Assistance Benefits Research Articles

The cost and affordability of growing and feeding a baby in Nova Scotia.

This paper examines the affordability of a basic nutritious diet for low-income families in Nova Scotia over three developmental periods (pregnancy, perinatal, early infancy) using economic simulations that include food costing and secondary data. The cost of a nutritious food basket was determined from a random sample of grocery stores in Nova Scotia (n= 21), along with the cost of infant formula (n= 29) and prenatal vitamins and vitamin D drops (n= 15), from randomly selected pharmacies. The monthly funds remaining to purchase a basic nutritious diet were calculated for several household scenarios, after deducting essential living expenses from net incomes. Each scenario included either a pregnant woman or a breastfed or formula-fed infant at 3months, and either Income Assistance, Federal Maternity Benefits based on minimum wage employment, or a $15/h wage. Income Assistance and Federal Maternity Benefits, based on minimum wage, were inadequate to purchase a basic nutritious diet during pregnancy or in early infancy whether breastfeeding or formula feeding. All household scenarios faced significant potential monthly deficits if they were to purchase a basic nutritious diet. Minimum wage and income security programs are inadequate for the purchase of a basic nutritious diet throughout the prenatal, perinatal, and early infancy periods in Nova Scotia, emphasizing risk of food insecurity as a critical issue for young families facing income constraints. Adequate maternity protection is required to support access to food and nutrition essential for maternal and infant health.

The Impact of Income Sources on Financial Stress in Workers' Compensation Claimants.

Workers' compensation schemes usually recompense workers below their regular wage. This may cause financial stress, which has previously been associated with poorer health and work outcomes after injury. We sought to determine the level of financial stress experienced by injured workers and the influence of post-injury income source on financial stress. Analysis of a cross-sectional national survey of 4532 adults who had been injured at work and had at least one day of workers' compensation paid. Financial stress at time of survey was measured on a scale of 1-10 and subsequently dichotomised at the top quartile for further analysis. The effect of current main income source on financial stress, adjusted for demographic and psychosocial confounders, was assessed using logistic regression. Sixty-nine percent of workers whose main income was social assistance or insurance and 54% whose main income was workers' compensation were experiencing financial stress. Relative to wages or salaries, workers with a main income from social assistance or insurance (odds ratio: 3.33, 95% CI 2.22-5.00) and workers' compensation (1.71, 1.31-2.24) had higher odds of financial stress. Workers with a main income of an aged pension or superannuation had lower odds of financial stress (0.52, 0.28-0.97). Injured workers receiving workers' compensation or social assistance benefits are vulnerable to increased financial stress. Given the potential negative consequences of financial stress on health, particularly mental health, this study suggests the need for careful consideration of income replacement benefits in the design of workers' compensation schemes.

Falling through the social safety net? Analysing non‐take‐up of minimum income benefit and monetary social assistance in Austria

AbstractNon‐take‐up of means tested benefits is a widespread phenomenon in European welfare states. The paper assesses whether the reform that replaced the monetary social assistance benefit by the minimum income benefit in Austria in 2010/11 has succeeded in increasing take up rates. We use EU‐SILC register data together with the tax‐benefit microsimulation model EUROMOD/SORESI. The results show that the reform led to a significant decrease of non‐take‐up from 53 to 30% in terms of the number of households and from 51 to 30% in terms of expenditure. Following the three‐t's (threshold, trigger, and trade‐off) introduced by Van Oorschot, estimates of a two‐stage Heckman selection model as well as expert interviews indicate that the taken measures include both threshold and trade‐off characteristics. Elements such as the higher degree of anonymity within the claiming process, the provision of health insurance, binding minimum standards, the limitation of the maintenance obligations, new regulations related to the liquidation of wealth, as well as the general coverage of the benefit reform in the media and in public discussions led to an improved access to the benefit.

