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2022 U.S. National Survey on LGBTQ Youth Mental Health by State

December 15, 2022

The Trevor Project, the leading suicide prevention organization for LGBTQ young people, produces innovative original research that amplifies the experiences of diverse LGBTQ young people and brings new knowledge and clinical implications to the suicide prevention field.Since 2019, our annual national surveys have been among the largest and most diverse surveys of LGBTQ young people in the U.S. For the first time ever, we're publishing the findings of our national survey, which captured the experiences of nearly 34,000 LGBTQ people ages 13-24 across the United States in 2022, segmented by all 50 states.These data provide critical insights into the suicide risk faced by LGBTQ young people, top barriers to mental health care, the prevalence of anti-LGBTQ victimization, and the negative impacts of recent politics. Importantly, this research also points to ways in which we can all support the LGBTQ young people in our lives by detailing per state LGBTQ young people's access to accepting communities, LGBTQ-affirming spaces, and social support among family and friends — protective factors that are consistently associated with better mental health and lower suicide risk.It's essential to emphasize that because we still do not have known counts or registries of the LGBTQ youth population comprehensive data on the mental health and well-being of LGBTQ youth remains limited. These findings strive to underscore the unique challenges faced by young LGBTQ people, a group consistently found to be at significantly increased risk for suicide because of how they are mistreated and stigmatized in society.We hope that LGBTQ young people in every state will see themselves reflected in these experiences that so many have bravely shared; and that these data will equip fellow researchers, policymakers, and other youth-serving organizations in every state with the data necessary to celebrate and uplift LGBTQ young people and advocate for policies that work to end the public health crisis of suicide.

Bringing Zoning into Focus: A Fine-Grained Analysis of Zoning’s Relationships to Housing Affordability, Income Distributions, and Segregation in Connecticut

June 6, 2023

For more than a century, local governments throughout the United States have used zoning to shape future growth. Through rules that regulate what sorts of housing can be built where, localities may either allow for new development or restrict construction to maintain the status quo. Using a first-of-its-kind database of zoning laws across an entire state, we provide evidence that strict zoning regulations limiting construction to single-family homes are associated with inadequate access to affordable housing and with the segregation of people by income, race, and ethnicity.We leverage the Connecticut Zoning Atlas, a unique dataset of zoning texts tied to geospatial files that allow for georeferenced comparisons between the zoning laws adopted by 180 localities. We overlay the geographies of zoning districts on spatially differentiated demographic and economic indicators at the neighborhood level. Analyzing and comparing this information allows us to provide a comprehensive view of the relationships between zoning laws, property values, and residents' demographic and economic characteristics.Our research focuses on a state with stark disparities in residential land uses: only 2 percent of Connecticut's land is zoned to allow the by-right construction of multifamily buildings with three or more units per parcel, while 91 percent of its land allows only the construction of single-family housing by right. Our analysis reveals that suburbs and towns have the most restrictive zoning rules by several measures, while the largest cities more readily permit multifamily construction. We show that the residents of neighborhoods with mostly single-family zoning, on average, have significantly higher household incomes and are much more likely to be white, much less likely to be Black or Hispanic, more likely to have a bachelor's degree, and much more likely to own their homes than residents of neighborhoods where zoning allows for multifamily building construction. These findings paint a picture of a state where localities' zoning either divides or reinforces the division of residents by income, race, ethnicity, and education levels. We also apply a segregation index to explore the associations between zoning rules and neighborhood- and locality-level segregation. After controlling for other characteristics, we find that higher concentrations of high-income and white residents are associated with lower number-of-unit zoning policies. We also find that higher concentrations of low-income, Black, Hispanic, and other residents of color are associated with zoning allowing the construction of two or more housing units per parcel and higher shares of renter-occupied housing.Together, these findings bring new insight into the relationship between zoning policy and residents' geographic distribution. Our results clearly point to the links between zoning laws, rental housing availability, and inequitable distributions of populations within and across jurisdictions. Policymakers considering how to improve access to opportunity while reducing income or racial segregation should evaluate the potential for altering local zoning codes to allow greater diversity of housing construction and tenure types in more places.

