Although numerous studies of welfare policy exist, studies of women's healt
h within the context of U.S. welfare reform policy have been limited. From
an ecological health perspective, welfare policy shapes the immediate envir
onment in which women live. The environment has long been recognized by nur
sing as a major determinant of health status. Using data from the Washingto
n State Family Income Study (FIS), this research examined women's psychosoc
ial health when making the transition from welfare receipt to employment. N
o differences in psychosocial health were found between women leaving welfa
re for employment and those remaining on welfare (p > .05 on depression, se
lf-esteem, self-efficacy, and emotional support). This finding is consisten
t with earlier qualitative research, which indicates the life circumstances
of women leaving welfare for paid employment rarely improve. To better und
erstand how public policies such as those related to welfare affect the liv
es and health of women, additional research is sorely needed.