Lone Parents Research Articles

‘I’m Mum and Dad in One, Basically’: Doing and Displaying ‘Good Lone Motherhood’

Popular discourse continues to equate ‘good’ motherhood with middle class, heterosexual coupledom and lone motherhood with dysfunctionality, despite ever-increasing diversity in family life. Drawing on interviews with lone mothers in two locations in the north of England, this article introduces the concept of ‘good lone motherhood’ to capture a process whereby women internalise nuclear family ideology while simultaneously resisting stigma and taking pride in their achievements in fulfilling practical and emotional demands of lone parenting. Application of a family practices framework is expanded through insights into what ‘doing’ good lone motherhood entails in everyday life and how it is ‘displayed’ to different audiences. Taking a comparative approach involving women in areas with contrasting socio-economic profiles highlights the contextual nature of display. Analysis of agential reflexivity and structural constraints demonstrates ways in which gender and class disadvantages can undermine capacity to ‘successfully’ convey a positive maternal identity.

The Impact of Marginalization on Diffuse Large B-Cell Lymphoma Overall Survival: A Retrospective Cohort Study

Introduction: While health disparities in diffuse large B-cell lymphoma (DLBCL) have been previously noted, literature systematically describing the impact of social determinants of health (SDOH) on DLBCL overall survival (OS) is sparse. Furthermore, existing data largely examine SDOH of health in isolation, not accounting for key covariates or disease-related variables. Marginalization, which accounts for various SDOH, is a process of systemic discrimination and exclusion. Given the paucity of literature to date, we examined how marginalization influences DLBCL OS in the Canadian setting. The objectives of this study were: 1) To describe the impact of marginalization on DLBCL OS and 2) To identify which dimensions of marginalization, if any, impacted OS.Methods: We conducted a population-based retrospective cohort study of adult patients with newly diagnosed DLBCL in Ontario between January 1, 2005 to December 31, 2017 receiving a rituximab-containing chemotherapy regimen for curative intent, followed until March 1, 2020. Our primary exposure of interest was the Ontario Marginalization Index (ON-Marg), an administrative database tool which combines demographic indicators into four distinct marginalization dimensions: residential instability (% renters and % living alone), material deprivation (% low income and % lone parent families), dependency (% seniors and % employment), and ethnic concentration (% recent immigrants and % visible minority). Our primary outcome was 2-year OS, defined as time from the date of first rituximab-based treatment to date of death or completion of follow-up. Survival curves were generated using Kaplan-Meier methods, and Cox regression analyses were used to identify covariates that were independently associated with OS. Our final model adjusted for age (as increments of 10 years), sex, and comorbidity burden as measured by aggregate diagnostic groups (ADGs).Results: A total of 10,344 patients were diagnosed with DLBCL and treated with a rituximab-containing regimen in Ontario between January 1, 2005 and December 31, 2017. The median age was 67 (IQR, 55-75) and 46% were female. Of patients who had staging data (49%), 54% were advanced stage at diagnosis, and the median number of cycles of chemoimmunotherapy received was 6 (4-6). Median number of ADGs was 10 (8-12), indicating a moderate-to-high burden of comorbidities within this cohort, and 13% of patients resided in a rural area. Cohort characteristics and mortality rates per ON-Marg quintile (Q5 = most marginalized) are provided in Table 1. Overall, group characteristics were evenly distributed, except that the most marginalized group had a higher proportion of patients residing in urban settings and nearer to treatment hospitals. Two-year overall survival was 73.2%. After controlling for relevant confounders, material deprivation (hazard ratio [HR] 1.06, 95% confidence interval [CI] 1.02 - 1.10, p=0.003) and ethnic concentration (HR 1.05, 95% CI 1.01 - 1.09, p=0.013) contributed to increased risk of all-cause mortality. Residential instability and dependency had no significant effect. Increasing age (HR 1.29, 95% CI 1.25 - 1.33, p<0.0001) and increasing number of ADGs (HR 1.028, 95% CI 1.025 - 1.031, p<0.0001) were also associated with increased risk of all-cause mortality, while female sex was found to be protective (HR 0.89, 95% CI 0.83 - 0.97, p=0.005).Discussion: To our knowledge, no study has examined the impact of marginalization and collective SDOH on DLBCL outcomes. We found that increased material deprivation and ethnic concentration conferred increased mortality. While Canada's largely single-payer system and previously documented healthy immigrant effect may have been expected to attenuate effects of income and immigration, our study suggests otherwise. Possible explanations may include barriers to healthcare access for patient subsets, who may have less support for treatment. Structural factors such as systemic racism, health literacy, and caregiver burden must also be taken into account. These factors require further evaluation to inform targeted interventions and establish support for increased access to timely care amongst this patient population. [Display omitted] DisclosuresNo relevant conflicts of interest to declare.

