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