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The Hidden Costs of Decline: Health Disparities in America's Diminishing Micropolitan Areas
September 2025
Working Paper Number:
CES-25-70
This study examines the relationship between long-term population change and health outcomes in U.S. micropolitan areas, with a focus on life expectancy and mortality disparities. Using a county typology based on the historical population trajectories of micropolitan cores from 1940 to 2020, this analysis reveals that health outcomes are substantially worse in places that experienced sustained decline. These disparities persist even after controlling for demographic and socioeconomic characteristics, suggesting that population loss itself is a key driver of poor public health. Declining micropolitan areas are older, less educated, and report high rates of behavioral risk factors, including smoking, excessive drinking, and physical inactivity. By linking historical demographic trends to tract-level data, this analysis highlights the distinct challenges facing the urban cores of shrinking micropolitan areas. Population decline emerges not only as a demographic trend, but as a marker of structural disadvantage with measurable consequences for community health.
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Receipt of Public and Private Food Assistance Across the Rural-Urban Continuum Before and During the COVID-19 Pandemic: Analysis of Current Population Survey Data
August 2025
Working Paper Number:
CES-25-51
Background: The nutrition safety net in the United States is critical to supporting food security among households in need. Food assistance in the United States includes both government-funded food programs and private community-based providers who distribute food to in need households. The COVID-19 pandemic impacted experiences of food security and use of private and public food assistance resources. However, this may have differed for households residing in urban versus rural areas. We explored receipt of Supplemental Nutrition Assistance Program (SNAP) benefits or food from community-based emergency food providers across a detailed measure of the rural-urban continuum before and during the COVID-19 pandemic.
Methods: We linked restricted use Current Population Survey Food Security Supplement data to census-tract level United States Department of Agriculture Rural-Urban Commuting Area codes to estimate prevalence of self-reported SNAP participation and receipt of emergency food support across temporal (2015-2019 versus 2020-2021) and socio-spatial (urban, large rural city/town, small rural town, or isolated rural town/area) dimensions. We report prevalences as point estimates with 95% confidence intervals, all weighted for national representation.
Results:
The weighted prevalence of self-reported SNAP participation was 8.9% (8.7-9.2%) in 2015-2019 and 9.1% (8.5-9.5%) in 2020-2021 in urban areas, 11.4% (10.8-12.2%) in 2015-2019 and 11.6% (10.5-12.9%) in 2020-2021 in large rural towns/cities, 13.4% (12.3-14.6%) in 2015-2019 and 12.3% (10.5-14.5%) in 2020-2021 in small rural towns, and 9.7% (8.6-10.9%) in 2015-2019 and 10.9% (8.8-13.4% )in 2020-2021 isolated rural towns. The weighted prevalence of self-reported receipt of emergency food was 4.9% (4.8-5.1%) in 2015-2019 and 6.2% (5.8-6.5%) in 2020-2021 in urban areas, 6.8% (6.2-7.4%) in 2015-2019 and 7.6% (6.6-8.6%) in 2020-2021 in large rural towns/cities, 8.1% (7.3-9.1%) in 2015-2019 and 7.1% (5.7-8.8%) in 2020-2021 in small rural towns, and 6.8% (5.9-7.7%) in 2015-2019 and 8.5% (6.7-10.6%) in 2020-2021 isolated rural towns.
Conclusion: Households in rural communities use public and private food assistance at higher rates than urban areas, but there is variation across communities depending on the level of rurality.
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The Decline of Volunteering in the United States: Is it the Economy?
