Winner of the 2015 Max Weber Award from the Organizations, Occupations, and Work Section of the American Sociological Association

Winner of the 2015 William T. Goode Distinguished Book Award from the Family Section of the American Sociological Association

Winner of the 2015 Distinguished Scholarly Book Award from the Labor and Labor Movements Section of the American Sociological Association

“How long is the workday, and how thick the paycheck? To these questions, scholars have offered answers. But the key questions, Dan Clawson and Naomi Gerstel propose in this fascinating book, are: how shielded are we from unpredictable demands? And how do we control the unpredictability we’re made to face? Comparing doctors, nurses, EMTs and nursing assistants, men and women, the authors explore the lives of the ‘haves’ and ‘have-nots’ of such control, as well as the friends, co-workers and family on whom they call to create orderly lives in an increasingly disorderly world. A thought-provoking and very important read.”

—Arlie Hochschild, professor emerita, University of California, Berkeley

“Unequal Time is a meticulously and creatively researched study of how time at home and work is understood and managed. Time is not only an individual possession, but is relational. ‘Normal unpredictability’ rules. Dan Clawson and Naomi Gerstel explore the gaps between the rhetoric and realities of workplace flexibility. They find that flexibility is not just a matter of choice, but power.”

—Robert Aronowitz, M.D., professor and chair, History and Sociology of Science,
University of Pennsylvania

“Dan Clawson and Naomi Gerstel provide a powerful account of how inequalities are at the core of many of the vexing problems of work and family. Based on in-depth multi-method research in the health care industry, and this compelling book will change the way you think about work time issues. Essential reading for scholars and practitioners alike.”

—Juliet Schor, professor of sociology, Boston College

“This book's careful research design pays enormous dividends: comparing four critical occupations in the health care sector, Dan Clawson and Naomi Gerstel generate important new insights into the ways class and gender inequalities interact to shape struggles for control over working time. Unequal Time demonstrates that gender and class advantage and disadvantage are deeply implicated in the dynamics of ‘work-family balance’ and ‘flexibility,’ complicating the conventional wisdom in a provocative and fruitful way. This book is indispensable for scholars, policymakers, and anyone who cares about working families.”

 —Ruth Milkman, professor of sociology, The Graduate Center, CUNY

Life is routinely unpredictable. Control over one's time is a critical resource for managing that unpredictability, keeping a job, and raising a family. But the ability to control one's time, much like one's income, is determined to a significant degree by both gender and class. In Unequal Time, sociologists Dan Clawson and Naomi Gerstel explore the ways in which social inequalities permeate the workplace, reverberating through a web of time in which the schedules of one person shape the schedules of others in ways that exemplify and often exacerbate differences between men and women, the privileged and disadvantaged.

Unequal Time investigates the connected schedules of four health sector occupations: professional doctors and nurses, and working-class EMTs and nursing assistants. While the work-family literature mostly examines the hours people work, Clawson and Gerstel delve into the process through which schedules are set, negotiated, and contested. They show how workers in all four occupations experience the effects of schedule uncertainty but do so in distinct ways, largely shaped by the intersection of gender and class. Doctors, who are largely male and professional, have significant control over their schedules, though they often claim otherwise, and tend to work long hours because they earn respect from their peers for doing so. By contrast, nursing assistants, primarily female and working-class, work demanding hours because they face penalties for taking time off, no matter how valid the reasons. Without institutional support, they often turn to co-workers to help create more orderly lives.

Unequal Time shows that the degree of control that workers hold over their schedules can either reinforce or challenge conventional gender roles. When male doctors work overtime, they often rely on their wives and domestic workers to care for their families. Female nurses are more likely to handle the bulk of their family responsibilities, and use the control they have over their work schedules to dedicate more time to home life. Surprisingly, the authors find that in the working class occupations, workers frequently undermine traditional gender roles. Male EMTs often take significant time off for child care, and female nursing assistants sometimes choose to work more hours to provide extra financial support for their families. Employers often underscore these disparities by allowing their upper-tier workers the flexibility that enables their gender roles at home, while low-wage workers are pressured to put their jobs before any unpredictable events they might face outside of work.

We tend to consider personal and work scheduling an individual affair, but Clawson and Gerstel put forward the provocative hypothesis that time in the workplace is both collective and highly unequal. A valuable resource for workers' advocates and policymakers alike, Unequal Time illustrates how social inequalities in the workplace shape the lives of workers and their families.

