CBPR to Reduce Women's Health Disparities thru TANF

自1996年以来，美国福利制度发生了重大变化， 临时援助贫困家庭（TANF，或“福利”）援助主要是穷人，少数民族 通过“从福利到工作”或福利过渡计划， （WTP）。研究表明，30%的人在退出后一年内因困难而重新进入该计划 维持就业，而推动“再就业”的一个因素是慢性病的极高患病率 这个群体的条件。我们的数据和其他人的数据表明了目前解决健康问题的方法 WTP中妇女的健康问题严重不足， 也不能提高他们实现自给自足目标的能力。改善妇女健康的研究 接受TANF的人缺席，尽管有明确和令人信服的证据表明，他们的健康率较高， 在一般人口和其他低收入妇女中，妇女的问题比妇女的问题多， 为满足他们的健康需求，因此，本研究对改善这一群体的健康状况是必要的， 也是hovel，因为干预是基于需求和偏好的WTP参与者自己。 这项研究的具体目标是： 1.重新设计目前的支付意愿临床健康筛查工具，使其具有文化相关性，敏感性， 可接受用于测试以福利残疾人为中心的健康计划（WPCHP）的有效性， 参与式研究方法。 2.为了测试WPCHP在以下方面的功效：a）提高自愿筛查，识别， 慢性健康状况的治疗，B）增加必要的知识和技能， 医疗补助制度，c）随着时间的推移改善功能和健康状况，d）增加就业时间 采用参与性研究方法，对参加WTP的患有慢性健康状况的妇女进行了调查。

Major changes to the U.S. welfare system since 1996 have resulted in significant reductions in Temporary Assistance to Needy Families (TANF, or 'welfare') assistance to predominantly poor, minority women by moving them into low-wage jobs through 'welfare-to-work', or welfare transition programs (WTPs). Studies have documented that 30% re-enter the program within one year of exit due to difficulty maintaining employment, and one factor driving 're-entry1 is the extremely high prevalence of chronic health conditions in this group. Our data, and data from others, suggests current approaches for addressing health problems among women in WTPs are woefully inadequate, and will result in neither reducing health disparities nor improve their ability to meet self-sufficiency goals. Studies to improve the health of women receiving TANF are absent, despite clear and compelling evidence they suffer from higher rates of health problems than women in both the general population and other low-income women, and that little is being done in WTPs to meet their health needs. Thus, this study is necessary to improve the health of this group; it is also hovel, in that the intervention is based on the needs and preferences of WTP participants themselves. The specific aims of this research are: 1. To redesign the current WTP clinical health screening tool so that it is culturally relevant, sensitive, and acceptable for use in testing the efficacy of a Welfare Participant-Centered Health Program (WPCHP) using a participatory research methodology. 2. To test the efficacy of a WPCHP in: a) increasing rates of voluntary screening, identification, and treatment for chronic health conditions, b) increasing the knowledge and skills necessary to navigate the Medicaid system, c) improving functional and health status over time, and d) increasing employment duration among women enrolled in WTPs with chronic health conditions using a participatory research methodology.