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/y j 'Slate Teachers College Library UNITED STATES DEPARTMENT OF LABOR WOMEN’S BUREAU Bulletin No. 158 UNATTACHED WOMEN ON RELIEF IN CHICAGO 1937 UNITED STATES DEPARTMENT OF LABOR FRANCES PERKINS, Secretary WOMEN’S BUREAU MARY ANDERSON, Director ♦ UNATTACHED WOMEN ON RELIEF IN CHICAGO, 1937 By HARRIET A. BYRNE and CECILE HILLYER -i^TES 0» Bulletin of the Women’s Bureau, No. 158 UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON: 1938 For sale by the Superintendent of Documents, Washington, D. C. Price 15 cents £'M\ ■ . -■ il , ! ** ffiiiiwaSi'w pfgBfUWw ['■--Tn Ip mm n nffli awn •: • 1 eE^’1 mmrt ' HW CONTENTS Letter of transmittal____________ Introduction Scope and method of study Summary Personal history Illness Employment Employability Relief experience8 Amount of relief issued in January 1938_________ Case-work services How the women live 10 Living conditions________________ Amount of rental 10 Voluntary moving and evictions___________________ In conclusion 11 Recommendations 12 Introductory 12 Inadequacy of relief 12 Inadequacy of C. R. A. staff 13 Classification of employability 14 Housing conditions______________________________________________ Medical care 15 Incapacity of women __________________________________________ Health insurance 16 Unemployment compensation for household employment___________ Training and retraining of these women 18 Work projects under private auspices 19 Work projects under public auspices_______________ In conclusion 20 Personal information_________________________________ Age-----------------------------------------Marital status ________________________________________________ Nativity 23 Length of residence in Illinois 24 Schooling 25 Citizenship 25 Illness___________________________ Diagnosis and complaint _______________________________________ Classification of disease 27 Physical and mental diseases__;__________________________ _______ Mental diseases_____________________________________________ Physical illness _______________________________________ Dental needs 30 Illness and age____________________________________ Diagnosed cases____________________________ _ _______ All women with diseases specified___ Incidence of disease among whites and Negroes________________ Estimated extent of incapacity__ . . Illness and extent of incapacity 38 Type of medical care received in January 1937________________ Employment Women with own business________________________ Women employed by others_______________ Industry of usual occupation 41 Years worked 42 Age and occupation 42 Years in usual occupation 43 Schooling and occupation___________________________ Incapacity and occupation_______ Time since last employed_______________ in Page v 1 3 6 6 6 7 8 9 9 10 11 14 16 18 20 22 22 23 26 26 28 28 28 33 33 34 34 37 39 40 40 41 44 44 45 IV CONTENTS Page Women reporting their principal job since 1929-------- ---------Relation between usual occupation and principal job----Principal job and age-----------------------------------------------Principal job and nativity------------------ ----------------------Duration of principal job------------------------------------------Cause of leaving principal job------------------------------------Earnings on principal job------------------------------------------Employability--------------------------------------------------------- ------Women considered employable on records of C. R. A---Women considered employable at time of survey (W. B) Relation between employability and illness (W. B.)-----Employability and extent of incapacity----------------------Cause of seeking relief-----------------------------------------------------Relation of age, education, and period of dependency---Usual means of support______________________________ Adjustments before application for assistance--------------Duration of dependency--------------- ----------------------------------Year of first application for relief—--------------------------Number of years on public relief--------------------------------Intermittency of relief----------------------------------------------Family status during dependency-------------------------------Relief issued in January 1937------------------------------------------Amounts allowed-----------------------------------------------------Variation in amounts issued in January 1937---------------Items of relief----------------------------------------------------------Case-work services______________________________________ Medical care-----------------------------------------------------------Arrangement for special diets------------------------------------Work relief as a tool in treatment------------------------------Vocational training-------- -----------------------------------------Living conditions-----------------------------------------------------------How the women lived_______________________________ Type of dwelling-----------------------------------------------------Details of housing facilities---------------------------------------Amount of rental-----------------------------------------------------Appendix—Schedule inquiries------------------------------------------- 46 46 48 48 48 49 49 51 51 52 54 56 57 58 59 60 65 65 66 68 69 71 71 72 72 75 75 76 77 78 79 79 80 82 83 84 TABLES 1. Unattached women—white and Negro—on relief in Chicago, Novem ber 1936, by district--------------------------- ------------ ---------------2 2. Unattached women—white and Negro—included in the study, by district-----------------------------------------------------------------------------------4 3. Age, by nativity and color-----------------------------------------------------------22 4. Marital status, by age-----------------------------------------------------------------22 5. Diseases affecting the women—diagnosed cases, by age------------------30 6. Diseases affecting the women—all cases, by age-----------------------------31 7. Diseases affecting the women, by nativity and color of women--------35 8. Estimated extent and cause of incapacity, by age--------------------------37 9. Industry of usual occupation, by nativity and color of women---------41 10. Industry of usual occupation, by age of women--------------------- - — -43 11. Time unemployed between last job since 1929 and date of study, by industry of usual occupation--------------------------------_--------------------45 12. Principal job since 1929, by industry of usual occupation----------------47 13. Employability, by age (W. B.)----------------- ----------- ------- -------------14. Employability of women, bydisease from which suffering (VV. B.)-----55 15. Adjustments made before seeking relief, by age----------ol 16. Duration of public relief, by age---------------------------------------------. . b7 Map of C. R. A. districtsFrontispiece LETTER OF TRANSMITTAL United States Department of Labor, Women’s Bureau, Washington, March 25, 1938. I have the honor to transmit the report of a study of un attached women on relief in Chicago made by this Bureau in coopera tion with the Chicago Relief Administration and the School of Social Service Administration of the University of Chicago. The study was requested by Commissioner Leo M. Lyons, of the Chicago Relief Administration, who realized the importance of know ing, in regard to the 12,500 nonfamily women on relief in Chicago in the fall of 1936, their industrial and economic backgrounds, the causes of their being on relief, and their employability. With such facts made available, Mr. Lyons hoped to develop a program that would restore a large number of these women to a condition of self support and that would make more effective the administering of relief. The survey was made in the spring of 1937. Data were secured from the case records of the Relief Administration and from home interviews with the 600 women taken as a representative sample. An advisory committee, appointed by Mr. Lyons, was composed of the following persons: Edwina M. Lewis, Council of Social Agencies of Chicago, chairman. Grace Abbott, professor, Public Welfare Administration, School of Social Service Administration of the University of Chicago. Leo M. Lyons, Commissioner of Relief, Chicago Relief Adminis tration. Lillian Bennett, director of clinics, Northwestern University Medical School. E. E. Ferebee, chief statistician, Chicago Relief Administration. Louise W. Gilfillan,. statistician, Chicago Relief Administration. Clara Paul Paige, division director, Chicago Relief Administration. Lucille Smith, director of medical service, Chicago Relief Adminis tration. Most of the report has been written by Harriet A. Byrne, of the Women’s Bureau, who directed the survey. The sections on relief and the living conditions of the women were written by Cecile Hillyer, graduate student of the School of Social Service Adminis tration of the University of Chicago. Respectfully submitted. Mary Anderson, Director. Hon. Frances Perkins, Secretary oj Labor. Madam: CHASE IRVING 784 women NORTHERN 626 women HUMBOLDT _OWER WICKERX north 4 7 I women STANFO 747women 332 women MIDWEST LAWNDALE 334 women 558 women CANAL 549 women HALSTED ARCHER *V744women WASH 068women INGTON JAKWOOD vV|,03lwomen WOODLAWN 794 women 545 women SOUTHEAST SOUTHWEST 477 women Districts of Relief Administration and numbers of Chicago unattached women on active relief rolls February 1, 1937 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 1937 INTRODUCTION Prior to 1930, opportunities for employment among women in Chicago had been steadily increasing—from 1920 to 1930 the advance in the number of gainfully-occupied women was more than one-fourth (26 percent)—and women’s independence was accepted without ques tion. Since the beginning of the depression in the autumn of 1929, short-time work and unemployment, caused in many cases by tech nological changes in industry, have been the lot of very large numbers of women able and anxious to work. Industrial workers were the first to be affected, but as time went on women in business and the professions likewise fell victims of the depression. Some of the unemployed women on relief in Chicago are members of family groups, wives, daughters, or sisters, but many fall in the category called variously the homeless, the unattached, woman-oneperson families, or nonfamily women. In addition to the group of women who have been employed, there are some homeless or un attached who never have been employed. They are widows or members of families who had been supported by other persons until the death or illness of such persons prevented their further help. In many cases these women lack training and experience to fit themselves into a job, were a job available, so they too are among the large group of unemployed unattached women. Others in this category are those who formerly had independent incomes, who have lost their resources through collapse of the stock market, closed banks, and so forth, though before these reverses they considered themselves secure for life. Viewed from their present position, all these women, regardless of their previous economic condition, have two attributes in common—they are unemployed and dependent. During the past half century or more in which women have been employed outside the home to a considerable extent, the organizations under private auspices that aided women unemployed and destitute in Chicago were the Young Women’s Christian Association, the Relief and Aid Society as it was first called (now the United Charities), the Chicago Home for the Friendless, the Sarah Hackett Stevenson Memorial Home, the Chicago Woman’s Shelter, and various protec tive agencies under religious auspices. The earliest record of public aid to women without funds or re sources is found in reports of the Chicago Police Department, 1902 to 1904. Over 1,000 women each year were lodged over night in jail. Under the stress of depressed conditions in industry in 1914, an ordinance was passed creating a city department of public welfare in Chicago. Authorization was given for the establishment of a municipal lodging house for unattached women under the department, but no funds were appropriated. X 2 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 19 3 7 From the number of women applying for aid, it became apparent in the early winter of 1930 that there were many out of work and in need of assistance. The protective committee of the girls’ work section of the Council of Social Agencies, conscious of the everincreasing problem of this group of unattached women, decided that a central bureau was needed to give them adequate care. To meet the needs of these women the Service Bureau for Unem ployed Women was organized as a central registration bureau in the first winter of severe unemployment. It operated from December 1, 1930, to April 1, 1931, at which latter date it was disbanded, since it was considered that there was no further need for its existence. This bureau was a forerunner of the Service Bureau for Women that was organized in October 1931 and continued under various auspices until August 1935. From its beginning as a central registration and referral bureau it grew to be a complete case-working agency, except that it gave no clinical care. Its offices were closed in August 1935, due to financial pressure, and active cases were assigned to the various district offices of the family service division of the Cook County Board of Public Welfare. Since that time the woman-one-person families have formed a part of the case load of one or the other agencies dis bursing relief funds. Table 1.— Unattached women—white and Negro—on relief in Chicago, November 1986, by district Women in specified districts Total number Total------- ------------------------------------ Negro White District ofiices Number Percent of total Number Percent of total 12, 529 6,916 55.2 5,613 44.8 11,982 6,550 54.7 5,432 45.3 744 777 549 784 545 471 520 558 839 334 626 1,031 477 408 332 747 1,068 378 794 38 72 270 782 340 365 517 165 702 325 626 76 401 325 319 647 123 326 131 5.1 9.3 49.2 99.7 62.4 77.5 99.4 29.6 83.7 97.3 100.0 7.4 84. 1 79.7 96. 1 86.6 11.5 86.2 16.5 706 705 279 2 205 106 3 393 137 9 94.9 90.7 50.8 .3 37.6 22. 5 .6 70.4 16.3 2. 7 955 76 83 13 100 945 52 663 92.6 15. 9 20.3 3.9 13. 4 88. 5 13.8 8d. 5 547 366 66.9 181 33.1 In December 1936, when this study was proposed, unattached women were on the rolls of the Chicago Relief Administration. At that time Mr. Leo M. Lyons, commissioner of relief of the Chicago Relief Administration, conferred with Miss Mary Anderson, Director of the Women’s Bureau of the United States Department of Labor, and Miss Grace Abbott, professor of public welfare administration of the INTRODUCTION 3 School of Social Service Administration of the University of Chicago, concerning the problem of these women. Statistics then available showed that more than two-fifths (42 percent) of the entire case load of the Relief Administration was one-member-families, of which approximately one-half (12,529) were women. Due to the enormousness of the problem and with a view to develop ing a definite plan of treatment, Mr. Lyons made a request to the Secretary of Labor that a thorough study of these woman-one-person families be undertaken. The Secretary directed that such a study be made by the Women’s Bureau, cooperating with the School of Social Service Administration of the University of Chicago and the Chicago Relief Administration. Throughout this report the abbre viation S. S. A. will be used in referring to the school and C. R. A. in referring to the Chicago Relief Administration. Scope and method of study. Since the survey was to be a cooperative one carried on by three agencies, the schedule to be used was planned tentatively by the Women’s Bureau and was revised after conferences of persons inter ested in the study. The approved schedule was a composite one for which the Women’s Bureau, the S. S. A., and the C. R. A. were responsible. The schedule consisted of six sections (see appendix). The first inquired into personal facts regarding the women—date of birth, mar ital status, nativity, citizenship, time of residence in State, county, and at present address, as well as the number of removals during the year. In section II, facts were secured as to the education and training the women had had, their ability to speak, read, and write English or some other language, their membership in professional, social, or labor organizations, and other related matters. In addition, inquiry was made as to any desire on the part of the women for further training. Section III was concerned entirely with relief. In an attempt to secure all pertinent facts, questions were asked as to their support previous to relief, the adjustments they made before seeking relief, and the specific cause of seeking relief. Factual data regarding the type of relief, its duration, and the reason relief was discontinued were recorded on the schedule from records at the C. R. A. offices. In addition to these, data on the relief budget for January 1937 were secured. Section IV covered the housing conditions under which the women lived. Facts in section V regarding illness, both physical and mental, were copied from the records at the C. R. A. offices and addi tional data were secured at time of interview. Data concerning the employment of these women formed the facts in section VI. The employability of the women, their usual and alternate occupations, as well as a complete work history since the autumn of 1929, were incorporated here. Any skills that the women reported were mentioned also in this section. A committee appointed by Mr. Lyons to serve in an advisory capacity was composed of the following: Edwina M. Lewis, Council of Social Agencies of Chicago, chairman; Grace Abbott, professor, Public Welfare Administration, School of Social Service Administration of the University of Chicago; Lillian Bennett, director of clinics, Northwestern University Medical School; E. E. Ferebee, chief statistician, C. R. A.; Louise W. Gilfillan, statistician, C. R. A.; Leo M. Lyons, Commissioner of Relief, C. R. A.; Clara Paul Paige, division director, C. R. A.; Lucille Smith, director of medical service, C. R. A. 4 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 At a meeting of this committee with the Women’s Bureau agent assigned to direct the study, the schedule form was approved and the base of the study was decided upon as 600 women, or about 5 percent of the total group. This was considered to be a representative sample. At the time of the study the administration of relief in Chicago was carried on through 19 district offices. To facilitate the matter of securing the data, it was agreed to include only those districts in winch there were 500 or more unattached women on relief. In 13 of the 19 district offices there were reported to be at least 500. These 13 dis tricts and one other with almost 500, selected because of its proximity to the university and the fact that it had been used for trying out the schedule, were covered in the survey. The 13 districts were Archer, Bridgeport, Canal, Chase Park, Halsted, Irving Park, Lawndale, Lower North, Northern, Oakwood, Union Park, Washington Park, and Woodlawn. The fourteenth district was Southeast. The size of the districts varied considerably, but it is worth noting that eight of them combined extended along Lake Michigan from the northern end of the city to Sixty-first Street on the south. The fourteenth district, in which few cases were studied, extended from Sixty-first Street to the southern limits of the city. (See frontispiece.) The proportion of Negro cases reported in the 13 districts was greater than that of white, 53 percent as against 47 percent. How ever, for the purpose of this study it was decided that a somewhat larger proportion of the women were to be white, 350 of the 600. From the summary table following, showing the distribution by district, it will be seen that the number of white and Negro women included in the study varied slightly from this plan. As mentioned previously, a few women were covered from a fourteenth district, Southeast, though they were not included in the base set. Table 2.— Unattached women—white and Negro—included in the study, by district Total White women Negro women District Number Percent Number Percent Number Percent Total________________ Percent distribution _______ 604 100.0 100.0 355 58.8 100.0 246 40.7 100.0 Archer. ____ _________ _ Bridgeport__________ ________ Canal_______ ________ Chase Park.. ______ _________ Halsted____________ ____ Irving Park ______ Lawndale.. ___________ . Lower North___ _______ Northern ____ Oakwood. ___________ _ Southeast_______ _ Union Park______ Washington Park. _____ _ Woodlawn____ ____ _____ 36 38 36 62 37 37 30 60 49 52 11 6.0 6.3 6.0 10.3 6.1 6.1 5.0 9.9 8. 1 8.6 1.8 9.1 8. 9 7.8 14 5.7 10 4.1 45 18 3 37 15.0 55 54 47 6 22 62 37 11 55 6 10 48 10 10.4 3 1 15. 5 l! 7 2.0 Color not reported Number 3 0.5 ----------- - 13. 5 2.8 Though more than three-tenths of the 12,529 unattached women on relief were 65 years of age and over, it was decided at the beginning of the study to eliminate women in this age group, since many of them would be receiving an old-age pension and most of those not so provided for could not be adjusted to become self-supporting. For this study, the women included were 21 but less than 65 years of age. INTRODUCTION 5 To make the group studied as representative as possible of the whole number, the distribution in the three age groups 21 and under 26, 26 and under 45, and 45 and under 65 was kept the same as the dis tribution in the districts as a whole. Other than these two controls, age and color, none was established— the cases being selected at random from the district offices. It was hoped that in this way the sample of about 5 percent of the women classed by the C. R. A. as woman-one-person families would prove representative of the group as a whole. Mention should be made here that early in the study the question of who was and was not con sidered a woman-one-person family was inquired into. A number of the records of unattached women copied at the district offices proved to be of a different character from the others; that is, two sisters living together, each on relief as a one-person family (not a com posite case), or that of a mother—a one-person family—living with a married son. In other words, from the standpoint of the adminis tering of relief they were woman-one-person families, but from the point of view of the study they were not unattached women, and no case similar to those cited was selected for interview. Because of the fact that the 12,529 relief cases classed as woman-one-person families by the C. R. A. were not in all cases unattached women as interpreted in this study, the sample of 600 forms an even larger proportion of unattached woman-one-person families than was originally planned. The plan of the survey differed considerably from that of the usual Women’s Bureau study in that it was conducted in cooperation with a public welfare agency and through home interviews with the women. Case histories of the unattached women who were on the active relief rolls in the district offices of the C. R. A. on February 1, 1937, were read, and significant facts were entered on the schedule forms. Due to the volume of factual material available on some of the case his tories, copious notes were made on separate sheets to serve the agent in forming as complete a picture as possible before interviewing the woman. _ _ _ were made to the After completion of the record copying, visits women in their homes. This work was begun early in February and was completed at the end of April. In passing it should be men tioned that in some cases several visits were made before the client was found at home. Occasionally this was due to an incorrect address (inevitable with the all-too-heavy case load of the relief workers) and frequently it was due to the fact that the client was away from home, rarely, however, at a place of employment. All facts entered from the records were checked at time of interview, and corrections were made wherever necessary. After the completed schedule was turned in, the data were reviewed critically to eliminate inconsistencies before tabulation was begun. The Women’s Bureau provided the director of the study and two field agents, the C. R. A. gave the services of several persons for read ing and recording the case histories on the schedules, and the S. S. A. supplied students for this work and for interviewing the women in their homes. The statistical editing and coding and the planning of the correlations were supervised by the director of the study. The coding and punching of the cards and the tabulation of the material were done by the C. R. A. SUMMARY Twelve thousand five hundred woman-one-person families on relief in Chicago in November 1936 presented a picture far from satisfactory. The Chicago Relief Administration was eager for more information regarding these women than appeared on its records, so it enlisted the help of the Women’s Bureau. The relief officials desired to know more about the personal histories of the women, their work experience, their former means of support, their reasons for being on relief, and their employability. With such facts at hand the Relief Administra tion hoped to develop a program of treatment benefiting the women themselves as well as making more effective the administering of relief. The Women’s Bureau, cooperating with the C. R. A. and the S. S. A. of the University of Chicago, made the study. A representative group (604 women), comprising about 5 percent of the total and selected almost at random in 14 relief districts, were interviewed in their homes. Personal history. The women were not young—three-fourths of them were at least 40 years of age. None were so much as 65, for that group was purposely omitted from the study. Four-fifths of the women were native-born, about equally divided between white and Negro. Two-fifths were widowed, close on two-fifths were separated or divorced, and just over one-fifth were single. Well over one-half of the women had lived in Illinois 20 years or longer, one-fourth of these all their lives. As would be expected, a much larger proportion of whites than of Negroes had resided in the State for a long time. More than two-fifths of the foreign-born were not citizens. Illness. The need of health insurance is well illustrated by the extent of ill ness of these 604 women. There is shown also the need of more ade quate effort on the part of the community in attending to their immediate wants. When the C..R. A. records of these women were examined, there was found mention of a diagnosis in the case of only 289, though almost nine-tenths of the entire group had made a complaint on matters of health to the C. R. A. Of the 67 making no complaint, 49 still reported their health as good at time of survey, but the other 18 complained of some disability to the interviewer. The records for the 240 women who had made complaints to the C. R. A. but whose condition as to whether or not their diseases had been diagnosed was not reported, showed that 117 had been referred to some health agency, 17 had refused the proffered care, and 13 had been treated by their family physicians. There was no record of a referral to a health agency in the case of 93 women who had made complaints. Diseases oj total group.—In classifying the diseases from which the women suffered, whether diagnosed medically or merely complained of to the C. R. A. or the interviewer, the Standard Classified Nomen 6 SUMMARY 7 clature of Disease has been the guide. This information was available for 529 women. Almost one in seven of the women were reported as having a mental illness. More than three-tenths had some disease of the body as a whole, syphilis being most frequently reported and disability due to menopause being the next largest group. Diseases of the musculo skeletal system, mostly arthritis or rheumatism, were reported for not far from three-tenths; and illnesses of the cardiovascular system affected the same number, most of this group having heart trouble. About one-seventh of the women had some disease of the urogenital system, a majority of them of a gynecological nature. One-tenth of the women had a disorder of the nervous system, almost one-half the cases being neuritis. Approximately one-fifth of the women reporting had diseases of the organs of special sense, most of them affections of the eye. Cases with medical diagnosis.