June 2025
Working Paper Number:
CES-25-41
This article investigates the complex interactions between local and national economic contexts and volunteering behavior. We examine three dimensions of local economic context'economic disadvantage (e.g., the percentage of families living in poverty), income inequality, and economic growth (e.g., the change in median household income) and the impact of a national/global economic jolt'the Great Recession. Analysis of data from the Current Population Survey's (CPS) Volunteering Supplement (2002-2015) reveals. Individuals who live in places characterized by economic disadvantage and economic inequality are less likely to volunteer than individuals in more advantaged, equitable communities. The recession had a dampening effect on volunteering overall, but it had the largest dampening effect on individual volunteering in communities with above average rates of income equality and higher rates of economic growth. While individuals living in rural communities were more likely to volunteer than their urban counterparts before the recession, rural/urban differences disappear after the recession.
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The Effects of Eviction on Children
May 2025
Working Paper Number:
CES-25-34
Eviction may be an important channel for the intergenerational transmission of poverty, and concerns about its effects on children are often raised as a rationale for tenant protection policies. We study how eviction impacts children's home environment, school engagement, educational achievement, and high school completion by assembling new data sets linking eviction court records in Chicago and New York to administrative public school records and restricted Census records. To disentangle the consequences of eviction from the effects of correlated sources of economic distress, we use a research design based on the random assignment of court cases to judges who vary in their leniency. We find that eviction increases children's residential mobility, homelessness, and likelihood of doubling up with grandparents or other adults. Eviction also disrupts school engagement, causing increased absences and school changes. While we find little impact on elementary and middle school test scores, eviction substantially reduces high school course credits. Lastly, we find that eviction reduces high school graduation and use a novel bounding method to show that this finding is not driven by differential attrition. The disruptive effects of eviction appear worse for older children and boys. Our evidence suggests that the impact of eviction on children runs through the disruption to the home environment or school engagement rather than deterioration in school or neighborhood quality, and may be moderated by access to family support networks.
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Peer Income Exposure Across the Income Distribution
February 2025
Working Paper Number:
CES-25-16
Children from families across the income distribution attend public schools, making schools and classrooms potential sites for interaction between more- and less-affluent children. However, limited information exists regarding the extent of economic integration in these contexts. We merge educational administrative data from Oregon with measures of family income derived from IRS records to document student exposure to economically diverse school and classroom peers. Our findings indicate that affluent children in public schools are relatively isolated from their less affluent peers, while low- and middle-income students experience relatively even peer income distributions. Students from families in the top percentile of the income distribution attend schools where 20 percent of their peers, on average, come from the top five income percentiles. A large majority of the differences in peer exposure that we observe arise from the sorting of students across schools; sorting across classrooms within schools plays a substantially smaller role.
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The Design of Sampling Strata for the National Household Food Acquisition and Purchase Survey
February 2025
Working Paper Number:
CES-25-13
The National Household Food Acquisition and Purchase Survey (FoodAPS), sponsored by the United States Department of Agriculture's (USDA) Economic Research Service (ERS) and Food and Nutrition Service (FNS), examines the food purchasing behavior of various subgroups of the U.S. population. These subgroups include participants in the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), as well as households who are eligible for but don't participate in these programs. Participants in these social protection programs constitute small proportions of the U.S. population; obtaining an adequate number of such participants in a survey would be challenging absent stratified sampling to target SNAP and WIC participating households. This document describes how the U.S. Census Bureau (which is planning to conduct future versions of the FoodAPS survey on behalf of USDA) created sampling strata to flag the FoodAPS targeted subpopulations using machine learning applications in linked survey and administrative data. We describe the data, modeling techniques, and how well the sampling flags target low-income households and households receiving WIC and SNAP benefits. We additionally situate these efforts in the nascent literature on the use of big data and machine learning for the improvement of survey efficiency.
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Potential Bias When Using Administrative Data to Measure the Family Income of School-Aged Children
January 2025
Working Paper Number:
CES-25-03
Researchers and practitioners increasingly rely on administrative data sources to measure family income. However, administrative data sources are often incomplete in their coverage of the population, giving rise to potential bias in family income measures, particularly if coverage deficiencies are not well understood. We focus on the school-aged child population, due to its particular import to research and policy, and because of the unique challenges of linking children to family income information. We find that two of the most significant administrative sources of family income information that permit linking of children and parents'IRS Form 1040 and SNAP participation records'usefully complement each other, potentially reducing coverage bias when used together. In a case study considering how best to measure economic disadvantage rates in the public school student population, we demonstrate the sensitivity of family income statistics to assumptions about individuals who do not appear in administrative data sources.
