays libraries as focusing away from collections toward new trends in library portfolios, but showcasing collections can prove very effective in bringing the library and user communities closer together. This article recounts two recent library collection showcase exhibits as successful examples of bolstering stakeholder connections: The first collections exhibit showcased books on Chinese language, literature, culture, art and architecture, history, and medicine received through the Window of Shanghai program. The second collections exhibit showcased scholarly books, U.S. government publications, citizen …


Dealing With Dysfunction, Jennifer A. Bartlett Sep 2019

Dealing With Dysfunction, Jennifer A. Bartlett

Library Faculty and Staff Publications

It is the rare library that does not experience some level of dysfunctional behavior among staff. Problems arise when weak leadership, poor communication, and lack of goals result in toxic behaviors including gossiping and bullying. Several recent publications offer tips on identifying and dealing with dysfunctional library workplaces.


Haiti’S Pact With The Devil?: Bwa Kayiman, Haitian Protestant Views Of Vodou, And The Future Of Haiti, Bertin M. Louis Jr. Aug 2019

Haiti’S Pact With The Devil?: Bwa Kayiman, Haitian Protestant Views Of Vodou, And The Future Of Haiti, Bertin M. Louis Jr.

Anthropology Faculty Publications

This essay uses ethnographic research conducted among Haitian Protestants in the Bahamas in 2005 and 2012 plus internet resources to document the belief among Haitian Protestants (Haitians who practice Protestant forms of Christianity) that Haiti supposedly made a pact with the Devil (Satan) as the result of Bwa Kayiman, a Vodou ceremony that launched the Haitian Revolution (1791–1803). Vodou is the syncretized religion indigenous to Haiti. I argue that this interpretation of Bwa Kayiman is an extension of the negative effects of the globalization of American Fundamentalist Christianity in Haiti and, by extension, peoples of African descent and the …


Kentucky School Districts As Educational Bright Spots, Michael T. Childress Aug 2019

Kentucky School Districts As Educational Bright Spots, Michael T. Childress

CBER Research Report

Every year a select group of Kentucky school districts perform better than expected on measures of educational achievement. These measures include things like the percentage of elementary students who achieve proficiency or distinguished in reading, or the proportion of less‐advantaged middle school students who show a similar level of competency on the math assessment.

There are wide differences in the learning environments, finances, and student outcomes among and within Kentucky’s 173 school districts. This is not surprising given that the largest school district in the state, Jefferson County, has 97,000 students and 165 schools, while the smallest, West Point Independent …


The Medicalization Of Sleeplessness: Results Of U.S. Office Visit Outcomes, 2008-2015, Mairead Eastin Moloney, Gabriele Ciciurkaite, Robyn Lewis Brown Aug 2019

The Medicalization Of Sleeplessness: Results Of U.S. Office Visit Outcomes, 2008-2015, Mairead Eastin Moloney, Gabriele Ciciurkaite, Robyn Lewis Brown

Sociology Faculty Publications

Previous analysis of U.S. physician office visits (1993–2007) indicated that the medicalization of sleeplessness was on the rise and had potentially negative implications for population health. Our study asks if the medicalization of sleeplessness at the level of patient-physician interaction has persisted over time. Using the most recent years available (2008–2015) of the National Ambulatory Medical Care Survey we calculated nationally representative estimates for four sleeplessness-related outcomes of physician office visits: sleeplessness complaint, insomnia diagnosis, and prescription of benzodiazepine and non-benzodiazepine sedative-hypnotics (NBSH). To test for the significance of the linear trajectory, we ran a series of bivariate linear models. …


Can Mergers And Acquisitions Internalize Positive Externalities In Funding Innovation?, Leo Li, Mark Liu Aug 2019

Can Mergers And Acquisitions Internalize Positive Externalities In Funding Innovation?, Leo Li, Mark Liu

Institute for the Study of Free Enterprise Working Papers

Fundamental innovation usually involves huge upfront costs, but the benefits are spread across various sectors of the economy. Given the large costs and limited appropriability of the benefits associated with the innovation, individual firms underinvest in these innovations relative to the socially optimal level. We find that mergers and acquisitions (M&As) can internalize the positive externalities by merging firms from both the user industries and the producer industries of an innovation. Using the US patent citation dataset, we define the user and producer relationship between each pair of industries and between each pair of industry and technological class. We then …


The At-Risk Student Population You Might Be Overlooking: Working With Developmental Education Students, Lauren Colburn, Beth Fuchs Jul 2019

The At-Risk Student Population You Might Be Overlooking: Working With Developmental Education Students, Lauren Colburn, Beth Fuchs

Library Presentations

Each year a considerable number of students are placed in developmental education courses which are intended to prepare them for college-level courses. In fact, a 2016 report published by the National Center for Education Statistics showed that 68% of students at public 2-year institutions and 40% of students at 4-year public institutions enrolled in at least one math, reading, or writing, developmental course between 2003-2009 (NCES, 2016). Nationally, many states have begun to focus specifically on these courses and the various ways institutions can surround these students with the academic support structures they need to succeed. However, one support structure …


Medicaid Coverage Across The Income Distribution Under The Affordable Care Act, Charles J. Courtemanche, James Marton, Aaron Yelowitz Jul 2019

Medicaid Coverage Across The Income Distribution Under The Affordable Care Act, Charles J. Courtemanche, James Marton, Aaron Yelowitz

Institute for the Study of Free Enterprise Working Papers

This chapter examines trends in Medicaid enrollment across the income distribution after the ACA’s Medicaid expansion.Using data from the American Community Survey between 2012and 2017, we compare Medicaid coverage over time in 9 states that expanded Medicaid in 2014 with no previous expansion for able-bodied, working-age adults with 12 states that had not expanded Medicaid by 2019 and also had no previous expansion for such adults. A difference-in-differences model is used to formalize this comparison. Similar to many previous studies, we find that Medicaid coverage increased dramatically for income-eligible adults under 138% of the federal poverty level (FPL). In addition, …