Assessing the effects of welfare reform policies on reproductive and infant health.
OBJECTIVE
The welfare reform law of 1996 marked a historical moment in US policy toward the poor by ending the entitlement to cash assistance, by requiring work, and by establishing time limits. This article examines the potential impact on the health of women and children, the primary recipients of welfare benefits.


METHODS
The authors outline the reproductive health outcomes most likely to be sensitive to welfare policies, identify indicators that might be used to assess these outcomes, review empirical evidence, and suggest specific methods and data sources.


RESULTS
State welfare requirements could improve health outcomes or deter families from Medicaid and food stamps, as well as income support, thus worsening health outcomes. National and state data may prove useful in detecting these effects; however, new data sources may be required for specific health-related questions.


CONCLUSIONS
Assessing the effects of welfare policies on reproductive and infant health is possible, although challenging. Reauthorization of the legislation is required in 2002; it is essential that the consequences for health be included in the next round of public debate.
Wise
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Department of Pediatrics, Boston University School of Medicine, Mass., USA.
Chavkin
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W
Romero
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D005193:Family Planning Services; D005260:Female; D006304:Health Status; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D007231:Infant, Newborn; D008429:Maternal Welfare; D011247:Pregnancy; D011256:Pregnancy Outcome; D011632:Public Assistance / Q000331:legislation & jurisprudence*; D012946:Social Welfare / Q000331:legislation & jurisprudence*; D014481:United States