—The 289 women whose mental or physical disabilities were recorded in the C. It. A. files as having been diagnosed by a medical agency comprised 55 percent of the women with specific diseases reported. When grouped by type of disability, the cases of disease were found to comprise 555, indicating the presence of more than one disease for a very large proportion of the women. The largest group of diagnosed cases, comprising 100 of the women, were those affecting the body as a whole, with syphilis the disease in 39 cases. Diseases of the cardiovascular system, what may be called “heart trouble” greatly outnumbering the others, ranked second, the number of women being 88. Musculo-skeletal disorders and mental diseases or deficiencies ranked third and fourth, with respectively 73 and 57 women so reported; arthritis and rheumatism caused three-fifths of the group first named, but no one condition dominated the mental group. Diseases of the respiratory system were chiefly bronchitis; of the Urogenital system, gynecological complaints; of the organs of special sense, affections of the eye. Of the 591 women for whom the degree of incapacity was estimated, almost one-fourth were totally disabled, more than five-eighths were partially so, and only about one-eighth were in good physical condition. Employment. Of the 601 women reporting as to their usual occupation, the largest part, about seven-eighths, had been employed women, close to onetwelfth had been in business for themselves, and the remainder, about one-twentieth, never had been gainfully occupied. One-half of the 46 women in business on their own account had kept rooming houses, 10 had been dressmakers, and 3 had been hairdressers. . For the 521 women in employment, the usual occupation of the majority (60 percent) had been domestic and personal service. About two-thirds of these women had worked in private families and the remainder in hotels, restaurants, or kindred establishments, laundries, beauty parlors, and so forth. Well over one-half of those who had worked in private families had been so employed for 10 years or more, close to three-tenths for as long as 20 years. One-half of those whose work had been domestic and personal other than in private families had worked as long as 10 years, almost one-fifth for 20 years or more. 8 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 19 3 7 The “principal” jobs, as those of longest duration during the 7-year period from the autumn of 1929 until February 1937 are designated, were very similar to the “usual” jobs. For over three-fifths of the 464 women reporting on this, the principal job had been in domestic and personal service, twice as many in private families as in other lines of such work. Though reporting specified jobs as their principal occupations over a 7-year period, less than one woman in 8 reported that the job lasted as long as 5 years. For well over one-half (55 percent) it was of less than 2 years’ duration, for three-tenths it was of less than 1 year’s. Employability. Only three-tenths of the 604 women were considered by the C. R. A. to be employable, that agency making no distinction, in its immediate relief program, between temporary and permanent unemployability. In a very complete analysis, weighing all the determining factors secured at time of survey, a much larger proportion were considered employable. Of the 589 women for whom employability was esti mated by the investigators, about one-sixth were considered fully employable, another one-sixth employable but handicapped, and almost three-tenths unemployable only temporarily. In other words, more than three-fifths of the group were immediately employable or would be employable if temporary difficulties were removed. This difference is due largely to the fact that the Women’s Bureau, being concerned chiefly with the possibility of rehabilitating these women, included as employable the women whose unemployable con dition was only temporary. For purposes of relief, the Chicago Relief Administration, on the other hand, could class as employable only the women actually capable of working at the time. (For table showing Women’s Bureau findings, see p. 52.) Relief experience. . The majority of this group of nonfamily women on the C. R. A. rolls had been self-supporting and financially independent for most of their adult lives. Illness, accident, unemployment as the result of industrial conditions, or the advance of old age had changed their normal way of living. Slightly more than 10 percent of these women had never worked outside of their own homes; unemployment of the other women was due, in the main, to illness or difficulty in finding work that they were physically able to do. While inexperience was the major factor in the unemployment of only a small proportion of women, lack of training or educational qualifications was a contribut ing factor in the inability of many women to find work About 25 percent of the group had been wholly dependent on relatives or friends for support; 12 percent had been accustomed to work to supplement the family income, so had been partially inde pendent; and 63 percent had been entirely independent from a financial point of view. Low earnings allowed no margin for times of unemployment or illness on the part of the majority of these women. Loss of employ ment meant almost immediate application for assistance, though in few cases was relief sought without a preliminary struggle to manage on savings, securities, insurance, or proceeds from the sale of furniture, clothing, or other property. This period of adjustment further in- SUMMARY 9 eluded efforts to find work, taking jobs with no cash wages, and acceptance of loans from relatives and friends. For most of this group, the time elapsed since first application for public or private assistance had been a comparatively short one. About one-fourth had applied for the first time in 1936 or in the first month of 1937, and nearly one-half had applied less than 2 years before the survey. The average time since the first application was 26 months. Younger women tended to be more recent additions than older women to the relief rolls. A large proportion (27 percent) of the women had received public relief for less than a year. Because younger women found it easier to secure work and, in addition, seemed able more frequently to call on their families in an emergency, as the age of the women increased the time on public relief increased. Negro women had applied for relief more recently than had white women. Somewhat more than one-third of the Negroes had received relief from public funds for less than a year, about two-fifths for periods of 1 and under 3 years. The average length of dependency was about 2 years. The relief period was unbroken by stops in relief of more than 2 weeks’ duration in 71 percent of the cases. Of the cases with such breaks in relief, three-fourths had had only one break. In threetenths of the cases, the chief cause of the interruptions of 2 weeks or more was private employment; placement of the woman or her rel atives on the Federal works program also was important in one-fifth of the cases. Amount of relief issued in January 1938. Though a maximum of $23.05 a month was allowed by administra tive regulation for a woman living alone, only 34 percent of the women received $23 and under $24. Less than $23 was issued in 52 percent of the cases, and 14 percent, under special circumstances, received at least $24. The average amount of relief issued was $22.44. For 69 percent of the women the district offices paid in January what was, from the administrative point of view, “full rent”; 11 percent re ceived partial rent allowances, and 15 percent received no rent allow ance, in spite of the fact that only 25 women were living where no rent was charged and only 5 owned their homes, and for more than 4 per cent some special arrangement was made. Only about one-half of the women classed as employable received full rent; but not to all the un employable women, either, was full rent allowed. On the whole, the women were poorly dressed, and clothing allow ances did not begin to take care of their needs, either for warm out door clothing or for presentable outfits that would enable them to compete with better dressed women in applying for work. Case-work services. Restriction on the amount of administrative expenditures has re sulted in large case loads and tremendous pressure on the case-work staff. Careful reading or keeping of case records, so essential to good case work, has been impossible; few home visits could be made, either for investigation or for the rendering of specialized services. In spite of the general recognition that prompt and continued treatment of illness is necessary if health and the ability to work are to be regained, 10 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 arrangement for medical care or cooperation with the medical agencyresponsible for treatment had to be neglected, both case worker and medical worker having too heavy a case load. Though one of the major policies of the C. R. A. has been based on a classification of persons according to employability, in only 48 percent of this group of nonfamily women were there found diagnoses or reports of physical condition that would justify such a classification. How the women live. About 75 percent of these women had the exclusive use of a room, in some cases of an apartment or cottage. Well over half lived in rooming houses or light-housekeeping rooms, and 39 percent in family homes as lodgers. A few had homes of their own. Living conditions. Only one-third of these women had taken unfurnished rooms; the others either had lost or had never had any furniture. In many cases the supply of bedding in furnished rooms was inadequate, expecially in cold weather. Most of the living quarters had central heat, though in the cheapest rooming houses this was no guarantee of warmth, for some landlords heated their buildings very inadequately. Many of the women living in their own homes had coal stoves, and the lack of kindling wood and difficulty in making the coal supply last worked great hardship. Electricity was the most common form of artificial lighting; some women used kerosene lamps, gas, candles, or did without. Utility allowances were not often included in the budgets, so many women were forced to use part of their food allowance to pay electricity bills. The majority of the women lived in places with complete bathrooms, though 14 percent lived where bathing facilities and running hot water were lacking. Cleanliness of bathrooms was difficult to achieve where large numbers used them. Cooking and eating in the single room originally designed for sleep ing purposes was the most common arrangement; inadequate cooking equipment prevented many of these women from making the greatest use of their food allowances. Overcrowding was not a serious problem among this group, the greater majority of whom had separate rooms or apartments. Base ment rooms involved some danger to the health of a few women, though the lower rental was an attractive feature that offset the handi caps of dampness and lack of sunlight. Amount of rental. With $12 stipulated as the maximum allowed for rent, including heat, light, and gas, for a single woman, it was necessary for many to use part of their food allowance for rent. While 40 percent of the women who were paying rent were living in homes costing $12 a month, 28 percent were paying less than $12 (often because of lack of central heat and sanitary conveniences), and 33 percent were living where the rental exceeded $12. The range was broad, from $2 to $40, with $12.57 as the average amount. In terms of absolute rentals, there was little difference between those charged Negro and white women, though the former had decidedly inferior homes. SUMMARY 11 Voluntary moving and evictions. Though not far from one-half of the women had lived in their present rooms for at least a year, irregular rent payments had resulted in frequent enforced moving, and many women had moved to escape verminous rooms, leaky roofs, filth, or undesirable neighbors. Threat of eviction was especially serious to those women living in furnished rooms, as eviction could be accomplished by simply locking the door during their temporary absence. In conclusion. This group of nonfamily women was composed of those in the older groups, for three-fourths of them were over 45 years of age. More than one-half were white women, who had been dependent, on the average, for about 2 years. The majority had been self-supporting or financially independent before loss of employment, ill health, or other misfortune had made application for relief necessary. Living conditions were, on the whole, wretched, for they had difficulty in finding homes for rentals that the C. R. A. could pay, and were con stantly forced to use money intended for food to buy other necessities. 61957“—31 ■2 RECOMMENDATIONS 1. Introductory. Though the number of women in gainful occupations in the United States was greater in 1930 than in 1920, the unemployment problems of unattached women assumed serious proportions only in the depres sion that began in 1929. These problems, naturally, increased in severity as the depression increased. Among the factors, economic and social, that are responsible for the large proportion of unattached women on relief are the weakening of the family group, technological and other forms of unemployment, and the increasing length of life coupled with a lowering of the age at which employability ceases. As a result of these and other changes, the problem of the unattached woman continues and threatens to become permanent. For all those who can benefit by a rehabilitative program, such a program should be set up; in the case of women for whom such a program is not possible, a system of permanent relief is the only solution. Persons interested in having a study made of the 12,500 unattached women on relief in Chicago in 1936 were conscious of the inadequacies in the existing program. The one great difficulty in Illinois is that relief is still treated as a temporary problem and a long-time program has not been evolved. In Chicago there has been one relief crisis after another when funds were not available for rent, food budgets were cut, the staff went unpaid, and so forth. To obtain relief in Chicago a person must prove that he is destitute by signing an affidavit that he is in need, that he has no savings, and that the relatives legally responsible for his support are unable to meet such responsibility. In addition to the original affidavit signed with the first application for relief, the relief recipient in Chicago has been required to sign several successive affidavits of destitution within the past 2 years, when heavy loads of case workers’ jobs precluded their keeping up with changing circumstances. The last dates of complete review were April and May 1937. All employable cases were reviewed in October 1937. 2. Inadequacy of relief. The public thinks of the relief load as made up of able-bodied unemployed who could work if employment were available, and the idea is current that relief clients are living in comfort and hence do not want to work. Both of these are wide of the truth. In the first place, physical disability of a greater or less extent was found to be a common condition among these Chicago women. In the second place, anyone sufficiently interested to inquire into the matter knows that $23.05 a month, the maximum allotted to a nonfamily woman in Chicago with the exception of those so ill that some additional needs must be met, is a very meager amount and one that any self-respecting individual would spurn if she could become self-supporting. Condi12 RECOMMENDATIONS 13 tions under which many of the women are living are wretched, the amount needed for shelter often taking more than the $12 allotted for rent, and the $9.25 for food allowance precluding the buying of nourish ing food for over so long a period as a month. The clothing allow ance does not permit of the purchase of clothes suitable to wear when making application for a job. The ambition of these women to become self-supporting is destroyed by the general hopelessness of their situation. For nonfamily women in Chicago, the practice of issuing relief on the basis of need as budgeted, an accepted case-work procedure, has almost disappeared. While it may be assumed that unattached women who live alone have much the same needs, it is essential that the agency be aware of, and make allowance for, special needs of the individual women. 3. Inadequacy of C. R. A. staff. Though the appointments to the staff of the C. R. A. are not political in nature and the quality of the workers in general is high, the number of case workers is not adequate to the demands made upon them. During the course of the survey, women were visited who had not seen a case worker for months, in some instances for a year or more. The cases of these unattached women are thought by some persons to require less time on the part of the relief worker than family cases, but this is not true in most instances. A worker too overburdened with a large number of cases has limited opportunity to learn of changing needs, to render special services, such as arrange ment for medical care that might eventually restore the relief recipient to health and independent living, or arrangement for vocational training that might accomplish the same end. Neither periodic reviews of the case loads, with the requirement of new affidavits of destitution, nor special investigations can be expected to take the place of adequate case-work service, where small case loads and reasonable flexibility of procedure permit the establishment of a constructive working relationship between the family and the case worker. Such a relationship would mean that earnings or income insufficient for total support would become known to the worker and be deducted from the total relief needs, instead of the assumption that all persons physically able to work had succeeded in finding employment. Reapplication procedure would be simplified, so that recipients of relief would be less reluctant to leave the relief rolls when they obtained temporary employment, secure in the feeling that reinstatement on the relief rolls would be possible as soon as they again were in need. To perform the individualized service that these unattached women need in the form of a program of rehabilitation and reemployment, an enlarged staff is a necessity. With so inadequate a staff, current information regarding the economic status of these women is not available, but even more serious is the failure to develop some program of rehabilitation. Pressure should be exerted, therefore, to remove the legislative restrictions on the proportion of relief expenditures allowed for administrative purposes. Experience up to the present time has not resulted in any standards of the relation that administrative costs should bear to total expenditures for relief. In Chicago the size of 14 UKATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 the case loads has been a heavy burden on case workers, who have been unable to devote sufficient time to the cases under their care. 4. Classification of employability. As pointed out in the body of the report, the C. K. A. had classed as unemployable, for purposes of immediate relief, 70 percent of the unattached women in the present study. Interviewers in the survey, however, estimated that though 67 percent of the women were unem ployable, less than 40 percent were unemployable permanently. That so large a proportion fall in the group unemployable only temporarily shows the need of an adequate program of rehabilitation. The esti mates of the Women’s Bureau based on facts secured at time of interview were determined on the woman’s apparent ability to work, disregarding such factors as education, training, or experience. To make the classification of employability a more practical one, it will be necessary to have definite knowledge regarding the woman’s physical condition. 5. Housing conditions. While recognizing that the setting of maximum amounts for various items of relief facilitates the administration of relief on a large scale, it must be remembered that lives of human beings are involved. Maxi mum rent allowances should be established only after careful con sideration of rent levels in various communities. _ Though raising maximum amounts of rent for relief clients un doubtedly would enable them to live in slightly better homes, where the food allowance might be used to better advantage and where sanitary facilities were more adequate, and might allow landlords more margin for repairs and general upkeep, still more important is regularity in payment of the rent for those families for whom the relief agency has assumed responsibility. _ .... The total amount of rent should be paid. The practice of issuing only partial rent or of making spasmodic payments does not insure maximum returns from that part of the relief funds spent for shelter of dependent families. Irregular payments result in a feeling of insecurity on the part of both landlord and client, and give rise to distrust and resentment of the agency in the general community. Experience has shown that shelter is of greater importance even than food, that relief recipients will go without eating to keep a roof over their heads. Kegular payments of rent will go far to erase the chief reason for discrimination of many landlords against relief recipients, so that indirectly the housing level will be raised by making available more homes for relief clients. Living in condemned buildings should be discouraged; a public agency should not condone, by its lack of activity or refusal to pay rent, such hazardous living conditions. The utmost cooperation should be given to the development ol housing projects under public authority, in order that housing stand ards for low income groups may be raised as rapidly as possible. Until the erection of such facilities for low-income groups, there is little hope of materially improving the housing of dependent families. Ordinarily, the practice of paying maximum amounts of rent lor the doubtful privilege of sleeping in the living room or dining room should be discouraged. Some women visited were found sleeping m rooms that were used for these or other purposes during the day. Such RECOMMENDATIONS 15 arrangements afforded the women no privacy nor any possibility of resting at odd hours. For the maximum rental, at least a single room should be available. Intimate knowledge, on the part of the worker, of living arrangements implies a smaller case load, frequent visits, and a relationship of confidence. Greater supervision should be exercised over those women for whom the agency has assumed the responsibility of paying room and board. That form of care is actually boarding-home care, and should be subject to minimum standards set up for the protection of the client. While progress has been made in evolving minimum standards for foster-home care of children, little has been done in the field of home care for the aged, convalescent, or disabled. Some inquiry into the use of boarding-home care for the aged and sick persons should bo made, preferably in cooperation with the Council of Social Agencies. Setting of uniform standards of care and supervision on a community-wide basis seems essential. Insistence on conformity with local sanitary and health regulations is necessary, but more detailed supervision to prevent exploitation of the relatively helpless client should be exercised. For aged women, still on relief rolls because of inability to establish their eligibility for old-age assistance, and totally incapacitated younger women, this type of care might be used where either home relief or institutionalization seems unsuitable. 6. Medical care. Medical examinations and care should be given to relief recipients on a case-work basis and according to need. Facts secured during the course of the study show that the available sources are not ade quate. In the past, private medical agencies have been expected to meet the needs of the ambulatory sick poor. Demands on these established clinics have more than doubled since 1929, with resultant overcrowding of clinics. There is great need for an out-patient department at Cook County Hospital and for branches of this service in various sections of the city. For only 289 of the 549 women with some disability was there a diagnosis of disease on file at the C. R. A.; for the remainder there was no diagnosis recorded at the relief office. Of the latter group (260), 240 women had made a complaint to the Chicago Relief Admin istration, but only 117 of them were recorded as having been referred to a health agency. Recommendations for special diets have been disregarded, and often months have elapsed before the allotment of a larger food allowance has been renewed. Mention must be made of the fact that all the financial assistance allotted by the C. R. A. for medical purposes has been used and that the clinics report not only that they are taxed to capacity but that they are forced to deny admission to some persons chronically ill and others with minor disabilities. In some instances clinics have been closed for short periods to all new patients but real emergencies. In the case of certain specific difficulties for certain racial groups, appointments were being made in the fall of 1937 for as far ahead as February 1938. Psychiatric examinations should be given also on a case-work basis wherever needed. However, the majority of the women visited gave no indication of behavior problems. 16 UNATTACHED WOMEN ON RELIEE IN CHICAGO, 19 3 7 In reviewing the data secured in this study regarding the physical disabilities of women, the situation is recognized as a serious one. As shown in the following paragraphs, large proportions of the women were ill. Illnesses of the body as a whole, with syphilis reported most fre quently; those of the cardiovascular system, in most cases heart trouble and high blood pressure; and those of the musculo-skeletal system, chiefly arthritis and rheumatism, were reported for respec tively 35 percent, 30 percent, and 25 percent of the 289 women with diagnosis reported. Mental diseases or deficiencies; diseases of the digestive system; and those of the urogenital system, a large part of which were gynecological complaints, were reported for respectively 20 percent, 15 percent, and 15 percent of the group. Diseases of the nervous system were 12 percent of the total, flhe other disease groups reported averaged each less than 12 percent of the diagnosed cases. In the distribution of diseases for all the 529 women—diagnosed and undiagnosed together—the groups rank much as they do for the diagnosed alone, the chief exceptions being that mental diseases rank much higher, and diseases of the organs of special sense rank much lower, for the diagnosed group than for all women interviewed. In the present drive of the United States Public Health Service in cooperation with State and city health authorities to stamp out venereal disease, every effort should be put forth to cooperate in accomplishing this end. Every suspected case should be referred to some health agency and every referral should be followed up. 7. Incapacity of women. To establish some facts as to the invalidity of the women studied, an effort was made to determine the extent of their incapacity. All the pertinent data for each individual were evaluated by the director of the study and the agent responsible for the interview, and each woman was classed in one of the groups following: 1. Totally incapacitated: Can care for self. Cannot care for self. 2. Partially incapacitated due to— Age. . . Physical condition. Mental condition. Mental and physical condition. Mental condition and age. 3. Not incapacitated. Of the 591 women for whom incapacity has been estimated , approx imately one-fourth were totally disabled; not far from two-thirds were partially so, and only about one-eighth were physically fit. 8. Health insurance. Though no health-insurance system has been established under the Social Security Act, the findings of this study indicate the great need of some plan of invalidity insurance and to a less extent of insurance against unemployment due to sickness. In 1916, Dr. I. M. Rubinow, in his book on “Standards of Health Insurance”, advocated two separate systems of insurance—one of RECOMMENDATIONS 17 health and one of invalidity. He pointed out that it is not possible always to distinguish from sickness such disability as is consequent upon old age, and that between these two lies the entire field of per manent invalidity. Further, he showed that it is not easy to dis tinguish between sickness and invalidity. Included under sickness are so-called acute attacks, while under invalidity fall permanent (or at least chronic, prolonged) illness and disability, or disability due to previous illness. Sickness carries with it total disability for the time being, while invalidity as usually interpreted means a sub stantial reduction of earning capacity, due to failing health and strength. In this way invalidity may be likened to old age. _ It was Dr. Rubinow’s opinion that as an economic problem invalid ity is of equal importance with sickness, and, as far as the individual cases are concerned, is of even greater importance. There can be no question as to the desirability of the insurance method of provision against it. The question is whether, for insurance purposes, invalid ity should be merged with sickness, on which it borders on one side, or with old age, on which it borders on the other. In Barbara Nachtrieb Armstrong’s “Insuring the Essentials” it is stated that old age and invalidity have one important quality in common—both involve a cessation, rather than a mere interruption, of earnings. This element of permanence (which in fact is coupled with increased disability as time goes by) is in marked contrast to the temporary illness or accident that causes a period of disability from which the patient recovers and after which he resumes his em ployment. In many cases invalidity is very like old age and often precedes it. This quality of permanence common to invalidity and old age makes their problem a similar one from an insurance stand point. _ Frequently, invalidity has been linked with old age rather than with sickness in social insurance schemes. The term invalidity has various interpretations in the countries that make systematic provision for it. Social provision for inva lidity, for the most part, has been undertaken only since the World War. Australia and Germany, because of their long-established systems, offer the longest and most reliable records of the incidence of invalidity. In Germany, under the General Workingmen’s Insur ance, invalidity pensions are granted to persons who are no longer capable of earning one-third of the sum usually earned by workers similarly trained, while the Commercial Employees’ Insurance Act has a more liberal definition, persons unable to earn one-half of the ordinary earnings of a similarly trained worker being termed invalids entitled to a pension. The laws governing invalidity in other countries vary greatly. In Great Britain the act requires complete incapacity for work, as does the Australian law. In Bulgaria persons may qualify when a 50-per cent reduction of earning capacity is noted, as may commercial employees in Poland. Italy requires that persons must show more than a two-thirds loss of earning capacity to qualify for invalidity benefit. France and Denmark require reduction of earning capacity of at least two-thirds. Since the results of this study reveal that old age begins before 65, that at all ages some women are victims of chronic disease, and that others have suffered long illnesses, some form of invalidity assistance should be made possible. In addition to the women studied, there 18 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 193 7 are women likewise in great need who have been unwilling to apply for relief but who should benefit under an invalidity program. A program of invalidity assistance similar to that for old-age assist ance, rather than a contributory invalidity pension system, is to be desired. The objections to a contributory system, or its limitations, are these: 1. It restricts its benefits to an employed group and does not provide for those outside the system who are equally in need. For example, women who are home makers, small independent owners, casual labor, farm labor, and so forth. 2. The tax is not based on ability to pay. 3. A fixed amount or certain percentage of wages does not meet the need of the insured in many cases. The points in favor of an assistance program are these: 1. The scheme would be financed out of the general treasury. 2. The population in general would benefit on the basis of need. 3. Payment would be contemplated in relation to need. Furthermore, invalidity assistance will be needed if a compulsory contributory scheme for invalidity pensions is part of the Federal old-age benefits system, since not half the population needing it would be covered. If grafting invalidity benefits on Federal old-age insur ance is inadvisable at this time, there would seem to be no reason for delay in initiating some plan of invalidity assistance. 9. Unemployment compensation for household employment. Though the Social Security Act does not establish any unemploy ment compensation systems, by the provisions of the act relating to unemployment compensation in the various States domestic service in private homes is excepted from the benefits of the act. In this study, the largest proportions of the women reporting usual occupa tion and principal job since 1929 had been employed as domestic workers in private families, which would prevent their inclusion under the present set-up of unemployment-compensation legislation. Should not the fact that large proportions of women on relief have been domestic workers give impetus to a drive for intensive study of household employment with a view to its greater security? 10. Training and retraining of these women. Involuntary unemployment, of which many of these women are victims, has a very demoralizing effect. It is not so much the lack of employment as the inevitable consequences of its lack. These show themselves in enforced lowering of living standards and in the uncer tainty and worry over not finding a job. The unemployed become oversensitive in their fruitless search for work. . To serve intelligently the interests of the employable women it will be necessary to make a study of the vocational opportunities afforded them. In undertaking such a study the cooperation of the various agencies interested in the women and their employment is of first importance. The Illinois State Employment Service, the State Department of Labor, the Women’s Trade Union League, the Ameri can Association of University Women, the Women’s City Club, the Council of Social Agencies, and any other groups likely to be of service should be called upon in this cooperative undertaking. After such a survey is made and the opportunities for these employable women are known, all facilities in the city of Chicago should be made available for instructing the women. RECOMMENDATIONS 19 During the interviews with the women the subject of vocational training that might lead to future employment was discussed. The majority of the women who were ill or had reached the age where employment was no longer a possibility were hopelessly apathetic about future training. Younger and more ambitious women often expressed a desire for a stenographic course, sure that ability to type would secure them a job; many Negro women were anxious for a chance to learn power-machine sewing, for it seemed easy in compari son to their years of heavy household work. The retraining of the women whose skills have become outmoded or displaced entirely, or who have deteriorated in health and morale, is of prime importance; all who have possibilities of rehabilitation as judged by their work records, attitudes, and personalities should be given the advantage of a training or retraining program. After this training period is finished, efforts should be put forth to secure the cooperation of private employers in finding work for these women on a part-time if not a full-time basis. The factors of color and nativity influence to a great extent the employment opportunities for household employees. Fifty-seven percent of the Negroes, 40 percent of the foreign-born, and 18 percent of the native whites had been engaged in domestic work in homes. Considering the large proportions of women whose usual occupation had been in this type of work, strong effort should be made to retrain these women so that they may be employed again, especially as their work is in a field where the demand for competent help exceeds the supply. . _ . Unfortunately, in spite of the fact that household workers comprise one of the largest occupational groups in the country, very little has been done toward standardizing household employment in respect to wages, hours, health and safety conditions, and training facilities. The issue of educating the community to a realization of these prob lems cannot be dodged if the destitution of women in this country is to be relieved. 