Since the early 2000s, contributors to the deaths-of-despair epidemic such as alcohol and drug related deaths have more than doubled. Evidence of the role of patient networks in the diffusion of prescription behaviors among physicians and of intra-household diffusion of opioids use contribute to important new questions about the population level effects of workplace- and intergenerational networks. This study responds to this need by expanding the focus from households and opioids overdose risk to examine the role of intergenerational and commuting networks in the diffusion of overdose risk from alcohol and drugs more generally among children. Analyses using negative binomial regression combined with computational statistics approaches such as cross-validation and permutation indicated that exposures to extra-local network overdose risks were associated with local adult- and child overdose deaths. These associations remained significant after controlling for multiple socioeconomic and demographic factors. The results showed that the link between network overdose risk and local child overdose deaths was accounted for in large part by intergenerational effects. Above and beyond intergenerational and spatial diffusion, network effects remained significant for Black children. High concentrations of other white residents protected white children against overdose risk but none of the minority groups. In turn, higher concentration of minority residents protected Black and Hispanic children. Higher population density increased the risk of overdose deaths among adults of all racial and ethnic groups, consistent with expectations of social and economic strain. However, it decreased the risk among children, consistent with social control expectations. Implications for future research and policy are discussed.
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Intergenerational Wealth Mobility and Racial Inequality
The black-white gap in household wealth is large and well documented. Here, we visualize how this racial wealth gap persists across generations. Animating the flow of individuals between the relative wealth position of parents and their adult children, we show that the disadvantage of black families is a consequence both of wealth inequality in prior generations and race differences in the transmission of wealth positions across generations: Black children both have less wealthy parents on average and are far more likely to be downwardly mobile in household wealth. By displaying intergenerational movements between parental and offspring wealth quintiles, we underline how intergenerational fluctuation coexists with the maintenance of a severely racialized wealth structure.
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- NSF-PAR ID:
- 10335584
- Date Published:
- Journal Name:
- Socius: Sociological Research for a Dynamic World
- Volume:
- 5
- ISSN:
- 2378-0231
- Page Range / eLocation ID:
- 237802311983179
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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Results Compared with Whites, Blacks were more likely to fall into categories characterized by high debt-to-asset ratio (DAR) or limited asset ownership. Low-asset nonborrowers displayed the poorest cognition, followed closely by high-DAR borrowers. The Black–White differential in debt–asset profiles contributed to the racial gap in cognition.
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1177/2378023119831799
