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Stigma and other determinants of participation in Tanf and Medicaid

Bibliographic Data

ID11680763
AuthorsJenny Stuber (0000-0002-1232-354X, corresponding author), Jennifer Stuber, Karl Kronebusch (Yale University)
Year2004
Volume23
Issue3
Pages509-530
Publication date2004-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Policy Analysis and Management (JOURNAL)
Journal identifiersISSN: 0276-8739 • E-ISSN: 1520-6688
PublisherWiley (PUBLISHER • GB)
DOI10.1002/pam.20024
PMID15218879
OpenAlexW2072193905
LanguageEN
Citations received69
References cited30

We developed a conceptual framework to examine the association between stigma, enrollment barriers (e.g., difficult application), knowledge, state policy, and participation in the Temporary Assistance to Needy Families (TANF) and adult Medicaid programs. Survey data from 901 community health center patients, who were potential and actual participants in these programs, indicated that while images of the Medicaid program and its recipients were generally positive, stigma associated with welfare stereotypes reduced both TANF and Medicaid enrollment. Expectations of poor treatment when applying for Medicaid, enrollment barriers, and misinformation about program rules were also associated with reduced Medicaid enrollment. States that enacted strict welfare reform policies were potentially decreasing TANF participation, while states with more simplified and generous programs were potentially increasing Medicaid participation. The results suggest that the image of the adult Medicaid program remains tied to perceptions about welfare and provides guidance to policymakers about how to improve participation rates

Business · Demographic economics · Economic growth · Economics · Health care · Medicaid · Misinformation · Political science · Psychiatry · Stigma (botany · Welfare · Welfare reform · Food Security and Health in Diverse Populations · Health disparities and outcomes · Intergenerational Family Dynamics and Caregiving · Psychology

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Unique citing works69
Citations per year3,29
Citation span2005 - 2026 (22)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 69

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