11. Work projects under private auspices. Various agencies have been established in local communities to meet the demands of groups of women such as those with which the present study is concerned. Some are helping the employable group and others are reaching those classed as unemployable. Self-Help Cooperatives.—Self-Help Cooperatives have been tried in various localities. In some cases they were started with Federal funds and are continuing under these auspices, while in other cases they are self-supporting. Under this scheme unemployed employables are able to barter their services in one line for a commodity needed in another. There is no payment in cash, but for a certain amount of work a scrip coupon stating the number of hours to be credited is given. Services that women give include sewing, tailoring, laundry work, beauty-parlor service, cleaning, cooking, and so forth. In the Self-Help Coopera tives under the Citizen’s Service Exchange in Richmond, Va., for example, brooms, chemical products, mattresses, toys, farm products, confectionery, and articles made from the by-products of factories— such as blankets, sweaters, and lumber jackets from discarded felt, rugs from scrap rope, and floor coverings from cotton fabrics—all have been given in exchange for services rendered. 20 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 193 7 Goodwill industries.—A form of service that affords remunerative employment to older women is the Goodwill Industries. Mending and remodeling discarded clothing, as well as the sorting of articles donated, are carried on by older women. Data regarding the employ ment of such women in Washington show that women 50 but under 65 years of age have been employed on such projects for a 44-hour week. The branch of the Goodwill Industries in Chicago could serve as an outlet for employment of some of the women on relief, if con ditions under which the women work were improved as recommended in a recent study. 12. Work projects under public auspices. Some provision should be made for the unemployables, who cannot be of use in private industry, to become partially self-supporting. For this group a work program that is therapeutic in character is greatly needed. During the past few years, camps for young men under the Civilian Conservation Corps and camps for young women, only those under 25 being eligible, have been organized under the National Youth Admin istration. In the fall of 1936 work projects were started in these camps by means of which girls earned $5 a month in cash and their mainte nance. Projects included the making of recreational equipment and supplies for public-health nurses and public hospitals, sewing for fami lies on relief and for public institutions, the making of simple articles of furniture and the repairing of furniture, the cultivation of gardens and plant nurseries, and the production of visual aids for use in public schools. With the variety of projects listed, it would seem possible to develop a similar program for this group of older women not capable of em ployment in private industry but still able to accomplish something that would make them at least partially self-supporting. The money derived from the sale of the products made or from the services ren dered would assist the women in supporting themselves to some extent. If it did not seem advisable to have any exchange of money, the workers could barter the products they made for those made by others, using scrip coupons as is done in the Self-Help Cooperatives. Though any such plan as this would not make the women entirely self-supporting, it would be a great help to their morale. The plan would have to be worked out with public funds under public auspices. 13. In conclusion. In view of the fact that only 24 percent of the group of nonfamily women under study were under 40 years of age, and that about 50 percent were 50 years old or more (23 percent were 60 but under 65 years), it would seem that the majority of these women could scarcely be absorbed by private industry, regardless of their physical condition. Moreover, it will be remembered that 31 percent of the total of 12,529 nonfamily women on relief rolls in November 1936 were 65 years of age or over. Though many of these women have since been trans ferred to old-age assistance, a considerable number may be expected to remain on the general relief rolls because of inability to establish age, citizenship, or residence. Some provision for long-time care for this group,_ largely composed of prematurely aged women and those with chronic disabling illness, who in all likelihood will be dependent RECOMMENDATIONS 21 On society for the rest of their lives, seems essential. Certainly the existing system of relief, under local responsibility and subject to many crises, is not adequate to meet their needs. A vital necessity in dealing with these women is that the plan be sufficiently elastic to permit of the type of adjustment best suited to their individual needs. The unemployables—the aged and the chronically ill—must be referred to the agencies equipped to serve them best, thus confining the rehabilitation to those whom it will be possible to send forth with renewed courage and ability to work to support themselves. Unless some intelligent planning is done, the result must be that the burden of caring for this group will increase in exact ratio to the inadequacy of the facilities for their care. PERSONAL INFORMATION As someone has said, the very condition of being unattached—of having no relatives or, as is often the case, of being separated from them, and of not having made a place for one’s self in the world—is a problem in itself. With a view to determining their fitness to care for themselves, inquiry was made into personal facts regarding the women. These included the following: Age, mother tongue and color, marital status, length of residence in the State and county, citizenship, ability to use English or some other language, extent of schooling, and, in addition, all pertinent facts relating to the women’s work history, health, relief, and housing. Age. As already mentioned, no woman as much as 65 years of age was included in this study. Such women were omitted purposely, since any plan of possible rehabilitation for the group as a whole must eliminate these older women. Then, too, many of those of 65 years and more had been granted old-age assistance. In spite of this, the group remaining was not a youthful one, as more than three-fourths of the women were at least 40, and 40 is known to be “old” when one is seeking a job. Somewhat less than one-fourth were 60 but under 65 years old; somewhat more than one-fourth were 50 but not yet 60 and the same proportion were 40 but not yet 50. Only about 1 in 14 were less than 30 years old. Table 3.—Age, by nativity and color Nativity and color Age (years) Women reporting age and nativity Native-born Foreign-born White Total Percent distribution. 21, 30, 40, 50, 60, Negro Number Percent Number Percent Number Percent Number • 595 100.0 100.0 241 40.5 100.0 242 40.7 100.0 112 18.8 100.0 43 101 158 158 135 7.2 17.0 26.6 26.6 22.7 10 35 62 58 76 4.1 14.5 25.7 24. 1 31.5 33 56 81 53 19 23.1 33.5 21.9 7.9 10 15 47 40 8.9 13.4 42.0 35.7 under 30 under 40 under 50 under 60 under 65___ ____ Percent i Age not reported by 6 women, nativity and color by 3 women. The native-white and Negro women—groups of practically the same size, 241 and 242—show very different age distributions. Twice as many Negroes as native whites—89 in contrast to 45—were under 40 years, and four times as many whites as Negroes—76 in contrast to 19—were 60 years or more. That three-eighths of the Negro 22 PERSONAL INFORMATION women unable to support themselves were less than 40 years of age suggests, among other things, the possibilities of training. The 112 foreign-born differed greatly from the other groups, having much the smallest proportion of women below 40 and the highest proportion so old as 60. Marital status. Unattached women on relief are not, for the most part, single women. All but 1 of the 604 women reported their marital status, and of these two-fifths were widowed, somewhat less than two-fifths were separated or divorced, and somewhat more than one-fifth were single. The district with the largest proportion of widowed had seventenths of its women thus classified. In this district all the women were white and nearly one-half were 60 years or older. The smallest proportion of widowed—about one-fourth—was in a district where five-sixths of the women were Negroes and less than one-twelfth were as much as 60 years old. The proportion of single women ranged from 8 percent in one district to 35 percent in another. Separated and divorced considered as one group (women living apart from their husbands) varied from 16 percent to 65 percent, the former in a district in which only white women were included and the latter in one mainly Negro. A correlation with age shows that the widows were the oldest of the groups. Close to two-thirds were 50 years old or more, as compared with about one-third of those not living with their husbands and some what more than two-fifths of the single women. Almost two-fifths of the single women, about one-third of those separated from their husbands, and somewhat less than one-tenth of the widows were under 40 years of age. Table 4.—Marital status, by age Women report ing age and marital status Age (years) Num ber Total Percent distribution-- ---- -------- 100.0 21, under 30__------30, under 40 40, under 50___ __ 50, under 60 60, under 65 _ _____ 43 101 159 158 136 i 597 Per cent 100.0 Marital status Single Num ber 132 Widowed Per cent 100.0 22.1 7.2 16.9 26.6 26.5 22.8 16 35 23 26 32 Num ber 244 Per cent 100.0 40.9 12.1 26.5 17.4 19. 7 24.2 5 16 62 78 83 Separated Num ber 162 Per cent 100.0 27 1 2.0 6.6 25.4 32.0 34.0 19 38 52 41 12 Divorced Num ber 59 Per cent 100.0 9.9 11.7 23.5 32.1 25.3 7.4 3 12 22 13 9 5.1 20.3 37.3 22.0 15.3 1 Age not reported by 6 women, marital status by 1 woman. Nativity. As mentioned in the introduction, though the proportion of Negroes among the unattached women on relief was greater than that of whites, a somewhat larger proportion of whites—seven-twelfths as compared with five-twelfths—was decided upon for this study. No statistics were available as to the proportion of foreign-born among the women on relief, but according to the United States Census 24 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193? of 1930 almost one-third of the women in Chicago who were 20 but under 65 years of age were foreign-bom. Thus the proportion of foreign-born among the women included in the present study (19 per cent) was much below their average in the woman population. The opposite is true of Negroes, who constituted less than one-twelfth of the total according to the census but were just over two-fifths of the women included in this study. Of the total group reporting mother tongue and color, four-fifths were native-born, about equal numbers white and Negro. The three largest groups of foreign-born were classed broadly as English and Celtic, Slavic and Lettic, and Germanic. The foreign-born were confined to certain districts. Seven of the 14 districts covered had considerable numbers, ranging from about one-fourth to three-eighths of the total. No district was entirely without foreign-born, though five districts had three or fewer such women. The proportion of Negroes in the 10 districts that had Negroes ranged from about one-eighth to almost nine-tenths. There were considerable differences in marital status according to nativity and color. These differences were least among the widowed, but even in that group were almost one-half of the foreign-born as compared to just over two-fifths of the native whites and somewhat under two-fifths of the Negroes. Half of the Negro women were separated or divorced, in contrast to something below one-third of the native whites and only one-fifth of the foreign-bom. The foreignborn had a larger proportion of single women—just over three-tenths— than appeared for the other racial groups. This was followed by somewhat over one-fourth among the native whites, but only oneseventh of the Negroes were single. Length of residence in Illinois. The women as a whole were long-time residents of Illinois. More than one-half of the 597 women reporting had lived in the State for 20 years or longer, and about one-fourth of these had lived there all their lives. Practically one-third had lived in the State 10 and under 20 years, and the remainder, only about 1 woman in 7, for less than 10 years. Though no tabulation was made of the time in Cook County, a review of the schedules shows that the time in the State and that in the county was in many cases the same. Three-tenths of the native-white women, as compared with only about one-twentieth of the Negro women, had lived all their lives in Illinois. More than one-third of the native whites, as compared with less than one-fourth of the Negroes, had lived there 20 years or more; and only about one-tenth of the whites, as compared with more than one-fifth of the Negroes, had lived there less than 10 years. Of the foreign-born, practically two-thirds had lived 25 years or longer in the State; more than nine-tenths had been there at least 10 years. Judged by the small number of times they had moved during the scheduled year, the group was not a mobile one. Somewhat under one-half (45 percent) of the 584 women reporting on this had not moved at all. Nearly three-tenths had moved once, about one-seventh twice, and close to one-eighth had moved three or more times. The foreign-born were more stable than the others, 53 percent not having moved during the year. The proportions of native whites and Negroes PERSONAL INFORMATION 25 who had moved three or more times were about the same as for the group as a whole, roughly one-eighth, but only about one-twentieth of the foreign-born had moved so often. Schooling. Of the 578 women reporting as to amount of schooling, about 1 in 16 stated that they had had none. Five in eight of the total group had attended grammar school in this country, completing various grades from 1 to 8; more than one-fourth of these had finished some grade from 1 to 4 only. One-eighth of the women had attended high school and about 1 in 25 had had some college training. About oneeighth of the whole group had had some education in a foreign country. When nativity and color are correlated with education, some in teresting differences are disclosed. Less than 1 percent of the nativewhite women reporting, in contrast to 9 percent of the Negroes and 11 percent of the foreign-born, had had no education. For this group of women, composed of native and foreign-bom, white and Negro, inquiry as to their ability to read and write English was considered important. This information was secured from the case records and from interviews, no tests being given. All the native-born, whites and Negroes, spoke English, and about onetwelfth of the white women spoke another language as well. Of those whose literacy was reported, less than 1 percent of the whites could not read and write, but 17 percent of the Negroes were unable to write and 15 percent were unable to read. Ninety-five percent of the foreign-born spoke English; practically two-fifths of them spoke another language as well. One-fourth of the foreign-born whose only language was English could not read, and two-fifths could not write. However, more than one-third of all the foreign-bom were able to speak, read, and write the language of their adopted country. A number of women were making use of their free time by taking courses given through a governmental agency. For some this school ing consisted of training in primary subjects, while others took more advanced courses. Citizenship. It was surprising to find so many women (45) who were not American citizens. Of the'44 reporting on nativity and citizenship who were not citizens, all but 1 were foreign-born. The exception was a nativeborn white woman who married an Englishman before 1922 and so lost her citizenship. More than two-fifths of the foreign-born were not citizens. The highest proportion of any of the foreign groups falling in this class was that of the Slavic and Lettic, more than three-fifths; the lowest was that of the English and Celtic, less than three-tenths. As already pointed out, a large proportion of the group of foreignborn were older women (almost four-fifths were at least 50) and seven-tenths had been married, so for the most part they had been interested in matters other than their citizenship. A new con sciousness in regard to this had been awakened recently, since citizenship is one of the requirements for becoming a beneficiary of old-age assistance. Many women had taken out their first papers so as to become eligible for such benefits. ILLNESS Though the state of the public health is one of the most serious problems of the time, and though the social and economic effects of illness were well known to the experts responsible for the plan of social security evolved and now in operation in this country, no plan for health insurance, an extremely important phase of social security, has been worked out as yet. It would seem that the serious conse quences of illness, resulting in unemployment and poverty, would have given rise to plans for alleviating this great burden so common to the race. In the present scheme of things there are for individual care the private doctor, whom only a small portion of the population can afford to employ, and clinics and kindred institutions especially for the care of the needy. The individual who is ill is cared for either at home or in an institution where groups of physically or mentally ill are treated. In addition to the need for curing ill persons there is the more im portant phase of the problem, that of preventing illness. To accom plish such prevention, health departments, from the United States Public Health Service to those of the smallest localities, were estab lished and have been functioning for a long time. All these govern ment agencies protect the communities that they serve by adopting and maintaining health standards. In addition to these public agen cies are private health organizations that are constantly striving to improve the conditions under which people must live. Since unemployment caused by illness is followed frequently by poverty, all too often those seeking relief are totally disabled or seriously ill at the time of application. For thos: whose illnesses can be cured, immediate medical attention should be secured; for the totally disabled, some form of rehabilitation should be provided. To secure reliable data regarding the health of the clients in the present study, every statement on file in the relief offices was examined and recorded. In some cases a medical diagnosis had been filed and in other cases only a statement that such diagnosis had been made was recorded. Where no record of diagnosis of the case was available, facts were secured from the record as to any complaint made by the client to the case worker and the disposition of such complaint. In some cases the client had been referred to a health agency at a date long previous to the study, in other cases only a recent referral had been made. In other instances a private doctor was known to be treating the client, and occasionally medical attention, though needed and offered, had been refused. Some clients had no complaint to make—their health was good; certain others had made no complaints to the C. R. A. but did report illnesses to the investigator at time of interview. Diagnosis and complaint. For 289 of the women with specific diseases reported, a medical diagnosis was recorded. All but four of these women, those not reporting age, are shown by age and type of disease in the table on 26 ILLNESS 27 page 30. Of the women who had complained to the C. R. A., but for whom no diagnosis was recorded, a large proportion (117 of the 240) had been referred to a health agency, three-tenths of them very recently. Some report as to their health was available for all the 604 women, only 49 of whom had no disability. Of the 555 women who were said to have a physical or mental disability of some sort, the nature of the disorder was reported in all but 26 cases. The 529 women whose diseases were specified may be considered further according to whether or not the diagnoses of their diseases were medical—that is, profes sional -or were simply the women’s own statements or the observa tions of personal interviewers. Obviously, such statements and ob servations, though not without value, are less authoritative than medical diagnoses. While this study was in progress, it was believed that some follow-up of the women reporting illnesses could be made at the clinics, but this plan had to be abandoned. A second plan, suggested by a medical social worker, that a number of the women in the study be brought to the clinics for examination, likewise could not be put into effect. Though such procedure would have been ideal from the point of view of completeness of the data in regard to the physical condition of the clients, its cost, and the impracticability of getting the women to the clinics, made it prohibitive. Further, some of the illnesses reported by the women had long since passed the stage where they could have been cured. Classification of disease. In any analysis of medical records by a layman, the guide followed must be one of undisputed authority. The one used in this study is the standard nomenclature of disease compiled by the National Con ference on Nomenclature of Disease and published by the Common wealth Fund. The topographical classification of this nomenclature has the following main divisions:1 Diseases of— The The The The The The The The The The The body as a whole, including diseases of the psyche. integumentary system. musculo-skeletal system. respiratory system. cardiovascular system. hemic and lymphatic systems. digestive system. urogenital system. endocrine system. nervous system. organs of special sense. The only irregularity in using this classification for the purposes of the present study was that mental diseases—those of a psychobiological nature—were given a separate division, and that hemic and lymphatic and endocrine were combined. With these exceptions, the analysis of the diseases that the women in this study reported, those known to have been diagnosed medically and those not recorded as diagnosed, has been made according to the foregoing classification. 1 Standard Classified Nomenclature of Disease. Compiled by the National Conference on Nomenclature of Disease. New York. The Commonwealth Fund. 1935. p. 1(5, @1957°—38----- ^ 28 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 19 3 7 PHYSICAL AND MENTAL DISEASES So many of the 529 women with specific disabilities are in more than one disease group, a few appearing more than once even within a group, that the total number of cases, as distinct from women, is 1,010. Mental diseases. Seventy-three of the women were said to have some mental disorder, the total "number of cases of disease being 75. The largest number of women (20) had some psycho-neurosis, such as hysteria, neurasthenia, psychasthenia, and so forth; 17 of these 20 had been diagnosed as such. One had been referred recently to a clinic, and two had been referred at an earlier date. Next in number were the mental defec tives, 17 of the total; 12 of these had been so diagnosed, and others had been referred. Psychopathic personalities, including women who were emotionally unstable, eccentric, or paranoid or schizoid in type, numbered 15; 12 of these had been diagnosed, 1 of the others was receiving medical care from a private physician, and 1 had refused proffered medical care. Senility or senile dementia had affected eight of the women and nine were classed as victims of alcohol. In these groups six and seven cases, respectively, had been diagnosed, and, in addition, one of the alcoholics had been given a referral. In the case of one of the senile women no complaint had been made to the C. R. A. and of course there was no diagnosis on the record; complaint of disability was made to the agent at time of survey. Six women were classed as having paresis, paranoia, dementia praecox, or manic-depressive psychosis. Five of these cases had been diagnosed, and the sixth had been referred recently to a health agency. Physical illness. Body as a whole.—When disorders of the body as a whole were investigated, it was found that 165 women (167 cases) had diseases falling in this category. Syphilis was the disease occurring most frequently, 53 such cases being reported. Of the 53 cases, 39 had been diagnosed, 3 had been referred only recently, and 11 had been referred previously. When added to syphilis as a disease of the body as a whole are syphilis of the central nervous system and tabes dorsalis (locomotor ataxia), the number of cases becomes 62, or slightly over one-tenth of the number of women reported. Gynecological diseases, classed under urogenital, some of which were gonorrhea and disorders resulting from venereal disease, were 52 in number. Considering That, a large number of the women were in the late forties, it is not surprising to find many suffering from the menopause. Thirty-four were so reported. Of these 34, only 8 had been diag nosed. Eleven, though they had complained to the C. R. A., had not been referred to a health agency; 5 had been referred recently, 5 earlier; 3 had refused proffered medical care; and 2 were being treated by a private physician. Tuberculosis and obesity were reported for 18 and 17 women, respectively. Of the cases of tuberculosis, 13 had been so diagnosed and the remaining 5 had been referred to a health agency. Nine of the obese had been diagnosed; 1 had refused care; 3 had been referred; and 4 the C, R. A. had failed to refer. ILLNESS 29 Malnutrition was reported to be present in 15 cases, for 12 of which a diagnosis had been made. The other three had refused medical care, were receiving care from a private doctor, or had been referred to a medical agency. Integumentary system.—Diseases of the skin and breast were reported for 14 women. Nine of these cases were recorded as diagnosed. Musculoskeletal system.—Disorders of the musculo-skeletal system were almost as frequent in occurrence as those of the body as a whole; 153 women reported diseases falling in this category, and the cases of disease numbered 161. By far the largest number of women, 100, had arthritis or rheumatism. Forty-four of these cases had been diag nosed, 14 had been sent to a health agency, and 26 had never been referred to such an agency. Fractures and deformities not of recent origin were reported in 27 cases, 11 of which had been diagnosed. In five cases the relief office had failed to refer the client to a health agency. Respiratory system.—Respiratory diseases were not so common as might be expected; only 60 women reported such maladies, and the cases numbered only 63. Bronchitis (27 cases) and asthma (12 cases) occurred most frequently. More than one-half of the ailments of the 60 women had been diagnosed, and about half of the remaining cases had been referred to a health agency. Cardiovascular system.—As many women as had diseases of the musculo-skeletal system had some disease of a cardiovascular nature; 153 women were in this group, and the cases of disease numbered 158. Ninety-three women had some cardiac condition, of which 60 had been diagnosed medically and 15 had been referred to a health agency. Twenty-four of the cases were complaints of cardiac trouble combined with hypertension (high blood pressure) and 31 cases reported hyper tension alone. Only 5 cases of hypotension (low blood pressure) were reported. Hemic, lymphatic, and endocrine systems.—Diseases of the hemic, lymphatic, and endocrine systems were fairly numerous, 41 such cases being reported. Twenty-two of these were thyroid troubles, of which 14, or practically two-thirds, were known to have been diagnosed medically. Digestive system.—Digestive disturbances of many varieties, includ ing gastritis, gastro-enteritis, colitis, cholecystitis (gall-bladder dis ease), hemorrhoids, fistiila, hernia, and others, were reported for 84 women, the cases of disease numbering 86. One-half of the cases were recorded as diagnosed and others had been given a referral. Urogenital system.—Of the 78 women with diseases of the urogenital tract, 52 were of a gynecological nature. The diseases grouped here included gonorrhea, salpingitis, cervicitis, fibroid uterus, ovarian cyst, and so forth. Of the 52 cases of this nature, 31 were recorded as diagnosed and 12 others had been referred (5 of them recently). Nervous system.—Twenty-five of the 53 diseases of the nervous sys tem were characterized as neuritis. Nine cases of locomotor ataxia and syphilis of the central nervous system were reported and all had been diagnosed as such. Organs of special sense.—As many as 107 women had diseases of the organs of special sense, the cases of such illness numbering 114. Eighty were eye troubles. N ot far from one-third of the eye cases had been diagnosed, and another one-third had been referred to a health agency. 30 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Dental needs. This condition was reported on for less than two-fifths of the 604 women. Only one-seventh of the women with such a report required no dental work; two in three should have had dental care and almost one in five needed dentures. Table 5.—Diseases affecting the women—diagnosed cases, by age Number of women with diseases diag nosed as specified whose ages were— Disease as diagnosed number1 21, under 40, under 50, under 60, under 40 years 50 years 60 years 65 years Number of women reported. 2 285 70 75 69 71 Mental diseases or deficiency: Number of women reported--------Percent this group forms of totali3-* 57 20.0 15 21.4 17 22.7 10 14.5 15 21.1 11 5 17 5 12 5 7 2 3 1 2 7 3 2 1 1 2 1 1 4 2 5 1 1 s 99 34.7 32 45. 7 30 11 12 11 9 8 12 10 1 9 4 2 2 4 9 3.2 2 2. 9 9 2 1 8 72 25.3 11 15.7 15 20.0 21 30.4 25 35.2 39 7 11 7 8 1 2 3 3 2 10 1 2 2 11 1 5 4 17 3 1 2 2 32 11. 2 6 8.6 11 14.7 8 11.6 7 9.9 5 13 14 1 3 2 8 3 3 2 3 6 8 85 29.8 9 12.9 22 29.3 22 31.9 32 45.1 39 16 16 7 2 9 5 5 ] 2 11 6 4 1 12 5 5 5 6 4 5.7 10 13.3 4 5.8 11 15.5 Mental deficiency-----------------------------------Psychosis.................-.............. .......................— Psycho-neurosis.................... ............................... Alcoholism......... .................. ................................ Psychopathic personality.......... ............ .......... Senility and senile dementia---------------------Other and combination of 2 or more of above4. * 6 Body as a whole (physical): Number of women reported---------------------------Percent this group forms of total 3_.---------------Syphilis (exclusive of central nervous sys tem)....... ................................................... .......... Diabetes..................-....................... .............. — Tuberculosis------------------------------------------Malnutrition..................... ......................... .......... Obesity............................. —.........-...................... Menopause........._ -............................... - - -.......... Other and combination of 2 or more of above4. Integumentary system: Number of women reported---------------------------Percent this group forms of total3-------------------Ulcers and other skin diseases 4-----------------Musculo-skeletal system: Number of women reported---------------------------Percent this group forms of total3-------------------Arthritis and rheumatism------------------------Practures —...________________ __ Old conditions and deformities-----------------Feet------------------------------------------- -------- Other and combination of 2 or more of above 4. Respiratory system: Number of women reported---------------------------Percent this group forms of total3------------------Asthma______________________ __________ Bronchitis Other and combination of 2 or more of above 4. Cardiovascular system: Number of women reported------- -------------------Percent this group forms of total3------------------Cardiac (exclusive of following)-----------------Cardiac and hypertension------------------------Hypertension (exclusive of foregoing)---------Varicose veins------------- ---------............ ........... Other and combination of 2 or more of above 4. Hemic, lymphatic, and endocrine systems: Number of women reported---------------------------Percent this group forms of total3------------------- i 8 29 10.2 34 3 45.— 2 3 21 30.4 12 16.9 8 3 1 2 3 3 1 2 2 16 6 2 2 3 3 3 3 1 4 6 8.5 1 1.3 6 5 2 12 3 2 14 a 3 Details aggregate more than totals because many women had more than one disease. Of the 289 women whose diseases had been diagnosed, 4 did not report age. Based on number with disease and age reported. Groups with less than 5 women have been combined. Excludes 1 woman with age not reported. Excludes 3 women with age not reported. Anemia and secondary anemia. Thyroid disturbances-------------- 3 3 4 * 6 3 3 3 i 1 5 6 ILLNESS 31 Table 5.—Diseases affecting the women—diagnosed cases, by age—Continued Number of women with diseases diag nosed as specified whose ages were— Disease as diagnosed Total number 21, under 40, under 50, under 60, under 40 years 50 years 60 years 65 years pigestive system: Number of women reported_________ Percent this group forms of total3__________ ®43 15. 1 Gastritis, gastro-enteritis________ Colitis____________________ Chronic constipation........................ Ulcers_____________________ Hernia____________ ______ _ Cholecystitis___________________ _ Other and combination of 2 or more of above 4_ Urogenital system: Number of women reported_______ Percent this group forms of total 3-_.......... 9 12.9 10 13.3 13 18.8 5 2 1 2 4 2 42 14.7 20 28.6 14 18.7 6 8.7 7 31 4 1 19 3 10 1 2 1 3 35 12.3 7 10.0 12 16.0 10 14. 5 6 8.5 5 11 5 14 3 2 4 6 4 1 5 31 10.9 4 5.7 6 8.0 16 23.2 7.0 22 9 1 3 0 13 3 2 3 7 5 7 8 5 7 4 Cystitis. ..................................................... Gynecological complaints_____________ Other and combination of 2 or more of above4 Nervous system: Number of women reported.. _ Percent this group forms of total 3.__.............. Tabes dorsalis___ ______________ .. . Neuritis Other and combination of 2 or more of above4 Organs of special sense: Number of women reported_______________ Percent this group forms of total3 Eye........................... ....................... ......... ... Other and combination of 2 or more of above <. 15.5 1 2.8 3 Based on number with disease and age reported. 4 Groups with less than 5 women have been combined. 5 Excludes 1 woman with age not reported. Table 6.—Diseases affecting the women—all cases, by age Total ber i Women with disease and age reported_________ _ Cases of disease.......................................................... Mental diseases or deficiency: Number of women reported Percent this group forms of total3 Mental deficiency................................................ Psychoneurosis.______ _______ ___________ Psychopathic personality................................... Other4 Body as a whole (physical): Number of women reported_____ _______ _____ Percent this group forms of total 3-_..................... . Syphilis (exclusive of 4 cases in central nervoussystem)®____ ____________________ Diabetes. __________ ______________ ______ Tuberculosis ................. .................................... Malnutrition __________________________ Obesity__ __________ _____________ ______ Menopause........................................................... Other4_________ ______ __________________ i 3 3 5 Number of women with diseases reported as specified whose ages were— 21, under 40, under 50, under 60, under 40 years 50 years 60 years 65 years 3 523 1.001 120 195 140 292 142 282 121 232 73 14. 0 18 15.0 23 16.4 12 8.5 20 16.5 17 20 15 23 9 3 3 3 3 9 4 8 3 3 2 4 2 5 6 8 8 163 31.2 46 38.3 58 41. 4 42 29.6 17 14.0 52 18 21 11 2 2 13 5 4 2 18 10 5 3 15 5 3 3 4 17 4 4 7 2 33 3 17 2 11 17 5 4 3 5 Details aggregate more than totals because many women had more than one disease. Of the 604 women, 49 had no disease; for 26 the disease was not reported; for 6 the age was not reported. Based on number with disease and age reported. 4 Groups with less than 10 have been combined. Excludes 2 women with age not reported. 01 under 40 years; 1, 40 and under 50; 2, 50 and under 60. 32 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Table 6.—Diseases affecting the women—all cases, by age—Continued Disease as reported Total num ber Number of women with diseases reported as specified whose ages were— 21, under 40, under 50, under 60, under 40 years 50 years 60 years 65 years Integumentary system: Number of women reportedPercent this group forms of total8-........................ 14 2. 7 Ulcers and other skin diseases34-----------------Musculo-skeletal system: Number of women reported---------------— Percent this group forms of total3-------------------- 14 2 3 2 7 3 151 28.9 16 13.3 38 27.1 50 35.2 47 38.8 99 27 15 18 6 5 3 3 25 5 4 4 34 12 2 5 34 5 6 6 7 59 11.3 9 7.5 22 15.7 14 9.9 14 11.6 12 26 24 1 3 5 2 12 10 7 3 4 2 8 5 8 150 28. 7 17 14.2 37 26.4 52 36. 6 44 36.4 Cardiac (exclusive of following)....................... Cardiac and hypertension------------------------Hypertension (exclusive of foregoing) Varicose veins------------------------------------------ 68 24 30 20 13 11 2 2 2 15 7 7 5 5 24 8 12 6 3 18 7 9 7 5 Hemic, lymphatic, and endocrine systems: Number of women reported---------------------------Percent this group forms of total3. ------- — 40 7.6 6 5.0 13 9.3 8 5.6 13 10.7 Thyroid disturbances.......................................... 15 22 4 2 3 1 8 4 2 7 1 Digestive system: Number of women reported...... ............................... Percent this group forms of total3------ ------------- 7 83 15.9 19 13.6 22 15.5 22 18.2 Arthritis and rheumatism. _ ------- ------------Old conditions and deformities.......... .............. Feet----- ------- -----------------------------------------Other4----------- -------- ------------------------------Respiratory system: Number of women reported Percent this group forms of total >-------------------Asthma------ -------------------- --------- ------------Bronchitis...---------- ------- -----------------------Other4. ----------- --------- ------------ --------------Cardiovascular system: Number of women reported------------------------Percent this group forms of total8-------------------- Ulcers------ -------- -------------------------------------Cholecystitis................ ................. .............. ......... Other4---- ------------ ------------------------- -----Urogenital system: Number of women reported........ ................. .......... Percent this group forms of total3........................... Urinary complaints. ................................ ......... Gynecological complaints______ ____ ______ Other4 Nervous system: Number of women reported.. --------------------- . Percent this group forms of total3........................... Neuritis_________ _______________________ Other4------------------------------------------ ------Organs of special sense: Number of women reported---------- ------ ---------Percent this group forms of total3------------ ----Eye............................................................................ Ear--------- -------------------------------------- -------- 3 Based on number with disease and age reported. 4 Groups with less than 10 have been combined. 6 Excludes 2 women with age not reported. 7 Excludes 1 woman with age not reported. 8 Excludes 3 women with age not reported. 2 1.7 20 16.7 3 2.1 2 1.4 7 5.8 5 8 13 22 18 32 5 3 12 4 6 3 7 6 6 4 7 3 5 8 6 78 14.9 34 28. 3 20 14.3 14 9.9 10 8.3 15 52 11 3 29 2 3 14 3 7 5 2 2 4 4 53 10. 1 7 5.8 19 13.6 17 12.0 10 8. 3 25 28 3 4 9 10 6 11 7 3 f 106 20.3 16 13.3 31 22. 1 41 28.9 18 14.9 79 21 10 3 9 3 5 1 26 2 4 1 30 12 14 4 1 1 ILLNESS 33 ILLNESS AND AGE Certain illnesses that befall the human race are closely related to age, while others may occur at any time in the life of the individual. Many of the ailments of which these women were victims are diseases °f. youth as well as of age. Medical attention of the proper sort, ad ministered with little or no delay, would have prevented some of the disabilities found existing in these women. Diagnosed cases. For all but 4 of the 289 women the diagnoses of whose diseases were recorded m the C. R. A., the patients’ ages were reported. The corre lation of disease and age is given in table 5. The distribution of the women in the various age groups is surprisingly even, ranging only from 69 women at SO and under 60 to 75 at 40 and under 50. The aggregate of the disease-group totals is large (534), indicating that very many women appear in more than one group. Diseases of the body as a whole constitute the largest group, with age reported for all but 1 of the 100 wqmen. Only one-third of’them were as much as 50 years of age, not quite one-eighth being as much as 60. Seven in 10 of the women with syphilis—much the most frequent disease—were under 50; 3 in 4 of these with tuberculosis were under 40, and none were so much as 60. The disease group second in size—the cardiovascular, with a total of 88 women—had age reported for 85. Only 9 women under 40, in contrast to 32 of those as much as 60, had diseases in this group. Heart trouble was the most common disorder, followed by high blood pressure (hypertension). As might be expected, the musculo-skeletal group (73 in all, 72 reporting age) were chiefly women at least 50 years old. Arthritis and rheumatism, much the most common diseases in this group affected only one woman of less than 40 years. The 57 women with mental disorders were fairly evenly distributed as to age. The largest group of cases—17—were diagnosed as psycho-neurosis. Diseases of the urogenital system—nearly three-fourths of them gynecological—decreased with age, only 8 of the 42 women being as much as 50. The digestive-disease group contained 44 women, but for 1 of them age was not reported. More than one-half the women (24) were at least 50 years old. All the 7 with gastritis or gastro-enteritis were 50 or more, but none of the 5 with colitis were so much as 40. The other disease groups ranged in size from 35 to 9 women. (For details see table 5.) Among the women of 50 and over, diseases of the cardiovascular system ranked first and those of the musculo-skeletal system ranked second. Among the women of under 50 years, diseases of the body as a whole—chiefly syphilis and tuberculosis—ranked first, followed by the urogenital group among the youngest women and by heart diseases aiming the women of 40 and under 50. It would appear, from the indications of these fairly small numbers, that diseases affecting the body as a whole decreased with age and ceased to be important at 60 years, and that diseases of the cardiovascular and the musculo skeletal systems, which increased steadily with age, were unimportant 34 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 19 3 7 among women under 40. A multiplicity of diseases, with the diag nosed disabilities of one woman appearing in more than one disease group, were slightly more common among the women of 40 and under 50 than among the others. All women with diseases specified. The much larger groups that include all women, instead of only the cases professionally diagnosed, are shown by age in table 6. All but six of the women reporting diseases also reported their ages. Nine of the 17 women with mental deficiencies were not yet 40 years of age, but 5 were at least 50. Eight of the 20 with psycho-neurosis were 50 or older, as were 8 of the 15 with psychopathic personality. One-third of the 52 women who reported that they had syphilis, and 10 of the 18 with tuberculosis, were under 40. Five of the 15 suffering from malnutrition and 4 of the 17 victims of obesity were under 40, but more than one-half of the latter group were at least 50. Not many of the younger women had diseases of the musculo skeletal system. Nearly seven-tenths of the 99 women with arthritis and rheumatism were at least 50 years old. Diseases of the respira tory system likewise -were more common among the older women. Only 3 of the 26 women having bronchitis were under 40 years; 8 were at least 60. Heart trouble also was found to be more prevalent among the older women. More than three-fifths of the 92 women with a cardiac affection were 50 years or older. Fifteen of the 24 with heart trouble and high blood pressure, 21 of the 30 with high blood pressure alone, were at least 50. Diseases of the hemic, lymphatic, and endocrine systems were not especially afflictions of age, though 15 of the 22 cases of thyroid dis turbance were at least 50 years old. Ten of the 15 cases of anemia were women below 50. More detailed figures for digestive disorders show that 5 of the 8 cases of colitis and 3 of the 8 of chronic constipation were women not yet 40. Fifteen of the 18 with some gall-bladder ailment and 17 of the 22 with certain gastro-intestinal illnesses were 40 or more. Not far from three-fifths of the 52 women with some gynecological complaint were under 40. Diseases of the central nervous system were not common among the young. Only 1 of the 4 suffering from syphilis of the central nervous system, only 3 of the 25 who had neuritis, and only 1 of the 6 with neuralgia were under 40. Only 9 of the 79 women with eye trouble, and only 3 of the 21 with a disease of the ear, were below 40 years, but 5 of the 10 with a nose and throat affection were not yet 40. Incidence of disease among whites and Negroes. Table 7 correlates disease with nativity and color of the women studied. _ . When mental diseases and deficiencies were examined as to their frequency among the women, about the same proportion, approxi mately one-fifth of the native whites and one-sixth of the foreignborn, in contrast to only about one-twentieth of the Negroes, fell in this group. ILLNESS 35 In diseases of the body as a whole, nearly two-fifths of the Negroes, about three-tenths of the native whites, and about one-sixth of the foreign-born were so classed. These great differences were due to a large extent to the number of cases of syphilis reported. Only small proportions—1 in 40 of the whites, about 1 in 60 of the Negroes, and 1 in 25 of the foreign-bom—had a disease of the integu mentary system. More nearly similar proportions—roughly one-fourth of the native whites and of the Negroes and one-third of the foreign-born—had some disease of the musculo-skeletal system. This larger proportion of the foreign-born may be due to the fact that these women were older than the others. . Roughly one-ninth of each of the three racial groups had some disease reported as respiratory. Heart trouble and its respective ills were reported for nearly onefourth of the native-white women and for one-third of the Negroes and of the foreign-born. Diseases of the hemic, lymphatic, and endocrine systems, mainly thyroid trouble and anemia, were reported for about one-tenth of the native whites, for only about one-twentieth of the Negroes, and about one-fourteenth of the foreign-born. The proportions of the three groups of women who were victims of digestive diseases varied less; roughly one-sixth of the native whites and of the foreign-bom and about one-seventh of the Negroes, had some ailment thus classified. Urogenital diseases, a large part of which were gynecological com plaints (more common to the Negroes than to the whites), were reported for one-fifth of the Negroes, about one-eighth of the native whites, and about one-twelfth of the foreign-born. About one-eighth of the native-white women and almost as large a proportion of the Negroes, as compared with only about 1 in 20 of the foreign-born, had some nervous disease. The largest numbers of these cases bad neuritis. Practically one-fourth of the foreign-bom and the Negroes, and about one-seventh of the native-born whites, had some disease of the organs of special sense. For the most part, the eye was the organ affected. Table 7.—Diseases affecting the women, by nativity and color of women Number of women with diseases reported as specified Disease as reported Native-born Total women 1 White Women with disease and nativity reported______ ________ Cases of disease-. __________________ _________ Mental diseases or deficiency: Number of women reporting.......... ........................... ..... Percent this group forms of total *__________________ Mental deficiency_____ ___________ ____ __ Psycho-neurosis__ ____________________ Psychopathic personality ________________ Other 6_______________ ____ _________________ For footnotes see end of table. Negro Foreignborn 2 526 1,000 215 403 210 408 101 189 3 71 13.5 41 19.1 12 5.7 18 17.8 16 20 15 22 8 12 9 14 3 6 2 1 5 2 4 7 36 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 19 37 Table 7.—Diseases affecting the women, by nativity and color of women—Continued Number of women with diseases reported as specified Disease as reported Total women 1 Body as a whole (physical): Integumentary system: Musculo-skeletal system: Respiratory system: Cardiovascular system: Hemic, lymphatic, and endocrine systems: Digestive system: Urogenital system: Nervous system: Organs of special sense: Percent this group forms of total4 - --------------- ---------------Other8-.................................................... ................................. Native born White born Negro 8 164 31.2 63 29.3 82 39.0 19 18.8 53 13 17 15 17 34 17 17 4 9 10 4 14 6 35 7 5 3 8 16 9 1 2 3 2 5 4 2 14 2.7 6 2.8 4 1.9 4 4.0 14 6 4 4 ^ 152 28.9 62 28.8 56 26.7 34 33.7 99 26 16 18 39 10 6 9 39 6 7 6 21 10 3 3 8 59 11.2 24 11.2 23 11.0 12 11.9 11 27 24 5 12 9 4 8 12 2 7 3 153 29.1 49 22.8 70 33.3 34 33.7 69 24 31 20 14 24 7 6 7 6 28 16 16 7 5 17 1 9 6 3 40 7.6 23 10.7 10 4.8 7 6.9 12 22 9 10 13 1 2 5 4 4 4 84 16.0 38 17.7 29 13.8 17 16.8 13 23 18 32 3 11 12 13 7 8 3 12 3 4 3 7 78 14.8 27 12.6 42 20.0 9 8.9 15 52 11 7 16 4 6 30 6 2 6 1 53 10.1 26 12.1 22 10.5 5 5.0 25 28 11 15 12 10 2 3 107 20.3 73 16 19 33 15.3 20 8 6 50 23.8 37 1 12 24 23.8 16 7 1 1 Details aggregate more than totals because many women had more than one disease. 2 Of the 604 women, 49 had no disease, for 26 the disease was not reported, for 3 nativity was not reported. 3 Excludes 2 women with nativity not reported. 4 Based on number with disease and nativity reported. 6 Groups with less than 10 have been combined. 6 Excludes 1 woman with nativity not reported. 37 ILLNESS Estimated extent of incapacity. To serve as a means of determining how incapacitated these women were, all the pertinent data for each individual were evaluated by the director of the study and the agent responsible for the interview. Significant categories were set up and nearly all the women were classified in one of the following: Totally incapacitated (permanently or temporarily): Can care for self. Cannot care for self. Partially incapacitated due to— Age. Physical condition. Mental condition. Mental and physical condition. Mental condition and age. Not incapacitated. The task was not a small one and the results are far from perfect, but the conclusions should be of some value and they are presented for what they are worth. Attention is called to the fact that the categories have been labeled “estimated extent of incapacity.” It was thought at first that some percentage basis could be worked out on which all the women could be scored, but the difficulties in this were insurmountable. Of the 591 women for whom incapacity has been estimated, ap proximately one-fourth were considered to be totally disabled, about five-eighths partially so, and only about one-eighth were estimated as physically fit. Naturally, the proportion of those totally incapacitated increased with age. Of the 142 women who were under 40 years old, 17, or about 1 in 8, were totally incapacitated; however, none of these 17 were physically unable to care for themselves. Twenty-three, or more than one-seventh, of the 155 women 40 and under 50 years of age were completely disabled; 3 of these 23 could not care for themselves physically. One in 4 of the 153 women 50 and under 60 years old, were wholly incapacitated; 2 of these 38 were unable to care for themselves. An even larger proportion, exactly two-fifths, of the 135 women who were 60 and under 65 were entirely incapacitated, 9 of the 54 being unable to care for themselves in any respect. Table 8.—Estimated Extent and cause of incapacity Total Total incapacity_______ ____ Can care for self Partial incapacity..................... Physical.............. ................ Mental and physical No incapacity apparent.......... extent and cause of incapacity, by age Women with age and incapacity reported Women whose ages were— 21, under 40 years 40, under 50 years 50, under 60 years 60, under 65 years Num ber Per cent Num ber Per cent Num ber Per cent Num ber Per cent Num ber 585 100.0 142 100.0 155 100.0 153 100.0 135 100.0 132 14 118 375 80 224 19 42 10 78 22.6 2.4 20.2 64. 1 13.7 38.3 3.2 7.2 1.7 13.3 17 12.0 17 83 12. 0 58.5 70 9 4 49.3 6.3 2.8 38 2 36 102 23 60 3 15 1 13 24.8 1.3 23.5 66.7 15. 0 39.2 2.0 9.8 .7 8.5 40.0 6. 7 33.3 57.0 40.7 3.0 29.6 14.8 1.9 12.9 72.9 1.3 58. 1 4.5 8.4 .6 12.3 54 9 45 77 55 4 42 23 3 20 113 2 90 7 13 1 19 10 8 4 7.4 5.9 3.0 Per cent 38 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 193 7 Close to three-fifths of the 142 women under 40 years of age were partially incapacitated due to physical or mental causes—or both—a little more than 5 in 6 of these to physical causes alone, 1 m 9 to mental causes alone, and the remainder to both causes. Not far from three-fourths of those 40 and under 50 years old were partially disabled, about 4 in 5 of these due to physical conditions only and most of the remainder to mental or a combination of mental and physical causes Two-thirds of the 153 women of 50 and under 60 years fell in the group of partial incapacity. Among these women the first significant indication of age as a disabling factor is seen. Two in 9 of the 102 partially incapacitated were in that condition due to age, almost 3 m 5 due to physical handicap alone, and the remainder to causes that included a mental ailment. Almost three-fifths of the 135 women in the oldest group, 60 and under 65 years, were partially disabled, more than 7 in 10 of them by age. About 1 in 8 were disabled by a combination of mental and physical conditions, and just over 1 in 10 by mental condition and age. Great differences were noted in the proportions of the various nativity and color groups reported as having some incapacity Over three-tenths of the foreign-born—a group considerably older than the native-born—were totally incapacitated, as compared with about one-fourth of the native whites and slightly more than one-sixth of the Negroes. Though totally incapacitated as far as self-support was concerned, large numbers in each of the three groups could care for themselves physically. . , , The largest proportions of the women were partially disabled due to physical causes; about three-tenths of the foreign-born, one-third of the native whites, and somewhat under one-half of the Negroes were in this condition due to physical ills only. Much smaller proportions of the Negroes than of the other races were disabled due to physical conditions coupled with mental causes or age. Somewhat under onetwentieth of the native whites, in contrast to about one-fortieth of the foreign-born and of the Negro women, were incapacitated by mental causes only. . . . About 1 in 8 of all the women reported had no incapacity. One in 14 of the native whites, 1 in 4 of the Negroes, but only about 1 m 35 of the foreign-born were so reported. Illness and extent of incapacity. Though an illness prevents an individual from deriving the most out of life, the degrees of disability resulting vary greatly. Sometimes the victim is totally incapacitated but not permanently so, and m other cases a partial disability may be permanent. In the present study, many of the women who were incapacitated could be so improved by proper medical attention that they would be able to care for them selves, and those with temporary partial disability could be completely cured. Of the 26 women victims of psychoses or psychoneuroses, 5 were totally incapacitated and the remainder were partially so. Eight of the 17 mental defectives were completely disabled. _ Three of the 15 with a psychopathic personality fell in the totally disabled group. Total disability was suffered by one-third of the 50 women suffering from syphilis, exclusive of that of the central nervous system. A much smaller proportion, 4 in 34, of the women whose illness was attributed ILLNESS 39 to the menopause were completely incapacitated. Varying propor tions of the women whose illness was some other disability of the body as a whole—for example, 3 of the 13 with diabetes, 8 of the 18 with tuberculosis, 4 of the 14 with malnutrition, and 5 of the 17 with obesity—were totally disabled. It must be remembered that a few of these women had more than one ailment. Diseases of the integumentary system, the incidence of which was much less than that of most other classes, incapacitated one-half of the women affected. A large proportion, more than one-fifth, of the 99 women suffering from arthritis and rheumatism were totally incapacitated. Two of the 7 women suffering from fractures, 7 of the 26 who had some deformity not of recent origin, and 4 of the 16 with some disease of the feet were completely disabled. Asthmatic and bronchial conditions were disabling to some of the women. Three of the 11 victims of the first named and 2 of the 27 suffering from the latter were so classified. Large proportions of those suffering from heart trouble and its allied ills were completely disabled. Thirty-one of the 92 who had heart trouble only, 12 of the 23 who had heart trouble and high blood pres sure, and 9 of the 29 for whom only high blood pressure was reported, fell in this group. Seven of the 17 who had anemia and 9 of the 24 suffering from some thyroid disorder were totally incapacitated. Women suffering from diseases of the digestive system were totally incapacitated in one-fifth of the cases. Of the 60 women with gynecological complaints for whom extent of incapacity was noted, 10 were totally disabled. Six of the 21 with urinary diseases also were completely incapacitated. All 6 of the women with locomotor ataxia and 1 of the 4 with syphilis of the central nervous system were totally disabled. Seven of the 25 with neuritis were so classified. Approximately one-fifth of the 79 women with some disease of the eye were totally disabled, and 5 of the 21 suffering from an affection of the ear likewise were wholly incapacitated. Type of medical care received in January 1937.2 An examination was made of the type of medical care received by these women during January 1937. Though great stress has been laid on the urgent need of medical care for those ailing, only slightly more than one-half of the 529 reporting some illness were receiving such attention during that month. Seven-tenths of these 274 were being cared for at private clinics, paid for by the C. R. A., and about one-fifth were being served by some governmental health service. Of the large group needing medical care but not receiving it (250), about three-fifths had never been referred by the C. R. A., approximately one-fourth had failed to use the referral given them, and slightly more than one-tenth had refused care. 3 For a detailed account of relief in January 1937 see p. 71. EMPLOYMENT In the hope of securing valuable data as to the employment history of these women on relief, questions were asked as to the duration of their total work history; their usual occupation—the one at which ordinarily they had worked the most steadily; their alternate occupa tion—the one to which they turned when they no longer could find employment at their usual work; and a detailed work history from the autumn of 1929 to the date of study, February 1, 1937, a period cover ing more than 7 years in the lives of these women and including one of the worst depressions in the history of this country. For this detailed work history, questions were asked the clients as to the exact types of work pursued, the dates of employment, the earnings per month, the names and addresses of employers, and the reasons for leaving jobs. Needless to say, these facts concerning the employment of the women were most difficult to secure. When the usual employment was analyzed—that is, the work in which they made a living before reverses altered their lives—the 601 women (3 women did not report as to usual occupation) fell in three distinct classes. The largest group, comprising about seven-eighths (521) of the total reporting, had been employed women; 46 women, close to one-twelfth, had been in business for themselves; and 34, somewhat more than one-twentieth, had not been gainfully occupied. Number Women with own business Rooming-house keeper Dressmaker 10 Hairdresser 3 Miscellaneous 10 Percent 46 100.0 23 50.0 21.7 6.5 21.7 Women employed by others. 521 Manufacturing 86 Transportation and communication_____________ Trade 42 Professional service 29 Domestic and personal service 312 In private families 202 Not in private families 110 Clerical service 31 Miscellaneous________________________ ,_______ Two occupations concurrently 4 100.0 5 12 16. 5 1. 0 8. 1 5. 6 59. 9 38. 8 21. 1 6. 0 2. 3 .8 Women with own business. The small group of women who had been in business for themselves, with a past history obviously very different from that of the employed women, may be described briefly as follows: As their usual occupation, 23 of these women reported that they had kept rooming houses, 10 had been dressmakers, and 3 had been hair dressers. The remaining 10 had operated some sort of shop or res taurant, had managed their own building, or had been a caterer, chiropodist, embroiderer, canvasser. 40 EMPLOYMENT 41 They were not a young group. Twenty-nine, or nearly two-thirds, were as much as 50 years old, more than one-fourth being 60 or more. Nineteen were native whites, 17 were Negroes, and 10 were foreignborn. Most of the 37 women who reported on education in this coun try had gone no farther than grammar school; only 6 had attended high school. Of the 36 who reported the time they had been engaged in their own business, more than two-fifths had been so occupied for 20 years or longer. Eleven of the 15 who reported the time elapsed since they had given up business gave such time as at least a year. (For employ ment on principal job since 1929, see p. 46.) WOMEN EMPLOYED BY OTHERS Industry of usual occupation. Three-fifths of the 521 women who had been employed by other persons reported that their usual occupation had been in domestic and personal service. Nearly two-thirds of this group had worked in private families, while the remainder had been employed in restaurants, hotels, cafeterias, laundry or dry-cleaning establishments, beauty parlors, and so forth. The next group, about one-sixth, had been in manufacturing plants, the largest number in clothing factories and the next in food factories, including meat-packing plants. Trade pursuits had given employment to the next largest group, one-half as many as in manufacturing. By far the largest number of those in trade had been saleswomen in stores. Practically the same numbers had been engaged in clerical pursuits and professional service, 31 in the former and 29 in the latter. Table 9.—Industry of usual occupation, by nativity and color of women Native born Women re porting All industries______ _______ ___ Manufacturing____ ______ _____ Transportation and communication.......... Trade_______________ _ _ Professional service_______ Domestic and personal service____ In private families____ Not in private families_____ _ _ _ Clerical..._______________ M iscellaneous ............. Two occupations concurrently... Foreign born White Industry of usual occupation Negro Num ber Per cent i 519 100.0 204 100.0 221 86 5 41 29 311 201 110 31 12 4 16.6 1.0 7.9 5.6 59.9 38.7 21.2 6.0 2 3 .8 43 5 27 21 76 37 39 26 21.1 2.5 13.2 10.3 37.3 18.1 19. 1 12. 