Ethnicity
-

Does Diversity Matter for Health? Experimental Evidence from Oakland

Abstract:

We study the effect of diversity in the physician workforce on the demand for preventive care among African-American men. Black men have the lowest life expectancy of any major demographic group in the U.S., and much of the disadvantage is due to chronic diseases which are amenable to primary and secondary prevention. In a field experiment in Oakland, California, we randomize black men to black or non-black male medical doctors and to incentives for one of the five offered preventives - the flu vaccine. We use a two-stage design, measuring decisions about cardiovascular screening and the flu vaccine before (ex ante) and after (ex post) meeting their assigned doctor. Black men select a similar number of preventives in the ex-ante stage but are much more likely to select every preventive service, particularly invasive services, once meeting with a doctor who is of the same race. The effects are most pronounced for men who mistrust the medical system and for those who experienced greater hassle costs associated with their visit. Subjects are more likely to talk with a black doctor about their health problems and black doctors are more likely to write additional notes about the subjects. The results are more consistent with better patient-doctor communication during the encounter rather than the differential quality of doctors or discrimination. our finding suggests black doctors could help reduce cardiovascular mortality by 16 deaths per 100,000 per year - leading to a 19% reduction in the black-white male gap in cardiovascular mortality.


Marcella Alsan, MD, MPH, PhD

Associate Professor of Medicine and Core Faculty Member at the Center for Health Policy and Primary Care and Outcomes Research, Stanford University

Marcella Alsan, MD, MPH, PhD, is an Associate Professor of Medicine at the Stanford School of Medicine and a Core Faculty Member at the Center for Health Policy / Primary Care and Outcomes Research. Alsan received a BA from Harvard University, a master’s in international public health from Harvard School of Public Health, a MD from Loyola University, and a PhD in Economics from Harvard University. Alsan trained at Brigham and Women’s Hospital - in the Hiatt Global Health Equity Residency Fellowship - then combined the PhD with an Infectious Disease Fellowship at Massachusetts General Hospital. Alsan attends in infectious disease at the Veterans Affairs Hospital.

William J. Perry Conference Room

2nd Floor, Encina Hall

616 Serra Mall (Address changed due to construction)

Stanford, CA 94305

Seminars
Paragraphs

Bernard Malamud, Saul Bellow, Philip Roth, and their critics embraced the notion that their work displayed an affinity to Russian and Yiddish literature, especially to the work of Fyodor Dostoevsky, Nikolai Gogol, and Sholem Aleichem. Like these writers, the prominent American Jewish writers of the 1960s were understood as producing writing that emerged from their authentic, often negative emotions, work that voiced complaints. I first describe this generation's playful claiming of a Russian and Jewish genealogy, their definition of the Russian and Yiddish writers as a collective worthy of copying. I then use close readings of six passages to evaluate the American writers' assertions about their influence by the Russian and Yiddish ones. I compare the inset oral and written complaints in Roth and Bellow with those in Gogol, Dostoevsky, and Sholem Aleichem, both acknowledging their striking formal similarities and distinguishing the comic, satirically presented literary complaints of prerevolutionary Russia from the potentially more therapeutically oriented—albeit still satirical—literary complaints of postwar America. Finally, I look outside the literary texts to understand why it was appealing to 1960s American writers to think of themselves as influenced by prerevolutionary Russian and Yiddish verbal art. This article situates the American Jewish writers and their critics in an aural environment where Russian and Yiddish sounds were increasingly available in entertainment and where they were associated with authenticity and political opposition. In spite of the formal parallels among the American Jewish, Russian, and Yiddish literary complaints, and in spite of Roth and Bellow representing themselves compellingly as imitators, I argue that they need to be understood instead in their own national and temporal communicative context.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Prooftexts
Authors
Gabriella Safran
Number
3
Paragraphs

The education of poor and disadvantaged populations, particularly those from minority subgroups, has been a long-standing challenge to education systems in both developed and developing countries (e.g., World Bank 2001, 2004; Glewwe and Kremer 2006; Planty et al. 2008). For example, over the past decade in the United States the high school dropout rate of Hispanic students has remained at least twice as high as that of white students (Aud et al. 2011). Using data from the German Microzensus and the German Socio-Economic Panel, Alba, Handl, and Müller (1994) found that, relative to young Germans with identical sociodemographic characteristics, Italian, Turkish, and Yugoslav children are overrepresented in the lowest academic track of the German school system.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Economic Development and Cultural Change
Authors
Fang Lai
Xiao Hu
Matthew Boswell
Scott Rozelle

