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About half of government expenditure in the United States takes the form of government consumption (e.g., education, defense, infrastructure). In many studies of post-tax inequality based on the Dina framework (including the influential study by Piketty et al. (Q J Econ 133(2):553–609, 2018), government consumption is allocated either proportionally to post-tax disposable income or on a per-capita basis, and the level of inequality is fairly sensitive to this choice. This paper provides direct evidence on how public education spending (a substantial part of government consumption) is actually distributed. An allocation proportional to post-tax disposable income is clearly rejected, while a lump-sum allocation is found to provide a good approximation. [ABSTRACT FROM AUTHOR]

Many transgender individuals face inequities, discrimination, and sometimes even a lack of transgender-specific knowledge in health care settings. Educational curricula can address such disparities and help future health professionals to become more knowledgeable, confident, and well-prepared for addressing the needs of transgender individuals. This systematic review aims to summarize current training interventions about care of transgender individuals for health and allied health students, and to analyse the effects of the respective intervention. A total of six databases (Pubmed, MEDLINE, Scopus, Web of Science, Embase and SciSearch) were screened for original articles published between 2017 and June 2021. Search terms and eligibility criteria were pre-specified, and after a structured selection process 21 studies were included into further analysis. Extracted data contained information on general study properties, population, design, program format and outcomes of interest. A narrative synthesis was used to summarize detected results. Study quality was assessed for each individual study. A self-developed 18-item checklist combining criteria of two prior published tools was used to assess overall quality of quantitative studies. For qualitative studies a 10-item checklist by Kmet et al. [HTA Initiat, 2004] was applied. Eligible studies were designed for multiple health or allied health profession students, and varied widely regarding program format, duration, content, and assessed outcomes. Almost all (N = 19) interventions indicated improvements in knowledge, attitude, confidence and comfort levels or practical skills concerning care for transgender clients. Major limitations included the lack of long-term data, validated assessment tools, control groups and comparative studies. Training interventions contribute to prepare future health professionals to deliver competent and sensitive care and which may improve the prospective experienced health care reality of transgender individuals. However, currently there is no common consensus about best practice of education. Additionally, little is known about whether detected effects of training interventions translate into noticeable improvements for transgender clients. Further studies are warranted to assess the direct impact of specific interventions in the light of the respective target populations. [ABSTRACT FROM AUTHOR]

Minimizing teacher stress is an essential aspect of effective teaching and supporting a healthy school climate. Previous research has indicated that teachers who experience elevated levels of occupational stress may have a negative perception of their school's climate, poor mental/physical health, poor relationships with their students, and are less likely to stay within their occupations. In addition, recent research has shown that Americans have experienced an increase in stress levels since the beginning of 2020 due to COVID-19-related stressors. This study sought to expand on previous research that investigated how teacher occupational stress is associated with teachers' perceptions of school climate. This study also examined how COVID-19-related stressors are associated with teachers' perceptions of school climate. Data from 111 elementary, middle, and high school teachers in the Southeastern United States were collected using self-report surveys on school climate, teacher occupational stress, and COVID-19-related stress. Linear regression analysis revealed that teacher occupational stress was not significantly associated with teachers' perceptions of school climate; however, a negative association between teachers' COVID-19-related stress and their perceptions of school climate was observed. This finding suggests that as teachers' COVID-19-related stress increased, their perceptions of school climate tended to decrease. The findings of this study provide insight into how to better support teachers' well-being so they can effectively perform their jobs and contribute to positive outcomes for students. [ABSTRACT FROM AUTHOR]

Background: Providing quality and equitable professional development (PD) to early care and education (ECE) providers can support high-quality care for young children. Coaching is a common way of delivering PD that has demonstrated positive impacts on teacher practices, however the field has yet to summarize which providers receive coaching, who provides coaching, the match between providers and coaches, and if researchers are examining the effectiveness of their interventions for different populations of providers. Objective: The current study conducted a systematic literature review to examine these characteristics. Method: A search was conducted using PsychInfo and ERIC between 2009 and 2020, with further searches conducted in Google Scholar and through backwards citation chaining. In total, 161 peer-reviewed articles representing 117 unique, U.S.-based studies were included in this systematic review. Results: More coaching research is conducted in urban versus rural areas; at Head Start, center-based, and public pre-school programs compared to other ECE settings; and with 3–5-year-old children compared with infants and toddlers. ECE providers receiving coaching were predominantly White, held a bachelor's degree, and spoke English. Eighty-one percent of studies reported some information about coaches' backgrounds, but only 15% included information about the coaches' race, ethnicity, and/or language spoken. Conclusion: Findings indicate researchers need to be more explicit in their research design and dissemination efforts regarding their target populations and purveyors of their coaching interventions. The field needs to reflect on the potential inequities regarding who receives coaching-inclusive interventions based on providers' geography and demographic background. [ABSTRACT FROM AUTHOR]

In the US, end-of-life health care (EOLHC) is often intensive and invasive, and at times may involve care that is inconsistent with patient values. US Muslims may not receive appropriate religious support, experience uncertainty around end-of-life decision-making, and under-utilize palliative and hospice care. As technological advancements and treatment options rise in EOLHC, Muslim American patients and their families need to understand more about the treatment options that are consistent with their beliefs. The objective of this study was to determine the efficacy of a pilot mosque-based educational workshop focused on increasing Muslim Americans' religious bioethics knowledge about end-of-life healthcare. Intervention sites were four mosques with racially and ethnically diverse members, two in the Chicago metropolitan area and two in the Washington, D.C. area. Eligible participants were self-reported Muslims, aged 18 years or older, who were proficient in English. The intervention included a pre and post-test survey and a workshop focused on the Islamic bioethical perspectives on EOLHC. Knowledge was measured with six true-false questions. Baseline and post-intervention scores were analyzed by McNemar's test and bivariate correlation. Overall, the analysis showed a significant improvement in post-intervention participant knowledge. There was increased knowledge of Islamic bioethical views on the moral status of seeking healthcare, brain death controversies, and religious perspectives on withholding or withdrawing life support near the end of life. Our pilot intervention successfully increased participant knowledge and underscores the need to improve the Muslim community's knowledge about the bioethical dimensions of EOLHC. [ABSTRACT FROM AUTHOR]

