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February 2002, Vol 92, No. 2 | American Journal of Public Health 228-230
© 2002 American Public Health Association

RESEARCH AND PRACTICE

Knowledge of Welfare Reform Program Provisions Among Families of Children With Chronic Conditions

Lauren A. Smith, MD, MPH, Paul H. Wise, MD, MPH and Nina S. Wampler, MPH

The authors are with the Department of Pediatrics, Boston University of Medicine, Boston, Mass.

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 examined the knowledge of and application for health-related welfare program provisions among beneficiaries with children who have chronic conditions.

Methods. We administered a survey to 143 parents of children aged 3 to 16 years with asthma or sickle cell anemia in 2 clinical settings.

Results. Respondents indicated incomplete knowledge of work requirements (69.9%) and work exemptions (50.3%). Applications for work exemptions were rare, even among Supplemental Security Income recipients (30%).

Conclusions. Welfare beneficiaries with children who have chronic conditions show limited knowledge and use of program provisions, placing them at risk for penalties or benefit termination.




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