HEALTH OUTCOMES IN WOMEN AFFECTED BY WELFARE-TO-WORK

受工作福利影响的女性健康状况

• 批准号: 2258966
• 负责人: SHAWN MARIE KNEIPP
• 金额: $ 1.4万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-02-27 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2258966
• 关键词: HEALTH; OUTCOMES; WOMEN; AFFECTED; WELFARE

Studies have shown that living in poverty is associated with significantly lower health status and perceived well-being.(1) Today, over 50 percent of American families living in poverty are headed by women, and the majority of children living in poverty live with their single-parent mothers.(2) It is well documented that poor women and children both perceive their health to be poorer and indeed have higher rates of morbidity and mortality than their non-poor counterparts.(3-8) For single-parent mothers who are dependent on Aid to Families with Dependent Children (AFDC), opportunities to escape living in poverty are difficult and rare; thus, so too are their chances of improving their health. Changes have occurred at both the federal and state level in the AFDC program, with the thrust of the changes intending to move heads of households 'from welfare to work' through the federally mandated Job Opportunities and Basic Skills (JOBS) program. Such changes implicitly have the potential either to be supportive or non-supportive of improving the health of this population of women. The purpose of this study is to identify and describe the health outcomes of women who are participating in welfare-to-work programs through JOBS. Specifically, I am interested in the difference in health status outcomes between women participating in either a job-focused or a holistic welfare-to-work program--including the psychosocial and physical aspects of health. These structures within the welfare system have the potential to be either supporting or non-supporting for women, greatly influence their ability to adjust to their new roles as working mothers, and may affect various dimensions of their health. A combination of quantitative and qualitative methods will be used to compare the global health, symptoms of stress and illness, functional status, and healthcare resource utilization of women participating in a job-focused welfare-to-work program and those participating in a holistic-based welfare-to-work program. By evaluating the impact of public policies on the lived experiences of women, therapeutic measures directed at the policy level can be developed, researched, and implemented for the purpose of enhancing the health of this segment of the nation's population. The outcomes of this research are expected to assist policy makers in developing legislation that could prove more effective in improving the health of poor women.

研究表明，生活贫困与 健康状况和幸福感明显降低。(1)今天， 超过50%的美国贫困家庭的户主是 妇女和大多数生活在贫困中的儿童生活在 单亲妈妈(2)有充分证据表明，贫穷妇女和 孩子们都认为他们的健康状况较差， 发病率和死亡率高于非贫困人口。（3-8） 对于依靠援助有子女家庭方案的单亲母亲， 受抚养儿童（AFDC），摆脱贫困生活的机会 困难和罕见的;因此，他们也有机会改善他们的生活。 健康 在联邦和州一级， AFDC计划，随着变化的主旨打算移动的头部， 家庭通过联邦政府授权的工作“从福利到工作” 就业机会和基本技能计划（JOBS）。 这种变化隐含着 有可能支持或不支持改善 这群女性的健康。 本研究的目的是识别和描述健康结果 通过JOBS参与从福利到工作方案的妇女人数。 具体来说，我感兴趣的是健康状况结果的差异， 妇女参加以工作为重点的 从福利到工作方案-包括社会心理和身体方面 of health. 这些福利体系中的结构有可能 支持或不支持妇女， 她们适应职业母亲新角色的能力， 影响他们健康的各个方面。 将采用定量和定性相结合的方法， 比较全球健康状况，压力和疾病的症状，功能 妇女参加保健服务的现状和保健资源利用 以工作为重点的福利工作计划和那些参加 以整体为基础的从福利到工作方案。 通过评估公共政策对生活经验的影响， 针对妇女，政策一级的治疗措施可以 开发，研究和实施，以提高 这部分人口的健康状况。 这一过程的结果 预计研究将有助于决策者制定立法 这在改善贫穷妇女的健康方面可能会更加有效。