The significant number of annual US jail admissions is intricately tied to the increasing population of children with incarcerated parents. Some proportion of these children will visit their parents in jail, and the limited research linking visits to young children's well-being is mixed. Sesame Street developed multimedia educational materials to support young children with incarcerated parents, including specific messages around visiting. The educational materials have been found to positively shape how caregivers talk to children about parental incarceration, though a gap remains regarding young children's self-reported experiences. In a preliminary randomized efficacy trial of these educational materials, the current study examined 67 young children's (aged 3–8) self-reported feelings while at the jail following viewing of the video materials, including their feelings about their caregivers, incarcerated parents, families, and visiting in general. Data were collected when children arrived at the jail (before half were randomized to watch the intervention materials) and then again following the intervention. In the treatment group, the proportion of children reporting positive feelings increased from pre- to post-test, most saliently for feelings about families, while feelings decreased overall for those in the control group. The intervention was associated with positive feelings about family, especially for those children who were told developmentally appropriate information about the parent's incarceration prior to arrival at the jail. The exploratory findings shed light on young children's emotions when visiting parents in jail and the buffering role that intervention materials can have in offering support to help manage feelings during jail visits. Highlights: Exploratory findings suggest that the intervention was associated with positive changes in self-reported feelings for young children visiting parents at jail. Feelings about family were most significantly strengthened for young children following the multimedia intervention at jail. Strengthened feelings about family were most robust for children given developmentally appropriate information about the incarceration. [ABSTRACT FROM AUTHOR]

Why has voter turnout in the United States not increased proportionally with educational attainment over time? Relative education theories have attempted to answer this question by highlighting how the value of individuals' education may be influenced by the educational levels achieved by others. For instance, individuals may attain a higher level of education compared to previous generations, but the relative value of their education may not improve if society as a whole also achieves higher levels of education. Thus, this increased educational attainment may have little influence on voter turnout. Using a new measure of relative education and incorporating more recent post-2000 data, this research finds that while the relative education model explains the education–turnout relationship prior to 2000, since then individuals with a higher absolute level of education have been more likely to vote, regardless of the relative value of their education. The rise in voter turnout over the past two decades could be attributed to this increase in the absolute level of education. [ABSTRACT FROM AUTHOR]

Each year, many young professionals forego advanced education in the traditional doctoral programs of medicine, law, and philosophy in favor of pursuing a PhD or professional doctorate in bioethics or healthcare ethics that is offered by several major institutes of higher education across the United States. These graduates often leverage their degrees into careers within the broader field of bioethics. As such, they represent a growing percentage of professional bioethicists in both academia and healthcare nationwide. Given the significant role that doctoral bioethics programs play in the training of future professional bioethicists, it is imperative that programs conferring bioethics degrees are attuned to the knowledge and skills students will need as they transition to professional positions, especially where this training substantially differs from more traditional doctoral degree tracks. Yet, even given this need, there is nothing in the professional literature regarding doctoral bioethics graduates' perspectives or the overall efficacy of a bioethics doctorate as compared to more traditional doctoral degree tracks for future professional bioethicists. This paper then gives the perspective of five recent doctoral bioethics graduates on the utility of a bioethics doctorate and areas where the doctorate prepared or underprepared them in their roles as early-career professional bioethicists. [ABSTRACT FROM AUTHOR]

How did narratives about character education in the United States change between 1985 and 2016 and what does this reveal about the changing meaning of character over this time period? Policymakers and pundits have frequently invoked ideas of "good" versus "bad" character as they attempt to blame individuals for their own circumstances. It makes sense to trace these narratives in their various forms, beginning with the discourse around character and children. Character education programs are a natural object to study in order to capture these narratives. Despite this, sociologists have largely ignored character education, which leaves a significant gap in the scholarly knowledge about both character education and the social construction of designations of "good" versus "bad" character more generally. In this paper, I address this gap by examining the narratives around character education between 1985 and 2016. After analyzing 600 articles from Education Week and the New York Times mentioning character education, I find that there is a significant expansion of the ways in which advocates argue for character education in the schools. Whereas earlier narratives encouraged character education as a means to teach students how to be good, moral people starting in the early 2000s, these narratives expanded to include teaching character as a means to improve academic performance. This finding is significant as we continue to see both education reformers pushing for character education as a tactic to improve achievements and policymakers and pundits invoking character flaws as a means to blame individuals for structural inequality. [ABSTRACT FROM AUTHOR]

America faces a series of intersecting problems that relate to health inequities, failing schools, and an inadequate science, technology, engineering, and math (STEM) workforce, particularly in cities and among low-income Black and Latino youth. Here, we propose a solution, namely reforming secondary school education to include mandatory exposure to population thinking instruction to address these overlapping issues. Public health education has expanded in recent decades in undergraduate education, though it has yet to become an integral component of high school curricula. In this paper, we make the case that all youth should gain exposure to the skills of population thinking through public health education initiated in high school. We further provide a rationale for this approach drawn from multiple youth development frameworks and the community schools movement for honing youth critical thinking skills and problem solving relating to individual and community health, policy, and activism. [ABSTRACT FROM AUTHOR]

