HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Smith, L. A. Articles by Wise, P. H. Search for Related Content PubMed PubMed Citation Articles by Smith, L. A. Articles by Wise, P. H. Related Collections Other Chronic Disease Family Health Insurance Other Health Financing Socioeconomic Factors Low-Income Children

Lauren A. Smith, MD, MPH, Diana Romero, PhD, MA, Pamela R. Wood, MD, Nina S. Wampler, DSc, MPH, Wendy Chavkin, MD, MPH and Paul H. Wise, MD, MPH

Lauren A. Smith and Paul H. Wise are with the Department of Pediatrics, Boston University School of Medicine, Boston, Mass. Diana Romero and Wendy Chavkin are with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City. Pamela R. Wood is with the Department of Pediatrics, University of Texas Health Science Center, San Antonio. Nina S. Wampler is with the Division of American Indian and Alaska Native Programs, University of Colorado Health Science Center, Denver.

Correspondence: Requests for reprints should be sent to Lauren A. Smith, MD, MPH, Boston Medical Center, Department of Pediatrics, Dowling 3 South, One Boston Medical Center Pl, Boston, MA 02118 (e-mail: lauren.smith{at}bmc.org).

Objectives. This study evaluated the association of chronic child illness with parental employment among individuals who have had contact with the welfare system.

Methods. Parents of children with chronic illnesses were interviewed.

Results. Current and former welfare recipients and welfare applicants were more likely than those with no contact with the welfare system to report that their children’s illnesses adversely affected their employment. Logistic regression analyses showed that current and former receipt of welfare, pending welfare application, and high rates of child health care use were predictors of unemployment.

Conclusions. Welfare recipients and applicants with chronically ill children face substantial barriers to employment, including high child health care use rates and missed work. The welfare reform reauthorization scheduled to occur later in 2002 should address the implications of chronic child illness for parental employment.

This article has been cited by other articles:

				E. Hildebrandt and P. Stevens Impoverished Women With Children and No Welfare Benefits: The Urgency of Researching Failures of the Temporary Assistance for Needy Families Program Am J Public Health, May 1, 2009; 99(5): 793 - 801. [Abstract] [Full Text] [PDF]

				N. G. Neblett Patterns of Single Mothers' Work and Welfare Use: What Matters for Children's Well-Being? Journal of Family Issues, August 1, 2007; 28(8): 1083 - 1112. [Abstract] [PDF]

				P. J. Chung, C. F. Garfield, M. N. Elliott, C. Carey, C. Eriksson, and M. A. Schuster Need for and Use of Family Leave Among Parents of Children With Special Health Care Needs Pediatrics, May 1, 2007; 119(5): e1047 - e1055. [Abstract] [Full Text] [PDF]

				E. Hildebrandt Women who did not succeed in the work-based welfare program. Policy Politics Nursing Practice, February 1, 2006; 7(1): 23 - 34. [Abstract] [PDF]

				C. Reinhardt Pedersen, M. Madsen, and L. Kohler Does financial strain explain the association between children's morbidity and parental non-employment? J Epidemiol Community Health, April 1, 2005; 59(4): 316 - 321. [Abstract] [Full Text] [PDF]

				B. Zuckerman, M. Sandel, L. Smith, and E. Lawton Why Pediatricians Need Lawyers to Keep Children Healthy Pediatrics, July 1, 2004; 114(1): 224 - 228. [Abstract] [Full Text] [PDF]

				D. Romero, W. Chavkin, P. H. Wise, and L. A. Smith Low-Income Mothers' Experience with Poor Health, Hardship, Work, and Violence: Implications for Policy Violence Against Women, October 1, 2003; 9(10): 1231 - 1244. [Abstract] [PDF]

				P. H. Wise The State Children's Health Insurance Program: Effective but Vulnerable Arch Pediatr Adolesc Med, December 1, 2002; 156(12): 1175 - 1176. [Full Text] [PDF]

				P. H. Wise, N. S. Wampler, W. Chavkin, and D. Romero Chronic Illness Among Poor Children Enrolled in the Temporary Assistance for Needy Families Program Am J Public Health, September 1, 2002; 92(9): 1458 - 1461. [Abstract] [Full Text] [PDF]

				D. Romero, W. Chavkin, P. H. Wise, L. A. Smith, and P. R. Wood Welfare to Work? Impact of Maternal Health on Employment Am J Public Health, September 1, 2002; 92(9): 1462 - 1468. [Abstract] [Full Text] [PDF]