DAN CLAWSON is professor of sociology at the University of Massachusetts, Amherst.

NAOMI GERSTEL is a distinguished university professor of sociology at the University of Massachusetts, Amherst.

On the 50th anniversary of President Lyndon B. Johnson's declaration of "unconditional War on Poverty," January 8, 2014, the National Poverty Center at the University of Michigan's Gerald R. Ford School of Public Policy, the Russell Sage Foundation, and Spotlight on Poverty and Opportunity hosted a forum offering diverse perspectives on the effects of anti-poverty policies in the U.S. Click here to learn more about this special event.

“So, you thought we waged a war on poverty and lost? Well, actually, the record is a lot more nuanced than that, replete with both wins and losses, as this notable collection of essays by leading scholars demonstrates. Every serious student of poverty should read Legacies of the War on Poverty. So should many not-so-serious students.”
—ALAN S. BLINDER, Princeton University

“The War on Poverty, one of the most famous social experiments of the twentieth century, is conventionally represented as a failure second only to socialism. If you’re the type who prefers facts over sound bites, if you’re interested in the real legacy of this experiment, you’ll give Legacies of the War on Poverty pride of place on your bookshelf. With an all-star cast of contributors,
Legacies provides the definitive analysis of what worked and what didn’t, how our most cherished poverty-fighting institutions had their roots in the War, and why the expansive goals set out by President Johnson may yet be met. This is—quite simply—the best treatment ever of one of the grandest interventions ever.”
—DAVID B. GRUSKY, Stanford University

Many believe that the War on Poverty, launched by President Johnson in 1964, ended in failure. In 2010, the official poverty rate was 15 percent, almost as high as when the War on Poverty was declared. Historical and contemporary accounts often portray the War on Poverty as a costly experiment that created doubts about the ability of public policies to address complex social problems. Legacies of the War on Poverty, drawing from fifty years of empirical evidence, documents that this popular view is too negative. The volume offers a balanced assessment of the War on Poverty that highlights some remarkable policy successes and promises to shift the national conversation on poverty in America.

Featuring contributions from leading poverty researchers, Legacies of the War on Poverty demonstrates that poverty and racial discrimination would likely have been much greater today if the War on Poverty had not been launched. Chloe Gibbs, Jens Ludwig, and Douglas Miller dispel the notion that the Head Start education program does not work. While its impact on children’s test scores fade, the program contributes to participants’ long-term educational achievement and, importantly, their earnings growth later in life. Elizabeth Cascio and Sarah Reber show that Title I legislation reduced the school funding gap between poorer and richer states and prompted Southern school districts to desegregate, increasing educational opportunity for African Americans.

The volume also examines the significant consequences of income support, housing, and health care programs. Jane Waldfogel shows that without the era’s expansion of food stamps and other nutrition programs, the child poverty rate in 2010 would have been three percentage points higher. Kathleen McGarry examines the policies that contributed to a great success of the War on Poverty: the rapid decline in elderly poverty, which fell from 35 percent in 1959 to below 10 percent in 2010. Barbara Wolfe concludes that Medicaid and Community Health Centers contributed to large reductions in infant mortality and increased life expectancy. Katherine Swartz finds that Medicare and Medicaid increased access to health care among the elderly and reduced the risk that they could not afford care or that obtaining it would bankrupt them and their families.

Legacies of the War on Poverty demonstrates that well-designed government programs can reduce poverty, racial discrimination, and material hardships. This insightful volume refutes pessimism about the effects of social policies and provides new lessons about what more can be done to improve the lives of the poor.

MARTHA J. BAILEY is associate professor in the Department of Economics at the University of Michigan and faculty research fellow at the National Bureau of Economic Research.

SHELDON DANZIGER is the President of the Russell Sage Foundation. He was formerly the Henry J. Meyer Distinguished University Professor of Public Policy and director of the National Poverty Center at the Gerald R. Ford School of Public Policy at University of Michigan.

CONTRIBUTORS: Elizabeth Cascio, Chloe Gibbs, Harry J. Holzer, Bridget Terry Long, Jens Ludwig, Kathleen McGarry, Douglas L. Miller, Edgar O. Olsen,Sarah Heber, Katherine Swartz, Jane Waldfogel, Barbara Wolfe.