Children in foster care in the United States face unique challenges related to access to health and education services. With the COVID-19 pandemic, many of those services were temporarily disrupted, adding burden to an already strained system. This observational study describes the experiences of licensed and kinship caregivers (N = 186) during the peak of COVID-19 stay-at-home orders and as restrictions to services were lifted, to understand the overall impact of COVID-19 on this already vulnerable population. Purposive sampling methods were used, where caregivers known to have received placement of children prior to, during, and following COVID-19 stay-at-home orders were identified and recruited to complete a 45-minute phone-administered survey assessing stress, risks for contracting COVID-19, strain resulting from COVID-19, and access to services for children in foster care in their care across five domains: healthcare, mental health, education, child welfare, and family visitation. Differences by caregiver type (licensed, kinship) and timing in the pandemic were examined. Licensed and kinship caregivers reported similar social and economic impacts of COVID-19, including similar rates of distress for themselves and the youth placed with them. Almost half of caregivers experienced challenges accessing mental health services, with access to services more disrupted during COVID-19 stay-at-home orders. Caregiver reports regarding the social and economic impacts of COVID-19 were similar across the study, suggesting that lessened restrictions have not alleviated strain for this population. [ABSTRACT FROM AUTHOR]

Mentalization-based interventions show promise in improving mental health outcomes for children and parents through increasing a family's reflective functioning, or ability to mentalize. Mentalizing involves the ability to understand behavior in relation to mental states, such as thoughts and feelings, and typically develops within the context of secure attachment relationships. One area not given much consideration when training foster parents is their capacity to mentalize. This study evaluated Family Minds, a newly developed psychoeducational intervention for foster parents, designed to increase their ability to mentalize. The current paper reports on the development and preliminary empirical evaluation of Family Minds in a quasi-experimental study where 102 foster parents received either Family Minds or a typical foster parenting class, which served as a control group. Results indicate that parents who received Family Minds significantly increased their levels of reflective functioning as assessed with the Parental Reflective Functioning Questionnaire and a new Five-Minute Speech Sample procedure coded using the Reflective Functioning Scale, and revealed a tendency to show decreased levels of parenting stress on the Parenting Stress Index, while the control group showed no such improvements. These findings support the hypothesis that a short-term psychoeducational intervention may improve foster parents' ability to mentalize themselves and their children. These skills are very beneficial for foster parents, as they frequently deal with children who come into their home with challenging behaviors, attachment issues, and negative internal working models of relationships. This type of intervention has the potential to lower placement breakdowns and improve the mental health of foster children. [ABSTRACT FROM AUTHOR]

This paper uses wealth attainment as an indicator of economic integration and assesses how educational-occupational mismatch (i.e., over/underqualification) and race/ethnicity affect the wealth attainment of a sample of legal permanent residents in the USA. Using data from the New Immigrant Survey, this paper finds that overqualification is positively associated with wealth attainment, but below the rate for adequately qualified workers in the same occupation. Underqualified immigrants are associated with a pattern of wealth attainment that is equivalent to the adequately qualified. Racial/ethnic wealth inequality among legal permanent residents generally reflects the well-documented pattern among the U.S. native-born. This paper concludes with a discussion that places these results alongside previous research that examines the relationship between educational-occupational mismatch and income among immigrants. [ABSTRACT FROM AUTHOR]

Because of the changing nature of race the role of antiracist teaching is a forever-evolving process. Acknowledging that the majority of the U.S. teaching force, from K-12 to teacher education in institutions of higher education, are white middle-class females, it becomes imperative to unveil pedagogical applications of critical whiteness studies. Unwillingness to do so maintains the recycled nature of the hegemonic whiteness that dominates the field of education. This reflective paper examines the implemented pedagogies of a teacher education diversity course which begin to break down the whiteness ideology embedded in teacher candidates (i.e., pre-service teachers). Although the course's application of critical whiteness studies was in no way complete, it framed a pedagogical strategy for self-interrogation of whiteness, one that can be implemented in other teacher education courses across the nation. Adding to the existing field of research, this paper provides concrete teaching strategies about how to employ critical whiteness studies in teacher education, and examines the implications of such pedagogies in relation to the roles of racial justice and antiracist teaching. By including feedback from teacher candidates themselves, this paper demonstrates how effective the pedagogies were in preparing a majority of white female teacher candidates for urban teaching. [ABSTRACT FROM AUTHOR]

This paper investigates the impact of differing interpretation of federal education policy in three different states. The policy, the Workforce Investment Act Title II, has defined the services provided for adult English language learners (ELLs) enrolled in Adult Basic Education programs in the United States since it was passed in 1998. At the time the Act was legislated, ELL success in school and work did not depend on their capacity to use online technology; consequently, WIA II addressed neither limitations nor support for digital literacy instruction. This paper describes how over time this created a lack of fit between the policy and an increasingly technological reality. This misalignment resulted in de facto language policy that limited learner access to English language instruction differently in each of the states, at times negatively impacting ELL ability to prepare for full participation in civic and economic life in the US. The paper includes a discussion about key changes evident in new legislation, the Workforce Innovation and Opportunities Act passed in 2014, which supplants WIA II, and how it may mitigate the issue of inadequate digital literacy support for English language learners. [ABSTRACT FROM AUTHOR]

Background: Evolution acceptance is still low in the United States, especially among religious students. Due to low acceptance, researchers have used a wide variety of methods to increase evolution acceptance. Six culturally competent methods for teaching evolution to religious students have been identified, this manuscript looks specifically at the method of reconciliation between religion and evolution. The reconciliation module has been shown to effectively increase evolution acceptance while allowing students to maintain their religious views. However, we lack an understanding of why this method is effective. We measure evolution acceptance and religiosity at eight religiously affiliated institutions in the United States to again measure the effects of a reconciliation model in biology classrooms. This manuscript also attempts to address classroom influences that allowed students to reconcile evolution with their religious beliefs. Results: Of the eight schools that participated, there were no statistically significant decreases in the religiosity of the students over the semester. Five of the eight institutions had statistically significant increases in their evolution acceptance scores over the semester. We identified three major influences students mentioned as reasons for change towards evolution acceptance: the presence of a role model, discussions on religion and science compatibility, and learning about evolution. Conclusions: We identified influential practices instructors could integrate into their classrooms to help students better incorporate evolution into their personal views. Having a role model and talking about compatibility between religion and evolution are influential in changing students' views about evolution. Learning the mechanisms of the theory of evolution is also important in changing students' views about evolution and might be more impactful when used in conjunction with a role model or a compatibility discussion. [ABSTRACT FROM AUTHOR]