Social Assistance for Poverty Reduction in the EU Countries: An Aspect of Socio-Economic Sustainability

Abstract
 Research on the impact of social assistance benefits and other socio-economic indicators on poverty reduction during 2000 – 2017 in 24 EU countries is presented in the paper. In order to assess the impact a regression analysis model of the panel data was composed by including such indicators as changes in gross total expenditure per capita, the GDP growth rate, the share of the retirement-age population, the unemployment rate of the working-age population, the long-term unemployment rate. Research findings revealed the main socio-economic indicators that have the greatest impact on changes in poverty. The economic slowdown reduced the at-risk-of poverty gap of people with the lowest income and the economic growth reduced the poverty gap with a lag of two periods (years). The overall impact of all social transfers under analysis on the at-risk-of poverty gap was insignificant. The at-risk-of poverty rate, which shows changes in the share of the most deprived population under analysis, increased when non-targeted and means-tested benefits gal geriau social transfers increased. On the basis of these findings it can be stated that, during the period under analysis, social assistance was not well-directed, i.e. did not focus on the most deprived part of the population. 
 Keywords: sustainable development, social assistance benefits, means-tested benefits, the at-risk-of-poverty rate, the relative poverty gap, panel data.

Corrigendum to “Supply to Deny: The Benefits of Nuclear Assistance for Nuclear Nonproliferation”

Corrigendum to “Supply to Deny: The Benefits of Nuclear Assistance for Nuclear Nonproliferation”

Interactions Between Income and Social Support Programs in B.C.

This paper examines the system of income and social supports available to B.C. residents and how programs interact with each other. We observe that programs can interact through “eligibility interactions” and “benefit interactions”; that is, one program can affect eligibility for another program and benefits from one program can affect benefits from another program. We look in depth at both the disability tax credit and provincial social assistance and how these programs act as “gateway programs” for other programs: access issues to these gateway programs can limit access to other programs. We also examine the interaction between provincial social assistance and the Rental Assistance Program, both which provide a housing supplement to low-income B.C. residents; however, receipt of one precludes the receipt of the other. For a person deciding between these programs, knowing which program makes a person better off is complicated. Finally, we look at how receipt of the Seniors Bus Pass affects the level of other tax-delivered benefits, and how receiving provincial social assistance benefits affects receipt of the Canada Workers Benefit: for both, the receipt of one benefit reduces the other benefit level raising the question of whether this was intentional. These interaction effects have implications for how reforms should be approached. Reforms to programs are often approached as reforms to individual programs; however, they should be approached with the entire system in mind.

Factors associated with food security in households in the urban area of the state of Tocantins, Northern Brazil.

To evaluate the factors associated with food insecurity in families living in the urban area of Tocantins/Brazil. This is a population-based cross-sectional study conducted in the urban area of 22 municipalities in the 8 microregions of the state. A semi-structured questionnaire was applied to the head of household to obtain socioeconomic and demographic data, and the Brazilian Food Insecurity Scale (EBIA) was used to assess food insecurity at home. The anthropometric assessment of the residents was made by measuring weight, height/length and waist circumference. Multinomial logistic regression was performed to assess the association of food insecurity with individual/household variables, and Pearson's chi-square test was used to compare whether there was a difference in the prevalence of food insecurity between microregions and between families with and without individuals under 18 years. A total of 596 households were evaluated, of which 63.4% were in a food insecurity situation. The final model of the multivariate analysis showed that low head-of-household schooling, low per capita income, receiving social assistance benefits and lack of clean drinking water in the household were associated with food insecurity (p < 0.05). The findings of this study reveal the high prevalence of food insecurity in the families studied and their associated factors, showing the need for local actions and public policies to improve health conditions, education and income of the population, and consequently, improve the scenario of food and nutritional insecurity in the state.