7 22 1 .5 Num ber Per cent Num ber Per cent Num ber Per cent 100.0 94 100.0 4 4 180 126 54 3 1.8 1.8 81.4 57.0 24.4 10 10 6 55 38 17 40.4 18.1 1 .5 2 2.1 1 Excludes 2 women with nativity not reported. When nativity and color were correlated with the usual occupation of the women, it was found that close to three-fifths of the Negroes, two-fifths of the foreign-born, and less than one-fifth of the native whites had worked, for private families. Approximately one-fifth of the native-born whites and the foreign-born, and almost one-fourth of the Negroes, reported their usual work to be in hotels, restaurants, 42 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 laundries, beauty shops, and so forth. More than one-fifth of the native-born whites and the foreign-born, but only one-tenth of the Negroes, usually were engaged in some manufacturing pursuit. No other industry had occupied more than 2 percent of the Negroes, but 11 percent of the foreign-born gave trade as their usual occupation and from 10 to 13 percent of the native whites were in professional service, in clerical service, and in trade. Of the women whose usual occupation was in private homes, fiveeighths were Negroes, the remainder being about equally divided between foreign-born and native-born whites. Of those in other domestic and personal service, about one-half were Negroes; more than two-thirds of the remainder were native-born whites. Of the manu facturing group, one-half were native-born whites, the others being about equally divided between Negroes and foreign-born. Twothirds of the women in trade were native whites; less than one-tenth were Negroes. In clerical service five-sixths and in professional service seven-tenths were native-born white women. Years worked. Three-fourths of the women who had been employed reported how long they had worked. For the most part they had had long work histories. Practically three-tenths had worked 25 years or more and a similar proportion 15 but under 25 years. About one-sixth had a work history of 10 and under 15 years, and the remainder, about onefourth, one of less than 10 years. All but two of the women who reported number of years worked reported age also. Naturally the older women reported the longer work histories. Close to two-fifths of the 36 women below 30 years .of age had worked under 5 years; less than one-fourth had been em ployed as long as 10 years. About one-sixth of the 68 who were 30 and under 40 had a work history of less than 5 years; close to threefifths had worked 10 but under 25 years. Seven-tenths of the 102 women who were 40 and under 50 had a work history of 10 years or longer, more than two-fifths reporting 20 years or more. Well over one-half of the 102 women of 50 and under 60 years had worked 20 years or more, two-fifths of them as long as 25 years. The majority of the 82 women as much as 60 years old had worked 25 years or longer. Age and occupation. The age distribution of women whose usual occupation was in domes tic and personal service was much the same for the group who had worked in private families as for the group who had not worked in families. The only significant difference was among the oldest women, with less than one-sixth of the women from private families but more than one-fifth of those from elsewhere. Roughly one-fourth of each group were under 40 years old and were 50 and under 60, and about three-tenths of each group were 40 and under 50. For the 86 women whose usual occupation was in a manufacturing pursuit, the age distribution was fairly uniform; but of the 42 who had been in trade, only 5 were under 40 and 14 were as much as 60. In professional service, more than three-fifths of the women were at least 50. Clerical workers, on the other hand, had their largest group— one-third—among the women under 40. EMPLOYMENT 43 Table 10.—Industry of usual occupation, by age of women Women whose ages weroWomen re porting Industry of usual occupation Num ber All industries. Manufacturing_______ _____ Transportation and com munication Trade___________ ____ _____ Professional service Domestic and personal serv ice______________ _______ _ In private families Not in private families... Clerical____________ _ Miscellaneous Two occupations concurrent ly......................... .................. 21, under 40 years 40, under 50 years 50, under 60 years 60, under 65 years Per Num Per cent 1515 100.0 25.0 86 100.0 25.6 22.1 26.7 25.6 5 42 29 (12) 100.0 100.0 11.9 27.6 23.8 10.3 31.0 20.7 33.3 41.4 307 199 108 30 100.0 100.0 100.0 100.0 25.7 27.1 23.1 33.3 30.6 30.2 31.5 23.3 25.7 26.6 24.1 17.9 16.1 21.3 23.3 12 cent (2) ber 129 Num ber 143 Per cent 27.8 Num ber 132 Per cent 25. f 20.0 Num ber 111 Per cent 21.6 (2) 1 Excludes 6 women with age not reported. 2 Percents not computed; base less than 25. Without, exception, in each age group the largest number of women had been m domestic and personal service in private homes, the next largest had been in domestic and personal service elsewhere, and the third largest had been in manufacturing. Trade stood next in all age groups but under 40 years, where clerical work and professional service both outranked it. ,.Jn sPite of this agreement in the rank of industries, their proportions differed considerably with age groups. For example, only 29 percent of the oldest women, in contrast to 40 or 42 percent in the other groups had worked chiefly in families; the proportion in manufacturing ranged from 13 percent among the women of 40 and under 50 years to 20 percent among those of 60 and over; the proportion in trade, from 4 percent among the youngest women to 13 percent among the oldestand the proportion in professional service, from 2 percent among the women of 40 and under 50 to 11 percent among the oldest women. Years in usual occupation. Of the 412 women who reported their usual occupation and the time spent in such work, close to three-fifths (236) had been engaged in some domestic or personal pursuit. Of these, 149 had been employed m private families, mainly as general houseworkers by the week or month or as day workers such as laundresses or cleaners. Well over one-half of these women (56 percent) had worked for 10 years or longer, and close to three-tenths (29 percent) for 20 years or more, in their usual occupation. Among the 87 whose usual work was domestic and personal but not in private families, a somewhat smaller proportion (51 percent) had worked as much as 10 years, and less than one-fifth (18 percent) had worked 20 years or more. Practically one-half of those whose usual occupation was in some manufacturing line had been so employed for 10 years or more, ap proximately one-fifth for as long as 20 years. 61957°—38----- i 44 UKATTACHED WOMEN ON BELIEF IN CHICAGO, 193 7 Over three-fifths of the 34 women in trade had worked in this line for 10 years or more, close to three-tenths for as long as 20 years. Almost'one-half of the 27 in clerical work had been employed as long as 10 years, but only 2 of them for as long as 20. More than one-half of the 24 in professional wrork had been employed at least 10 years, and 1 in 3 had been so engaged for at least 20 years. Schooling and occupation. Of the 434 women with education and usual occupation reported, 32 had had no schooling. Seven-tenths had been to grade school only, between one-sixth and one-seventh had attended high school, and a small number (almost 6 percent) reported some college training. Two-thirds of the women with no schooling had been domestic workers in private homes and one-sixth had been in other domestic and personal service. Of those with grade schooling, just over 41 percent had been house hold employees and 23 percent bad been in other domestic and per sonal service. Manufacturing industries had employed 17 percent, and trade most of the remainder. . The women with high-school training, and the small group with some college training, were widely distributed industrially, but only in clerical work—with 16 percent of the high-school group and 17 per cent of the college group—was the representation similar. Twentyeight percent of the high-school women, in contrast to 4 percent (1 woman) of the college group, were household employees, but 16 per cent of the first named and 21 percent of the second named had been in other kinds of domestic and personal service. A larger proportion of the high-school group than of the college group had been in manu facturing industries, but the opposite was true. of trade; and 2 in 7 of the college women, but only 2 in 15 of the high-school women, had _ . been in professional service. Glancing at the distribution by schooling of the women in the various industries, it is apparent that just over three-fourths of those from each branch of domestic and personal service and from manufacturing, more than four-fifths of those from trade, and one-half of the clerical workers had not gone beyond grade school. Three-eighths of the last named had not gone beyond high school and more than seventenths of the women who had been in professional service reported college or high-school training. Incapacity and occupation. With the idea in mind that the usual occupations pursued by these women might have some relation to their incapacities, as evident at time of study, these two factors have been correlated. Only 13 percent of the 508 women reported had no incapacity. These comprised from one-sixth to about one-eighth of the women who had been in household employment, professional service, clerical service, and trade, and one-tenth or one-eleventh of those who had been in manufacturing and in domestic and personal service other than in households. _ . Twenty-two percent of the women were totally incapacitated. This condition was most common in the manufacturing group—not far from three-tenths of the women being totally incapacitated—but in both trade and clerical service more than one-fourth were so re ported. In the household-employment group more than one-fifth of 45 EMPLOYMENT the women, and in other domestic and personal service and profes sional service just over one-sixth, were said to be wholly incapacitated. Almost _ two-thirds of the women (65 percent) were reported as partially incapacitated, the proportions ranging from 61 percent of the clerical workers to 73 percent of those in domestic and personal service not in households. In most cases, much the largest proportion of these women—from one-half in trade to almost four-fifths in house hold employment—had a physical disability, a number of them having a mental ailment as well. For two-fifths of the women who had been in professional service and who were partially incapacitated, the cause was age. For almost one-half of those who had been in trade the same was true, some of these cases being a combination of age and mental disorders. Time since last employed. In an endeavor to determine the relation between the usual occupa tion and unemployment, the time elapsed since the loss of the most recent job since 1929 has been correlated with usual occupation. Though not quite one-half of the women whose usual occupation was in employment for other persons reported the time elapsed since the loss of their latest job in the years since 1929, an analysis has been made of these data. Table 11.—Time unemployed between last job since 1929 and date of study, by industry of usual occupation Women reporting time unemployed since last job Industry of usual occupa tion Total re porting Under 1 year 1, under 2 years 2, under 3 years 3, under 4 years 4 years and over Num Per Num Per Num Per Num Per Num Per Num Per ber cent ber cent ber cent ber cent ber cent ber cent All industries Manufacturing Transportation and commuriication Trade_____ .. ... Professional service Domestic and personal service In private families___ Not in private families Clerical___________ ____ _ Miscellaneous Two occupations concurrently- . ______ . 1256 100.0 78 30.5 57 22.3 47 18.4 33 12.9 41 37 100.0 12 32.4 8 21.6 6 16. 2 7 18.9 4 2 20 11 (2) (2) (?) 162 100.0 101 100.0 61 100.0 17 (2) (’) 5 2 (!) 1 4 2 46 31 15 9 3 3 3 28.4 30.7 24.6 42 31 11 1 3 5 25.9 30.7 18.0 32 19 13 1 6 1 19.8 18.8 21.3 16 11 5 16.0 9.9 10.9 8. 2 26 9 17 3 16.0 8.9 27.9 1 1 Excludes the women who had not worked since 1929 and those who could not supply the detailed in formation. 2 Percents not computed; base less than 25. Close to one-half of the 256 women reporting had been unemployed for 2 years or more. Almost one-sixth had had no work for at least 4 years. For only about three-tenths was the unemployed period less than a year. Of the 101 women whose usual employment was in private families, close to two-fifths had been unemployed for at least 2 years, more than one-twelfth for as long as 4 years. As in the case of all women re ported, approximately three-tenths had been out of work less than for a year. 46 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Among the 61 women who had been in domestic and personal serv ice not in private families, almost three-fifths had been unemployed for 2 years or longer, approximately three-tenths for 4 years or more. About one-fourth had been without work for less than a year Of the 37 women whose usual employment was in some manufactur ing line, not far from one-half had been out of work for as long as 2 years, 1 in 9 of them for 4 years or more. Of the groups of any size, the 20 women m trade employments had the largest proportion unemployed for at least 4 years, 6 of these women being so reported. WOMEN REPORTING THEIR PRINCIPAL JOB SINCE 1929 Since it was not possible to examine in detail all the jobs reported since the autumn of 1929, the job of longest duration in this period, characterized for the purposes of this study as the principal job, has been selected for analysis. The industry of such principal job was reported by 464 women, comprising 425 of those who usually were in the employ of others and 39 of those who usually had their own business. As many as 65 women had had no employment since 1929 that could be dignified by the term “principal job,” and for 41 the information was not reported. . . , , Sixty-three percent of the women reporting their principal job had been in domestic and personal service, twice as many in private, families as elsewhere. Almost three-tenths, fairly equally divided, had been in manufacturing, in some trade line, or in their own busi ness. The group last named, composed of 45 women, included 27 who formerly had been self-employed and 18 who had entered busi ness on their own account since 1929. The remaining one-tenth were in professional service, clerical work, and the miscellaneous class, and the group holding two occupations concurrently. Relation between usual occupation and principal job. Were the jobs that the women had held longest in the period since 1929 the same as their usual occupations, or had they been forced during the depression years to take jobs other than those lor which their ability and training fitted them? This question can be answered for all but 1 of the 464 women whose principal job was reported. Approximately seven-eighths (149) of the 174 women whose usual occupation was in service for private families reported their principal job since 1929 as the same. Of the remaining 25, 16 had gone into other lines of domestic and personal service, 4 had been in some manu facturing line, and 3 in business for themselves. Seven-tenths of the 93 women reporting their usual occupation as in domestic and personal service not in private families had been in such work on their principal job since 1929. Not far from one-filth had found work with private families, three had worked in some trade, one had done clerical work, and five had gone into private business. Well under three-fifths (55 percent) of the 62 whose usual occupation was in manufacturing reported their principal job since 1929 also m manufacturing—a smaller proportion than that shown for any other group but the clerical. Twelve women had secured jobs in private families and five had done other domestic and personal work, hour women had been in some trade line, one had done clerical work, and four had gone into business. 47 EMPLOYMENT Almost two-thirds of the 37 women whose usual occupation was in trade reported such as their principal job also. Three of these women had done domestic work in private families and four had been employed in other domestic and personal pursuits. Two had gone into clerical work, one into manufacturing, and one into own business. Two in three of the 21 women whose usual occupation was in pro fessional service reported their principal job also in such work. Three had gone into some domestic and personal pursuit, and one each into manufacturing, trade, and own business. Table 12.—Principal job since 1939, by industry of usual occupation Women whose principal job since 1929 was as specified Industry of usual occupation Total re porting Manufac turing Profession al service Trade Domestic and personal service Total In private family Num Per Num Per Num Per Num Per Num Per Num Per ber cent ber cent ber cent ber cent ber cent ber cent All industries i 463 100.0 41 8.9 42 9.1 291 62.9 193 41.7 62 100. 0 34 54. 8 4 6. 5 17 27.4 12 19.4 24 1 64.9 2 7 3 18.9 3 2 3.2 165 83 94. 8 89 2 Manufacturing _____ _ Transportation and communication Trade____ _ __............ Professional service Domestic and personal In private family____ Not in private family. Clerical_____ ________ Miscellaneous________ Two occupations concurrently... ______ .. (?) 3 37 100.0 (2) 21 267 100. 0 174 100.0 93 100.0 (2) 21 9 (2) 4 39 100. 0 1 1 2.7 4 4 2.3 15 3.2 14 8.1 149 85 6 18.3 3 1 2. 6 1 7 17. 9 1 7.7 5.1 Women whose principal job since 1929 was as specified Domestic and per sonal serv ice Industry of usual occupation Clerical Miscella neous Two-occu pations con Own busi ness currently Not in pri vate family Num Per Num Per Num Per Num Per Num Per ber cent ber cent ber cent ber cent ber cent All industries___ ______________ Transportation and communication___ Professional service. _ Domestic and personal service Not in private family Clerical_______________ ____ Two occupations concurrently____ ... Own business... _______ 98 21.2 12 2.6 9 1.9 5 8.1 1 6 2 3.2 4 1 82 16 66 3 2 10. 8 1 1 2 30. 7 9. 2 71. 0 1 .4 1 7 1.1 1 2.6 8 45 9.7 6.5 1 1 5 1.7 1 1 5.4 2.7 1.1 5 4 1 2.6 27 69.2 1 Excludes 34 women never gainfully occupied, 65 with no principal job since 1929, and 42 not reporting complete data. 2 Percents not computed; base less than 25. 48 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 1937 Of the 21 whose usual occupation was clerical, only 1 in 3 reported this as their principal job since 1929. Five had done household work and three some other line of domestic and personal service, two had found jobs in trade, and two had gone into business. Of the 39 women formerly in business for themselves who reported as to their principal job since 1929, 27 had still been in private busi ness, 7 had been in some trade employment, 3 had entered domestic and personal service, and 1 manufacturing. Principal job and age. A correlation of principal job with age indicates for certain of the larger groups the changes due to loss of employment in the usual occupation. Of the women who were at least 50 years of age, a considerably larger proportion had done household work since 1929 than reported such work as their usual occupation. Trade had employed somewhat more of these older women than formerly. Manufacturing, clerical work, and professional service, on the other hand, all had employed during the depression smaller proportions of women as much as 50 years old than had been in these lines of work in earlier years. There were only slight changes in own business and domestic and personal service not in private families. Of the women under 40, larger proportions than before had been m trade and in both types of domestic and personal service. The pro portion in professional service remained about the same, but manu facturing, clerical work, and own business employed smaller propor tions than before. Principal job and nativity. A considerably larger proportion were native whites among the women in household employment during the depression than among those who reported such work as their usual occupation. ... . Not far from one-hall' of the native-white women had their principal job during the depression in domestic and personal service, fiveeighths of them in private families and three-eighths in other places so classed. Something over one-lialf of the Negro women reported their principal job since 1929 as in private families, as did two-fifths of the foreign-born women. . Manufacturing had given work to one-tenth of the native-white and foreign-born women and to less than one-twelftli of the Negroes. About 1 in 6 of the native-born white and 1 in 8 of the foreign-born, as compared to only 1 in 50 of the Negro women, reported a trade occupation as their principal job. Practically one-eighth of the native-white women, one-tenth of the foreign-born, and about onetwelfth of the Negroes had been in business for themselves. Duration of principal job. Since these principal jobs, so called, were those of longest duration in a period of more than 7 years, inquiry was made as to how long they lasted. Of the 258 women reporting the time worked at their prin cipal job, less than 1 in 8 reported that it lasted as long as 5 years. For well over one-half of the women (55 percent) the duration was less than 2 years, for three-tenths it was less than 1 year. For just under two-fifths of the women supplying the information, the principal job had been in household employment, and for over EMPLOYMENT 49 one-fourth it had been in other domestic and personal service. Besides these, only manufacturing was reported by as many as 25 women. Of these three lines of employment, work in private homes had the highest proportions, and manufacturing the lowest, of jobs that lasted less than 1 and less than 2 years. Cause of leaving principal job. As would be expected, for the great majority of the women the cause of leaving the principal job was industrial in nature. Of the 392 women who reported the reason for loss of job, almost two-thirds gave an industrial cause. In almost one-half of these 251 cases the business shut down, in more than one-fifth the force was reduced, and about 1 woman in 16 left because the wages were too low. About seven-tenths of the 141 women who quit their principal jobs for personal reasons did so because of illness. Among the largest groups of women reporting on cause of losing job, the proportions quitting, their jobs because of illness ranged from one-fifth of the women in own business to almost one-third of those in trade. Only five women left the job because they secured a better one. About one-sixth of the women engaged in some manufacturing pur suit, as compared with practically one-fifth in trade and two-fifths in domestic and personal work, left because of the closing of the business. More, than one-half of the women who had been employed in private families, but less than one-fourth of those in other domestic and per sonal service, left their jobs because the jobs themselves no longer existed. More than one-fourth of the domestic and personal workers employed elsewhere than in private families lost their jobs due to a reduction in force. Close to two-fifths of those in manufacturing lost their jobs because of a reduction in force, as did about one-eighth of those in trade. Well over three-fourths of the women in their own business gave up this work for industrial reasons. Earnings on principal job. Earnings on the principal job were reported for well over threefifths of the women. Of the 292 women for whom earnings were recorded, 18 (all but 1 of them in private families) had worked for room and board only and had received no cash wage. More than one-third of the remaining 274 reported an addition to the cash wage in the form of meals, lodging, or both; practically all of these were in domestic and personal service. About one-sixth of the 274 women had earned less than $15 a month in cash wages 1; one-fifth had earned $15 and under $30, and one-fifth $30 and under $45; and one-seventh in each case had earned $45 and under $60, $60 and under $75, and $75 and over. The average (median) earnings for the whole group were $40. Of the 195 women in some domestic and personal work who had received a cash wage, more than one-sixth had earned less than $15practically one-fourth in both cases, $15 but under $30 and $30 but under $45; almost one-sixth, $45 but under $60; and approximately one-tenth in both cases, $60 but under $75 and $75 and over. For the whole group the average earnings were $34. Not quite one-half of the 195 women had had some addition to their cash wage. i In cases where week's earnings were secured at time of interview, they were converted to month's earn- inas hv milltmhnnrr htr AlA ° “ 50 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Large proportions of the 117 women who had done domestic work in private families had been paid small amounts in cash, but well over one-half (56 percent) had received, in addition, room or meals or both. More than one-half had earned below $30, and less than one-fifth had earned as much as $45. The average for the group was $25. In contrast to these large proportions with such low earnings, less than one-fifth of the women in domestic and personal service other than in private families had earned below $30, and well over onethird had earned $60 or more. The average earnings of this group were $52. Somewhat under two-fifths of these women, compared to well over one-half of those in private homes, had been given sup plements to their cash wages. When month’s earnings in all the industries were correlated with nativity and color, it was found that not quite one-third of the native whites, as compared with close to two-fifths of the Negroes and well over one-third of the foreign-born, had earned less than $30. Almost identical proportions, about three-tenths, of the native whites and of the foreign-born, in contrast to more than two-fifths of the Negroes, had earned $30 and under $60. For practically two-fifths of the native whites, a little over one-third of the foreign-bom, but less than one-fifth of the Negroes the earnings had been $60 or more. The highest average was $44, that for the native-white women; the next was $40, for the foreign-born group; and the lowest was $38, for the Negroes. EMPLOYABILITY Within the past few years the question of employability has become one of recognized importance. Due to the long depression that began in the fall of 1929 and brought with it such enormous declines in employment, much attention has been focused on the factor of employ ability of men and women. An “employable person” as defined by the C. ft. A. is one who is working or is able to work, is 18 but less than 65 years of age, is not engaged in the care of a family nor attending school, and whose health or behavior habits are of such a nature that employment would not be detrimental to his health or safety or to the health or safety of others. For certification for W. P. A. employment in Chicago, the definition of employability is much stricter: It excludes those who are needed at home to care for small children or invalids, and those who have had no previous paid work experience, except young people who have had no opportunity for work experience. Available on every case record reviewed at the C. R. A. district offices was a statement as to whether or not the client was employable. This diagnosis, made to establish the client’s relief status, obviously was confined to the existing condition without reference to a possible improvement in the future, and no one even temporarily too disabled to work could be considered employable. This being true, large numbers of women besides all those of 65 years or more were considered by the C. R. A. to be unemployable. The Women’s Bureau, on the other hand, was concerned particu larly with the prospects of rehabilitation in the hope that eventually most of the women might be restored to a self-supporting status. Consequently, there was added to the schedule a question as to whether the client was considered by the interviewer to be employable, handicapped but still employable, or unemployable. In tabulating and analyzing the material, the women reported as unemployable have been divided into those temporarily and those permanently unemployable. The classification by the C. R. A. thus comprises two groups— employable and unemployable; that by the Women’s Bureau comprises four- - employable, employable but handicapped, unemployable tem porarily, and unemployable permanently. To distinguish between these two classifications, the data copied from the office records are characterized in this section of the report as C. R. A. and those secured at the time of the interview by the Women’s Bureau as W. B. Women considered employable on records of C. R. A. Of the total group of 604 women included in the study, only threetenths were recorded as employable by the Chicago Relief Administra tion. When the records of the women in the various districts were compared, the proportion of employable women was found to range from less than one-tenth in one district to one-half in another district. In only 4 of the 14 districts were as many as 40 percent of the women considered employable. 51 52 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 As would be expected, the unemployables were more numerous among the older women. Almost three-tenths of the unemployables were at least 60 years old, and more than one-fourth were 50 and under 60. However, a surprisingly large proportion, almost 1 in 20, were less than 30 years old. In contrast to these figures, less than onetenth of the employables were as much as 60 and about 1 in 8 were not yet 30. Women considered employable at time of survey (W. B.).1 Of the 589 women whose employability status was reported by the interviewers, one-sixth (17 percent) were considered wholly employ able, almost as many (16 percent) were employable but handicapped, and practically three-tenths (29 percent) were unemployable only temporarily. Though the largest group of the women, almost twofifths, were considered permanently unemployable, a combination of the proportions just cited shows that three-fifths (61 percent) of the total were estimated at the time of interview as being immediately or potentially employable. This is a challenging fact that should provoke thinking and planning to provide employment for the one-third who are able to work, and to so improve the condition of the large group who are only temporarily unemployable—almost three-tenths—that they too may become self-supporting. Age of these women (W. B).—Only about 7 percent of the 583 women with age and employability reported were less than 30 years old, but 21 percent of the women obviously employable, in contrast to a little over 1 percent of the permanently unemployable, were under 30. Though practically one-half of the total group were at least 50 years old, less than one-fourth of those wholly employable and almost fourfifths of those permanently unemployable were women of 50 or more. The direct relation between age and employability as measured by physical and mental condition is apparent. Practically without ex ception, employability declined and permanent unemployability increased with increased age. For the five age groups in table 13, the proportions of women who appeared to be quite employable as far as physical or mental condition was concerned were very roughly, from youngest to oldest, 1 in 2, 1 in 4, 1 in 6, 1 in 8, and 1 in 23; and the proportions who were permanently unemployable ranged down ward from 1 woman in 14 of the youngest group to 3 in every 4 of the oldest. Table 13.—Employability, by age (W. B.) Women with employability estimated by interviewers All women Age (years) Employable Employable but handi capped Temporarily unemploy able Permanently unemploy able Per cent Num ber Per cent Num ber Per cent Num ber Per cent Num ber Per cent Num ber ----- 583 100. 0 99 100.0 92 100.0 167 100.0 225 100.0 60, under 65 _______________ 43 100 152 153 135 7. 4 17. 2 26. 1 26. 2 23. 2 21 27 27 18 6 21. 27. 27. 18. 6. 4 9 24 31 24 4.3 9.8 26. 1 33.7 26. 1 15 52 66 30 4 9.0 31.1 39. 5 18.0 2. 4 3 12 35 74 101 1.3 5. 3 15. 6 32.9 44. 9 Total reported... 2 3 3 2 1 1 For definitions of various degrees of employability, see footnotes on pp. 67 and 68. EMPLOYABILITY 53 Marital status (IT. B.).—When marital status and employability were inquired into, it was found that a somewhat larger proportion of the separated women than of the other groups were employable. More than one-fifth of the separated women were in this group. The largest proportions of every group but that of the separated were classed as unemployable permanently, the range being from about one-fourth of the separated women to about one-half of the widowed. Nativity and color (W. B.).