This paper quantifies the association between religions, religiosity and educational attainment of new lawful immigrants to the US. This paper considers a broad set of religions that includes most of the major religions of the world. Using data from the New Immigrant Survey (2003), we show that affiliation with religion is not necessarily associated with an increase in educational attainment. Muslim and 'Other religion' immigrants have less education compared to the immigrants who are not affiliated with any religion. However, affiliation with the Jewish religion is associated with higher educational attainment for males. With regard to religiosity, our results show that high religiosity is associated with lower educational attainment, especially for females. We also outline alternative frameworks that provide insight about the mechanisms that link religion and religiosity with educational attainment. [ABSTRACT FROM AUTHOR]

Despite the importance of early writing development to children’s school success, research documents that early childhood teachers spend little time actively supporting children’s writing development in preschool classrooms. This article provides a framework for integrating writing experiences across the early childhood curriculum. Practical examples are given regarding how writing opportunities can be incorporated into existing activities and play settings. The metaphor of backgrounding and foregrounding writing experiences is used to illustrate ways that teachers can set writing rich environments and activities in a manner that makes it easier for teachers to bring these experiences into everyday learning opportunities. Attention is given to how teachers can bring writing to the foreground of the curriculum by drawing attention to writing materials, making natural connections with children’s interest and play, and scaffolding children’s early writing attempts and experiences. [ABSTRACT FROM AUTHOR]

Social workers are mental health first-responders in disaster events, yet that role has been relatively underemphasized in social work curriculum for agency-based practice. The recent increasing number of disaster-related events has challenged schools of social work to respond with curriculum and field placements that meet the student demand for education in disaster behavior health. This paper describes how a real-time education and training program for disaster response was created and adopted into an existing graduate social work school curriculum. It also details how new field placements were created, and others were transformed to focus on mental health counseling and disaster relief following a significant weather-related event. This case study demonstrates how resources were developed and leveraged to address the immediate needs of devastated communities, and it provides strategic information on the way that social work students worked to address both acute and longer-term symptoms and needs of victims and survivors through clinical training and supervision. Through the historical lens of disaster response and behavioral health, resiliency-building is shown to be the cornerstone of effective community networking. [ABSTRACT FROM AUTHOR]

Aim: College students are presumed to be exposed to a vast amount of sexual health information and may participate in various sexual behaviors. Without appropriate sources of sexual health information, the sexual health of college students could be severely affected. The purpose of this study was to identify the sources of sexual information and determine the relationship between socio-demographic factors and discussing sexual matters with father, mother, brother, and/or sister. Subject and method: A school-based cross-sectional study design was conducted in the spring of 2018 (January to May). A simple random sampling was used to select a total of 808 students attending Central Michigan University. Participants answered a questionnaire from the World Health Organization administrated through Qualtrics software. The data was extracted from Qualtrics, and further analysis was done using SPSS software. The outcome of interest was discussing sexual matters with father, mother, brother, and/or sister. Descriptive statistics and bivariate and logistic regression analyses were performed, and all associations were set by p-values less than 0.05 and reported by unadjusted and adjusted odds ratios with 95% CI. Results: Nearly 80% of the study participants were females. Most of the respondents (39.7%) were first- and second-year university students, followed by third- to fifth-year students (38.4%). Approximately 59% of the study sample fell into the group 21 years of age and below. The majority (70.1%) of the study participants identified mothers (rather than fathers, brothers, or sisters) as a source of sexual health information. The majority of participants (39.4%) were non-religious, followed by Christians (35.6%). Most of the study participants (69.9%) earned less than $1000 per year. In a multivariate analysis, this study revealed that there was no statistically significant association between socio-demographic factors and obtaining sexually related information from mothers or sisters. Males also were three times more likely to discuss sexual matters with their fathers when compared to females [AOR: 3.09; 95% CI: 1.92–4.97]. Again, males were 96% more likely to discuss sexual matters with their brothers compared to females [AOR: 1.96; 95% CI:1.11–3.46]. In terms of education, first- and second-year students, and third- to fifth-year students were three times more likely to discuss sexual matters with their fathers compared to graduates [AOR: 3.41; 95% CI: 1.53–7.57, AOR: 3.02; 95% CI:1.53–6.02 respectively]. Conclusion: The majority of participants (70.1%) identified mothers as a source of sexual health matters. Therefore, mothers should be encouraged to be trained for effective communication regarding sexual health issues. Gender showed a significant association with discussing sex matters with fathers and brothers. The year of education also showed a significant association with discussing sexual matters with fathers. All findings suggest that family members need to be informed with correct sexuality information to better inform children/siblings. [ABSTRACT FROM AUTHOR]

Among better-educated employed men, the fraction of full-time full-year (FTFY) workers is quite high and stable-around 90 percent-over time in the U.S. Among those with lower education levels, however, this fraction is much lower and considerably more volatile, moving within the range of 62-82 percent for high school dropouts and 75-88 percent for high school graduates. These observations suggest that the composition of unobserved skills may be subject to sharp movements within low-educated employed workers, while the scale of these movements is potentially much smaller within high-educated ones. The standard college-premium framework accounts for the observed shifts between education categories, but it cannot account for unobserved compositional changes within education categories. Our paper uses Heckman's two-step estimator on repeated Current Population Survey cross sections to calculate a relative supply series that corrects for unobserved compositional shifts due to selection into and out of the FTFY status. We find that the well-documented deceleration in the growth rate of relative supply of college-equivalent workers after mid-1980s becomes even more pronounced once we correct for selectivity. This casts further doubt on the relevance of the plain skill-biased technical change (SBTC) hypothesis. We conclude that what happens to the within-group unobserved skill composition for low-educated groups is critical for fully understanding the trends in the relative supply of college workers in the United States. We provide several interpretations to our selection-corrected estimates. [ABSTRACT FROM AUTHOR]