Supply to Deny: The Benefits of Nuclear Assistance for Nuclear Nonproliferation

AbstractRecent scholarship on nuclear proliferation finds that many forms of nuclear assistance increase the odds that recipient states pursue nuclear weapons programs. While these studies may help us understand select cases of proliferation, they overshadow the role of nuclear supply in bolstering global nonproliferation efforts. After the risks of nuclear assistance became well-known following India's nuclear explosion in 1974, most major suppliers conditioned their assistance on recipients joining nonproliferation agreements. Case studies of states’ decision-making regarding these agreements illustrate how the provision of nuclear technology has been an effective tool in persuading states to join such agreements, the most important of which is the Treaty on the Non-Proliferation of Nuclear Weapons (NPT). By joining the NPT, states strengthen the global nonproliferation regime and increase the costs of any potential future decision to proliferate. The offer of nuclear assistance has done far more to bolster global nuclear nonproliferation efforts than recent research suggests.

Joint Effects of Parental Smoking Cessation and an Antismoking Parenting Program on Children's Susceptibility to Smoking: A Three-Year Prospective Study.

Cognitive susceptibility to smoking is indicated by positive social expectancies about smoking, being curious about smoking, wanting to try smoking, and intending to try smoking. Among children, cognitive susceptibility is a risk factor for initiating smoking; reducing susceptibility is, therefore, a viable primary prevention strategy. Our study tested prospectively the combined effect of two variables-parental modeling of smoking cessation and parental exposure to an antismoking parenting program-on cognitive susceptibility to smoking among children who had never puffed on a cigarette. The study sample comprised 859 daily smokers who called a state Quitline seeking assistance to quit smoking and these adults' 8- to 10-year-old children. The factors in the 2 × 2 design were parental modeling of cessation (successful cessation vs. continued smoking) and parental exposure to an antismoking parenting program (program vs. control). We hypothesized that children whose parents both quit smoking and received the antismoking parenting program would report lower susceptibility to smoking than children exposed to one or neither of these factors. Multivariable analysis of variance, conducted using child-reported susceptibility to smoking collected 12, 24, and 36months post-baseline, confirmed this hypothesis. Post hoc tests for simple main effects showed that, at each time point, parent smoking cessation had a significant protective effect on children's susceptibility to smoking, but only among children whose parents received the parenting program. These tests also showed that the parenting program had a significant protective effect on children's susceptibility to smoking, but only among children whose parents had successfully quit smoking. Our study results suggest that Quitlines and other programs that assist adults in quitting smoking could extend the reach and benefits of such assistance by providing parents with resources that promote antismoking parenting practices.

Frontline implementation of welfare conditionality in Norway: A maternalistic practice

AbstractWelfare conditionality is both ambitious and ambiguous for the frontline workers who put policy into practice. Since January 2017, the Norwegian frontline service should require social assistance benefit recipients under the age of 30 to participate in some sort of work‐related activation, so‐called mandatory activation. Drawing on qualitative interviews with frontline workers at local offices in the Norwegian Public Welfare Service (NAV), we investigate how the requirement is implemented in a context of a professionalised social welfare service. Mandatory activation is arguably a paternalistic measure. Drawing on Bernardo Zacka's concept of moral dispositions and Laura Specker Sullivan's concepts of maternalism, our findings indicate that at the frontline, mandatory activation policies are implemented by maternalistic decision making, emphasising the interpersonal relation between trained caseworkers and clients. The caseworkers use their discretionary powers in the implementation of conditionality and sanctions by emphasising care and support as embedded in the strict rules.

‘It’s really good…why hasn’t it happened earlier?’ Professionals’ perspectives on the benefits of communication assistance in the New Zealand youth justice system

Communication assistance is a form of specialist support for witnesses and defendants in justice settings who have been identified as having communication difficulties. This new role in New Zealand is modelled on the role of the intermediary in England and Wales. To date however, there has been no published review or evaluation on how communication assistance is functioning and being viewed by professionals in practice. This study provides a qualitative analysis of professionals’ perspectives (n = 28 participants) on the benefits of communication assistance for young people facing criminal charges in the New Zealand youth justice system. The main finding is that professionals are overwhelmingly in support of this new role. Professionals considered that communication assistance helps put the young person at the centre of youth justice, brings new knowledge and a fresh perspective, and helps the system to function as it ideally should.

