title: Access to health care after welfare reform.
abstract: This research uses data from a longitudinal statewide study of Oregon families leaving Temporary Assistance to Needy Families (TANF) to identify: 1) the trends in insurance coverage over time; 2) the role of health insurance coverage in predicting whether respondents received needed medical care; and 3) the relationship between access to care and physical and mental health. Data were obtained from 637 families seven months after leaving welfare for work; 552 of these families were re-interviewed one year later. The data reveal that 40% of TANF leavers were uninsured at wave 2 and suggest that significant access barriers exist, which may be associated with poor health outcomes.
authors.affiliation: School of Community Health, Portland State University, OR 97217, USA. seccombek@pdx.edu
authors.forename: Karen
authors.initials: K
authors.lastname: Seccombe
authors.forename: Jason
authors.initials: J
authors.lastname: Newsom
authors.forename: Kim
authors.initials: K
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D005006:Ethnicity; D005260:Female; D006296:Health Services / Q000191:economics / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000191:economics*; D006304:Health Status; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008137:Longitudinal Studies; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D008603:Mental Health; D009922:Oregon; D012946:Social Welfare / Q000191:economics* / Q000331:legislation & jurisprudence*