This paper estimates the health returns to schooling, using a twin design. For this purpose, I use data on monozygotic twins from the Midlife in the United States survey. The results suggest that completing high school improves health, as measured through self-reported health, chronic conditions, and exercise behavior, but that additional schooling does not lead to additional health gains. Controlling for certain early life factors that may vary within twin pairs does not alter the main conclusions of this paper. [ABSTRACT FROM AUTHOR]

In this paper we present the current state of cultural diversity education for undergraduate medical students in three English-speaking countries: the United Kingdom (U.K.), United States (U.S.) and Canada. We review key documents that have shaped cultural diversity education in each country and compare and contrast current issues. It is beyond the scope of this paper to discuss the varied terminology that is immediately evident. Suffice it to say that there are many terms (e.g. cultural awareness, competence, sensitivity, sensibility, diversity and critical cultural diversity) used in different contexts with different meanings. The major issues that all three countries face include a lack of conceptual clarity, and fragmented and variable programs to teach cultural diversity. Faculty and staff support and development, and ambivalence from both staff and students continue to be a challenge. We suggest that greater international collaboration may help provide some solutions. [ABSTRACT FROM AUTHOR]

This paper considers the measurement of performance in public service provision in an international context by examining outcome-based measures for the education sector. It first sets out the measurement issues in general terms. The paper then applies these methods to comparing the UK experience with that in the US over the period 1979–2002. The results show higher labour productivity growth in the UK education sector than in the US over this time period, so that the UK eliminated the productivity gap with the US by the end of the Century. [ABSTRACT FROM AUTHOR]

Over the past 4 decades Chinese medicine (CM) has come increasingly into the spotlight in the United States as the clinical effectiveness of CM has been not only empirically well-tested over a long period of time but also proven by recent scientific research. It has proven cost effectiveness, safety, and is authorized for natural and holistic approaches. In consideration, CM is one of the underutilized health care professions in the United States with a promising future. However, CM faces many challenges in its education and system, its niche in the health care system as an independent profession, legal and ethical issues. This paper discusses the confronting issues in the United States: present education, standards of CM education with shifting first professional degree level, new delivery systems of CM education. Development of new research models, training of evidence-based practice, and implementation of integrative medicine into CM education also are the key issues in the current CM profession. This paper also discusses opportunities for the CM profession going beyond the current status, especially with a focus on fusion medicine. [ABSTRACT FROM AUTHOR]

This discussion explores the journal's special issue from the construct of ownership and how it relates to participatory design. I examine the articles of researchers from Europe and the United States which offer data-centered perspectives and data-driven suggestions. These works suggest how to best involve different stakeholders and I examine how these initiatives can affect participants' ownership giving voice to change for the future. [ABSTRACT FROM AUTHOR]

The fraction of U.S. college graduate women who ever marry has increased relative to less educated women since the mid-1970s. In contrast, college graduate women in developed Asian countries have had decreased rates of marriage, so much so that the term 'Gold Misses' has been coined to describe them. This paper argues that the interaction of rapid economic growth in Asia combined with the intergenerational transmission of gender attitudes causes the 'Gold Miss' phenomenon. I present a simple dynamic model then test its implications using U.S. and Asian data on marriage and time use. [ABSTRACT FROM AUTHOR]

This paper uses a semiparametric latent variable transformation model for multiple outcomes to examine the effect of education and maternal education on female multidimensional well-being and proposes a procedure to build a well-being index that is less susceptible to functional form misspecification. We model multidimensional well-being as an unobserved common factor underlying the observed well-being outcomes. The semiparametric methodology allows us to alleviate misspecification bias by combining multiple indicators into a latent construct in an unspecified, data-driven way. Using data from female participants of the 1974-2010 waves of the US General Social Survey, we find that education, intelligence, and maternal education contribute positively to multidimensional well-being. However, the effects of education and maternal education on female multidimensional well-being declined steadily between the mid-1970s and the 1990s, and have not rebounded since. [ABSTRACT FROM AUTHOR]

Ability drain's (AD) impact seems economically significant, with 30% of US Nobel laureates since 1906 being immigrants, and immigrants or their children founding 40% of Fortune 500 companies. Nonetheless, while brain drain (BD) and gain (BG) have been studied extensively, AD has not. I examine migration's impact on ability ( a), education ( h), and productive human capital or 'skill' s = s( a, h), for source country residents and migrants under (a) the points system (PS) which accounts for h and (b) the 'vetting' system (VS) which accounts for s (e.g., US H-1B program). The findings are as follows: (i) Migration reduces (raises) residents' (migrants') average ability, with an ambiguous (positive) impact on average education and skill, and net skill drain, SD, likelier than net BD; (ii) these effects increase with ability's inequality or variance, are greater under VS than PS, and hurt source countries; (iii) the model and two empirical studies suggest average AD ≥ BD for educated US immigrants, with real income about twice the home country income; and (iv) SD holds for any BD and for a very small AD (7.4% of our estimate). Policy implications are provided. [ABSTRACT FROM AUTHOR]

In the United States, underachieving fertility desires is more common among women with higher levels of education and those who delay first marriage beyond their mid-20s. However, the relationship between these patterns, and particularly the degree to which marriage postponement explains lower fertility among the highly educated, is not well understood. We use data from the National Longitudinal Survey of Youth 1979 cohort to analyze differences in parenthood and achieved parity for men and women, focusing on the role of marriage timing in achieving fertility goals over the life course. We expand on previous research by distinguishing between entry into parenthood and average parity among parents as pathways to underachieving, by considering variation in the impact of marriage timing by education and by stage of the life course, and by comparing results for men and women. We find that women with a bachelor's degree who desired three or more children are less likely to become mothers relative to women with the same desired family size who did not attend college. Conditional on becoming mothers, however, women with at least a bachelor's degree do not have lower completed family size. No comparable fatherhood difference by desired family size is present. Postponing marriage beyond age 30 is associated with lower proportions of parenthood but not with lower parity among parents. Age patterns are similar for women and men, pointing at social rather than biological factors driving the underachievement of fertility goals. [ABSTRACT FROM AUTHOR]