Socioeconomic inequalities in metabolic syndrome in the French West Indies

BackgroundObesity and metabolic diseases represent a major health burden in the Caribbean, particularly since a large part of the population is disadvantaged. However, socioeconomic inequalities in chronic diseases are poorly explored in this region. We investigated the association between socioeconomic position and metabolic syndrome (MetS) prevalence and explored the contribution of diet quality to explain this association, among adults in the French West Indies.MethodsThis cross-sectional analysis included 1144 subjects (≥16 y) from a multistage sampling survey conducted in 2013–2014 on a representative sample of the Guadeloupean and Martinican population. MetS prevalence was assessed using the Joint Interim Statement. Dietary intakes were estimated from 24 h-dietary recalls, and diet quality was assessed through the Diet Quality Index-International (DQI-I). Associations between socioeconomic indicators (education, employment, social assistance benefits) and MetS prevalence, and the potential contribution of diet quality in this association were assessed using multivariable logistic regression models, adjusted for sociodemographic characteristics.ResultsMetS prevalence adjusted for age and sex was 21 and 30% among Guadeloupean and Martinican, respectively. Compared to high-educated participants, low-educated subjects were more likely to be at risk of MetS (OR = 2.4; 95%CI = [1.3–4.4], respectively), as were recipients of social assistance benefits compared to non-recipients (OR = 2.0; 95%CI = [1.0–4.0]). The DQI-I explained 10.5% of the overall variation in MetS due to education.ConclusionsSocioeconomic inequalities in MetS prevalence, reflected by education and social assistance benefits, were found. However, diet quality contributed only to socioeconomic inequalities due to education underlining that education may impact health through the ability to generate overall dietary behavior, long-term beneficial. Our work identified subgroups with higher risk of MetS, which is needed when implementing public health measures, particularly in this Caribbean population with of high poverty rates. Further prospective studies are needed to improve our understanding of the mechanisms of social inequalities in MetS in a high poverty rates context.

The European Convention on Human Rights and Residence Requirement for the Purposes of Social Assistance Benefits

Abstract This article examines the case law on whether a requirement that a person have a legal right of residence in order to be entitled to social assistance benefits is compatible with the European Convention on Human Rights. It looks, in particular, at a recent series of Dutch cases before the European Court of Human Rights in which the Court rejected as inadmissible arguments that the Dutch residence requirement was in breach of the Convention. The recent cases are of particular relevance as the ECtHR had previously taken a negative view of residence requirements in cases such as Niedzwiecki v Germany.1 In contrast to that case, the recent Dutch cases involved the residence status of a co-resident rather than the claimant herself.

Welfare, work, and single mothers: The Great Recession and income packaging strategies

The public social safety net in the U.S. for single mothers and their children, including cash assistance and in-kind benefits or vouchers, is largely tied to work—both from individual earnings and from child support intended to supplement public support. How does the safety net perform in periods of severe work instability, such as during the unemployment crisis of the 2008–2010 Great Recession? This paper uses a unique panel dataset from Wisconsin to compare total formal income for a cohort of first-time single mothers in 2002 with a cohort in 2007. Income for both cohorts is constructed for the year after birth—including earnings from the formal labor market, public benefits, and child support—and five years after birth. We hypothesize that total formal income will grow over those five years as mothers accrue experience in the labor market. However, with the labor market crisis of the Great Recession, we expect public benefits to expand as earnings decrease, but not enough to offset the loss of earnings and child support when comparing total formal income differences across the two cohorts, resulting in a lower total income package for mothers in the Great Recession cohort. Using multivariate regression to adjust for demographic covariates, we find that while there is significantly less income from earnings and child support among the Great Recession cohort, the total formal income for the Great Recession cohort is slightly but significantly greater than the control cohort at time two. This suggests that the safety net during the Great Recession provided a buffer relative to lost income, likely as a result of critical policy changes making public benefits more generous and more accessible during the recession. High poverty rates among both cohorts of mothers, however, highlight the importance of the safety net even in stable labor market conditions, and suggests the need for greater benefit expansion.

