Diane M. Dewar is with the Department of Health Policy, Management, and Behavior and Department of Economics, University at Albany, State University of New York, Albany. Michael S. Bloom and Hyunok Choi are with the Departments of Environmental Health Sciences and Epidemiology and Biostatistics, University at Albany, State University of New York, Albany. Lenore Gensburg and Akiko Hosler are with the Department of Epidemiology and Biostatistics, University at Albany, State University of New York, Albany.