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通过符合条件的低出生体重婴儿获得联邦收入支持
Muqi Guo1, Michelle Woodford Martin2, Nolan M Kavanagh3,4
1Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
JAMA pediatrics
|February 17, 2025
概括
大多数符合补充安全收入 (SSI) 资格的低出生体重 (LBW) 婴儿不会获得福利. 在弱势县,符合收入条件的LBW婴儿获得SSI的机会正在下降,这表明需要改善推广.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 许多低出生体重 (LBW) 的婴儿有资格获得补充安全收入 (SSI).
- 需要证据证明LBW婴儿,特别是来自弱势家庭的婴儿获得SSI福利.
- 了解获得福利的差异对于公平的社会支持至关重要.
研究的目的:
- 评估符合LBW资格的婴儿接受SSI的情况.
- 评估SSI福利对LBW和有收入资格的婴儿的定向.
- 检查SSI收益如何与县级社会经济劣势有所不同.
主要方法:
- 使用行政数据 (SSI,生命记录,美国社区调查) 进行横截面研究.
- 在美国482个县2012-2018年出生的185,920名LBW婴儿的基于人口的样本.
- 普森回归模型用于分析按县社会经济指标 (贫困,收入,教育) 分析SSI收益.
主要成果:
- 只有38%的符合LBW资格的婴儿接受了SSI.
- 根据贫困和收入,在社会经济上处于不利地位的县,SSI收益更高.
- 在可能有收入的婴儿中,随着县的不利状况增加 (65%调整后的收益),SSI收益下降.
结论:
- 大多数符合SSI资格的LBW婴儿没有获得福利.
- 贫困地区的有收入资格的婴儿获得SSI的公平机会是有限的.
- 需要加强外展和简化申请流程,以确保公平获得社会安全网.
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