Housing instability and child welfare: Examining the delivery of innovative services in the context of a randomized controlled trial

Child welfare-involved homeless families are at greater risk of poor social and economic outcomes compared with homeless families not involved with child welfare, and these negative outcomes reverberate in terms of economic and social costs to society. This study employed a mixed-methods approach to examine process findings from a randomized control trial from the first county-level Pay for Success initiative, Partnering for Family Success. The research compared housing, child welfare and public assistance outcomes for the treatment (N = 90) and control (N = 73) groups, explored how the program delivered its services, the service pattern over time, and perspectives of child welfare and program staff. We found that during and in the year after exiting the program, treatment group clients were less likely to use homeless services and were more likely to access public assistance benefits as compared with the control group clients, and during and after the program, the treatment and control group clients’ child maltreatment reports were not statistically significantly different. There were positive indications from quantitative data showing that the intervention patterns align with those of Critical Time Intervention (CTI), with qualitative interview data indicating shifts over time in case management focus from short-term crisis management and housing stability toward working on longer-term independent living skills. The findings contribute to the literature regarding how best to serve homeless, child welfare-involved families, and suggest the necessity for longer-term interventions and greater attention to non-housing-related needs.

Stigma and shame attached to claiming social assistance benefits: understanding the detrimental impact on UK lone mothers’ social relationships

ABSTRACT Employing evidence from a recent qualitative study, this paper provides new insights into the social relationships of lone mothers in the UK and exposes how these relationships are negatively affected by the stigma attached to claiming social assistance benefits. The political discourse attached to welfare policy reforms has stigmatized benefit claimants as a means to activate them into paid work. Consequently, lone mothers on benefits have reported being seen primarily as failed workers and citizens, rather than as struggling mothers trying to support their children in difficult circumstances. This stigma is internalized as feelings of shame, and has damaged lone mothers’ social identity and permeated the closest of their familial relationships, highlighting the extent of its insidious and damaging power. Sadly, lone mothers and their relatives were engaged in a process of othering that only served to trap them further into stigmatizing discourses.

Social assistance and mental health: evidence from longitudinal administrative data on pharmaceutical consumption

ABSTRACTThis paper adds to the small literature on the role of welfare benefits and mental health by studying the relationship between uptake of Social Assistance Benefit (SAB) and objective mental health measures. We use rich longitudinal administrative data on income, unemployment benefits and psychopharmaceutic prescriptions (antidepressants, anxiolytics, and hypnotics) for more than 140,000 Swedes in 2006–2012. Relative to earlier studies focusing on subjective mental health, an advantage of our approach is that we use longitudinal administrative data that do not suffer from non-response, under-reporting and self-justification biases. While we document a strong positive association between SAB and psychopharmaca consumption in ordinary least squares models, fixed effects estimates indicate that most of the association is due to unobserved individual-specific predisposition. Insofar as a relationship remains in the fixed effect models, it is driven by highly educated men. This result is consistent with earlier quantitative studies using survey data and with qualitative research suggesting that SAB uptake may be particularly stigmatizing for individuals with a higher initial socioeconomic position.

Does diet quality mediate socioeconomic differences in metabolic syndrome in the French West Indies?

