Improving Delivery of the Social Safety Net: The Role of Stigma

被引:5
|
作者
Lasky-Fink, Jessica [1 ]
Linos, Elizabeth [1 ]
机构
[1] Harvard Kennedy Sch, Cambridge, MA 02138 USA
关键词
ADMINISTRATIVE BURDEN; MENTAL-HEALTH; WEIGHT STIGMA; TAKE-UP; ATTITUDES; PROGRAMS; WELFARE; PARTICIPATION; BENEFITS; SEEKING;
D O I
10.1093/jopart/muad021
中图分类号
D0 [政治学、政治理论];
学科分类号
0302 ; 030201 ;
摘要
Many low-income households in the United States miss out on social safety net benefits because of the information, compliance, and psychological costs associated with take-up of government assistance. Yet, the empirical evidence on the impact of learning and psychological costs on take-up, and how to reduce them, is mixed. Leaning on an administrative burden framework, this article measures the role of reducing learning costs and stigma on demand for rental assistance in two field experiments (N = 117,073) conducted in two US cities. We find that providing information about emergency rental assistance increased program application requests by 52% compared to a no-communication control group. Moreover, subtle framing changes aimed at destigmatizing rental assistance increased engagement with the communication by 36% and increased application requests by about 18% relative to an information only group, with potentially larger effects for renters of color. In two subsequent online experiments (N = 1,258), we document that the destigmatizing framing reduces internalized stigma, without affecting perceptions of the program itself.
引用
收藏
页码:270 / 283
页数:14
相关论文
共 50 条
  • [1] Improving Pediatric Immunization Rates in a Safety-Net Delivery System
    Melinkovich, Paul
    Hammer, Anne
    Staudenmaier, Amie
    Berg, Michele
    [J]. JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2007, 33 (04): : 205 - 210
  • [2] Improving the delivery of surgical care at high burden safety-net hospitals
    Bonner, Sidra
    Dossett, Lesly A.
    [J]. AMERICAN JOURNAL OF SURGERY, 2020, 220 (03): : 524 - 524
  • [3] Social Stigma and the Dilemmas of Providing Care to Substance Users in a Safety-Net Emergency Department
    Henderson, Stuart
    Stacey, Clare L.
    Dohan, Daniel
    [J]. JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, 2008, 19 (04) : 1336 - 1349
  • [4] Social Determinants of Health and the Needed Role of Insurers and the Safety Net
    Nelson, Daniel B.
    Kravetz, Eric
    Robinson, Lee
    Dar, Mohammad
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2022, 77 (11): : 2238 - 2239
  • [5] Primary Care Sub-capitation in Medicaid: Improving Care Delivery in the Safety Net
    Daniel B. Nelson
    Ryan Schwarz
    Mohammad Dar
    [J]. Journal of General Internal Medicine, 2023, 38 : 1288 - 1290
  • [6] Primary Care Sub-capitation in Medicaid: Improving Care Delivery in the Safety Net
    Nelson, Daniel B.
    Schwarz, Ryan
    Dar, Mohammad
    [J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2023, 38 (05) : 1288 - 1290
  • [7] Improving the safety of vaccine delivery
    Evans, Huw P.
    Cooper, Alison
    Williams, Huw
    Carson-Stevens, Andrew
    [J]. HUMAN VACCINES & IMMUNOTHERAPEUTICS, 2016, 12 (05) : 1280 - +
  • [8] IN DEFENSE OF THE SOCIAL SAFETY NET
    Duncan, Craig
    [J]. THINK-PHILOSOPHY FOR EVERYONE, 2014, 13 (38): : 25 - 37
  • [9] TESTING A SOCIAL SAFETY NET
    RAVALLION, M
    VANDEWALLE, D
    GAUTAM, M
    [J]. JOURNAL OF PUBLIC ECONOMICS, 1995, 57 (02) : 175 - 199
  • [10] Is Social Security Part of the Social Safety Net?
    Brown, Jeffrey R.
    Coronado, Julia Lynn
    Fullerton, Don
    [J]. TAX POLICY AND THE ECONOMY, VOL 23, 2009, 23 : 37 - 72