A gap in childlessness rates between women with and without tertiary education in low-fertility settings has been well documented by scholars. However, in the United States, high rates of childlessness are declining for women with tertiary education. Will this current trend lead to a closing of the gap in childlessness across educational subgroups in this country? We answer this question using data from the Current Population Survey from 1976 through 2018. We present population-level trends in permanent childlessness by level of education and estimate the differences in the prevalence of childlessness across educational subgroups. Our findings indicate that the rates of childlessness for women aged 40–44 with tertiary education in the United States are the lowest they have been in over three decades and that rates of childlessness are converging among women with secondary and tertiary education. The declines in childlessness rates and the convergence in childlessness rates between women with secondary and tertiary education are observed for all of the three largest race/ethnicity sub-populations of American women: non-Hispanic white, non-Hispanic black, and Hispanic women. This report contributes to the emerging literature on the convergence of childlessness rates across sub-populations of women with different levels of educational attainment, which questions the well-established observation that there is a positive relationship between education and childlessness. [ABSTRACT FROM AUTHOR]

Historically, women in widowhood in the United States have been vulnerable, with high rates of poverty. However, over the past several decades, their poverty rate has fallen considerably. In this article, we look at why this decline occurred and whether it will continue. Using data from the Health and Retirement Study linked to Social Security administrative earnings and benefit records, we address these questions by exploring three factors that could have contributed to this decline: (1) women's rising levels of education; (2) their increased attachment to the labor force; and (3) increasing marital selection, reflecting that whereas marriage used to be equally distributed, it is becoming less common among those with lower socioeconomic status. The project decomposes the share of the decline in poverty into contributions by each of these factors and also projects the role of these factors in the future. The results indicate that increases in education and work experience have driven most of the decline in widows' poverty to date, but that marital selection will likely play a large role in a continuing decline in the future. Still, even after these effects play out, poverty among widows will remain well above that of married women. [ABSTRACT FROM AUTHOR]

This paper analyzes the effect of recent technical change on the labor market and explains the observed differences in wage inequality among advanced countries. In particular, we focus on the difference between the inequality in the U.S. and in continental Europe. Many studies have indicated a rise in wage inequality in the U.S. over the past three decades. On the other hand, there has been little change in wage inequality in continental Europe. By introducing human capital investment into the model by Acemoglu (Am Econ Rev 89:1259-1278, ), we show that ex ante homogeneous economies would have distinct ex post wage distribution. The strategic complementarity between human capital investment and firms' hiring strategies yields the possibility that multiple equilibria exist, which explains the difference in wage distribution between the U.S. and Europe. In addition, we show that differences in tax or education systems can explain the difference in wage distribution between the U.S. and Europe. [ABSTRACT FROM AUTHOR]

In this paper, I argue that Dewey's pragmatist aesthetics, and in particular, his concept of consummatory experience, should be engaged anew to rethink the merits of the Philosophy for Children (PFC) programme, which arose in the 1970s in the US as an innovative educational programme that aims to use philosophy to help school children (aged 6-18) improve their ability to become more conscious of and make judgments about the aspects of their experience that have ethical, aesthetic, political, logical, or even metaphysical meaning. Although an international success, the PFC programme has attracted many criticisms from a variety of directions. I claim that Deweyan concept of consummatory aesthetic experience is broad and flexible enough to provide a robust framework to make sense of the pedagogical horizon of PFC and therefore fruitfully engage the various critics of the movement coming from religious and social conservatives, educational psychologists, critical theorists, postmodernists/posthumanists, and professional philosophers themselves. The goal of this paper is to offer in a preliminary fashion the basic elements of Deweyan pragmatist aesthetics, which was principally elucidated in his Art as Experience, to defend PFC as a viable pedagogy. [ABSTRACT FROM AUTHOR]

During the pre-launch phase of NASA’s THEMIS mission, the Education and Public Outreach (E/PO) program successfully brought the excitement of THEMIS to the public, students and teachers through a variety of programs. The Geomagnetic Event Observation Network by Students (GEONS) was the main effort during this time, a project in which 13 magnetometers were placed in or near 13 rural schools across the country. High school teachers and a few middle school teachers at these and/or neighboring schools took part in a long-term professional development program based around space science and the magnetometer data. The teachers created week-long to semester-long projects during which their students worked on THEMIS lessons that they, their colleagues, and the E/PO team created. In addition to this program, THEMIS E/PO also launched the only Lawrence Hall of Science (LHS) Great Explorations in Mathematics and Science (GEMS) site in Nevada. This site provides a sustainable place for teacher professional development using hands-on GEMS activities, and has been used by teachers around the state of Nevada. Short-term professional development for K-12 teachers (one-hour to two-day workshops), with a focus on the Tribal College and Society for the Advancement of Chicanos and Native Americans in Science (SACNAS) communities have reached hundreds of teachers across the country. A Space Telescope Science Institute (STScI) ViewSpace show on auroras and THEMIS was created and distributed, and shown in over a hundred science centers and museums nationwide. The THEMIS E/PO program developed and maintained a THEMIS E/PO Website for dissemination of (1) information and multimedia about the science and engineering of THEMIS, (2) updated news about the mission in language appropriate for the public, (3) the GEONS data, the GEONS teacher guides with classroom activities, and (4) information about the THEMIS E/PO program. Hundreds of thousands of visitors have viewed this website. In this paper, we describe these programs along with the evaluation results, and discuss what lessons we learned along the way. [ABSTRACT FROM AUTHOR]

This paper explores Paul Brandwein’s contribution to the concept of conservation education in America. It examines the evolution of the concept to today’s environmental education. It then identifies some of the weaknesses of current environmental education and presents ideas on how to move past them to a point where conservation education is integrated into every classroom discipline, which brings conservation closer to Brandwein’s concept of conservation education to create a sanative environment. The paper looks at place-based learning as a step in that direction, giving several examples. It concludes with the 24 scientifically based conservation concepts compiled by the Society for Conservation Biology that can serve as curriculum for the 21st Century and beyond. [ABSTRACT FROM AUTHOR]

