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10.1371/journal.pone.0240080

http://scihub22266oqcxt.onion/10.1371/journal.pone.0240080
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33022013!7537892!33022013
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suck abstract from ncbi


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pmid33022013      PLoS+One 2020 ; 15 (10): e0240080
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  • Access and enrollment in safety net programs in the wake of COVID-19: A national cross-sectional survey #MMPMID33022013
  • Saloner B; Gollust SE; Planalp C; Blewett LA
  • PLoS One 2020[]; 15 (10): e0240080 PMID33022013show ga
  • The global COVID-19 pandemic is causing unprecedented job loss and financial strain. It is unclear how those most directly experiencing economic impacts may seek assistance from disparate safety net programs. To identify self-reported economic hardship and enrollment in major safety net programs before and early in the COVID-19 pandemic, we compared individuals with COVID-19 related employment or earnings reduction with other individuals. We created a set of questions related to COVID-19 economic impact that was added to a cross-sectional, nationally representative online survey of American adults (age >/=18, English-speaking) in the AmeriSpeak panel fielded from April 23-27, 2020. All analyses were weighted to account for survey non-response and known oversampling probabilities. We calculated unadjusted bivariate differences, comparing people with and without COVID-19 employment and earnings reductions with other individuals. Our study looked primarily at awareness and enrollment in seven major safety net programs before and since the pandemic (Medicaid, health insurance marketplaces/exchanges, unemployment insurance, food pantries/free meals, housing/renters assistance, SNAP, and TANF). Overall, 28.1% of all individuals experienced an employment reduction (job loss or reduced earnings). Prior to the pandemic, 39.0% of the sample was enrolled in >/=1 safety net program, and 50.0% of individuals who subsequently experienced COVID-19 employment reduction were enrolled in at least one safety net program. Those who experienced COVID-19 employment reduction versus those who did not were significantly more likely to have applied or enrolled in >/=1 program (45.9% versus 11.7%, p<0.001) and also significantly more likely to specifically have enrolled in unemployment insurance (29.4% versus 5.4%, p < .001) and SNAP (16.8% versus 2.8%, p = 0.028). The economic devastation from COVID-19 increases the importance of a robust safety net.
  • |*Betacoronavirus[MESH]
  • |*Health Insurance Exchanges[MESH]
  • |*Health Services Accessibility[MESH]
  • |*Medicaid[MESH]
  • |*Safety-net Providers[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*economics/*epidemiology/virology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Family Characteristics[MESH]
  • |Female[MESH]
  • |Food Assistance[MESH]
  • |Housing/economics[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/*economics[MESH]
  • |Pneumonia, Viral/*economics/*epidemiology/virology[MESH]
  • |SARS-CoV-2[MESH]
  • |Surveys and Questionnaires[MESH]
  • |Unemployment[MESH]
  • |United States/epidemiology[MESH]


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