Why is this,
C (and hence C++) has a rule that effectively says when a type smaller than int is used in an expression it is first promoted to int (the actual rule is a little more complex than that to allow for multiple distinct types of the same size).
Section 6.3.1.1 of the Rationale for International Standard Programming Languages C claims that in early C compilers there were two versions of the promotion rule. "unsigned preserving" and "value preserving" and talks about why they chose the "value preserving" option. To summarise they believed it would produce correct results in a greater proportion of situations*.
It does not however explain why the concept of promotion exists in the first place. I would speculate that it existed because on many processors, including the PDP-11 for which C was originally designed, arithmetic operations only operated on words, not on units smaller than words. So it was simpler and more efficient to convert everything smaller than a word to a word at the start of an expression.
On most platforms today int is 32 bits. So both uint16_t and int16_t are promoted to int. The artithmetic proceeds to produce a result of type int with a value of -1.
OTOH uint32_t and int32_t are not smaller than int, so they retain their original size and signedness through the promotion step. The rules for when the operands to an arithmetic operator are of different types come into play and since the operands are the same size the signed operand is converted to unsigned.
The rationale does not seem to talk about this rule, which suggests it goes back to pre-standard C.
and is the conversion consistent on all compilers and platforms?
On an Ansi C or ISO C++ platform it depends on the size of int. With 16 bit int both examples would give large positive values. With 64-bit int both examples would give -1.
On pre-standard implementations it's possible that both expressions might return large positive numbers.
* This belief is somewhat shattered by modern C compilers that treat integer overflow as an optimisation opportunity.