Strengthening Medicaid: Challenges States Must Address As The Public Health Emergency Ends

May 31, 2023

Medicaid is an essential program that provides health services for millions of people who otherwise could not afford them. Medicaid improves health outcomes for recipients, improves their financial stability, provides access to potentially life-saving healthcare, creates thousands of jobs that bolster our local economies, and helps reduce economic and racial disparities in health insurance and healthcare access. While Medicaid improves the health and lives of recipients and benefits the healthcare system and the US economy, Medicaid systems for enrollment, renewal/redetermination, and using Medicaid coverage need improvement. All people who meet Medicaid eligibility criteria are guaranteed coverage. However, many who are eligible struggle to enroll in and maintain Medicaid coverage. Barriers to obtaining and renewing coverage and accessing services often make it challenging and time-consuming to navigate the system. Many who successfully enrolled face further dissatisfaction and stress as Medicaid leaves their needs unaddressed. Research shows that Medicaid recipients experience many barriers to accessing quality healthcare.

Creative Capitalism: Nelson Rockefeller’s Development Vision for Latin America and the World

May 30, 2023

This study of the American International Association for Economic and Social Development (AIA) and its associated corporations, including the commercial International Basic Economy Corporation (IBEC), illuminates an understudied chapter in the history of the public-private aid regime that grew in the midtwentieth century to become the major industry it is today. As development aid became an American strategic priority in the decades after World War II, Nelson Rockefeller embarked on his own experiment for improving agricultural production and standards of living in poor areas of the world. His laboratory would be Latin America, the region he knew well from his wartime work at the Office of Inter-American Affairs (OIAA). Rockefeller's vision of "creative capitalism" meshed development work into a complex system of nonprofit and for-profit corporations engaged in trial-and-error projects to figure out how to develop perceived underdeveloped societies. With the announcement of President Truman's Point IV policy to deploy American development aid globally, Rockefeller advised the US government to make creative and robust use of American nonprofit and commercial expertise to implement this new strategic objective. This project illustrates just how overlapping and porous the boundaries of nonprofit and commercial development work were and the extent to which they intertwined with the state and other entities. It also shows the difficulties of agricultural and economic development abroad when conducted by small nonprofit corporations and commercial capital—even with the backing of Rockefeller wealth. These limitations meant that AIA increasingly turned to support from the burgeoning US and international public-private aid industry.

Philanthropy for Gender Equity: Recommendations and Learnings from the WINGS Community

May 30, 2023

WINGS recognises that gender equity is not only a fundamental human right, but a necessary foundation for a peaceful, prosperous, and sustainable world. Therefore, WINGS aims to raise awareness and develop concrete action for gender equity in the philanthropic sector.In this sense, WINGS has commissioned preliminary research to collect data and propose actions to foster philanthropy for gender equity within our community. The objective was to map learnings and best practices toward gender equity among WINGS members.The publication is funded by the European Union as part of the project 'Unlocking Philanthropy's Potential: Enhancing the Enabling Environment, Effectiveness and leveraging the contributions of Philanthropy actors'.

Medication abortion among Asian Americans, Native Hawaiians, and Pacific Islanders: Knowledge, access, and attitudes

May 30, 2023

Almost no research to date examines abortion attitudes and knowledge among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) in the U.S. While previous research shows lower rates of abortion among Asian women compared to other racial ethnic groups, abortion rates vary by subgroups when disaggregating data by ethnicity or country of origin. In addition, no literature currently exists documenting AANHPI experiences with and/or use of medication abortion (MA).To help address this research gap, National Asian Pacific American Women's Forum (NAPAWF), in partnership with Ibis Reproductive Health, conducted a two-year study examining AANHPI people's knowledge of, access to, and attitudes about abortion, with a specific focus on medication abortion. While medication abortion accounts for over half of all abortions in the U.S., participants in this study described limited knowledge of abortion methods, including medication abortion.Our study identified a range of barriers to medication abortion. For AANHPI communities, this includes community stigma towards abortion and sexual and reproductive health (SRH), a lack of family support, and the unavailability of language support for limited-English or non-English speaking patients at abortion clinics. Other barriers included the high cost of abortion care, lack of insurance coverage, limited appointment availability, lack of transportation, legal restrictions, longer wait times at the clinic, and protesters outside of clinics.The taboo nature of SRH topics, including abortion, in addition to the general lack of openness among AANHPI community members impacts access to information and services related to their reproductive health. There is an overall need to provide accurate and culturally relevant information about all abortion methods to AANHPI communities to help bridge information gaps and overcome barriers to access. 