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Food Security Status Across the Rural-Urban Continuum Before and During the COVID-19 Pandemic
January 2025
Working Paper Number:
CES-25-01
Background: Food security, defined as consistent access to sufficient food to support an active life, is a crucial social determinant of health. A key dimension affecting food security is position along the rural-urban continuum, as there are important socio-economic and environmental differences between communities related to urbanicity or rurality that impact food access. The COVID-19 pandemic created social and economic shocks that altered financial and food security, which may have had differential effects by rurality and urbanicity. However, there has been limited research on how food security differs across the shades of the rural-urban community spectrum, as most often researchers have characterized communities as either urban or rural.
Methods: In this study, which linked restricted use Current Population Survey Food Security Supplement data to census-tract level United States Department of Agriculture Rural-Urban Commuting Area codes, we estimated the prevalence of household food security across temporal (2015-2019 versus 2020-2021) and socio-spatial (urban, large rural city/town, small rural town, or isolated rural town/area) dimensions in order to characterize variations before and during the COVID-19 pandemic by urbanicity/rurality. We report prevalences as point estimates with 95% confidence intervals.
Results: The prevalence of food security was 87.7% (87.5-88.0%) in 2015-2019 and 88.8% (88.4-89.3%) in 2020-2021 for urban areas, 85.5% (84.7-86.2%) in 2015-2019 and 87.1% (85.7-88.3%) in 2020-2021 for large rural towns/cities, 82.8% (81.5-84.1%) in 2015-2019 and 87.3% (85.7-89.2%) in 2020-2021 for small rural towns, and 87.6% (86.3-88.8%) in 2015-2019 and 90.9% (88.7-92.7%) in 2020-2021 for isolated rural towns/areas.
Conclusion: These findings show that rural communities experiences of food security vary and aggregating households in these environments may mask areas of concern and concentrated need.
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Tip of the Iceberg: Tip Reporting at U.S. Restaurants, 2005-2018
November 2024
Working Paper Number:
CES-24-68
Tipping is a significant form of compensation for many restaurant jobs, but it is poorly measured and therefore not well understood. We combine several large administrative and survey datasets and document patterns in tip reporting that are consistent with systematic under-reporting of tip income. Our analysis indicates that although the vast majority of tipped workers do report earning some tips, the dollar value of tips is under-reported and is sensitive to reporting incentives. In total, we estimate that about eight billion in tips paid at full-service, single-location, restaurants were not captured in tax data annually over the period 2005-2018. Due to changes in payment methods and reporting incentives, tip reporting has increased over time. Our findings have implications for downstream measures dependent on accurate measures of compensation including poverty measurement among tipped restaurant workers.
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From Marcy to Madison Square? The Effects of Growing Up in Public Housing on Early Adulthood Outcomes
November 2024
Working Paper Number:
CES-24-67
This paper studies the effects of growing up in public housing in New York City on children's long-run outcomes. Using linked administrative data, we exploit variation in the age children move into public housing to estimate the effects of spending an additional year of childhood in public housing on a range of economic and social outcomes in early adulthood. We find that childhood exposure to public housing improves labor market outcomes and reduces participation in federal safety net programs, particularly for children from the most disadvantaged families. Additionally, we find there is some heterogeneity in impacts across public housing developments. Developments located in neighborhoods with relatively fewer renters and higher household incomes are better for children overall. Our estimate of the marginal value of public funds suggests that for every $1 the government spends per child on public housing, children receive $1.40 in benefits, including $2.30 for children from the most disadvantaged families.
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