Encina Hall, C141
616 Jane Stanford Way
Stanford, CA 94305-6055

650.497.1271
0
KC_Headshot 10.24.jpg

Kristin Chandler joined CDDRL in April 2018 and serves as the Associate Director for Operations.  Before coming to Stanford, Kristin worked at the Ronald McDonald House Stanford as the Operations Manager leading the day-to-day operations and building a culture of service excellence with empathy.   Kristin holds a bachelor's degree in Social Work from The University of New Hampshire. An advocate for social justice, Kristin spent 15 years working for grassroots non-profit organizations where she specialized in operations and program management.  CDDRL’s mission resonates with her background and passion for global issues.

Associate Director for Operations
Date Label
Paragraphs

Word embeddings are a powerful machine-learning framework that represents each English word by a vector. The geometric relationship between these vectors captures meaningful semantic relationships between the corresponding words. In this paper, we develop a framework to demonstrate how the temporal dynamics of the embedding helps to quantify changes in stereotypes and attitudes toward women and ethnic minorities in the 20th and 21st centuries in the United States. We integrate word embed- dings trained on 100 y of text data with the US Census to show that changes in the embedding track closely with demographic and occupation shifts over time. The embedding captures societal shifts—e.g., the women’s movement in the 1960s and Asian immi- gration into the United States—and also illuminates how specific adjectives and occupations became more closely associated with certain populations over time. Our framework for temporal anal- ysis of word embedding opens up a fruitful intersection between machine learning and quantitative social science.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Proceedings of the National Academy of Sciences
Authors
Nikhil Garg
Dan Jurafsky
James Zou
News Type
News
Date
Paragraphs

 

—SPICE: Offering teacher institutes since 1973—

 

In 1973, the roots of the Stanford Program on International and Cross-Cultural Education (SPICE) were established with the creation of the Bay Area China Education Program, which focused on the development of K–12 curriculum materials and teacher professional development. Only a year prior, President Richard Nixon had made his historic trip to China and many American students were able to view contemporary images of China on television for the first time in their lifetimes. Teachers who attended SPICE institutes on China in the 1970s often commented that they were at a loss about how to teach about China.

Forty-four years later, a new generation of educators expressed similar sentiments at a SPICE institute. However, the challenge wasn’t so much about the teaching of China but rather the teaching of North Korea. Thus, when Pulitzer Prize-winning author Adam Johnson spoke about his book, The Orphan Master’s Son, a New York Times bestselling novel about North Korea, teachers were riveted by his comments. Teachers were interested not only in ways that his novel could help them better understand contemporary North Korea but also in ways they could use the book to help their students gain a more balanced view of North Korea. The 22 teacher participants received copies of The Orphan Master’s Son to use in their teaching and were offered two SPICE curriculum units titled Inter-Korean Relations: Rivalry, Reconciliation, and Reunification and Uncovering North Korea.  

Co-sponsored by the National Consortium for Teaching about Asia (NCTA), the SPICE summer institute, July 24–26, 2017, had the objectives of (1) deepening teachers’ understanding of Asia, U.S.–Asian relations, and the Asian-American experience; (2) providing teachers with teaching resources; and (3) creating a community of learners. The institute featured lectures by Stanford faculty (like Johnson), U.C. Berkeley faculty, and other experts on a range of Asia- and Asian-American-related topics closely aligned with the History-Social Science Framework for California Public Schools standards, which were recently revised. Interactive curriculum demonstrations by SPICE staff were also offered.