Floating exchange rates are said to introduce volatility into the foreign exchange market that could deter trade flows. Previous research employed aggregate import and export trade data and provided mixed results. In this paper we disaggregate the trade data between the U.S. and the emerging economy of India and use the bounds testing approach to cointegration and error-correction modeling to show that in 40 industries that trade between the two countries, exchange rate volatility has negative and positive effects in 40% of industries, in the short run. These short-run effects, however, do not last into the long run in many cases. [ABSTRACT FROM AUTHOR]

In light of the continued erosion of business ethics in America, the ongoing question is what are the nation's business schools doing to prepare ethically responsible future leaden of industry and government? This paper reports the findings of a survey mailed to every program accredited by the American Assembly of Collegiate Schools of Business. The curriculum treatment of business ethics is identified at the undergraduate and the graduate levels in public as well as in private colleges and universities. In addition, the paper presents the status (required versus elective), credits, and enrollment patterns associated with institutions offering a special course whose primary focus is the ethical or moral component of business decisions. Depending on one's perspective, the results range from "encouraging" to "disappointing" and suggest that more can and should be done within the curriculum of American post-secondary higher education. [ABSTRACT FROM AUTHOR]

Childbearing motivation may be conceptualized as based upon psychological traits and shaped by experiences during childhood, adolescence, and early adult life. This paper explores what those traits and developmental experiences are. Two measures of childbearing motivation, one positive and the other negative, are described. Using a sample of 362 married men and 354 married women, the paper systematically examines the factors associated with these measures. In addition to a set of basic personality traits, these factors include parental characteristics, teenage experiences, and a number of variables from young adult behavior domains such as marriage, education, work, religion, and parental relationships. Stepwise multiple regression analyses lead to two final constrained, simultaneous-equation regression models. These models indicate the importance of both personality traits and diverse life-cycle experiences in the development of childbearing motivation, the differential gender distribution of predictors, and the different experiential antecedents of positive and negative motivation. [ABSTRACT FROM AUTHOR]

This paper examines the role of religiosity as a determinant of the educational attainment of women raised as conservative Protestants in the United States. A human capital model based on the demand and supply of funds for investments in education is used to develop hypotheses about various causal links between religiosity and years of schooling. The hypotheses are tested using data from the 1995 National Survey of Family Growth, a large-scale survey addressed to a representative sample of women in the United States. Among respondents raised as conservative Protestants, those who attended religious services frequently during their adolescent years are found to complete one more year of schooling than their counterparts who were less observant. The gap is smaller, but still sizeable and statistically significant, when other factors are held constant in a multivariate analysis. The empirical results are consistent with the hypothesis that positive demand-side influences are dominant and explain the observed association between religiosity and educational attainment. [ABSTRACT FROM AUTHOR]

Does education change people's lives in a way that delays mortality? Or is education primarily a proxy for unobserved endowments that promote longevity? Most scholars conclude that the former is true, but recent evidence based on Danish twin data calls this conclusion into question. Unfortunately, these potentially field-changing findings-that obtaining additional schooling has no independent effect on survival net of other hard-to-observe characteristics-have not yet been subject to replication outside Scandinavia. In this article, we produce the first U.S.-based estimates of the effects of education on mortality using a representative panel of male twin pairs drawn from linked complete-count census and death records. For comparison purposes, and to shed additional light on the roles that neighborhood, family, and genetic factors play in confounding associations between education and mortality, we also produce parallel estimates of the education-mortality relationship using data on (1) unrelated males who lived in different neighborhoods during childhood, (2) unrelated males who shared the same neighborhood growing up, and (3) non-twin siblings who shared the same family environment but whose genetic endowments vary to a greater degree. We find robust associations between education and mortality across all four samples, although estimates are modestly attenuated among twins and non-twin siblings. These findings-coupled with several robustness checks and sensitivity analyses-support a causal interpretation of the association between education and mortality for cohorts of boys born in the United States in the first part of the twentieth century. [ABSTRACT FROM AUTHOR]

To examine health insurance coverage among the 550,000 U.S.-born minors living in Mexico. Representative data from Mexico's 2018 National Survey of Demographic Dynamics was used to describe health coverage among persons aged 0–17 living in Mexico (N = 78,370). Multinomial logistic regression models were estimated to identify the association between birthplace (Mexico versus the United States) and health insurance coverage in Mexico. 39% of U.S-born minors living in Mexico in 2018 lacked health insurance compared to just 13% of Mexican-born minors. Logistic regression found that, net of potential confounders, being born in the United States was associated with 87% lower odds of being insured among minors in Mexico. U.S.-born minors disproportionately rely on private insurance programs and are particularly likely to be uninsured in the first year back from the United States. Special attention is needed to ensure access to care among U.S.-born minors in Mexico. [ABSTRACT FROM AUTHOR]

Objective: In July 2018 the Academy of Nutrition and Dietetics released a benchmark encouraging early care and education (ECE) programs, including child care centers and family child care homes, to incorporate cultural and religious food preferences of children into meals. We examined the extent to which states were already doing so through their ECE licensing and administrative regulations prior to the release of the benchmark. This review may serve as a baseline to assess future updates, if more states incorporate the benchmark into their regulations. Methods: For this cross-sectional study, we reviewed ECE regulations for all 50 states and the District of Columbia (hereafter states) through June 2018. We assessed consistency with the benchmark for centers and homes. We conducted Spearman correlations to estimate associations between the year the regulations were updated and consistency with the benchmark. Results: Among centers, eight states fully met the benchmark, 11 partially met the benchmark, and 32 did not meet the benchmark. Similarly for homes, four states fully met the benchmark, 13 partially met the benchmark, and 34 did not meet the benchmark. Meeting the benchmark was not correlated with the year of last update for centers (P = 0.54) or homes (P = 0.31). Conclusions: Most states lacked regulations consistent with the benchmark. Health professionals can help encourage ECE programs to consider cultural and religious food preferences of children in meal planning. And, if feasible, states may consider additional regulations supporting cultural and religious preferences of children in future updates to regulations. [ABSTRACT FROM AUTHOR]

