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HEALTH IMPLICATIONS OF WELFARE TO WORK FOR WOMEN

工作福利对女性健康的影响

基本信息

批准号：
6053921
负责人：
SHAWN MARIE KNEIPP
金额：
$ 2.64万
依托单位：
UNIVERSITY OF FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-09-30 至 2000-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6053921
关键词：
Medicare /Medicaid clinical research disease /disorder prevention /control emergency care employment of women female health care service utilization health insurance health science research analysis /evaluation health services research tag human data human subject low socioeconomic status public assistance statistics /biometry women's health

项目摘要

The objective of this research is to describe how welfare policy in the United States may affect health with respect to barriers in accessing care for employed women living below 150 percent poverty level and those who were receiving public assistance in 1996. Both employed, low-income women and women receiving public assistance may be receiving Medicaid, but barriers in accessing care may be different, especially when related to employment. The three specific aims of this study are: 1) to describe differences in low-income women with respect to employment or AFDC receipt on health insurance coverage, income, health status, health care utilization patterns, barriers to care, and satisfaction with health care received, 2) to determine whether families headed by low-income employed women with Medicaid coverage experience greater barriers to a usual source of health care related to employment factors or lack of time than do families headed by women who are unemployed and covered by Medicaid, and, 3) to determine whether barriers to health care related to employment and/or child care in low-income employed women are associated with less preventive care, higher emergency department utilization rates, higher rates of hospital admissions, and lower perceived health status when compared to low-income unemployed women receiving AFDC. Secondary analyses of the Medical Expenditure Panel Survey (MEPS) data through the Agency for Health Care Policy and Research (AHCPR) will be used to meet the goals of this research. Descriptive statistics will be applied to the data to examine relationships between the employment, welfare use, and health outcome variables. Parametric and nonparametric tests of significance will be used when appropriate to determine whether population inferences can be made.

这项研究的目的是描述美国的福利政策如何影响1996年生活在150%贫困线以下的就业妇女和接受公共援助的妇女在获得保健方面的障碍。就业的低收入妇女和接受公共援助的妇女都可能接受医疗补助，但获得保健的障碍可能不同，特别是与就业有关的障碍。这项研究的三个具体目标是：1）描述低收入妇女在就业或AFDC收入方面的差异，包括健康保险覆盖范围、收入、健康状况、保健利用模式、保健障碍和对所接受保健的满意度，2）确定以低收入者为户主的家庭是否-与失业妇女为户主的家庭相比，享受医疗补助的有收入就业妇女在获得与就业因素或缺乏时间有关的通常保健来源方面遇到的障碍更大，医疗补助，以及，3）以确定是否障碍，以医疗保健有关的就业和/或儿童保育在低收入就业妇女与预防性保健较少，较高的急诊利用率，较高的住院率，和较低的感知健康状况相比，低收入失业妇女接受AFDC。通过卫生保健政策和研究机构（AHCPR）对医疗支出小组调查（MEPS）数据的二次分析将用于实现本研究的目标。描述性统计将应用于数据，以检查就业，福利使用和健康结果变量之间的关系。适当时，将使用参数和非参数显著性检验来确定是否可以进行群体推断。