One such standard focuses on recent economic growth in China. Following a lecture by Thomas Fingar, Shorenstein Asia Pacific Research Center Fellow, on “Recurring Themes in U.S.–China Relations,” a curriculum demonstration on the SPICE curriculum unit, China in Transition: Economic Development, Migration, and Education, was offered by its author, Rylan Sekiguchi of SPICE. One teacher remarked, “I teach about China, and it was so helpful to hear someone with such deep expertise [Fingar] speak about U.S.–Chinese history in a way that enriches my knowledge and understanding to bring back some bigger themes to my teaching. I can’t wait to bring this content back to my students [through the SPICE curriculum].” Other scholarly lectures on Japan and Korea were also followed by curriculum demonstrations by SPICE staff. This coupling of lectures and curriculum demonstrations has been a hallmark of SPICE since its inception.

Updated History-Social Science Framework standards on the Asian-American experience were also addressed at the institute. Dr. Khatharya Um, Associate Professor of Ethnic Studies at the University of California at Berkeley, introduced the diverse cultural and historical backgrounds of the Asian-American student population which often comprises a significant percentage of students in schools in areas like the San Francisco Bay Area and Los Angeles. She emphasized the importance of acknowledging individual circumstances in minority student populations and breaking down commonly cited stereotypes of Asian Americans as being a critical element of effective teaching. One of the topics that she addressed was stereotypes of Japanese Americans that arose following the Japanese attack of Pearl Harbor. Her lecture was coupled with the sharing of first-hand experiences by Dr. Joseph Yasutake, who was interned at the age of nine. Dr. Yasutake’s talk stimulated discussions on civil liberties, race relations, discrimination, and American identity among the teachers. “Hearing history from one who has experienced it as well as studied and taught the history is really wonderful,” said one institute participant. “This combination brings a great amount of authority and well as authenticity to the narrative he [Yasutake] provides.” The SPICE curriculum unit, Civil Rights and Japanese-American Internment, was recommended as a resource for teachers.

The institute brought together both experienced mentor teachers and those new to the field. Naomi Funahashi, who organized and facilitated the institute, remains in communication with many of the teachers and has noticed that a community of learners, who are committed to a long-term exploration of Asian and Asian-American studies, has grown from the institute. She reflected, “One of the unexpected outcomes of the institute was the recommendations that many of the teachers have written in support of their students’ applications to my online class on Japan called the Reischauer Scholar Program. My hope is that some of my students will someday attend SPICE institutes as teachers and that SPICE institutes will continue to serve teachers as they have since 1973 for many decades to come.”

SPICE is currently recruiting teachers to attend its 2018 summer institute for middle school teachers (June 20–22, 2018) and summer institute for high school teachers (July 23–25, 2018).

To stay informed of SPICE-related news, follow SPICE on Facebook and Twitter.

All News button
1
Graduate School of Business 655 Knight Way Stanford, CA 94305
(650) 721 1298
0
Associate Professor of Political Economy, GSB
Associate Professor, by courtesy, of Economics and of Political Science
saumitra_jha.jpg

Along with being a Senior Fellow at the Freeman Spogli Institute for International Studies, Saumitra Jha is an associate professor of political economy at the Stanford Graduate School of Business, and convenes the Stanford Conflict and Polarization Lab. 

Jha’s research has been published in leading journals in economics and political science, including Econometrica, the Quarterly Journal of Economics, the American Political Science Review and the Journal of Development Economics, and he serves on a number of editorial boards. His research on ethnic tolerance has been recognized with the Michael Wallerstein Award for best published article in Political Economy from the American Political Science Association in 2014 and his co-authored research on heroes with the Oliver Williamson Award for best paper by the Society for Institutional and Organizational Economics in 2020. Jha was honored to receive the Teacher of the Year Award, voted by the students of the Stanford MSx Program in 2020.

Saum holds a BA from Williams College, master’s degrees in economics and mathematics from the University of Cambridge, and a PhD in economics from Stanford University. Prior to rejoining Stanford as a faculty member, he was an Academy Scholar at Harvard University. He has been a fellow of the Niehaus Center for Globalization and Governance and the Center for the Study of Democratic Politics at Princeton University, and at the Center for Advanced Study in the Behavioral Sciences at Stanford. Jha has consulted on economic and political risk issues for the United Nations/WTO, the World Bank, government agencies, and for private firms.

