Health-related effects of welfare-to-work policies

Soc Sci Med. 2013 Sep:93:103-12. doi: 10.1016/j.socscimed.2013.05.037. Epub 2013 Jun 19.

Abstract

Non-health related policies may have consequences for health that are more important than the outcomes they were originally designed to produce. In this paper we evaluate the effects of welfare-to-work programs (WTW) on physical and mental health status and a variety of health behaviors. The paper is based on data from the minimum income program of Madrid's Government (IMI). We match the program's administrative records (39,200 households)--covering the whole history of the program from the second half of 1990 to 2001--with a specific survey of former recipients who took part in different work-related activities conducted in 2001 (2300 households). We perform propensity score matching to find that both health status--including physical and mental health problems--and behaviors outcomes were modestly better for those individuals who had taken part in work-related activities. These results offer support for the contention that welfare-to-work policies may have positive unintended health effects.

Keywords: Health behaviors; Health outcomes; Propensity score matching; Spain; Welfare-to-work.

MeSH terms

  • Adult
  • Aged
  • Employment* / psychology
  • Female
  • Health Behavior
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Program Evaluation
  • Public Policy*
  • Social Welfare*
  • Spain