The effect of welfare reform on prenatal care and birth weight
AbstractWelfare reform has resulted in a dramatic decline in welfare caseloads and some have claimed that a significant number of low-income women may be without health insurance as a result. The loss of insurance may reduce low-income, pregnant women's health care utilization, and this may adversely affect infant health. Welfare reform also may affect healthcare utilization and health of pregnant women and infants because of welfare-induced changes in family disposable income, time available for health investments, and levels of stress. In this paper we examine the effect of welfare reform on prenatal care utilization and birth weight of low-educated women and their infants. We find that a 50% reduction in the caseload, which is similar to that which occurred in the 1990s, is associated with a zero to seven percent decrease in first trimester prenatal care; a zero to five percent decrease in the number of prenatal care visits; and a zero to 10% increase in low birth weight. Since welfare reform was responsible for only part of the decline in the caseload, welfare reform per se had even smaller effects. Copyright © 2004 John Wiley & Sons, Ltd.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by John Wiley & Sons, Ltd. in its journal Health Economics.
Volume (Year): 14 (2005)
Issue (Month): 5 ()
Contact details of provider:
Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749
Other versions of this item:
- Robert Kaestner & Won Chan Lee, 2003. "The Effect of Welfare Reform on Prenatal Care and Birth Weight," NBER Working Papers 9769, National Bureau of Economic Research, Inc.
- I2 - Health, Education, and Welfare - - Education
- I3 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Currie, Janet & Grogger, Jeffrey, 2002.
"Medicaid expansions and welfare contractions: offsetting effects on prenatal care and infant health?,"
Journal of Health Economics,
Elsevier, vol. 21(2), pages 313-335, March.
- Janet Currie & Jeffrey Grogger, 2000. "Medicaid Expansions and Welfare Contractions: Offsetting Effects on Prenatal Care and Infant Health?," NBER Working Papers 7667, National Bureau of Economic Research, Inc.
- Neeraj Kaushal & Robert Kaestner, 2001. "From Welfare to Work: Has Welfare Reform Worked?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 20(4), pages 699-719.
- Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2002.
"How Much Should We Trust Differences-in-Differences Estimates?,"
NBER Working Papers
8841, National Bureau of Economic Research, Inc.
- Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-in-Differences Estimates?," The Quarterly Journal of Economics, MIT Press, vol. 119(1), pages 249-275, February.
- Rebecca M. Blank, 2002.
"Evaluating Welfare Reform in the United States,"
NBER Working Papers
8983, National Bureau of Economic Research, Inc.
- Kaestner, Robert & Kaushal, Neeraj, 2003.
"Welfare reform and health insurance coverage of low-income families,"
Journal of Health Economics,
Elsevier, vol. 22(6), pages 959-981, November.
- Robert Kaestner & Neeraj Kaushal, 2003. "Welfare Reform and Health Insurance Coverage of Low-Income Families," NBER Working Papers 10033, National Bureau of Economic Research, Inc.
- John Komlos & Marieluise Baur, 2003.
"From the Tallest to (One of) the Fattest: The Enigmatic Fate of the American Population in the 20th Century,"
CESifo Working Paper Series
1028, CESifo Group Munich.
- Komlos, John & Baur, Marieluise, 2004. "From the tallest to (one of) the fattest: the enigmatic fate of the American population in the 20th century," Economics & Human Biology, Elsevier, vol. 2(1), pages 57-74, March.
- Komlos, John & Baur, Marieluise, 2003. "From the Tallest to (One of) the Fattest: The Enigmatic Fate of the American Population in the 20th Century," Discussion Papers in Economics 76, University of Munich, Department of Economics.
- Ayala, Luis & Rodríguez, Magdalena, 2013. "Health-related effects of welfare-to-work policies," Social Science & Medicine, Elsevier, vol. 93(C), pages 103-112.
- Marianne P. Bitler & Jonah B. Gelbach & Hilary W. Hoynes, 2005.
"Welfare Reform and Health,"
Journal of Human Resources,
University of Wisconsin Press, vol. 40(2).
- Marianne Bitler & Jonah Gelbach & Hilary Hoynes, 2004. "Welfare Reform and Health," NBER Working Papers 10549, National Bureau of Economic Research, Inc.
- Marianne P. Bitler & Jonah B. Gelbach & Hilary W. Hoynes, 2004. "Welfare Reform and Health," Working Papers 102-1, RAND Corporation Publications Department.
- Guidetti, Giovanni & Mazzanti, Massimiliano, 2007. "Firm-level training in local economic systems: Complementarities in production and firm innovation strategies," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 36(6), pages 875-894, December.
- Robert Kaestner & Elizabeth Tarlov, 2003.
"Changes in the Welfare Caseload and the Health of Low-educated Mothers,"
NBER Working Papers
10034, National Bureau of Economic Research, Inc.
- Robert Kaestner & Elizabeth Tarlov, 2006. "Changes in the welfare caseload and the health of low-educated mothers," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 25(3), pages 623-643.
- Marianne Bitler & Hilary W. Hoynes, 2006. "Welfare Reform and Indirect Impacts on Health," NBER Working Papers 12642, National Bureau of Economic Research, Inc.
- Ana Inés Balsa & Patricia Triunfo, 2012. "¿Son los cuidados prenatales efectivos? Un enfoque con datos individuales de panel," Documentos de Trabajo (working papers) 0612, Department of Economics - dECON.
- van den Berg, Gerard J. & Modin, Bitte, 2013. "Economic Conditions at Birth, Birth Weight, Ability, and the Causal Path to Cardiovascular Mortality," IZA Discussion Papers 7605, Institute for the Study of Labor (IZA).
- Leonard, Jonathan & Mas, Alexandre, 2008. "Welfare reform, time limits, and infant health," Journal of Health Economics, Elsevier, vol. 27(6), pages 1551-1566, December.
- Ana I. Balsa & Patricia Triunfo, 2012. "The Effectiveness of Prenatal Care in a Low Income Population: A Panel Data Approach," Documentos de Trabajo/Working Papers 1204, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
- Jean Knab & Sara McLanahan & Irv Garfinkel, 2007. "The Effects of Welfare and Child Support Policies on Maternal Health and Wellbeing," Working Papers 931, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Research on Child Wellbeing..
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Wiley-Blackwell Digital Licensing) or (Christopher F. Baum).
If references are entirely missing, you can add them using this form.