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The American Economic Review May 2017
Topics: Black or African American; Criminal Law; Eligibility Determination; Food Assistance; Hispanic or Latino; Humans; Prisoners; Public Assistance; Recidivism; Social Welfare; Substance-Related Disorders; United States; White People
PubMed: 29558067
DOI: 10.1257/aer.p20171001 -
BMC Health Services Research Oct 2023Public assistance programs aim to prevent financial poverty by guaranteeing a minimum income for basic needs, including medical care. However, time poverty also matters,...
BACKGROUND
Public assistance programs aim to prevent financial poverty by guaranteeing a minimum income for basic needs, including medical care. However, time poverty also matters, especially in the medical care adherence of people with chronic diseases. This study aimed to examine the association between the dual burden of working and household responsibilities, with unscheduled asthma care visits among public assistance recipients in Japan.
METHODS
This retrospective cohort study included public assistance recipients from two municipalities. We obtained participants' sociodemographic data in January 2016 from the public assistance database and identified the incidence of asthma care visits. Participants' unscheduled asthma visits and the frequency of asthma visits were used as the outcome variables. Unscheduled visits were defined as visits by recipients who did not receive asthma care during the first three months of the observation period. Participants' age, sex, household composition, and work status were used as explanatory variables. Multiple Poisson regression analyses were performed to calculate the cumulative incidence ratio (IR) with a 95% confidence interval (CI) of unscheduled visits across the explanatory variables. The effect of modification on the work status by household composition was also examined.
RESULTS
We identified 2,386 recipients at risk of having unscheduled visits, among which 121 patients (5.1%) had unscheduled visits. The multivariable Poisson regression revealed that the working recipients had a higher incidence of unscheduled visits than the non-working recipients (IR 1.44, 95% CI 1.00-2.07). Among working recipients, the IRs of unscheduled visits were higher among recipients cohabiting with adults (IR 1.90 95% CI 1.00-3.59) and with children (IR 2.35, 95% CI 1.11-4.95) than for recipients living alone. Among non-working recipients, the IRs of unscheduled visits were lower for recipients living with family (IR 0.74, 95% CI 0.41-1.35) and those living with children (IR 0.50, 95% CI 0.20-1.23). A higher frequency in asthma visits was observed among working recipients living with family.
CONCLUSIONS
Working adults cohabiting with children are at the greatest risk of unscheduled visits among adults receiving public assistance. To support healthy lifestyles of public assistance recipients, medical care providers and policymakers should pay special attention to the potentially underserved populations.
Topics: Adult; Child; Humans; Asthma; Healthcare Disparities; Japan; Poverty; Public Assistance; Retrospective Studies; Employment
PubMed: 37821936
DOI: 10.1186/s12913-023-10110-9 -
Health Economics Oct 2020This study estimates the effect of county-level public health expenditures in reducing county-level public assistance medical care benefits (public assistance medical...
Do public health activities pay for themselves? The effect of county-level public health expenditures on county-level public assistance medical care benefits in California.
This study estimates the effect of county-level public health expenditures in reducing county-level public assistance medical care benefits (public assistance medical care benefits is a measure compiled by the US Bureau of Economic Analysis and includes Medicaid and other medical vendor payments). The effect is modeled using a static panel model and estimated using two-stage limited information maximum likelihood and a valid instrumental variable. For every $1 invested in county-level public health expenditures, public assistance medical care benefits are reduced by an average of $3.12 (95% confidence interval: -$5.62, -$0.94). Because Medicaid in California is financed via an approximate 50% match of federal dollars with state dollars, savings to the state are approximately one-half of this, or $1.56 for every $1 invested in county-level public health expenditures.