This study investigates the effect of violent crime on school district-level achievement in English language arts (ELA) and mathematics. The research design exploits variation in achievement and violent crime across 813 school districts in the United States and seven birth cohorts of children born between 1996 and 2002. The identification strategy leverages exogenous shocks to crime rates arising from the availability of federal funds to hire police officers in the local police departments where the school districts operate. Results show that children who entered the school system when the violent crime rate in their school districts was lower score higher in ELA by the end of eighth grade, relative to children attending schools in the same district but who entered the school system when the violent crime rate was higher. A 10% decline in the violent crime rate experienced at ages 0-6 raises eighth-grade ELA achievement in the district by 0.03 standard deviations. Models that estimate effects by race and gender show larger impacts among Black children and boys. The district-wide effect on mathematics achievement is smaller and statistically nonsignificant. These findings extend our understanding of the geography of educational opportunity in the United States and reinforce the idea that understanding inequalities in academic achievement requires evidence on what happens inside as well as outside schools. [ABSTRACT FROM AUTHOR]

This article provides a rich longitudinal portrait of the financial and social resources available in the school districts of high- and low-income students in the United States from 1990 to 2014. Combining multiple publicly available data sources for most school districts in the United States, we document levels and gaps in school district financial resources-total per-pupil expenditures-and social resources-local rates of adult educational attainment, family structure, and adult unemployment-available to the average public school student at a variety of income levels over time. In addition to using eligibility for the National School Lunch Program as a blunt measure of student income, we estimate resource inequalities between income deciles to analyze resource gaps between affluent and poor children. We then examine the relationship between income segregation and resource gaps between the school districts of high- and low-income children. In previous work, the social context of schooling has been a theoretical but unmeasured mechanism through which income segregation may operate to create unequal opportunities for children. Our results show large and, in some cases, growing social resource gaps in the districts of high- and low-income students nationally and provide evidence that these gaps are exacerbated by income segregation. Conversely, per-pupil funding became more compensatory between high- and low-income students' school districts over this period, especially in highly segregated states. However, there are early signs of reversal in this trend. The results provide evidence that school finance reforms have been somewhat effective in reducing the consequences of income segregation on funding inequities, while inequalities in the social context of schooling continue to grow. [ABSTRACT FROM AUTHOR]

This paper directs itself to the impact of American social science on the writings of Alva and Gunnar Myrdal on the role of education and social science in "modern" industrial democracy. After a brief sketch of the Myrdals' role in the development of Swedish welfare reforms and of their intellectual contacts in the United States during the 1930's, the paper outlines four theoretical "dilemmas" of "modernity" to the solution of which education and social research was seen to contribute: the relationships between facts and values, the individual and the collective, child rearing and social change, and theory and practice. The paper concludes by tracing the articulation of these themes in the Social Democratic Party school reform proposals of 1948. [ABSTRACT FROM AUTHOR]

This paper tests the Trivers-Willard hypothesis that high-status individuals will invest more in sons and low-status individuals will invest more in daughters using data from the 2000 to 2010 General Social Survey and the 1979 National Longitudinal Survey of Youth. We argue that the primary investment U.S. parents make in their children is in their children's education, and this investment is facilitated by a diverse market of educational choices at every educational level. We examine two measures of this investment: children's years of education and the highest degree attained. Results show that sons of high-status fathers receive more years of education and higher degrees than daughters, whereas daughters of low-status fathers receive more years of education and higher degrees than sons. Further analyses of possible mechanisms for these findings yield null results. We also find that males are more likely to have high-status fathers than females. [ABSTRACT FROM AUTHOR]

Reform efforts in science education have aimed at fostering scientific literacy by helping learners meaningfully engage in scientific practices to make sense of the world. In this paper, we report on our second year of unit implementation that has investigated 34 fifth grade students' (10-year-olds) learning about evaporation and condensation through scientific modeling in the USA. We discuss how students who engaged in modeling constructed explanations of evaporation and condensation, considered empirical evidence when constructing their models, and used models to predict other phenomena. We constructed a coding scheme based on an iterative process and qualitatively analyzed assessment items, interview questions, and classroom videos in order to find out what students learned through modeling. The results of our empirical work indicate that students made significant progress in constructing models that convey unobservable characteristics of molecular mechanisms or processes. They also made progress in using models as tools consistent with evidence and using models to predict other phenomena, but the progress was to a less sophisticated level. We theorize that some aspects of modeling practice are more aligned with typical school norms and practices than others-enabling some aspects to be more readily appropriated than others. We conclude the manuscript with ways to capitalize on the successes of this practice and to address challenges that could be taken to help improve students' understanding of science through engagement in scientific modeling. [ABSTRACT FROM AUTHOR]

In this paper, we explored how engagement developed over time during a proportional reasoning unit for a group of US bilingual Latino/a students, with particular attention to aspects of social and cultural activity that supported students' engagement. Our findings suggest that student mathematical engagement developed primarily as a relational process characterized by students' social relations across time, their understandings about their relationships with mathematics, and the important relations emerging across proportional reasoning ideas. [ABSTRACT FROM AUTHOR]

This paper presents Critical Race Theory (CRT) as a theoretical framework for understanding the growing interest in establishing single-gender schools and classrooms for African American males in the United States. From a legal perspective, CRT proponents contend that single-gender education offers African Americans a viable strategy for addressing and reversing the systemic and cultural forces that limit the academic achievement, educational attainment and destinies of African American males. Both potential benefits and problematic aspects of single-gender education as a timely reform strategy to raise academic achievement and improve the lives and futures of African American males are discussed. [ABSTRACT FROM AUTHOR]