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Type: Journal article
Title: The health of poor women under welfare reform
Author: Kaplan, G.
Siefert, K.
Ranjit, N.
Raghunathan, T.
Young, E.
Tran, D.
Danziger, S.
Hudson, S.
Lynch, J.
Tolman, R.
Citation: American Journal of Public Health, 2005; 95(7):1252-1258
Publisher: Amer Public Health Assoc Inc
Issue Date: 2005
ISSN: 0090-0036
Statement of
George A. Kaplan, Kristine Siefert, Nalini Ranjit, Trivellore E. Raghunathan, Elizabeth A. Young, Diem Tran, Sandra Danziger, Susan Hudson, John W. Lynch, and Richard Tolman
Abstract: Objectives: We compared the health of single mothers affected by welfare reform with the health of a nationally representative sample of women to document the prevalence of poor health as single mothers experience the effects of welfare reform. Methods: We compared risk factors and measures of health among women randomly sampled from the welfare rolls with similar data from a nationally representative sample of women. Results: Women in our welfare recipient sample had higher rates of elevated glycosylated hemoglobin (≥6%; prevalence ratio [PR]=4.87; 95% confidence interval [CI]=2.69, 7.04), hypertension (systole ≥140 or diastole ≥90; PR=2.36; 95% CI=1.47, 3.24), high body mass index (≥30; PR=1.78; 95% CI=1.49, 2.08), and high-density lipoprotein cholesterol (≤35 mg/dL; PR=1.91; 95% CI=1.17, 2.65); lower peak expiratory flow; and less physical functioning. Current smoking rates were higher (PR=1.85; 95% CI=1.50, 2.19) and smoking cessation rates were lower (PR=0.62; 95% CI=0.37, 0.86) than in the national sample. Conclusions: Current and former welfare recipients bear a substantial burden of illness. Further studies are necessary to interpret our findings of worsened health in the wake of welfare reform.
Keywords: Humans; Single Parent; Health Status; National Center for Health Statistics (U.S.); Poverty; Social Welfare; Adult; Middle Aged; Women's Health; United States; Michigan; Female
Rights: © 2005 American Public Health Association
RMID: 0020106431
DOI: 10.2105/AJPH.2004.037804
Appears in Collections:Public Health publications

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