Women's Lived Experiences with Temporary Assistance for Needy Families (TANF): How TANF Can Better Support Women's Wellbeing and Reduce Intimate Partner Violence.
Women's Lived Experiences with Temporary Assistance for Needy Families (TANF): How TANF Can Better Support Women's Wellbeing and Reduce Intimate Partner Violence.
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DOI：
10.3390/ijerph19031170
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发表时间：
2022-01-21
影响因子：
--
通讯作者：
Woods-Jaeger B
中科院分区：
文献类型：
--
作者：
Spencer RA;Lemon ED;Komro KA;Livingston MD;Woods-Jaeger B
经历贫困的妇女更有可能面临亲密伴侣暴力（IPV），健康状况不佳和耻辱。IPV幸存者在接受贫困家庭临时援助（TANF）的人中所占比例过高，TANF是一个为贫困家庭提供服务的有条件现金计划。更慷慨的TANF政策可能对IPV有保护作用，但通过同期研究可以更深入地了解TANF的影响，该研究考察了福祉的交叉决定因素，并参与社区对研究结果的解释。我们使用经过改编的家庭压力模型框架，并通过交叉和基于社区的透镜分析数据，通过在COVID-19大流行期间对美国三个州的13名有TANF经验的女性进行深入的半结构化访谈，探索TANF对女性福祉的影响。数据分析使用主题分析在MAXQDA和研究人员促进了三个成员检查事件，以提高结果解释的有效性。出现了四个主题：（1）低现金和有条件的福利提供了有限的短期“救济”，但助长了贫困和艰难的选择;（2）TANF的福利水平和条件增加了妇女对他人的依赖，使关系紧张;（3）妇女采取特别措施获得TANF，主要是为了履行其作为母亲的角色;（4）TANF的耻辱感造成心理压力，非裔美国人的经历各不相同。为那些经历贫困的人增加TANF现金福利和其他现金转移，采用完全由国家资助的TANF计划，增加TANF管理的资金，解决TANF耻辱和种族化的叙述，并允许可选的儿童支持参与或更大的“传递”儿童支持是使TANF更能保护IPV的重要步骤。
Women experiencing poverty are more likely to face intimate partner violence (IPV), poor health, and stigma. IPV survivors are overrepresented among those who receive Temporary Assistance for Needy Families (TANF), a conditional cash program serving families experiencing poverty. More generous TANF policies may be protective against IPV, but a greater insight into TANF’s effect could be gleaned through a contemporaneous study that examines intersecting determinants of wellbeing and engages community interpretation of findings. Using an adapted Family Stress Model framework and analyzing data through an intersectional and community-based lens, we explore the impact of TANF on women’s wellbeing through in-depth, semi-structured interviews during the COVID-19 pandemic with 13 women who had TANF experience in three U.S. states. Data were analyzed using thematic analysis in MAXQDA and researchers facilitated three member-checking events to enhance validity of result interpretation. Four themes emerged: (1) Low cash and conditional benefits provided limited short-term “relief” but contributed to poverty and hard choices; (2) TANF benefit levels and conditions increased women’s dependence on others, straining relationships; (3) Women undertook extraordinary measures to access TANF, largely to fulfill their roles as mothers; and (4) TANF stigma creates psychological stress, differentially experienced by African Americans. Increasing TANF cash benefits and other cash transfers for those experiencing poverty, adopting solely state funded TANF programs, increasing funding for TANF administration, addressing TANF stigma and racialized narratives, and allowing optional child support participation or a larger “pass-through” of child support are important steps toward making TANF more protective against IPV.
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