Topics: California; Health Expenditures; Humans; Medicaid; Public Assistance; Public Expenditures; Public Health; United States
PubMed: 32618074
DOI: 10.1002/hec.4130 -
American Journal of Public Health Jul 2019
Topics: Food Assistance; Food Supply; Humans; Nutrition Policy; Nutritional Requirements; Public Assistance; Public Health; United States
PubMed: 31166716
DOI: 10.2105/AJPH.2019.305070 -
Lancet (London, England) Jun 2019
Topics: Emigrants and Immigrants; Humans; Public Assistance; United States
PubMed: 31162066
DOI: 10.1016/S0140-6736(19)31233-4 -
American Journal of Orthodontics and... Apr 2017
Topics: Child; Fees, Dental; Humans; Male; Orthodontics, Corrective; Public Assistance
PubMed: 28364886
DOI: 10.1016/j.ajodo.2017.01.015 -
Social Science Research Sep 2015A view that gained momentum in the 1990s, and which is sustained by some policy analysts and labor economists today, is that dependence on public assistance is greater... (Comparative Study)
Comparative Study
A view that gained momentum in the 1990s, and which is sustained by some policy analysts and labor economists today, is that dependence on public assistance is greater for immigrants than for natives. Accordingly, this study investigates nativity differentials in the use of nine assistance programs, focusing on immigrant arrival cohorts within three distinct mode-of-entry proxy categories. The logistic regression analysis uses data from the 2013 CPS March supplement. To permit more nuanced interpretation, control variables are introduced hierarchically in a three-stage analysis. One new finding is that each of the three major regional-origin groups within the 1980-1995 refugee cohort-with an average length of residence exceeding two decades-sustains greater use of either SSI or Medicaid than natives. The study concludes that nativity differences in the use of public assistance continue to rest on the socio-demographic composition of three distinct populations, determined by mode of entry into the U.S.
Topics: Adolescent; Adult; Emigrants and Immigrants; Emigration and Immigration; Ethnicity; Humans; Logistic Models; Medicaid; Middle Aged; Population Dynamics; Public Assistance; Refugees; Residence Characteristics; Social Security; Social Welfare; Transients and Migrants; United States; Young Adult
PubMed: 26188434
DOI: 10.1016/j.ssresearch.2015.04.007 -
L'Infirmiere Francaise May 1973
Topics: France; Medical Assistance; Public Assistance
PubMed: 4488842
DOI: No ID Found -
Canadian Journal of Public Health =... 2005
Topics: Canada; Humans; Organizational Innovation; Public Assistance; Public Policy; Social Welfare
PubMed: 15682686
DOI: 10.1007/BF03404005 -
Journal of Health Politics, Policy and... Apr 2021This article provides a detailed picture of the mindset of Americans about Medicaid work requirements and the important roles that perception of deservingness and racial...
CONTEXT
This article provides a detailed picture of the mindset of Americans about Medicaid work requirements and the important roles that perception of deservingness and racial bias play in public attitudes.
METHODS
The authors conducted a large original survey to investigate public attitudes toward work requirements. They analyzed the predictors of overall support for work requirements, correlates of who should be exempt from them, and attitudes toward work supports that make compliance with work requirements easier.
FINDINGS
The authors found that public opinion is split relatively evenly when it comes to Medicaid work requirements in the abstract. When Americans are confronted with the complexities of the issue, important nuances emerge. The authors also found consistent evidence that support for work requirements is higher among conservatives, those who see Medicaid as a short-term program, and racially resentful non-Hispanic whites. They show that groups that have historically been framed as deserving see high levels of support for their exemption (e.g., the disabled and senior citizens). Finally, the authors found that Americans are supportive of policies that provide individuals with help when transitioning into the workforce.
CONCLUSIONS
Americans' views of Medicaid and the populations it serves are complex and continue to be influenced by perceptions of deservingness and race.
Topics: Attitude to Health; History, 20th Century; Humans; Medicaid; Public Assistance; Public Opinion; Surveys and Questionnaires; United States; Work
PubMed: 32955553
DOI: 10.1215/03616878-8802198