2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'The high prevalence of health conditions among U.S. women receiving
|
|
|
|
|
|
|
|
|
|
Temporary Assistance for Needy Families (TANF, or `welfare'') impedes the
|
|
|
|
|
|
|
|
|
|
ability of many in this group to move from `welfare-to-work'', and the
|
|
|
|
|
|
|
|
|
|
economic recession has likely exacerbated this problem. Despite this,
|
|
|
|
|
|
|
|
|
|
few interventions have been developed to improve employment outcomes by
|
|
|
|
|
|
|
|
|
|
addressing the health needs of women receiving TANF, and little is known
|
|
|
|
|
|
|
|
|
|
about the impact of economic downturns on the employment trajectory of
|
|
|
|
|
|
|
|
|
|
this group. Using data from a recent randomized controlled trial (RCT)
|
|
|
|
|
|
|
|
|
|
that tested the efficacy of a public health nursing (PHN) intervention
|
|
|
|
|
|
|
|
|
|
to address the chronic health condition needs of 432 American women
|
|
|
|
|
|
|
|
|
|
receiving TANF, we examine the effect of the intervention and of
|
|
|
|
|
|
|
|
|
|
recession exposure on employment. We further explore whether
|
|
|
|
|
|
|
|
|
|
intervention effects were modified by select sociodemographic and health
|
|
|
|
|
|
|
|
|
|
characteristics. Both marginal and more robust intervention effects were
|
|
|
|
|
|
|
|
|
|
noted for employment-entry outcomes (any employment, p = 0.05 and
|
|
|
|
|
|
|
|
|
|
time-to-employment, p = 0.01). There were significant effects for
|
|
|
|
|
|
|
|
|
|
recession exposure on employment-entry (any employment, p = 0.002 and
|
|
|
|
|
|
|
|
|
|
time-to-employment, p < 0.001). Neither the intervention nor recession
|
|
|
|
|
|
|
|
|
|
exposure influenced longer-term employment outcomes (employment rate or
|
|
|
|
|
|
|
|
|
|
maximum continuous employment). Intervention effects were not modified
|
|
|
|
|
|
|
|
|
|
by age, education, prior TANF receipt, functional status, or recession
|
|
|
|
|
|
|
|
|
|
exposure, suggesting the intervention was equally effective in improving
|
|
|
|
|
|
|
|
|
|
employment-entry across a fairly heterogeneous group both before and
|
|
|
|
|
|
|
|
|
|
after the recession onset. These findings advance our understanding of
|
|
|
|
|
|
|
|
|
|
the health and employment dynamics among this group of disadvantaged
|
|
|
|
|
|
|
|
|
|
women under variable macroeconomic conditions, and have implications for
|
|
|
|
|
|
|
|
|
|
guiding health and TANF-related policy. (C) 2012 Elsevier Ltd. All
|
|
|
|
|
|
|
|
|
|
rights reserved.'
|
|
|
|
|
affiliation: 'Kneipp, SM (Corresponding Author), Univ N Carolina, Sch Nursing, Chapel
|
|
|
|
|
Hill, NC 27599 USA.
|
|
|
|
|
|
|
|
|
|
Kneipp, Shawn M., Univ N Carolina, Sch Nursing, Chapel Hill, NC 27599 USA.
|
|
|
|
|
|
|
|
|
|
Kairalla, John A., Univ Florida, Coll Med, Gainesville, FL 32611 USA.
|
|
|
|
|
|
|
|
|
|
Kairalla, John A., Univ Florida, Coll Publ Hlth \& Hlth Profess, Gainesville, FL
|
|
|
|
|
32611 USA.
|
|
|
|
|
|
|
|
|
|
Sheely, Amanda L., Univ N Carolina, Sch Social Work, Chapel Hill, NC USA.'
|
|
|
|
|
author: Kneipp, Shawn M. and Kairalla, John A. and Sheely, Amanda L.
|
|
|
|
|
author-email: skneipp@unc.edu
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Kneipp
|
|
|
|
|
given: Shawn M.
|
|
|
|
|
- family: Kairalla
|
|
|
|
|
given: John A.
|
|
|
|
|
- family: Sheely
|
|
|
|
|
given: Amanda L.
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1016/j.socscimed.2012.08.011
|
|
|
|
|
eissn: 1873-5347
|
|
|
|
|
files: []
|
|
|
|
|
issn: 0277-9536
|
|
|
|
|
journal: SOCIAL SCIENCE \& MEDICINE
|
|
|
|
|
keywords: 'Health disparities; Welfare policy; Temporary Assistance for Needy
|
|
|
|
|
|
|
|
|
|
Families (TANF); Women''s health; Public health nursing; Economic
|
|
|
|
|
|
|
|
|
|
recession; USA'
|
|
|
|
|
keywords-plus: TEMPORARY ASSISTANCE; NEEDY FAMILIES; LIFE
|
|
|
|
|
language: English
|
|
|
|
|
month: MAR
|
|
|
|
|
number-of-cited-references: '57'
|
|
|
|
|
orcid-numbers: 'Sheely, Amanda/0000-0002-1733-6059
|
|
|
|
|
|
|
|
|
|
Kneipp, Shawn/0000-0002-8907-0587'
|
|
|
|
|
pages: 130-140
|
|
|
|
|
papis_id: 9e95f88b0169c45738fe843b938c20a9
|
|
|
|
|
ref: Kneipp2013randomizedcontrolled
|
|
|
|
|
researcherid-numbers: 'Sheely, Amanda/C-3921-2017
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '14'
|
|
|
|
|
title: 'A randomized controlled trial to improve health among women receiving welfare
|
|
|
|
|
in the US: The relationship between employment outcomes and the economic recession'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000209447300016
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '8'
|
|
|
|
|
volume: '80'
|
|
|
|
|
web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
|
|
|
|
|
|
|
|
|
|
Biomedical'
|
|
|
|
|
year: '2013'
|
