Alternative approaches to decreasing maternal anemia: identifying the need for social marketing strategies to promote iron-folic acid supplementation in the Peruvian highlands

• Anemia is the most common health condition affecting women during pregnancy, and leads to adverse health outcomes of both the mother and infant. Despite national fortification and supplementation programs in Peru, 21% of women of reproductive age are anemic. Adherence to iron-folic acid (IFA) supplements in this vulnerable population is low and influenced by side effects of the tablets, such as nausea and vomiting, caused by the generic formula of the tablets. The trust within a patient–provider relationship and the provider's competency at effective counseling increases women's adherence, whereas late entry into prenatal care and government regulations limit early initiation of IFA supplementation. It is important for partners to support women during supplementation and participate in their prenatal care. Social marketing strategies targeting the product, price, place, promotion, and policy of IFA supplements should decrease barriers to women's ability to obtain IFA tablets and adhere to the supplementation regimen and reduce iron deficiency maternal anemia. Public health practitioners implementing supplementation programs should consider different behavioral influences at the intrapersonal, interpersonal, and community levels that affect adherence.

Copyright © 2012 John Wiley & Sons, Ltd.     

How do foundations support (anti-)racism? A critical race theory perspective on philanthropy and racial equity

This research explores how philanthropic foundations responded to the killing of George Floyd and subsequent Black Lives Matter protests through a critical race theory perspective. Using qualitative content analysis of online statements, the study analyzed messages foundations conveyed about racism and anti-racism and what commitments they made to address racial equity. The findings suggest half of foundations communicated racist ideas through assimilationist and non-racist messages, and half expressed anti-racist ideas by addressing systematic racism. Further, corporate, rather than family or community foundations, conveyed more racist messages and committed to providing funds rather than adjusting organizational orientation to address racial inequity.     

IMAGINING A DECOLONIZED CITY IN AND FROM AOTEAROA NEW ZEALAND

Imagining decolonized cities creates space to explore how urban places could strip away colonial dominance and restore the ability of Indigenous people to live, know and be. In this essay, we describe one attempt to create such space. While working in Porirua in Aotearoa New Zealand, we ran an urban design competition, hosted workshops with young people and held a symposium. Through all three phases we drew on utopian thinking to imagine beyond the current constraints of urban form in Aotearoa New Zealand to consider how cities might reflect the diverse realities of Māori. While this approach is an attempt at generating hopeful geographies, it also sat in tension with (post)colonial realities, such as racist attempts by white people to claim Indigeneity, and the ongoing need for land to be returned to Indigenous people. We argue that envisioning how cities might be decolonized is useful and needs to be rooted in the particular politics of place, but this imagining needs to be paired with action to confront persistent colonialism.     

How to examine external validity within an experiment

A fundamental concern for researchers who analyze and design experiments is that the estimate obtained from the experiment might not be externally valid for other policies of interest. Researchers often attempt to assess external validity by comparing data from an experiment to external data. In this paper, I discuss approaches from the treatment effects literature that researchers can use to begin the examination of external validity internally, within the data from a single experiment. I focus on presenting the approaches simply using stylized examples.     

Fraud Firms' Non-Implicated CFOs: An Investigation of Reputational Contagion and Subsequent Employment Outcomes*

We investigate labor market consequences for CFOs employed by fraud firms, focusing on reputational contagion for those who are not implicated. These individuals provide an opportunity to understand reputational contagion and the nuanced meaning of “guilt” because the labor market may suspect complicity or infer negligence regardless of whether that is truly the case. We compare these CFOs to a matched sample of non-fraud CFOs and track both turnover and subsequent employment positions. Non-implicated CFOs are more likely to experience turnover compared to non-fraud CFOs, driven in particular by the public revelation of fraud to the labor market. We further find that non-implicated CFOs are more likely to obtain comparable subsequent employment than non-fraud CFOs before the fraud is publicly revealed, but not after. In supplementary analyses, we find that turnover rates are highest for non-implicated CFOs who started their employment with the firm before the fraud began as compared to non-implicated CFOs who started their employment after the fraud began. These results highlight the labor market significance of the public revelation of fraud and imply that the labor market does not fully distinguish between fraud firm association and general firm performance when making executive hiring decisions.     

Reworking wild bootstrap-based inference for clustered errors

Cluster-robust inference is increasingly common in empirical research. With few clusters, inference is often conducted using the wild cluster bootstrap. With conventional bootstrap weights the set of valid $P$-values can create ambiguities in inference. I consider several modifications to the bootstrap procedure to resolve these ambiguities. Monte Carlo simulations provide evidence that both a new 6-point bootstrap weight distribution and a kernel density estimation approach improve the reliability of inference. A brief empirical example highlights the implications of these findings.     

Lapses in long-term care insurance

About a quarter of long-term care insurance (LTCI) policy holders aged 65 let their policies lapse before death, forfeiting all benefits. We find that lapse rates are substantially higher among the cognitively impaired in the Health and Retirement Study. This generates a pernicious form of dynamic advantageous selection, as the cognitively impaired are more likely to use care. Simulations show that an inappropriately optimistic asset drawdown path further increases the individual welfare cost of unanticipated lapses. Meanwhile, we find evidence of a significant but very small role for either strategic or financial motives for lapsing.