 

Senior Fellow at the Freeman Spogli Institute for International Studies
Dan C. Chung Faculty Scholar at the Freeman Spogli Institute for International Studies
Senior Fellow at the Stanford Institute for Economic Policy Research
Paragraphs

For forty years, the Tuskegee Study of Untreated Syphilis in the Negro Male passively monitored hundreds of adult black males with syphilis despite the availability of effective treatment. The study's methods have become synonymous with exploitation and mistreatment by the medical community. We find that the historical disclosure of the study in 1972 is correlated with increases in medical mistrust and mortality and decreases in both outpatient and inpatient physician interactions for older black men. Our estimates imply life expectancy at age 45 for black men fell by up to 1.4 years in response to the disclosure, accounting for approximately 35% of the 1980 life expectancy gap between black and white men.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
The Quarterly Journal of Economics
Authors
Marcella Alsan
Marianne Wanamaker
Paragraphs

With every passing election, it seems clearer and clearer that the Western world's rich democracies are going through a fundamental political realignment. Out goes the old left/right political divide that we grew up with; in comes a new open/closed division. The fit is far from perfect, but generally speaking, the new order pits centrists against extremists of all stripes, the highly educated against those with less education, and those who consider themselves citizens of the world against those who identify with smaller worlds. Its central debates concern the mobility of capital, goods and ideas, but above all the mobility of people. Even the arguments over the North American Free Trade Agreement and the Trans-Pacific Partnership pale in comparison with those over migration. The last week alone has seen uproar in the United States over Texas Senate Bill 4 (considered to be anti-immigrant in nature) and in Europe over the British government's initial proposals on the fate of citizens of other European Union countries who have migrated to Britain.

All Publications button
1
Publication Type
Commentary
Publication Date
Journal Publisher
Stratfor
Authors
Ian Morris
-

Intouchables is a 2011 French film directed by Olivier Nakache and Eric Toledano. When Driss, an ex-con from the projects, is hired to take care of an eccentric French aristocrat named Philippe, his newfound job quickly becomes an unpredictable adventure. Speeding a Maserati through Paris, seducing women and paragliding over the Alps is just the beginning, as Driss turns the often humorous world of upper-class Parisian society upside-down. As this unlikely duo overcome adversity of every flavor in this true story, they also shatter their preconceptions of love, life, and each other. Based on the #1 international best-selling book, You Changed My Life.

The film will be moderated by The Europe Center faculty affiliate David Laitin, the James T. Watkins IV and Elise V. Watkins Professor of Political Science and an affiliated faculty member at FSI's Center for International Security and Cooperation. His specialty is comparative politics. In that field he conducts research on political culture, ethnic conflict, and civil war. His field expertise spans Somalia, Nigeria, Catalonia, Estonia and France. His latest book is Why Muslim Integration Fails in Christian-Heritage Societies.

Intouchables is the second film in the annual SGS Summer Film Festival running from June 28th to September 13th. The film will be presented with English subtitles. This year's festival features nine films from around that world that focus on the theme “Finding Place: Immigration, Refugees, and Borders Across the World.”  

The film festival will run most Wednesdays at 7 p.m., from June 28 to September 13, and feature a post-screening discussion. 

Admission is free and open to the community. No RSVP required.

Films will be screened in the Geology Corner, Building 320, Room 105. Click here for a map.

The Geology Corner (Bldg. 320), Room 105
450 Serra Mall

Department of Political Science
Stanford University
Encina Hall, W423
Stanford, CA 94305-6044

(650) 725-9556 (650) 723-1808
0
James T. Watkins IV and Elise V. Watkins Professor of Political Science
laitin.jpg
PhD

David Laitin is the James T. Watkins IV and Elise V. Watkins Professor of Political Science and a co-director of the Immigration Policy Lab at Stanford. He has conducted field research in Somalia, Nigeria, Spain, Estonia and France. His principal research interest is on how culture – specifically, language and religion – guides political behavior. He is the author of “Why Muslim Integration Fails in Christian-heritage Societies” and a series of articles on immigrant integration, civil war and terrorism. Laitin received his BA from Swarthmore College and his PhD from the University of California, Berkeley.

Affiliated faculty at the Center for International Security and Cooperation
Affiliated faculty at The Europe Center
James T. Watkins IV and Elise V. Watkins Professor of Political Science Moderator
Film Screenings
Subscribe to Ethnicity