Arts and Culture at the Core of Philanthropy : Volume 2

May 23, 2023

As multiple crises have unfolded in recent years, the arts and culture sector has been among the most damaged financially, and its structural fragilities have significantly deteriorated. At the same time, its value to society throughout these crises has been undoubtedly clear.This second volume of Philea's research into European philanthropic funding in the field of arts and culture reveals a philanthropic sector that is strongly committed to resourcing artistic and cultural organisations to strengthen their resilience; has a cross-cutting and intersectional tendency in its work; and is clearly open to collaborative and participatory approaches.This edition of the mapping surveyed 64 foundations from 17 different countries, and includes contributions from several experts in the field. 

Environmental Funding by European Foundations : Volume 6

May 22, 2023

The 6th edition of this research into environmental funding by European foundations is the most comprehensive report to date on environmental philanthropy in Europe. The report is based on 2021 grants data from 126 of the largest environmental foundations in Europe. The mapping analyses the 8,518 environmental grants made in 2021 by these foundations, worth a combined €1.6 billion.This is more than double the value of the grants analysed in the previous edition of this research. The report covers topics ranging from thematic focus of environmental grantmaking, to geographical distribution, to approaches to change and environmental discourses taken by funders, among others. It concludes with issues for foundations to consider as the world reckons with the current environmental and climate crisis. 

Understanding Training and Workforce Pathways to Develop and Retain Black Maternal Health Clinicians in California

May 16, 2023

Despite evidence that greater diversity in health professions increases quality of care, the maternal health field has made little progress on increasing and sustaining the number of Black maternal health care workers. In this study, Urban researchers examine opportunities for and barriers to increasing the workforce of Black obstetrician/gynecologists (OB/GYNs), labor and delivery (L&D) nurses, and midwives, especially in light of the ongoing US maternal health crisis. Through interviews with Black maternal health clinicians and training program staff, we recommend actions that federal and state policymakers, leaders at higher education and health system institutions, and philanthropies can take to address structural barriers to entering and staying within the field and to support a thriving workforce.

K–12 Science Education in the United States: A Landscape Study for Improving the Field

May 16, 2023

This report assesses progress toward the vision of science instruction provided a decade ago by the National Research Council with support from the Corporation. In order to elevate the status of science education in the U.S. and to broaden the involvement of underrepresented groups in ongoing reform efforts, a field-level agenda for change is necessary. To that end, the report includes recommendations to inform improvements over the next 10 years in service of making science education a priority for all.

Care in Crisis: Failures to guarantee the sexual and reproductive health and rights of refugees from Ukraine in Hungary, Poland, Romania and Slovakia

May 16, 2023

This report from The Center for Reproductive Rights and eight partner organizations documents the gaps and barriers in access to sexual and reproductive healthcare and gender-based violence support services that are faced by refugees from Ukraine in Hungary, Poland, Romania and Slovakia. The report found that legal restrictions, burdensome costs, information shortfalls and other barriers, mean that some refugees are facing a harrowing choice between returning to Ukraine to access essential reproductive healthcare, accessing care outside legal pathways in their host countries or going without much-needed care, according to the new report.

Wealth Opportunities Realized Through Homeownership (WORTH): Baseline Report

May 15, 2023

This report is part of an evaluation of the Wealth Opportunities Realized through Homeownership (WORTH) initiative. Led by the Wells Fargo Foundation, WORTH supports efforts to close persistent disparities in homeownership in Atlanta, Houston, Milwaukee, New York, Philadelphia, Richmond, San Diego, and rural and tribal areas. In each market, we examine housing supply and demand, homebuying activity, homeownership trends, and preservation conditions. We found that in almost every market, white households have higher homeownership rates than every other racial or ethnic group. Moreover, macroeconomic forces driving market conditions, like higher interest rates and moderating house prices, can significantly dampen or thwart market collaboratives' efforts to boost homeownership rates for people of color. Future evaluation will examine the implementation processes used in each market. The larger body of work contributes to understanding the crucial connection between homeownership and wealth-building and the multitude of barriers that households of color face in achieving homeownership. It also supports research-backed strategies for increasing homeownership for households of color and for reducing racial disparities.