A Volume in the National Poverty Center Series on Poverty and Public Policy

“The Biological Consequences of Socioeconomic Inequalities is a very timely book by an interdisciplinary group of experts that presents compelling new information about the neurobiological and systemic health consequences of socioeconomic inequalities, and it discusses some encouraging approaches for intervention using biomarkers for assessment. The emphasis on biomarkers is particularly important for demonstrating how the social environment of inequality ‘gets under the skin’ and presents both a challenge and an opportunity for this important field.”
—Bruce S. McEwen, The Rockefeller University

“The usual paradigm is to consider that socioeconomic status, environmental and genetic factors all affect a person’s health, but this book broadens that paradigm by examining also how socioeconomic and environmental factors directly affect the expression of genes and specific biological processes that themselves affect health and disease. In short, while others have shown that income affects health and health affects income, The Biological Consequences of Socioeconomic Inequalities examines the mechanisms through which income affects biological processes that affect health and cognition. This interdisciplinary book provides essential reading for researchers in the social and biological sciences interested in the income-health gradient, lays a useful foundation for the new field of individually customized medicine, and improves our understanding of how behaviors, stress, and cognitive-emotional processes lead to variation in biological functioning and disease.”
—Randall P. Ellis, Boston University, and past president, American Society of Health Economist

Social scientists have repeatedly uncovered a disturbing feature of economic inequality: people with larger incomes and better education tend to lead longer, healthier lives. This pattern holds across all ages and for virtually all measures of health, apparently indicating a biological dimension of inequality. But scholars have only begun to understand the complex mechanisms that drive this disparity. How exactly do financial well-being and human physiology interact? The Biological Consequences of Socioeconomic Inequalities incorporates insights from the social and biological sciences to quantify the biology of disadvantage and to assess how poverty gets under the skin to impact health.

Drawing from unusually rich datasets of biomarkers, brain scans, and socioeconomic measures, Biological Consequences of Socioeconomic Inequalities illustrates exciting new paths to understanding social inequalities in health. Barbara Wolfe, William N. Evans and Nancy Adler begin the volume with a critical evaluation of the literature on income and health, providing a lucid review of the difficulties of establishing clear causal pathways between the two variables. In their chapter, Arun S. Karlamangla, Tara L. Gruenewald, and Teresa E. Seeman outline the potential of biomarkers—such as cholesterol, heart pressure, and C-reactive protein—to assess and indicate the factors underlying health. Edith Chen, Hannah M. C. Schreier, and Meanne Chan reveal the empirical power of biomarkers by examining asthma, a condition steeply correlated with socioeconomic status. Their analysis shows how stress at the individual, family, and neighborhood levels can increase the incidence of asthma. The volume then turns to cognitive neuroscience, using biomarkers in a new way to examine the impact of poverty on brain development. Jamie Hanson, Nicole Hair, Amitabh Chandra, Ed Moss, Jay Bhattacharya, Seth D. Pollack, and Barbara Wolfe use a longitudinal Magnetic Resonance Imaging (MRI) study of children between the ages of four and eighteen to study the link between poverty and limited cognition among children. Michelle C. Carlson, Christopher L. Seplaki, and Teresa E. Seeman also focus on brain development to examine the role of socioeconomic status in cognitive decline among older adults.

Featuring insights from the biological and social sciences, Biological Consequences of Socioeconomic Inequalities will be an essential resource for scholars interested in socioeconomic disparities and the biological imprint that material deprivation leaves on the human body.

BARBARA WOLFE is professor of public affairs, economics, and population health sciences at the University of Wisconsin-Madison.

WILLIAM N. EVANS is Keough-Hesburge Professor of Economics in the Department of Economics at the University of Notre Dame.

TERESA E. SEEMAN is professor of medicine and epidemiology in the school of public health at the University of California, Los Angeles.

CONTRIBUTORS: Nancy Adler, Jay Bhattacharya, Michelle C. Carlson, Meanne Chan, Amitabh Chandra, Edith Chen, William H. Dow, William Evans, Elliot Friedman, Tara L. Gruenewald, Daniel A. Hackman, Nicole Hair, Jamie Hanson, Arun S. Karlamangla, Catarine Kiefe, Ed Moss, Seth D. Pollak, David H. Rehkopf, Hannah M. C. Schreier, Teresa E. Seeman, Christopher L. Seplaki, Barbara Wolfe