This article was originally published here
SSM Popple Health. 202 May 9; 18:10 1117. Doi: 10.1016 / j.ssmph.2022.101117. eCollection2022Jun.
The stigma of the U.S. welfare system not only shows that qualified applicants are discouraged from participating in public support programs, despite facing financial difficulties, but the stigma is healthier. It is especially important because it is an important root cause of inequality. Scholars agree that the stigma is shaped by personal and contextual aspects, but the role of context is often overlooked. Given the uneven nature of the welfare environment in the United States, it may be important to consider how state policies, social and economic conditions condition the relationship between welfare stigma and health. In this study, using multi-level lenses, we first investigated the effects of experienced and recognized welfare stigma on the self-reported health of women with public support for women with children. I did. Second, we assessed the mitigation effects of uneven state TANF policies, income inequality, and negative public welfare attitudes in forming these associations. Using data from vulnerable family and child well-being studies integrated with state-level economic and social measures, we adopted a series of multi-level logit models with random effects. Survey results show that welfare stigma experiences and perceptions are significantly associated with poor health, regardless of state conditions, and results vary significantly by race, ethnicity, and education. The state with a strong anti-welfare attitude amplifies the relationship between the experienced welfare stigma of black and hispanic mothers and poor health, and the state’s economic situation is with the experienced welfare stigma of mothers under high school education. Fixed a bad health relationship. The generosity of TANF did not have a moderate effect on health. This suggests that the state’s policy environment has limited ability to protect welfare recipients from the stigmatizing effects of the US welfare system. The results explain the stigma-related disparities in health in the context of the welfare environment in the United States and influence policy that can be an important tool for reducing health inequality.