Abstract Background Obesity and metabolic diseases represent a major health burden in the Caribbean, particularly since a large part of the population is disadvantaged. However, socioeconomic inequalities in chronic diseases are poorly explored in this region, and the contribution of diet to explain these inequalities has not yet been studied. We investigated the association between socioeconomic position and the prevalence of metabolic syndrome (MetS), and explored whether this association was mediated by diet quality in the French West Indies. Methods This cross-sectional analysis included 1,144 adults (≥16 y) from a multistage sampling survey, representative of the Guadeloupean and Martinican population. The prevalence of MetS was assessed using the Joint Interim Statement. Dietary intakes were estimated using 24hours dietary recalls, and diet quality was assessed through the Diet Quality Index-International (DQI-I). Associations between socioeconomic indicators (education, employment, social assistance benefits) and prevalence of MetS, and the potential mediating effect of diet quality in this association were assessed using multivariable logistic regression models adjusted for sociodemographic factors. Results MetS prevalence adjusted for age and sex was 21% and 30% among Guadeloupean and Martinican, respectively. Compared to those with a high education level, low- and middle-educated subjects were more likely to be at risk of MetS (OR = 1.9; 95%CI = [1.0-3.6] and OR = 2.7; 95%CI = [1.4-5.1], respectively), as were recipients of social assistance benefits compared to non-recipients (OR = 2.2; 95%CI = [1.1-4.2]). The DQI-I explained 11% of the overall variation in MetS due to education. Conclusions Socioeconomic inequalities in MetS prevalence were found in a Caribbean population but diet quality contributed only to socioeconomic inequalities due to education. Future public health measures need to target specifically populations with limited financial resources and low education. Key messages Our work identified subgroups with higher risk of MetS, which is needed when implementing public health measures, particularly in this Caribbean population with of high poverty rates. Diet quality contributed only to socioeconomic inequalities due to education underlining that education may impact health through the ability to generate overall dietary behavior, long-term beneficial.

From care to education and work? Education and employment trajectories in early adulthood by children in out-of-home care

BackgroundTemporal dynamics during the early adulthood transition among children in out-of-home care is a neglected research area, leaving the possibility of coping with childhood adversity over time a poorly understood topic. ObjectiveTo explore early adulthood education and employment trajectories among young adults who experienced out-of-home care during childhood and to examine how various care history factors predict these trajectories. ParticipantsWe use longitudinal birth cohort data comprising individual-level information from national registers of all children born in Finland in 1987 (N = 59,476, of whom 1893 were in care). Setting and methodsWe use trajectory clustering from a previous study on the 1987 birth cohort to compare trajectories between children in care and a propensity score–matched group of peers never in care. We investigated the association between care history factors and trajectories with multinomial logistic regression modeling. ResultsCompared with the matched peer group, children in care were less likely to enter trajectories characterized by education and employment (38%) and more likely to enter trajectories involving early parenthood (14%) or long periods of fragmented social assistance benefit receipt and unemployment (21%). Those on early parenthood trajectories were almost exclusively women, whereas those receiving social assistance benefits and experiencing unemployment for lengthy periods were mostly men. Entering disadvantaged trajectories was associated with, inter alia, placement as an adolescent, residential care, and aging out of care. ConclusionThe study demonstrates the relevance of examining longitudinal trajectories in children in care’s early adulthood. Many young adults with care experience need support in education and employment beyond young adult age.

Deep and Extreme Child Poverty in Rich and Poor Nations: Lessons from Atkinson for the Fight Against Child Poverty

The paper documents child poverty levels and trends using both relative (‘deep’) and absolute (‘extreme’) measures in two clusters: Anglo-Saxon high-income countries and upper middle-income countries. We also investigate the influence of different components of household income and other resources on child deep-poverty rates to examine the role of the market and the redistributive effects that materialize through private transfers, public benefits, and tax systems on generating poverty reduction. Overall, middle-income nations have witnessed continuous reductions in their extreme child poverty rates, while mild decreases or fluctuations have been observed in the five high-income nations, with the US highlighted by its relatively high rates of deep and extreme poverty regardless of absolute or relative measures and type of equivalence scale used. Private institutions play a larger role in poverty reduction in middle-income nations compared to its impact on developed nations. The degree of dependence on universal or assistance benefits varies among high-income nation. In the US, universal programs tend to be meager, while Australian social insurance and universal benefit are robust in their fight against deep poverty. Brazil stands out by its overwhelmingly large proportion of social insurance programs that contribute to improvements of its deep child poverty situation, and South Africa’s assistance benefit system performs better in lifting children out of deep poverty.