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Prescribing policy that leads to prosperity for the urban disadvantaged.

disruptive demographics

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In 2022, in-migration slowed, and out-migration accelerated, reducing the role of net migration in North Carolina statewide population growth, according to recently released Census data. For the Tarheel state, we document changes in gross and net migration flows between 2021 and 2022, highlight possible drivers, and offer anecdotal evidence as to why the revealed changes may foreshadow a longer- term shift in migration’s role in statewide population change.

North Carolina’s phenomenal migration-driven population growth masks a troubling trend: high rates of death and dying prematurely which, left unchecked, can potentially derail the state’s economic growth and prosperity in the years ahead. On average, 246 North Carolinians died each day during the 2010s, increasing to 317 daily between April 1, 2020 and July 1, 2022. COVID-19 and the substance abuse crisis have played a major role in premature deaths of prime working age citizens of the state. Both people-based and place-based strategies and interventions are urgently needed to address the state’s death crisis.

Virginia’s rapid population growth over the past three decades has been uneven, creating demographic winners and losers, and masks several demographic headwinds that will constrain future growth and competitiveness if left unaddressed, including slowing rates of total and foreign-born population growth, white population decline, deaths of despair, and declining labor force participation among prime working age males and females in the state.

North Carolina’s 100 counties have experienced an uneven pattern of growth and development over the past decade or so, even during the pandemic, when the state was a magnet for migration. At one end, metropolitan and amenity-rich counties captured most of the growth between April 1, 2020, and July 1, 2021; at the other, 21 counties experienced net out-migration. Given these disparities, the Urban Investment Strategies Center offers an approach using targeted economic development strategies.

The nursing profession in the United States was experiencing a labor shortage and facing diversity and inclusion challenges prior to the COVID-19 pandemic. Magnifying these problems was a shift in the nation’s population, both geographically and demographically. The result was changes in both where nurses are needed in the healthcare system and the nursing skill set required to address healthcare needs of a far more diverse clientele of patients—in terms of race, ethnicity, sex, gender identity, age, living arrangements, socioeconomic status and primary language.

Knowledge of our changing demography can serve as both foundation and frame for how to achieve greater social, economic, environmental, and health equity in North Carolina. After describing how disruptive demographics are transforming the our state, this essay highlights a set of equity issues undergirding our shifting demography and concludes with a set of tools and strategies to make North Carolina a place where equity, inclusion, and belonging is the new normal.

On March 11, 2020, the World Health Organization declared COVID-19 a global pandemic. Within two months, nearly half a million people fled hard-hit New York City. Will they return once the crisis has passed? In this Kenan Insight, we explore how the ongoing pandemic is raising questions about the future attractiveness of large cities as places to live and do business.

African American older adults face a major retirement crisis (Rhee, 2013; Vinik, 2015)). Owing to a legacy of racial discrimination in education, housing, employment, and wages or salaries, they are less likely than their white counterparts to have accumulated wealth over the course of their lives (Sykes, 2016). In 2013, the median net worth of African American older adult households ($56,700) was roughly one-fifth of the median net worth of white older adult households ($255,000) (Rosnick and Baker, 2014). Not surprising, given these disparities in net worth, African American older adult males (17%) and females (21%) were much more likely than their white male (5%) and female (10%) counterparts to live in poverty (Johnson and Parnell, 2016; U.S. Department of Housing and Urban Development, 2013a). They also were more likely to experience disabilities earlier in life and to have shorter life expectancies (Freedman and Spillman, 2016).

Apr 1, 2018

A Dream Deferred

Conquering these youth challenges will get us a little closer to realizing Dr. King’s dream.

American Community Survey data are used to develop typologies of the generational dynamics and living arrangements of the estimated 1.6 million African American older adult households who will likely encounter the most difficulty aging in place. Policy recommendations and strategies are offered to address the specific barriers and challenges that must be overcome in order for these older adults to successfully live out their lives in their homes and community.

In this paper, we develop a sociodemographic profile of the most vulnerable African American older adult households. To do so, we draw data from the 2011–15 American Community Survey, which contains linked housing and person records for a 5 percent sample of U.S. population. This dataset literally allows us to peer inside of African American older adult households and in the process identify the major barriers or obstacles to aging in place.

Older adults will drive U.S. population growth over the next quarter century. Projected to grow four times as fast as the total population, older adults will make up 22 percent of the population in 2040, up from 15 percent in 2015.


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