—When nativity and color were corre lated with estimated employability, some interesting facts were dis closed. _ More than 1 in 4 of the Negroes and about 1 in 8 of the na tive-white women, in contrast to only about 1 in 25 of the foreignborn, were considered to be employable; when to these were added the handicapped and the temporarily unemployable, the proportions for whom employment seemed practicable were respectively 75 percent, 56 percent, and 42 percent. The permanently unemployable group formed the largest propor tion of the foreign-born, nearly three-fifths being so classed. In this employability group were more than two-fifths of the native whites and about one-fourth of the Negroes. The proportions of the three nativity groups considered employable by the C. R. A. were about two-fifths of the Negroes, one-fourth of the native-white women, and somewhat more than one-fifth of the foreign-born. The facts presented illustrate the need of greater efforts on the part of relief officials, in cooperation with the employment service, to place these women in jobs. Usual occupation (IT. B.).—With a view to determine whether one type of occupation had had a more serious effect than others in making the individual woman unemployable, a correlation was made of the factors of employability and usual occupation. Of the 508 women (including 45 with own business) for whom usual occupation was reported and employability was determined, almost three-eighths were unemployable permanently, just under three-tenths were unemployable temporarily, and almost exactly one-third—prac tically equally divided as to those with and those without a handi cap—were employable. Excluding only the permanently unem ployable, employment was considered possible for 64 percent of the total. The groups considered to be permanently unemployable ranged from 32 percent of the clerical workers, of the professional workers, and of the household employees to 49 percent of those whose usual occupation was in trade. Thirty-seven percent of those in other domestic service were considered as in this class, as were 45 percent of the women from manufacturing industries, and 40 percent of the self-employed. It is obvious that the remaining women in each industry—68 percent of the clerical workers, of the professional workers, and of the household workers, 63 percent of those in domestic and personal service other than in households, 60 percent from own business, 55 percent from manufacturing, and 51 percent from trade— were considered to be eventually employable. In contrast to this, 20 percent of the household workers, 16 to 18 percent of those from professional, trade, and clerical employments, and 13 percent from manufacturing and from domestic and personal 54 TIN ATTACHED WOMEN ON RELIEF IN CHICAGO, 193? service not in private families were considered to be immediately employable. Of the 45 women who had not been employed by others but had worked on their own account and whose employability was reported on, two-fifths were said to be unemployable permanently, somewhat under one-third wrere unemployable temporarily, and about threetenths were employable, not quite one-half of the last named being handicapped. Schooling {W. B.).—Though schooling, like several other factors, undoubtedly had much less influence on employability than age and physical disability had, a correlation has been made as a matter of interest. Of the women whose highest grade completed was in grammar school, less than one-third were considered employable; the largest proportion, more than one-third, were unemployable permanently and a slightly smaller proportion were unemployable temporarily. Of the women who had attended, high school, close to two-fifths were employable, with or without a handicap, and the remainder were unemployable, temporarily or permanently. Exactly one-half of the women with college training were employable, the remainder being unemployable, nearly three-tenths of them permanently so. Relation between employability and illness (W. B.). In correlating illness and employability, data concerning specific diseases as judged by the Women’s Bureau are shown on the accom panying table, but only the various classes of disability will be dis cussed in the text. The 49 women with no disability are excluded from this discussion. The women considered employable by the C. R. A. ranged from about one-twelfth of those with a mental disease or deficiency to about three-tenths of those with digestive disorders, with diseases of the urogenital system, and with affections of the eye, ear, nose, or throat. As would be expected from the statements already made as to the higher proportion considered employable by the interviewers at time of survey, much larger numbers of those affected by various illnesses were considered employable by the W. B. investigators than had been so classed by the C. R. A. Not far from one-fourth of those mentally ill or defective were considered employable by the investi gators, and an even larger proportion were considered only temporarily unemployable. For diseases of the body as a whole, the proportions considered employable by the C. R. A. and the W. B. were identical, but close to two-fifths of these illnesses were considered by the W. B. to render the client unemployable for only a temporary period. For illnesses of a cardiovascular nature, of the hemic, lymphatic, or endocrine systems, of the digestive system, of the urogenital system, and of the organs of special sense, the proportions were not very different, though in the judgment of the investigators on the study considerable proportions m each group—from about one-fourth to a little more than two-fifths—were only temporarily unemployable. Especially among the women with diseases of the respiratory system and with nervous or mental disorders were much larger proportions considered employable in the opinion of the investigators than were recorded as employable by the C. R. A. Obviously, these are types of disorders the severity of which fluctuates greatly from one date to another. EM PLOY ABILITY 55 Table 14.—Employability of women, by disease from which suffering (W. B.) Disease as reported All women 1 Employ Tempo Perma Employ able but rarily nently able handi unem unem capped ployable ployable Women with one or more disabilities—Number PercentCases of disease—Number___________________ Percent....................................... 2 515 100.0 988 100.0 53 10.3 82 8.3 84 16.3 160 16.2 158 30.7 290 29.4 220 42.7 456 46.2 Mental disease or deficiency: Number of women reported______________ Percent distribution_____________________ 3 71 100.0 2 2.8 14 19.7 18 25.4 37 52.1 17 19 15 22 2 2 2 6 5 9 10 7 3 12 * 161 100.0 18 11.2 21 13.0 63 39.1 59 36.6 51 13 18 14 17 33 17 9 4 4 2 1 2 5 3 17 4 12 7 3 15 5 21 5 4 6 11 7 7 Mental deficiency___________________ Psycho-neurosis________ ______ _______ Phychopathic personality____________ Other4___________ ____ _____________ Body as a whole (physical): Number of women reported______________ Percent distribution_________ ____ _______ Syphilis (exclusive of 4 cases in central ner vous system).......... ..... ..................................... Diabetes—_________ ___________________ Tuberculosis Malnutrition_____________ _______________ Obesity__________________________ _______ Menopause_____________ _____ ___________ Other4 Integumentary system: Number of women reported 4 Percent distribution Musculo-skeletal system: Number of women reported.______ ___________ Percent distribution Arthritis and rheumatism....................... .......... Old conditions and deformities Feet______ ____ Other 4._._______________________________ "Respiratory system: Number of women reported Percent distribution Asthma_______________ _______ __________ Bronchitis________ ____ __________________ Other4____ ____ ________ _________________ Cardiovascular system: Number of women reported Percent distribution Cardiac (exclusive of following)____________ Cardiac and hypertension Hypertension (exclusive of foregoing)............. Varicose veins__________________ _____ ___ Other 4................ .................. ................................. Hemic, lymphatic, and endocrine systems: Number of women reported Percent distribution_____________ ____ _ Anemia and secondary anemia Thyroid disturbances_____________ _______ Other4............................................................ ......... Digestive system: Number of women reported Percent distribution_____________ ____ _______ _ Gastritis, gastro-en teritis______________ ___ Ulcers________________ _____ ______ ______ _ Cholecystitis__________________ __________ Other4................................................................... Urogenital system: Number of women reported____________ ______ Percent distribution Urinary Gynecological complaints Other 4.._____ _________________ ______ ___ (•) 1 6 2 14 <*> 6 <«) 7 150 100.0 10 6.7 31 20.7 32 21.3 77 51.3 98 25 16 18 7 1 2 19 9 4 1 19 2 3 9 53 13 7 8 »59 100.0 9 15.3 12 20.3 18 30.5 20 33.9 11 26 24 4 5 3 4 5 2 9 9 6 9 5 7 150 100.0 7 4.7 18 12.0 39 26.0 86 57.3 68 24 29 20 14 1 12 3 1 2 20 5 5 5 6 35 16 22 8 8 6 15.4 1 4 1 11 28.2 5 6 1 22 56.4 10 10 2 14 17.1 2 4 1 7 24 29.3 2 5 7 10 33 40.2 8 7 10 9 1 5 s 39 100.0 16 20 4 3 82 100.0 13 23 18 29 11 13.4 1 7 3 3 76 13 7 33 23 100.0 17.1 9.2 43.4 30.3 15 2 3 4 6 11 51 3 27 10 10 1 2 7 1 Details aggregate more than totals because many women had 2 or more diseases. 2 Excludes 49 women with no disability and 40 with nature of disability or employability status not reported. 3 Excludes 2 women for whom employability was not reported. 4 Groups having less than 10 women have been combined. 6 Excludes 4 women for whom employability was not reported. 6 Percent not computed; baseless than 25. 7 Excludes 3 women for whom employability was not reported, s Excludes 1 woman for whom employability was not reported. 56 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Table 14.—Employability of women, by disease from which suffering (W. B.)—Con. Disease as reported Nervous system: Number of women reported............ ............... ......... Percent distribution_______ _______ ______ Neuritis__________ ____ ___________ ______ Organs of special sense: Number of women reported__________________ Percent distribution. __ ------------------------------Eye------------------ ------ -----------------Ear. _____ Nose and throat................................................. All women Employ Tempo Perma Employ able but rarily nently able handi unem unem capped ployable ployable 53 100.0 2 3.8 9 17.0 10 18.9 32 60.4 25 28 2 5 4 5 5 13 19 8 106 100.0 10 9.4 23 21.7 27 25.5 46 43.4 79 21 10 3 7 1 2 19 5 1 17 3 6 3 36 12 1 4 Groups having less than 10 women have been combined. 8 Excludes 1 woman for whom employability was not reported. Employability and extent of incapacity. Facts were available concerning the estimated employability and extent of incapacity of 582 women. Of the 99 women who were judged wholly employable, practically four-fifths had no apparent incapacity. The majority of the employable women for whom some partial incapacity was recorded suffered from a physical ill. More than one-half of the 93 women considered employable but handicapped were partially disabled due to physical ills only. Of the 166 women classed as unemployable temporarily, close to one-tenth were considered totally incapacitated and the remainder were partially so. From the standpoint of rehabilitation, the 16 women totally incapacitated but eventually employable should be given intensive care. Of these 16, 4 had tuberculosis, though there was no diagnosis as to the stage of the disease, nor was there a prog nosis; 2 were suffering from menopause; and 2 had tumors. The remainder had various ills, venereal disease, heart trouble, bronchitis, and so forth. Among the 150 women who were partially incapacitated the disability was a physical one in the great majority of cases. The majority of the most unfortunate group, those permanently unemployable, were totally incapacitated. More than one-tenth of the 117 who were in this group could not care for themselves. Well over two-fifths of the 107 women who were partially incapacitated were rendered so by age. For this whole group of women who were permanently unemployable some provision should be made. Of the 589 women whose employability was determined by both the C. R. A. and the W. B. investigators, three-tenths were recorded as employable and seven-tenths as unemployable by the C. R. A. In contrast to this, in the judgment of the interviewers at the time of survey and after due deliberation on this most important factor, one-sixth of the women were considered employable, another onesixth employable but with a handicap, and nearly three-tenths unem ployable only temporarily. It should be pointed out that this appar ent difference may be explained almost entirely by the fact that no break-down as to the temporary or permanent nature of the unem ployability was made by the C. R. A. CAUSE OF SEEKING RELIEF Because of rapidly changing circumstances affecting the life of every individual in the United States, conditions that contribute to the present status of dependency of the women in this study are not in all cases the same as the conditions that caused their original application for relief. For purposes of classification in this report of the principal causes of seeking relief, immediate causes such as exhaustion of resources, inability of friends or relatives to support, and the failure of adjustments made in each case to postpone appli cation for relief were disregarded. The cause of application for relief made when the woman was unattached was the one considered; reasons for her destitution as a member of a family group were not included in the analysis. To determine the principal cause of seeking relief, the women under study were divided into two groups: (1) Those who had worked habitually and therefore might be considered as gainful workers out of employment; (2) those who had never worked, or whose work experi ence had been followed by years of marriage and homemaking, so that they could not have been included in any recent count of gainful workers. Among the women who had not been employed, illness was the chief cause of seeking relief when loss of property, or death, desertion, or incapacity of the breadwinner, forced them to apply for assistance. Next in numerical importance was lack of training or work experience, while old age was another principal cause of seeking relief. Among the women habitually employed, the chief cause of seeking relief was illness or physical handicap, accounting for 46 percent of the 604 women scheduled. Advancing age was a factor in the unemploy ment of about 10 percent of all the women, and mental disorder or deficiency was the cause of inability to secure a job for about 8 percent. Failure to find work suited to their abilities or in sufficient amount to keep them alive was the cause of seeking relief in 21 percent of the cases. Many women had found it hard to do the heavy types of work that had constituted their former occupations. Examination of the usual occupation of those women unable to find work revealed that 66 of the 128 (52 percent), had been in some form of domestic and personal service, the majority in private families. Lack of work was marked also in the case of women who had operated their own business, such as a rooming house, a store, a beauty parlor, or work as a seam stress. Difficulty in getting work in factories was almost as great. Of the 294 women habitually employed who reported their usual occupation as some form of domestic or personal service, 55 percent had sought relief because of illness, 12 percent because age made such heavy work out of the question, and 22 percent because of inability to find a job. Of those who had worked in manufacturing occupa tions, proportions were similar for each cause of seeking relief. 57 58 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Relation of age, education, and period of dependency. Among the women under 30 years of age, lack of work and illness were the most common causes of seeking relief. For the women of 30 and under 40 years, physical illness was the chief cause, with inability to find work also a significant factor. Among women in the forties, illness far outweighed any other cause, and it was an even greater factor in the group of 50 and under 60 years. For the women of 60 and over, old age and illness were the chief causes of seeking relief; together they accounted for more than 70 percent of the cases. In addition to age, mental or physical disorders, and general ina bility to find work, reasons for unemployment and final dependency were inexperience and lack of training. While it may be conceded that education, in the ordinary sense, does not always prepare one for earning a living, the educated individual has certain advantages over the person who is illiterate or has had only 3 or 4 years of grade-school education. Lack of education was thought to be one factor in the difficulty of finding employment. Altogether, 153 women had applied for relief because of lack of training, inexperience in indus try, or a general dearth of work opportunities that made it impossible to live without assistance. Of the 136 who had lived in the United States while of school age, 5 had had no schooling of any kind, 27 had completed less than the fifth grade, and 75 others had never reached high school. Twenty-one women reported some high-school educa tion, and eight had attended college for various periods. Two of the women living in a foreign country while of school age had received no education. The fact that educational standards for all kinds of work but unskilled labor have risen rapidly in recent decades leaves little doubt of the difficulty these women have in competing successfully for jobs with younger, better educated women. The relation between the cause of seeking relief and the duratior of the period of dependency is not easy to determine. Women whose physical condition made it impossible to work may be expected to remain on the relief rolls until health is regained or the situation of legally responsible relatives has changed. Those whose mental condition made the securing or holding of a job unlikely may be expected to remain dependent indefinitely; many of these women are not committable and can get along fairly well in the community if only slight supervision is provided. The majority of those women whose age was the chief factor in their unemployment may be expected to remain dependent upon general poor relief until their eligibility for old-age assistance is established. Women applying as a result of unemployment probably will leave the relief rolls as soon as employ ment conditions improve, unless the dependency period has had unfortunate effects. Frequently an insufficient food allowance and substandard living conditions give rise to health problems that reduce the possibility of reemployment. , In contrast to the 20 percent of the total group who had received relief for 2 and under 3 years, 39 percent of the habitually employed women applying because of old age had been dependent for that time. Many of the women whose illness had led to unemployment and then to the relief rolls had been dependent for a relatively short time, 56 percent having been on relief less than 2 years. About CAUSE OE SEEKING RELIEF 59 three-fourths of those whose mental illness or deficiency had resulted in unemployment had received relief for periods varying from 1 to 4 years. Inability to find work was responsible for a number of the newer cases, as 46 percent of this group had received relief for less than a year. Though the group of women not gainful workers had been on relief slightly longer than the gainful workers out of employment, illness being the principal cause of their seeking relief, 74 percent even of this group had been dependent for less than 3 years. Usual means of support. Case histories and interviews with the women showed clearly that the great majority of these women had been self-supporting or finan cially independent for most of their adult lives. Crushing blows of illness or accident, unemployment as the result of industrial conditions over which they had no control, or the inevitable advance of old age had changed their normal way of living. In an examination of the woman’s history before unemployment, estrangement, desertion, or death had forced her to make readjustments, only the way of living accepted as normal by society and the woman herself was considered as the usual means of support. Help from friends, or any other make shift in the readjustment period, was excluded from the definition of usual means of support. About 63 percent of the women had been wholly self-supporting during their adult lives. An additional 12 percent usually had worked to supplement the family income, so that their earnings made them partially independent. Many women in this group had worked throughout their married lives. Those wholly dependent on relatives such as husbands, parents, brothers, sisters, or children comprised 26 percent of the group under study. The two women classed as having other usual means of support had been cared for so long by social agencies that relatives were not in the picture at all. Differences in the usual means of support were apparent as between age groups and between racial groups. In contrast to the majority of the entire group who had been financially independent, only 42 percent of the women under 30 had been self-supporting and 33 per cent had been completely dependent on relatives or friends. Financial dependence on a husband had been the usual means of support in 19 percent of the cases. One-fourth of these women under 30 had been partially independent; many had worked to supplement their hus bands’ incomes. For the women of 30 and under 40 years, the percentage of entirely independent women was much higher than in the age group just below—57 percent as compared to 42 percent. The proportion depending on relatives or friends was lower, as was that of women who had attained partial independence. In the age group 40 and under 50 years, the percentage of women who had been financially independent was still higher, 67 percent,, and that of partially and of wholly dependent women lower, than among the younger group. From the age of 50 on, the proportion remained fairly constant. For the most part, differences in the usual means of support as between native-born white women and those born in foreign countries. 61957°—38----- 5 60 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 were small, and they were still smaller as between native-white and Negro women. Sixty-four percent of the American-born white women, 57 percent of the foreign-born, and 65 percent of the Negroes had been financially independent. The custom of working to supple ment the family income seemed slightly more common among the Negroes and the foreign-born women, largely because both groups had in general only unskilled labor to offer in the employment market and the prevailing wage rates were so low that one breadwinner could not support a family. Complete financial dependence on relatives was found most frequently among the foreign-bom women, for tradition kept them in the home; it was found least frequently among the Negro women, where only 22 percent were so reported. In view of the fact that well over three-fifths of the women in the sample group had been entirely independent from a financial stand point, savings from jobs held since 1929 might be expected to have constituted a resource in a time of unemployment. Actually, however, loss of employment meant, for most of these women, almost immediate application for assistance. Few earned wages high enough to carry them through a long period of unemployment. In an analysis of their work history since 1929, the job in private industry held for the longest time was regarded as the “principal job.” Employment on work-relief projects or in the Federal works program was excluded from consideration. Ninety-nine women (16 percent) had done no work since 1929, 212 could not remember the amount of their earnings, and 18 had worked for board and lodging and had received no cash wage. Data were secured, therefore, on the monthly earnings of only 275 women. These women had been chiefly in domestic and personal service, as 73 percent of them had secured that type of job. _ Nineteen women (8 percent) had received cash wages of less than $10 a month. Thirty-six percent had worked for less than $30, and 85 percent for less than $70. For the 275 women the average monthly wage was $43. In general, then, most of the women composing the sample group were accustomed to financial independence, so that acceptance of help from relatives, friends, and finally public relief was not an easy matter. The majority of these women, even before the depression, probably had never earned large salaries and were able to accumulate very little reserve for sickness, old age, or a time of unemployment. For the women long accustomed to remaining at home and being supported by relatives, the termination of that support was a blow that implied a readjustment of their whole lives. It is little wonder that work was hard to get or that they did not always make satis factory employees. Adjustments before application for assistance. In this study the period between loss of the usual means of support and application for assistance has been termed the adjustment period. During this time the women lived on savings, sold property, securities, furniture, surrendered insurance policies, sought aid from relatives and friends, threw themselves on the mercy of their landlords, and even begged from door to door or on the street. Nearly all sought employment—some for the first time; and many had to adapt them selves to a type of work entirely different from any they had done CAUSE OF SEEKING RELIEF 61 before. Some found employment in domestic service and even worked for board and lodging only. The length of this adjustment period varied with the amount of resources on which the wonian could draw, her physical ability to work, the ability of relatives to support her, and the kindness of friends. Obviously the low wages referred to as monthly earnings in the principal job since 1929 would not allow of much saving for times of even greater emergency. On the whole, resources were quickly exhausted and application for relief was made relatively soon after the loss of the usual means of support. This adjustment period meant, for the woman, a general reduction in expenditures, insufficient food’ a cheaper room, all manner of inconveniences, no new clothing with which to present a good appearance in order to compete success fully for employment, and, from the emotional standpoint, tremendous insecurity and strain.1 Table 15.—Adjustments made before seeking relief, by age Women whose ages wereAll women 21, under 30 years Adjustments before seek ing relief 30, under 40 years 40, under 50 years 50, under 60 years 60, under 65 years Num Per Num Per Num Per Num- Per- Num- Per- Num- Perber cent ber cent ber cent ber cent ber cent ber cent Total1....................... Assistance from— Relatives Friends 102 159 100.0 158 100.0 136 100.0 17 64 10.8 40.5 28 49 36.0 17 12.5 80 229 13.2 37.9 7.0 44.2 9.8 42.2 20 12.6 50 31.4 Landlords Debts____ _____ Gifts 97 16.1 11.3 4.8 27.9 20.9 7.0 17.6 12.7 4.9 29 19 18.2 11.9 6.3 20 15 5 12.7 9.5 3.2 12 5 3.7 Used resources3________ Business loans_____ Substitute work 4_ _____ Worked for room and board Begged-----------------------Other 191 5 114 31.6 18.6 19.6 42 26.4 1.3 18.9 60 38.0 61 29 18. 4 35 44.9 1.5 25.7 50 8.3 1.3 4.8 7.5 1.3 56.6 15 3 7 9.5 1.9 4.4 5 3.7 8 5.9 68 29 8 29 .8 18.9 10 2 9.3~ 30 13.7 2.9 4.9 12 2 9 1 .6 2 20.6 8.8 l SeJal1? e?c®ed totals, as many women reported more than one means of adjustment i 1 otal includes 6 women for whom age was not reported. Includes sale of property, securities, use of savings, cash, and insurance adjustments. w}lS^w-ho worked for the first time after loss of property or means of support, as well as those who did work differing markedly from their usual or alternate occupations. 3 That relatives not previously considered as a normal source of support were able to help for a time was indicated by 80 women (13 percent). To an even greater extent, friends were influential in post poning the application for relief, for 38 percent of the women had received help from friends in the way of food, shelter, clothing, loans, and even complete support. Sixteen percent had been allowed credit by their landlords. A small number of this group had received gifts from kind-hearted landlords. A few women had begged quite regu larly and consistently, from door to door or on the street. *Was de to class^'tde adjustments made by an entire family. Therefore, if a woman had been accepted for relief as a member of a family group and had received relief continuously from that time even after becoming unattached, she was considered to have had no adjustment period. * 62 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 About one-third of the women reported that they had used their savings, sold their furniture, property, or securities, or surrendered their insurance policies to tide them over the period of unemployment or illness. The number who had borrowed money on their furniture or insurance policies was very small, as the majority could not have offered sufficient security for a commercial loan. During this period 19 percent of the women worked for the first time in their lives or were able to get only work that differed markedly from that done in the past. Usually this meant work in unskilled occupations for women who had done skilled work; most often semi professional women could get work only in domestic service; and those who had previously been regular houseworkers descended to the ranks of the day worker. Eight percent of the women worked for their board and lodging; their application for relief followed the loss of even this means of support. The women 50 years of age or more had been given help by relatives more generally than the women under 40 had, the respective proportions being 15 percent and 9 percent. Help from friends and from landlords, on the other hand, was reported by con siderably larger proportions of the women under 40 than of those as much as 50. More of the younger women had been allowed by their landlords to stay on when they could no longer pay their rent, or had received gifts from landlords. A few employers, included with friends in the tabulation, had given small dismissal wages. There were some differences in the types of adjustment made by the racial groups represented among these women. Negro women received much less help from relatives, chiefly because, as members of a race with a low economic status, most relatives were little better off than the women themselves. White and Negro women seem to have been helped by friends to about the same extent. A larger pro portion of the Negro women were allowed to accumulate rent debts or to live rent-free than was the case with the white group, especially the native-born. The long residence of many foreign-bom women in one neighborhood probably was responsible for their being allowed to remain in their homes without paying rent. Lack of resources upon which to draw in times of emergency was clearly illustrated in the case of the Negro women. Only 24 percent had resources to use in order to postpone application for relief, in contrast to 47 percent of the foreign-born women and 32 percent of the American-born white women who had converted their property into cash or had used savings before appealing for help from other sources. . . their , A substitute form of work, or employment for the first time in lives, had been the means of support used in this period of readjust ment by about 23 percent of the native-born white women in contrast to only 14 percent of the Negro women. This difference may be explained in several ways: (1) The depression released a greater num ber of white workers to fill the unskilled jobs that Negroes had held in Chicago since their migration in large numbers during the world war; (2) employers preferred white workers if they could get them as cheaply as Negro labor; (3) Negroes, for the most part, had been employed in the most unskilled types of work, so that loss of that kind of employment gave them little alternative to go into other forms of work; and (4) the white women were weighted heavily by those who had always been homemakers and had never previously worked out CAUSE OF SEEKING RELIEF 03 side the home, while Negro women had been accustomed to support themselves. The customary means of support was an important factor in the types of adjustment made by these women. To women who normally were self-supporting, relatives gave aid in only 11 percent of the cases, in contrast to 17 percent of the dependent women who were helped by relatives. On the other hand, proportionately more of the self-sup porting women than of the dependent women had received help from friends or had resources to fall back on. In contrast to the 39 percent who had been independent and had used their resources to postpone applying for relief, only 21 percent of the dependent women had sav ings or property to use after the loss of their usual support. The question of substitute work is interesting, especially in regard to the employment of women who had never before worked outside the home. Thirty-two women (24 percent of those who had been wholly depend ent on relatives) worked for the first time as a means of adjustment or did substitute work, and 65 women (17 percent of those customarily employed) accepted some substitute for their usual types of work. Both percentages might have been higher h<ad the group been composed of younger women, but inexperience combined with advancing age made new or substitute work hard to find. Because so large a proportion of the women had been accustomed to work to support themselves, and others had gone to work when their usual means of support had failed them, reasons for the loss of more recent employment are closely connected with the cause of seeking relief. Exceptions were those who had not worked at all since 1929 and those whose last job had extended into the relief period. The majority of these jobs last named were irregular or occasional day work when an employer reemployed a woman; only a few were irregular saleswoman jobs during rush seasons. Though few women remembered their history well enough to report details of working conditions, rates of pay, hours, and duration of the job, as many as 391 women (96 percent of those who reported that they had worked since 1929) were able to report the reason for loss of em ployment. Of the 391, 64 percent had lost their jobs because of indus trial reasons such as the closing of the business, reduction of force, racial discrimination, middle age, and others. The remainder, 36 percent, had left because of personal reasons such as illness of self or a relative, marriage, or other family situations. Nearly two-thirds of these women, therefore, had been forced out of private employment for reasons peculiar to industry, and one-fourth had been forced to stop working because of illness. The length of the period of readjustment can be determined in only the most general way, and for only about one-third of the cases studied. Using the lapse of time between the end of the last job and the woman’s application for relief, it is evident that the majority of the women had been able to exist less than 6 months on their savings, credit, loans, and gifts from friends and relatives. About 80 percent had postponed their application for a period of less than a year by a series of make shifts, and 66 percent had been forced to apply for relief in less than 6 months. That 10 percent had postponed seeking relief for 2 years or longer can be explained only by the existence of relatives able to support, the kindness of friends, greater initial resources, and fewer health problems. 