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Inquiry. 2006 Summer;43(2):167-78.

Access to health care after welfare reform.

Author information

  • 1School of Community Health, Portland State University, OR 97217, USA. seccombek@pdx.edu


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.

[PubMed - indexed for MEDLINE]
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