The impact of welfare reform on parents' ability to care for their children's health.
OBJECTIVE
Most of the national policy debate regarding welfare assumed that if middle-income mothers could balance work while caring for their children's health and development, mothers leaving welfare for work should be able to do so as well. Yet, previous research has not examined the conditions faced by mothers leaving welfare for work.


METHODS
Using data from the National Longitudinal Survey of Youth, this study examined the availability of benefits that working parents commonly use to meet the health and developmental needs of their children; paid sick leave, vacation leave, and flexible hours.


RESULTS
In comparison with mothers who had never received welfare, mothers who had been on Aid to Families with Dependent Children were more likely to be caring for at least 1 child with a chronic condition (37% vs 21%, respectively). Yet, they were more likely to lack sick leave for the entire time they worked (36% vs 20%) and less likely to receive other paid leave or flexibility.


CONCLUSIONS
If current welfare recipients face similar conditions when they return to work, many will face working conditions that make it difficult or impossible to succeed in the labor force at the same time as meeting their children's health and developmental needs.
Heymann
S J
SJ
Department of Health and Social Behavior, Harvard School of Public Health, Boston, MA 02115, USA.
Earle
A
A
D000293:Adolescent; D000328:Adult; D000385:Aid to Families with Dependent Children / Q000331:legislation & jurisprudence*; D002648:Child; D002654:Child Care / Q000191:economics*; D002669:Child Welfare; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009035:Mothers / Q000706:statistics & numerical data*; D009936:Organizational Innovation; D012456:Salaries and Fringe Benefits / Q000706:statistics & numerical data*; D018582:Sick Leave; D012946:Social Welfare / Q000331:legislation & jurisprudence*; D011795:Surveys and Questionnaires; D014481:United States; D014931:Women, Working / Q000706:statistics & numerical data*