64 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 19 3 7 The fact that much of this more recent employment was itself a form of adjustment makes it even less possible to determine the length of the period of adjustment, unless each case could be considered individually. Failure of the various attempts to maintain independ ence usually was the immediate cause of applying for relief. When the adjustments are distributed by the principal cause of seeking relief, some interrelation is evident. For those women whose condition of unemployment and dependency was due to physical illness, help from friends and the use of savings or sale of property were the chief types of adjustment made. As might be expected, less than one-fifth of these women were able to seek work as a means of remaining independ ent, and about one woman in six received help from relatives. In proportion to their numbers, those women who were dependent because of lack of work seem to have made more types of adjustment than any other group. Help from friends and landlords, the use of resources, substitute forms of work, and working for room and board were practiced by this group to a greater extent than was the case for the total group. Old age was the cause of unemployment in 63 cases. For this comparatively small group, the chief types of adjustment ranked in importance as follows: Use of resources (reported by 35 percent of the women), help from friends (32 percent), substitute work (29 percent), help from relatives (19 percent), work for board and lodging (10 percent), and help from landlords (8 percent). Women habitually not employed made relative^ fewer adjustments than did the gainful workers out of employment. The chief forms were help from friends and use of resources. Instances might be cited of great privation on the part of these women unequipped to earn a living for themselves. Their efforts to postpone asking for “charity” invariably included a serious lowering of their standard of living. DURATION OF DEPENDENCY For a group of women who had been economically independent and self-supporting, or had considered their dependence on other members of their families a normal thing, resort to public relief or private charity was a bitter experience. Continued dependence on organized assist ance has operated in various ways: To reduce the feeling of guilt over acceptance of relief; to emphasize a feeling of personal inade quacy in meeting the daily problems of life; to reduce the possibility of reemployment in private industry; or to increase the resentment over the unfairness of the world in general and relief agencies in particular. Inadequate, relief has meant to many women a steady decline in their health, in their stock of clothing, and in general living stand ards. The woman who has only recently applied for assistance is much better equipped in the competition for jobs, for she has not been weakened by an inadequate and poorly balanced diet; she has a few presentable clothes, and she has not lost her skills and habits of work. In this inquiry the duration of dependency was considered from two aspects: (1) The number of years that had elapsed since the woman first applied to a public or private relief agency; and (2) the actual number of months during which relief had been given her by a public agency. In the first connection, private family welfare and relief agencies, or protective agencies for women, that had been active at one time on the case were included with the public agencies pro viding relief to needy persons; agencies that had rendered only service were excluded. For the second aspect of dependency, the number of months of actually receiving relief was computed by determining the length of time the case was open for relief, after deducting all periods when relief had been stopped. In all these months relief may or may not have been the sole support of the family; frequently only partial relief was issued because of part-time employment or some income that partially met the woman’s needs. Until fairly recently, too, rent was almost never allowed. Year of first application for relief. Measuring the period of dependency from the year of first applica tion for aid, it was apparent that the bulk of the cases were com paratively new ones, and that, this group of women was composed largely of those who had been independent of charity until recently. Of the sample group of women on the relief rolls on February 1, 1937, 25 percent had first applied in 1936 or in the first month of 1937, 22 percent had first applied in 1935, and 17 percent had made their original application in 1934. Thus in 47 percent of the cases appli cation for relief had been made within 2 years of the date of the survey, and in 64 percent the first appeal had been made within 3 years. Only 23 percent of the women had become dependent on public aid or private charity as much as 4 years before. 65 66 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 19 3 7 That age is a significant factor in the length of dependency is indi cated, for well over two-fifths of the women under 30 years of age, in contrast to only 10 percent of the women of 60 and over, had applied for relief as recently as 1936. For the entire group of women the average (median) time that had elapsed since first application to public or private agency was 26 months. The following tabulation shows the variation by age group: Average number Age (in years) 21, 30, 40, 50, 60, under under under under under of months since fust application 30______________________________ 40 50 60 65 22 23 30 32 14 It is evident that women in the older groups had, on the average, been dependent for longer periods. Eleven women, varying in age from 30 to 64 years, had applied to a relief agency before 1929. Constituting less than 2 percent of the group under study, they may be considered as dependency cases that antedated the depression period. On the whole, Negro women tended to be more recent applicants for assistance than the white women. In comparison to one-fifth of the white women who applied as recently as 1936, one-third of the Negro women had received relief for 1 year or less. Less than 2 years had elapsed since the first application for relief in 44 percent of the American-born white cases, in 40 percent of the foreign-born, and in 53 percent of the Negro cases. The average (median) time elapsed since the first application was about the same for native-white women (27 months) as for the whole group (26 months). Foreign-born women tended to have applied earlier, the average period being 32 months; and the average for Negro women was as low as 22 months. For the majority of these unattached women the period of depend ency had been a comparatively short one. From the standpoint of retention of skills and work habits, then, the majority of these women might conceivably be capable of reentering private industry should their physical condition and the state of the labor market permit. Number of years on public relief. In considering the actual time during which relief from public funds was issued to these women, it was evident that a large part of the sample consisted of recent cases. On February 1, 1937, 160 women (27 percent) had received relief for less than a year.1 Fifty-four per cent had received relief for less than 2 years and 73 percent for less than 3 years. An additional 15 percent had been dependent for 3 and under 4 years, and 11 percent had received relief for 4 years or longer. Three women had been dependent for 6 years or more, but in those cases there were unusual instances of family behavior problems, illness, and mental deficiency, as well as the problem of dependency. Though women 60 years of age and over constituted 23 percent of the entire sample group, they comprised 32 percent of the women who had received relief for 2 years or more. The 138 women underi i 62 women (11 percent) had received relief for less than 3 months. 67 DURATION OF DEPENDENCY 40 years of age, though forming 24 percent of the total, comprised 49 percent of those who had received relief for less than 3 months. It is evident, therefore, that as the age of a woman increased, the likeli hood of remaining on relief became greater. The younger woman, unless seriously ill, found it easier to secure work and maintain her independence; in addition, she seemed able more frequently to fall back on her family in an emergency. Table 16.—Duration of public relief, by age under years 2, under 3 years 3, under 4 years 4, under 5, under 6 years 5 years 6 years or over 1 579 100.0 2 11 1.9 5.4 31 35 6.0 61 10. 5 67 11. 6 88 15. 2 91 15.7 61 10. 5 134 23. 1 156 100.0 114 100.0 2 1.3 4.5 8.3 7. 1 13.5 19.2 14. 1 10.9 1 .9 4.4 4.4 9.6 7.9 16.7 13.2 10.5 32.5 7 13 11 21 30 22 17 33 21.2 5 5 11 9 19 15 12 37 88 100.0 1 2 5 9 10 10 20 9 22 Percent Number Percent j 100.0 7 4.5 17 10.9 9 5.8 25 16.0 22 14. 1 21 13.5 26 16.7 13 8.3 16 10.3 156 Number Percent Number Percent Percent Percent N umber Total reported.. 21, under 25___ ... 25, under 30___ ____ 30, under 35 35, under 40 40, under 45................ 45, under 50. _ . ... 50, under 55 55, under 60 60, under 65__ ___ Number 1, 2 Number Under 1 year . Total reported Number Age (in years) Number Women with relief period specified 100.0 3 14 n 1 2.1 1 1 5 5 4 7 9 17 10. 4 10. 4 8.3 14.6 18.8 35. 4 3 1 48 1.1 2.3 5.7 10. 2 11.4 11. 4 22.7 10.2 25.0 1 1 8 1 i Age not reported for 6 women and relief period for 19 women of total 604. s Includes 62 women who had received relief for less than 3 months. 10 were under 30 years old; 19 were 30 and under 40; 13 were 40 and under 50; 11 were 50 and under 60; 6 were 60 and under 65; and for 3 women age was not reported. 3 Base too small for computation of percents. Variation in the period of dependency on public relief of white and Negro women is especially apparent. Little difference was noted in the duration of relief of native- and foreign-born white women, but Negro women tended to have received relief for much shorter periods. Ten percent of the native-white women as compared to 14 percent of the Negro group had received relief for less than 3 months. Twentytwo percent of the white women, but 36 percent of the Negro women, had been dependent for less than a year. The duration of dependency is in many cases a significant factor in the employability of a person, for lack of employment often results in loss of skill and work habits, while illness, if allowed to go uncared for, may change a temporary disability into a permanent one. The sum mary following presents a classification of employability of this group of women in relation to the duration of dependency. Of those classed by the interviewers as employable,2 52 percent were found to have received relief for less than a year, 26 percent for less than 3 months. Not quite one-third had been on relief as much as 2 years. 2 Employability, as determined after reading the case records, consulting medical reports, and interview ing the women, was the physical and mental ability to work without danger to themselves or others, either in private employment or in some form of work project or sheltered employment. Lack of education or training for specific occupations or of work experience was not considered, for it was felt that determination of employability on those terms required a high degree of familiarity with the labor market and employ ment service procedure. The classification of employable is a very liberal one; for example, women over 50 years of age who were not ill were classed as employable. Careful vocational classification undoubtedly would reduce considerably the number of women who could qualify for a job in private industry or who would be useful even on a work relief project. 68 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 19 3 7 Women of specified degree of employability * Unemployable Duration of public relief (in years) Total reported. Under 1................... 1, under 2________ 2, under 3________ 3, under 4________ 4, under 5............ 5, under 6________ 6 or over_________ Total re ported Employ able Employ able with handicap 569 97 90 160 222 154 155 50 16 15 13 19 25 48 57 19 16 22 11 2 1 37 57 57 35 29 2 111 86 48 2 3 1 12 20 6 4 Tempo rarily Perma nently 6 1 1 Employability as determined by the investigators during the survey, after reading case history, consult ing medical reports and diagnoses, and interviewing the woman. 2 Degree of employability not reported for 16 women and duration of public relief for 19 women of total of 604. Those who were considered employable within the limits of a physical handicap 3 had been receiving relief for a longer time, for 51 percent had been on the relief rolls 2 years or more and only 21 percent had received relief for less than a year. Of those considered unemployable permanently,4 a large proportion were found to have been dependent for relatively long periods. Only 17 percent had been dependent for less than a year, and 58 percent had received relief for 2 years or more, 32 percent for at least 3 years. Most significant of all the classes, however, was that composed of women suffering from an illness temporary 6 in character, which ulti mately would allow them to work if proper medical attention were provided. Of this group, 30 percent had been on the relief roils for less than a year. The average time on relief was 19 months. Almost one-half (46 percent) of the women studied had received relief for 1 and under 3 years. The average number of months for the 585 women reported was 21. It is probable that the actual cases of nonfamily women are constantly changing, and that dependency on relief is temporary and intermittent for all but those whose physical or mental incapacity makes even short-time employment impossible. As these nonfamily women grow older, they will tend to remain on the relief rolls for longer periods, so that both actually and in propor tion to the total case load the number of nonfamily cases may be expected to increase. Intermittency of relief. Periods of dependency were not always continuous. .Relief was stopped when private employment was obtained, when the Federal works program offered employment to the woman or to relatives re sponsible for her support, or when insurance adjustment or sale of securities made possible a few months of independent living. Hos-* I 3 Employable within the limits of a handicap included those women whose bodily functions were impaired by loss of an arm or a leg, who had lost the use of some part of the body through paralysis, whose activity had been restricted because of some cardiac difficulty, or who had some mental deficiency or disorder, but who still were capable of doing some work. Generally speaking, they would not quality for employment in private industry, but many, under close supervision, might benefit from part-time work. I Classed as unemployable were the women physically incapacitated for work of any sort. Unemploya bility on a permanent basis included those whose physical condition, in all probability, would never improve sufficiently to allow them to be self-supporting. _ . »Included in this class were women whose illness, in all probability, might be cured, hractures, sprains, post-operative conditions, acute illnesses, conditions where surgery had been recommended (hernia, tumors), were some of the conditions responsible for this classification. DURATION OF DEPENDENCY 69 pitalization for serious illnesses meant a stopping of relief, though the case usually was not closed. Relief was stopped as a matter of agency routine when a client failed to keep an office appointment, to return a new affidavit of need at the prescribed time, or to notify the district office of a change in address, or “refused to cooperate” in the investi gation of her resources. Transfers from one administrative unit to another usually were accomplished without a break in relief, for the last check given by the transferring agency covered the period of transition. For 431 women (71 percent) the relief period had no breaks in relief of more than 2 weeks’ duration; in many instances relief may have been stopped for a few days, but reinstatement took place in less than 2 weeks. In 29 percent of the cases relief had been stopped one or more times for more than 2 weeks. One hundred and thirty-three women had gone off the relief rolls once during their period of de pendency; in 27 cases relief had been stopped twice; and in 13 cases relief had been stopped three or more times. The maximum number of breaks was six, in the case of an irregularly employed woman whose earnings were so low that each period of unemployment forced her immediately to reapply for relief. For the 173 women whose months on relief had been interrupted, 231 stops in relief were reported. In 20 percent of the closings, Federal works had employed either the woman or her relatives; private em ployment was responsible for 30 percent of the stops in relief; agency procedure for 23 percent; while miscellaneous reasons, temporarily leaving town, adjusting insurance or selling property, and hospitali zation accounted for an additional 18 percent. The largest number of stops in relief were the result of employment in private industry secured by the women themselves. The 231 cases of relief being stopped for more than 2 weeks are shown by cause of such stoppage in the following: Reason for stopping relief Total reported Employment on Federal works program____ _ ____ Number of stops Percent of total 1231 100.0 46 19.9 Private employment.................. 69 29.9 Relatives_____ ________ Income from roomers ____ ... Support by relatives.____ Insurance or property adjustment ____________________ In hospital________ _ _ Out of town . _ 21 9.1 1.7 4.8 4 11 15 16 10 6.5 6.9 4.3 Reason for stopping relief Transfer of case_____ ___ Failure to report change of address. ___ Failure to return affidavit.. Failure to keep office appointment_______ ‘ ‘Refused to cooperate’ ’___ Investigation for suspected fraud___________ Refusal of work or W. P. A. employment___ ______ Number Percent of stops of total 53 23.0 6 2. 6 16 3 6.9 1.3 8 3. 5 3.9 9 2 6 3 1. 3 27 3.0 1 Relief was intermittent for 173 women; in 40 cases the period of dependency was broken more than once. 2 Incudes 3 cases of sufficient income" as the only reason given for closing the case; 1 of a woman who deserted her family; 1 of separation from the husband; 1 of a jail sentence; and 1 of a woman supported by a Family status during dependency. Though all the women included in the group under study were non family persons on February 1, 1937, examination of their case records revealed that not all had been unattached throughout their period of 70 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 19 3 7 dependency. Some had been married and received relief with their husbands; others had lived with children and various close relatives. Twenty-two percent had lived in a family group at some time since their application for aid, but the great majority (78 percent) had been unattached since before receiving relief. Death of the husband during the dependency period was a frequent cause of loss of family status. Employment of brother, sister, parent, or child on the Federal works program was followed in some cases by their refusal to con tribute to the woman’s support, so that she was compelled to reapply for direct relief as a nonfamily person. A long period of low wages and inadequate relief had strained many family ties to the breaking point, so there is little wonder that work-relief earnings were used for an adjustment of living arrangements. For some families, even a security wage may have been too small to support a dependent rela tive, especially an aging or sick woman who was none too pleasant to live with under the best conditions. Some of these family difficulties might have been adjusted, if not prevented, by case-work service. RELIEF ISSUED IN JANUARY 1937 Knowledge of the actual amounts of relief issued during the month of the study was considered essential for an understanding of the living conditions of this group of nonfamily women. Data concern ing the amounts of semimonthly checks, the items for which the amounts were issued, and the period of time the amounts were ex pected to last were obtained from the relief departments in the various district offices. Early in the study it was found that budget sheets filed in the case records gave little indication of the amount actually issued, though theoretically the budget sheet was planned as the form on which case workers listed the needs of the individual or family, reported any income of which they knew, and computed the amount of relief necessary for the period. Stipulation of maximum amounts for almost every item, however, had resulted in the practice of making what amounted to flat grants for one-person-family cases, for so often even the prescribed maxima failed to meet the needs of the individual. Amounts allowed.1 According to the monthly budget allowances, the amount of cash allowed for food for a woman was specified, at the time of the study, as $6.85; if she was living alone, an additional allowance of 35 percent was permitted, bringing the total for food to $9.25. The maximum amount allowed for rent for a single person was $12, with heat, light, and gas included in the rental. Clothing for a working woman might be budgeted as $2; for a woman at home, $1.80 was allowed. Fuel allowances included one ton of coal at $5.20, or a half ton at $3.20, depending on the weather. To this fuel allowance might be added the carry-in charge, which, based on the location of the bin, varied from 75 cents to $1.20 a ton. Small electric and gas bills might be paid. For lighting purposes a maximum of five gallons of kerosene was allowed; under existing prices this amounted to 52 cents. For single persons with special difficulties, room and board was al lowed, though a maximum of $25 a month was specified. Under normal conditions, then, a maximum budget for a woman living alone might be: Food_________ Rent 12. Clothing 1. $9. 25 00 80 Total23. 05 Occasionally there might be added the expense of a special outlay of clothing, additional food if recommended by a clinic, or carfare if regular trips to a hospital or clinic were necessary. Special diets in the case of diabetes, tuberculosis, pernicious anemia, or malnutrition were issued on request of the physician or clinic, but requests had to be renewed periodically. Amounts allowed for a diabetic diet ranged from $3.25 to $4.50 a month; the customary amount for a tuberculous person was $1.75; while high-caloric diets for women suffering from anemia or malnutrition varied from $1.75 to $3.50.i i Chicago Relief Administration. “Monthly Budget Allowances.” Form CW-28. 71 72 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 On the other hand, budgets might be somewhat smaller if the woman were living in a home whose rental was lower than $12, or if no allowance were made for clothing needs. At the time of the study, cases classed as employable by the Chicago Belief Administra tion received rent irregularly. In 1 month, if a surplus existed in the district office after needs of unemployable cases had been met, the employable cases might receive 2 weeks’ rent, but in the next month no rent would be issued. Attempts were made to distribute such surpluses as evenly as possible through the entire case load by issuing partial rent on successive due dates. Variation in amounts issued in January 1937. In the following paragraphs, the amounts of relief cited include only cash or disbursing orders issued to the women. No attempt has been made to include commodities distributed by the Federal Surplus Commodities Corporation, nor clothing from the American Bed Cross or W. P. A. sewing projects, nor to estimate the expenditures for medical care of these women. The amount of relief most frequently reported was $23 and under $24, issued to 34 percent of the women under study. Next in nu merical importance was $21 and under $22, received by 17 percent. Thirteen percent received $15 and under $20, and 14 percent received at least $24. Of the 45 women who received less than $10, the majority had received $9.25, the amount allowed for food. For the city as a whole, the unattached women included in the study averaged $22.44; actually the concentration, as stated, is higher. Very small amounts, as well as very high ones, were the result of unusual circumstances. A small check usually was due to a new case or to some break in relief in January; large ones were issued only in special or temporary circumstances. AMOUNT OF RELIEF RECEIVED IN JANUARY 1937 Women Women Amount Number Total. ..................... ........... 1 Percent of total 603 $22.44 100.0 Amount Number $23, under $24_____________ _ $25, under $26. _ $15, under $20 $20, under $21....... ...................... $22, under $23__________ ____ 45 52 81 10 103 24 7. 5 8.6 13.4 1.7 17.1 4.0 $28’ under $21) 205 19 12 12 9 8 10 13 Percent of total 34.0 3. 2 2.0 2 0 1. 5 1.3 1.7 2. 2 ^Excludes 1 woman with amount not reported. 2The median or midpoint, with half the amounts above and half below the figure shown. Items of relief. To analyze more closely the relief issued in January 1937, the various items for which relief was issued were scrutinized in detail. The budget set up most frequently (41 percent of all cases) contained amounts for shelter, food, and clothing. For women living in unheated homes, a fuel allowance was a necessity, and utility allowances were made in some instances. Various types of other expense, such as extra clothing, special needs because of illness, carfare, and special diets increased some of the budgets. 73 RELIEF ISSUED IN JANUARY 193 7 For purposes of classification, the allowances for rent were divided into three types: (1) “Full rent” (the payment of the total rental if the total was $12 or less, or of $12 if the monthly rental exceeded the maximum prescribed for living quarters for a single person); (2) “partial rent” (the payment of less than 1 month’s rent in January); and (3) no rent issued for the month of January. A few additional cases fell into the class of “special arrangements,” where an effort was made to meet some extraordinary need arising in the month not likely to happen again. ITEMS FOR WHICH RELIEF WAS ISSUED IN JANUARY 1937 Women Women Items Total Full rent_____________________ _ Num ber Percent of total i 603 100.0 69.0 — Plus food —----74 12.3 Plus food and clothing 249 41. 3 21 Plus food, fuel, and clothing___ 3.5 Plus food, clothing, fuel, and/or 6.0 utilities__ ____ ________ Plus food, clothing, special ex penses___ ____ ________ Room and board 1 2 416 8 1.3 Items Num Percent ber of total Partial rent___ 68 11.3 Plus food_____ __________ Plus food and clothing_____ Plus food and other items. __. No rent________ 29 23 16 93 4.8 3.8 2.7 15.4 Food only Food and clothing.. Food and fuel. _. ______ Food and other items Special arrangements 2. _. 39 19 15 6.5 3.2 2.5 3.3 4.3 20 26 Excludes 1 woman with items of relief not reported. To meet some extraordinary need arising in the modth. To 69 percent of the women the relief office paid what from the administrative point of view was full rent ;2 11 percent received partial rent; and 15 percent received no rent at all for the month of January, though most of these women were living in homes requiring the pay ment of rent. In about 4 percent of the cases some special arrange ments for relief were made. Amounts paid for room and board were in the groups $23 and under $27, with 4 of the 8 women for whom this type of care was deemed necessary receiving $26 and under $27. The classification of employability as made by the relief adminis tration was a significant factor in the items of relief issued in the month of January, though it was by no means always followed. As many as 419 women (69 percent of the total) had been classed as un employable by the district office and therefore were entitled to receive complete relief, including rent, food, and clothing. Actually, only 88 percent of the women considered unemployable received allowances including full rent; the remaining 12 percent received only partial rent or no rent allowance at all. On the other hand, 39 percent of the women classed as employable received full rent allowances in January; to 29 percent partial rent was issued; and 32 percent received no rent allowance. Failure to issue rent to women classed as unemployable can be explained only by the supposition that they were living in rent-free homes. This partial and incomplete relief raises a serious question of case work procedure. After computing a budget based on individual needs, failure to issue relief according to need is a serious matter. If relief 1 In many eases the payment of “full rent” was insufficient to meet the monthly rental, and the client was compelled to make up the deficiency in other ways. 74 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 is to supplement underemployment or low wages paid in private in dustry in the community, the philosophy behind this practice should be fully understood by the planning body. The consequences of such subsidization of private industry should be carefully weighed. The foregoing discussion of the items of relief issued in January has been confined to the first necessity, shelter. Food allowances were given uniformly to all women on the relief rolls; the amount was the same in all cases but the few where special diets were authorized. Clothing, as an important factor in the happiness and success of every woman, deserves special consideration. In January, clothing allowances were irregularly issued, regardless of the employability classification. For the group of women as a whole, 67 percent received allowances for clothing varying from $1.50 to $2, with the majority receiving $1.80. Only 35 percent of the women classed as employable received an allowance for clothing, in contrast to the 82 percent of the unemployable women who received such allowances. During the course of the interview, the subject of clothing was almost certain to come under discussion. The period of readjustment usually had included great economies in amounts spent for wearing apparel, with the result that the average woman applied for relief with a very scanty stock of clothing. Months on relief had not im proved the supply of clothing; many women lacked sufficient to make a presentable appearance or even to keep warm. The lack of a winter coat, of outdoor shoes and galoshes or gloves, created difficulties for the woman who wished to look for work, or even to go to work if she succeeded in getting a job. As one woman said to the interviewer, “When your clothes get gone, and your shoes get gone, how can you get a job?” Notes from three of the schedules follow: One woman, though suffering from a chest condition, had neither rubbers nor galoshes. When she went out she was forced to borrow her landlady’s shoes. Her only coat was bought in 1929. Though she had two house dresses in good condition, her street dress was torn and her coat ragged. She had one pair of pumps but could not go outdoors in cold weather because she had no rubbers nor galoshes. A Negro woman whose only shoes were completely lacking in soles, wore her dead husband’s shoes, though they had no heels and the laces had long since worn out. Inadequate underclothing and stockings were reported by many women. Several women had only one suit of underclothing, so the problem of laundry loomed large in their lives. Clothing made on the W. P. A. sewing projects and issued from the distribution center was difficult to obtain in the size desired, and many women were dis satisfied with the style of the garment. Ability to sew and remodel their old clothing naturally was of great value to these women in keeping up their appearance, while the clothing of women untrained in this respect deteriorated rapidly. Some women searched Salvation Army or second-hand shops for cheap clothing. One woman spoke of buying a pair of shoes for 25 cents. Another had remodeled a winter coat that she had found on a rubbish heap. In view of the fact that personal appearance is such an important factor in successful competition for employment, it would seem desir able to issue clothing allowances to women classed as employable as well as to those whose inability to supplement the relief allowance by earnings is recognized. CASE-WORK SERVICES A case-work service set up within a relief organization has wide responsibilities to applicants and recipients of relief, and to other social agencies within the community. From the time an applicant makes his first appeal for help in supporting himself or his dependents, the case worker must take an active part in investigating his resources, verifying employment records, planning budgets, and interpreting the functipn of the agency. After acceptance of the case for relief, the case worker must make frequent visits to keep in touch with changing family situations and to make possible a constructive rela tionship with the dependent family. As family needs become ap parent during the period of dependency, the contributions of the case worker may broaden into wider areas of family discord or behavior problems. Specialized services, such as arrangement for medical care, dental care, or provision for special diets, or placement on work relief projects, or certification for W. P. A. employment, or arrange ment for vocational training, are rendered to almost all dependent families. Though personnel standards of the Chicago Relief Administration have been high and appointments free from political interference, statutory restriction on the amount of administrative expenditures has resulted in large case loads and tremendous pressure of work. Careful reading of case records has been neglected, services have been reduced to a minimum, and frequent visiting has become impossible. Numerous changes in workers have prevented any continuity of rela tionship between the client and the worker, with a resultant increase in the feeling of insecurity on the part of the dependent person. In many of the interviews with these women, there was an urgent request to see a worker or a sorrowful complaint of the length of time since a worker had last visited. Most of the case records read in the spring of 1937 contained only one or two entries since the reopen ing of the district offices after the 1936 crisis. One record, read on March 1, 1937, had no entry later than May 1, 1936; in another, read on March 20, 1937, the latest visit was dated January 1936. Medical care. Since it was essential to learn as much as possible concerning the physical condition of this group of nonfamily women, the case records were read carefully for all references to illness and medical care. In almost half the cases (289) a diagnosis of recent date was found in the case record or in the files of the medical department, but in 309 cases there was no report of the woman’s physical condition on which could be based a real classification of employability. Of the women having no recorded diagnosis, 67 (11 percent of the group) had never complained of ill-health to their case workers; how ever, 18 of these did report some physical disability at the time of the interview. 61957°—3S- 6 75 76 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 Complaints of ill-health had been made by 242 women for whom no diagnosis had been secured. Clinic referrals had been given to 117 of these women, but referrals had not been given to 93 women report ing some illness; in the case of the other 32 women, no diagnosis had been secured because the women had refused out-patient care or were under the care of private physicians. In six cases the status of the medical record was not determined. Status of medical record No diagnosis in record Duration of public relief (in years) Women reported Diagnosis filed Complaint of illness No com plaint Referred to clinic No referral Other Number reported - - - - - - i 579 277 64 114 93 31 40 82 63 54 27 39 31 30 24 15 39 under 2__________________ 2, under 3 159 155 114 10 12 16 4 3 1, i Excludes reported. 86 48 14 3 4, under 5__ 6 10 7 6 1 11 1 12 1 1 21 8 7 1 2 1 ______ women with medical record not reported and 19 women with duration of public relief not One of the chief reasons for failure to issue a clinic referral to a woman complaining of illness would certainly be that the case was a new one or that the complaint was recent. Distribution of the status of medical records by the number of months on public-relief rolls indicates, however, that of the 93 women who had complained of illness but had received no clinic referral, 58 percent had been on relief for a year or longer. Arrangement for special diets. Meeting the needs of persons with health problems has long been considered a vital function of the case worker. After arranging for medical care, an important phase of cooperation with the doctor or health agency in adjusting the social situation so that medical treat ment may proceed with as few hindrances as possible is the provision of special foods for the dependent person. Adjustment of the diet in gastrointestinal and thyroid disturbances usually can be accom plished without additional expense, but the restricted diet in diabetes and the high caloric diet in tuberculosis, anemia, and malnutrition require a larger food allowance. _ Among 61 women with diseases of the four types last mentioned, clinics had recommended special diets in 34 cases, but in only 17 cases in January had such special diets been allowed. Failure to cooperate completely with clinic suggestions for treat ment is especially unfortunate because the relief agency pays directly for that medical care. Large case loads and the resultant pressure of work make it impossible for the case-work staff to be aware of health problems, to arrange for treatment, or to secure reports of the physical condition of the women for whose care the relief adminis- CASE-WORK SERVICES * * 77 tration is paying. Perhaps some immediate economies are effected by disregarding clinic requests for special diets, but from the long time point of view the public probably must foot a larger bill than would have been necessary had the period of dependency been shortened. Work relief as a tool in treatment. The use of work relief as a device in raising morale, maintaining skills and work, habits, and producing goods or rendering services beneficial to society has been defended by many groups in the field of social work and in the community at large. The work projects of the Service Bureau for Women, with their definitely vocational aspects, were regarded as one of the most valuable phases of its program of aid to needy women. In view of the fact that 69 percent of the women included in this sample group were classed as unemployable in January 1937, it is not surprising that very few women had ever been employed on a workrelief project or had been placed in a Civil Works Administration or Works Progress Administration job. Examination of the relief history of the 604 women revealed that 15 had been assigned to a work-relief project conducted under the auspices of the Illinois Emer gency Relief Commission, 5 women had secured C. W. A. work, and 15 had been employed on W. P. A. projects. Because 4 women had been assigned, during their period of dependency, to both local work relief and the newer Federal relief work projects, only 31 different women (5 percent of the total group) may be said to have been employed on relief work. Types of work available under relief projects included sewing, laundry, nurse’s aide in private and public hospitals, and clerical and stenographic work, while W. P. A. added power-sewing-machine projects and group-work activities. Some early placements on work relief were most unhappy, because of the types of work or the previous history of the women. One woman, now 53 years old, had never worked outside of her own home. She was assigned to a C. W. A. housekeeping service, but the work was hard and she felt that her “employers” imposed on her. Placed in a sewing room, she was still unhappy, for she disliked sewing. Finally she was assigned to work assisting nurses in the Cook County Hospital, where she remained 9 months enjoying her work thoroughly. Another hospital job, happy while it lasted, had terminated abruptly. ■ ' „ A woman now 52 years of age had enjoyed 7 months as nurse’s aide in Cook County Hospital, where she worked 3 days a week, 6 hours a day, for $6 30 a week. The project ended without notice and she was returned to direct relief. Including as work relief employment on projects of the Works Progress Administration, it was found that 15 women had been placed on W. P. A. at some time before the date of the interview. Of this number, 6 had received assignments after February 1, 1937, so that at the date of the study they were counted as receiving direct relief. Most of these women were enthusiastic about their work and a chance to be independent of relief. • A 49-year-old woman, whose severe burns had resulted in several years of invalidism and three painful surgical operations, was delighted with a clerical job m the office of a public school. A 61-year-old woman was pleased with her assignment as housekeeper to a friend, also on relief, who was in the hospital for an operation and needed someone to care for her children. A room was supplied, and she worked overtime (Satur days and Sundays) for her meals. 78 UNATTACHED WOMEN ON BELIEF IN CHICAGO, 1937 Not all placements, however, worked out satisfactorily. A 46-year-old Norwegian woman who had received 2 months of work relief as long ago as 1935 was placed on a W. P. A. project as game-room supervisor. A psychiatric examination had revealed no psychosis, though her personality was admittedly eccentric. Because of her difficulty in getting along with others, she lasted only 6 weeks on the project. In another case, faulty vocational classification resulted in an unfortunate placement. A German-born woman, now 50 years of age, had come to the United States hoping to be an opera star. She had sung in the Metropolitan Opera chorus in New York. In addition to speaking, reading, and writing German, she was able to speak and read English. Assignment to a W. P. A. job as translator was an utter failure because of her inability to write English; after 9 months of being shifted around from one department to another, she was released because of “inefficiency.” In some instances, illness resulted in the termination of W. P. A. work. A 35-year-old Negro woman was most enthusiastic over her 10 months’ ex perience on W. P. A., but a bad cold resulted in the removal of her name from the pay roll. An automobile accident ended one woman’s 6 weeks of W. P. A. work as time keeper on a demolition project. It was clear from the interviews that most of the women were eager for work, either in private industry or on some project of W. P. A. The therapeutic values of a carefully planned work program can scarcely be overestimated. Vocational training. A comprehensive case-work service undoubtedly would consider provision for vocational training essential in a program of rehabilita tion. Inadequate funds for administrative purposes and absence of planning on a long-time basis have resulted in an evasion of this responsibility, and almost no facilities for retraining have been developed. _ _ , . . At some time during the interview the subject of vocational training that might lead to future employment was discussed. The majority of the women who were ill or had reached the age where employment was no longer a possibility were hopelessly apathetic about future training. Younger and more ambitious women often expressed a desire for a stenographic course, sure that ability to type would enable them to get a job; many Negro women were anxious for a chance to learn power-machine sewing, for it seemed easy in com parison to heavy household work. _ A W. P. A. project for training household employees is one of the few means of vocational training open to destitute women in Chicago. One young Negro woman had been persuaded by her case worker to enroll. Absolutely unskilled, for her previous employment had included only housework and seasonal work in a nut factory, she was untrained for any work that would make her self-supporting. At the time of the interview only 1 week of the course remained,_ though she said that she disliked the work and apparently had no intention of doing housework; she wanted to “sew and sing.” No other instances of attempts at vocational training were found in the group under study. LIVING CONDITIONS In an inquiry into living conditions of a dependent group, confusion usually exists with regard to standards of housing, for minimum hous ing requirements are not easy to formulate without considering the facilities available to low-income groups in general. But adequate housing certainly should have such essentials as a neighborhood re moved from vice areas, a building constructed in accordance with the building code, regular repairs, sufficient light and air, warmth in winter, well-lighted halls, and cleanliness. If cross ventilation is not possible, each room should have at least an outside window, not merely one opening on a court, air shaft, or alley. Sanitary conven iences should be clean, dry, well lighted, and in keeping with the regulations of the board of health. If the housing facilities in the community are below living standards of health and decency, an agency assuming responsibility for dependent persons necessarily must make compromises with existing conditions, but its responsibility for the future includes the pointing out of the necessity of remedial measures. Budgetary limitations also are important in considering the living conditions of a dependent group. An ideal budget includes, in addi tion to food, allowances for shelter, fuel for cooking and heating, light, ice in summer, cleaning supplies, carfare, and replacement of such household supplies as bedding, dishes, and kitchen utensils. Fur nished-room accommodations obviate the need of some of these items, insofar as they are included in the rent; but, in general, failure to provide any one of these necessities means that it must be secured at the expense of another item, usually food. How the women lived. In view of the budget restrictions, it is interesting to find that 75 percent of the women lived alone; that is, had the exclusive use of a room in a rooming house or in some cases of an apartment or cottage. This generally advisable arrangement undoubtedly made the situation more bearable for the women concerned, especially the older women. About 14 percent of the women lived in a family group not related to them. Usually they had separate rooms for sleeping purposes, but they also had the privilege of sitting in the family living room, cooking in the family kitchen, and participating in the family life. Sometimes they were accustomed to eat with the family, to share the housework, and to assist with the care of the children. In other households they ate separately, cooking at times when the kitchen was not otherwise in use, and felt less free to use the living rooms of the household. Twenty-three women reported that they had no room of their own, but were sleeping in living rooms, dining rooms, or kitchens. These women were, for the most part, sharing the homes of friends or living in a family group as the only lodger. The women sharing a friend’s home and having the use of all the rooms in the house or apartment were few in number (7 percent). 79 80 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 193 7 In some cases the friend was another woman on public relief, but in many cases she was employed and wholly self-supporting. _ Strong ties of friendship bound many of the women, and the interviews dis closed instances of great sacrifices made to postpone application for assistance. Usually the friend was able to supply free lodging but could not afford to feed and clothe the client indefinitely. On the other hand, the most frequently reported reason for sharing living quarters with a friend was to reduce the amount spent for rent. Of the 20 women classed as living in other ways, 15 were those who had their own apartments and rented rooms to other persons. Since they were landladies, they probably had more freedom and inde pendence, in spite of some overcrowding, than women living in other persons’ homes. One woman, though technically not a landlady be cause she was living in a condemned building where no rent was paid, had taken in a homeless family after they had been evicted. The remaining four women lived respectively in a community dining room, in a convalescent home, in a Negro Y. W. C. A. home, and in a small institution for women. Though there was no striking variation in the mode of living at tributable to age, in general the practice of living alone increased, and that of living with friends or in family groups decreased, among the older groups. Many women in their late fifties and their sixties were found to be alone in the world, with family ties broken by death or estrangement. In many cases the relative quiet of a single room in a rooming house spelled comfort for a nervous, sick, or prematurely aged woman, where family life might have proved distasteful and nerve-racking. On the other hand, some women, too ill to care adequately for themselves, were found living alone when they should have had the care of a sympathetic person. Number of women living as specified Age (In years) Total Women reported---------- ------ .-----Under 35------- -------- ... 35, under 50. 50, under 65. ----- ------------------ - Alone With a family With a friend i 598 454 80 44 82 59 168 227 14 31 35 8 22 222 294 14 Other 20 91 10 i Excludes 6 women with age not reported. High rentals in Negro areas make necessary the taking-in of lodgers if the family rent is to be paid. This doubling-up of families and con sequent overcrowding was apparent in the study of this group of women, for about one-fifth of the Negro women lived with families, though less than 10 percent of the white women did so. The cases of overcrowding were comparatively few, but some were very serious—especially where persons in desperate circumstances had been given shelter by families almost as badly off as themselves. Type of dwelling. No attempt was made to distinguish between houses as detached, semidetached, row house, flat building, or tenement. Dwellings are divided into five groups: Eesidence, hotel, rooming house, building LIVING CONDITIONS 81 providing light-housekeeping apartments of various sizes, and miscel laneous types. All cottages and apartments in which the woman lived either alone or as the only lodger in the family group were classed as residences, for the privilege of using the living room and kitchen had values in creat ing a feeling of home life, in contrast to hotel or rooming-house atmos phere. “Hotel” was defined as a building with five or more sleeping rooms available for guests who paid by the day or week. Only a small per centage of women included in this sample were living in this type of dwelling, because of the greater expense involved. “Rooming house” was defined as any house or apartment having two or more lodgers. Often it was a large single house converted into a multiple dwelling with either a community kitchen or provision for cooking in the sleeping rooms. Many of the rooming houses were six- or eight-flat buildings with individual rooms sublet to tenants. In each apartment, bathrooms and kitchens would be used in common by all the tenants; occasionally the former dining room, if used as a passageway to the kitchen, would be set aside as a common sitting room. _ A variation of the ordinary rooming house was seen in those build ings where apartments in units of one room or more were rented for light-housekeeping purposes. Light-housekeeping facilities usually consisted of the installation of wash bowls with running water, twoburner gas plates, and a few cooking utensils, though more pretentious apartments had small gas stoves in kitchenettes. With the installa tion of cooking facilities in each room of many rooming houses, the distinction between them and buildings providing light-housekeeping rooms was less marked. Frequently the filth and disorder were distressing to the women with previous high standardsof cleanliness, though the tendency to sink into the general apathy of rooming-house life was marked. Usually clients cared entirely for their rooms, including the laundering of bedding and curtains, in spite of the inadequacy of laundry facilities for such heavy work. Furthermore, the relief allowance does not permit much expenditure for soap and other cleaning materials; and the lack of security in meeting rent payments creates a hesitancy in demanding repairs or even the maintenance of minimum standards of cleanliness and decency. Basement rooms and apartments usually offer certain advantages to women on relief, even though they lack fresh air and sunlight and have obvious handicaps of cold and dampness in winter. Thirty-three women (5 percent of the entire group) were living in basement rooms or apartments. In general, rentals of_ basement apartments are lower than those of other apartments of similar size. A few women, in spite of the exhaus tion of resources that culminated in their application for relief, still retained their household furniture. They preferred to move to a place that would accommodate their furniture, even though it meant living in damp, dark, and airless rooms. Convalescent care in boarding homes or small institutions, or foster home care for the aged, are common methods of care for women too ill or too old to provide for themselves comfortably in separate establish ments. Only one woman included in this group was found living in a 82 UNATTACHED WOMEN ON RELIEF IN CHICAGO, 1937 convalescent home. Managed by a practical nurse, the home housed, besides her and her two small daughters, five women and nine men, recipients either of old-age assistance or of relief. The monthly rate for board and lodging was $25. Successful use of convalescent-home care implies, of course, ade quate supervision on the part of the agency in order to prevent exploita tion of the relatively helpless client and to insure compliance with local building-construction laws, fire-prevention ordinances, and city standards of sanitation. Practically two-fifths of the women (39 percent) lived in cottages or apartments of their own or shared the home of a family or friend as the only lodger. Almost the same proportion lived in rooming houses; while 17 percent were living in buildings providing single rooms and light-housekeeping apartments, 4 percent lived in hotels, and 2 percent found it necessary to find other types of living quarters. Details of housing facilities. Measured by crowded city standards, the majority of the women were living in light and airy rooms. In many cases there was more than one window; unless the building was old or in violation of the newer tenement laws, conditions of natural light were good. Where conditions were bad, however, they were very bad, windows close to adjacent walls making some rooms almost pitch-dark. Almost 90 percent of the women lived in houses lighted by electric ity; about 9 percent used kerosene lamps; and a small number used candles, gaslight, or did without artificial light. A central furnace was the means of heating most frequently found. Of all homes visited, about two-thirds had central heating. Other means showed great variety. About one-fourth of the women studied had no running hot water in connection with their living quarters, a serious problem for anyone, and especially for the older women suffering from chronic illness. More than 70 percent of the women had the use of complete bath rooms, with running hot and cold water available. An additional 10 percent had bathrooms, though running hot water was lacking. Only 53 women had exclusive use of their bathrooms, and 102 women (17 percent of the group) had no bathing facilities, and 2 women had no sanitary conveniences of any sort. The most common way of cooking and eating was using cooking equipment in the single room originally intended for living and sleep ing purposes. About 35 percent of the women cooked and ate alone in their sleeping rooms. More than one-fourth of the women cooked in the kitchen or kitchenette of their own apartment, and almost one-fourth, living in rooming houses where the number of roomers was not large, used the family kitchen for cooking and eating. Difficulty in stretching over the required time the food allowance of $9.25 a month for a single woman was mentioned by nearly every one interviewed. The retail sales tax was a heavy burden on those with low incomes, for they bought in small quantities and the percent age of tax amounted to a considerable figure. Several women seemed able to have only one meal a day; others reported two as the maxi mum, and the majority were “hungry all the time.” Some of these women still had personal possessions from more prosperous days. Seven-tenths of the women furnished their own LIVING CONDITIONS 4 * 1 83 rooms. However, only one-half of the women furnished them com pletely. In many instances, to be sure, much of the furniture, dishes, linens, and bedding had been sold, and only a few pieces kept to fur nish a small apartment or even a single room. In spite of the irregularity in paying rents and the general low stan dards of many of the homes, this group of women tended to remain in the same community and in the same rooms. Forty-five percent had lived for a year or longer in the home where the investigator found them. Twenty-eight percent had moved once in the year preceding the inquiry; 14 percent had moved twice; and 12 percent had moved three or more times. One woman, ill with tuberculosis, had moved 10 or 12 times in the past year. The danger of eviction without notice was serious to those living in furnished rooms,, rendering even short trips to the grocery store a hazard, for eviction can be accomplished by simply locking the door so that the tenant cannot reenter her room. Cases were reported of evicted women sleeping in parks and hallways. Loss of personal property was an inevitable accompaniment of many evictions. Amount of rental. Because the women studied are dependent on public relief, the problem of finding adequate housing for a limited sum is especially difficult. A relief agency usually is forced to make administrative rulings with regard to the amount of rent it can pay for families of various sizes. The Chicago Relief Administration, at the time this study was in progress, had set $12 as the maximum amount of rent allowed for the housing of a single person in quarters where both heat and light were provided. Slightly lower maxima obtained in those districts where rents were lower because of the presence of dwellings without central heat. Landlords have become wary of accepting recipients of relief as tenants because of the irregularity of rent payments that has marked the history of relief administration since 1931. The majority of these women, therefore, were forced to seek shelter in the most deteriorated areas, unless they were fortunate enough to find lodging in the home of a friend or in the apartment of some family anxious to supplement its income by taking in a single lodger. Almost two-fifths of the women who were paying rent were living in quarters renting for $12 a month; 28 percent were paying less than that, and 33 percent were paying more. In several cases monthly rentals of more than $12 were paid by the district office because of serious physical or mental problems that made moving to less expen sive rooms undesirable at the time. In general, however, the woman who wished to live in rooms renting for more than $12 paid the surplus out of her food money. The practice of allowing buildings to stand after being condemned permits them to be occupied by persons unable to secure more suitable shelter. This inquiry showed that several women were living in condemned dwellings, with other individuals sharing the same quar ters and the same danger. Crumbling walls, sinking foundations, treacherous stairways, lack of water, light, and sanitary conveniences are serious hazards common to life in condemned buildings. Usually they are the last resort in cases of eviction. i APPENDIX SCHEDULE INQUIRIES I. Personal data: Name and address; marital status; age and date of birth; nativity, color, citizenship; time in State, county, at present address; removals during year. J- II. Education and training: Grade of school completed; other training; English or other language spoken, read, written; membership in professional, social, or labor organization; occupational therapy; further training desired. III. Relief: Support previous to relief; adjustment before seeking relief; cause of seeking relief; relief budget in January 1937; surplus food, medical care; type and duration of relief, with dates; reasons for stoppages of relief. IV. Living conditions: . . How woman lives (alone, in family, with friends, etc.); description of living quarters (size, location, kind, heat and light, sanitary facilities, furnishings, etc.); arrangement for meals; amount of rent or board. V. Health: _ Physical condition: Diagnosis, treatment, etc., according |to_ medical record and/or statement of client or investigator; description of disability; handicap; appliances used. Mental condition: Same as foregoing. VI. Employment history: Employment status February 1, 1937 (employed full time, part time, not employed); registered or not at Employment Service Office-, estimated employability; special skills; total years employed; duration of employment in usual occupation and industry and m alternate occupation and industry; detailed work history from autumn of 1929 to date (with occupation and industry, employer’s name and address, monthly earnings, and reason for leaving). 84 i f O