コロナ禍におけるシングルマザーの労働と子育て

コロナ禍におけるシングルマザーの労働と子育て

How Economic Stress Impacts Risky Sex among African American Adolescents.

Given the potential for unintended pregnancy and exposure to sexually transmitted infections, both of which can have long-term deleterious health consequences, the identification of predictors of adolescent risky sexual behavior remains an important line of inquiry. Although prior research has identified a variety of family and individual factors that are associated with risky sexual behavior, few studies have examined the role of family economic stress. The current study utilized three waves of data from a community sample of African American families with adolescents (N = 778, 54% girls, average age = 10.4 years old at Wave 1, 12.3 years old at Wave 2, 15.6 years old at Wave 3) to test the family stress model as an explanation of adolescent risky sexual behavior. Multi-group analyses examined gender differences in the family processes expected to link economic stress and risky sexual behavior. Unlike most studies utilizing this theoretical perspective, family structure was also taken into account. The results supported the propositions of the family stress model for boys and girls for both two-caregiver and single-mother households. Further, in single-mother households, maternal psychological distress continued to have a positive effect on adolescent risky sex even after taking into account the impact of parenting behaviors. Overall, the results suggest that economic stress ripples through the family system, increasing adolescent risky sexual behavior through its negative impact on family processes, highlighting the need for systemic policy changes rather than individual-level intervention/prevention efforts.

Mothers’ Perspectives on Co-Parenting with African American Non-Resident Fathers

Over half of African American (AA) children grow up in single-mother headed households. Strained relationships between co-parents can complicate and potentially thwart efforts for father engagement. Twelve mothers who served as data informants in a randomized control trial of a fatherhood intervention were recruited to describe their experiences co-parenting with nonresident AA fathers in semi-structured interviews. Qualitative descriptive content analysis of the data revealed three major themes that are used to identify innovative ways for researchers, policy makers, and mental health practitioners to support co-parents as they strive to engage in equitable shared parenting.

CRIMINAL ACTIVITIES IN NIGERIA: DOES MOTHER’S MARITAL STATUS MATTER?

This study examines whether mother’s marital status predicts involvement in a particular type of criminal activity. Data were obtained from a survey of 249 male inmates, and interview with Senior Officers in two prisons in Osun State, Nigeria Multinomial logistic regression was used to examine the relative risk of committing a crime against property, crime against persons and victimless crime. The interviews were content analyzed. The majority of the respondents committed crime against property, and 40% were from single mother households. The inmates whose mothers never married, divorced or separated were at a higher risk of committing a crime against property than victimless crime, compared to inmates whose mothers were in a union (RRR 4.45 p&lt;.05). Relative to respondents from two-parent homes, respondents whose mothers were widows were less likely to be involved in crimes against property and persons than victimless crime (RRR 0.19 p&lt;.01). The significant association between mother’s single marital status and involvement in crime against property is suggestive of a link with large financial strain. To curb crime against property and persons and victimless crimes in Nigeria, there is need to pay attention to the marital status of mothers and empower women to strengthen the welfare of children in both the intact and disrupted families

Deprivation and intra‐family conflict: Children as agents in the Family Stress Model

AbstractObjectiveThe study applies an adapted Family Stress Model (FSM) to analyze the relationship between child material deprivation and intra‐family conflict about money using a nationally representative survey of children in England in 2018.BackgroundThe standard FSM holds that poverty is experienced by parents who, in turn, impact children. Drawing on new social studies of childhood, the authors posit that the model does not recognize children as social actors—with direct experiences of poverty—nor as social agents who co‐construct parent–child relationships in a context of poverty.MethodThe authors use secondary survey data from Fair Shares and Families, which investigated children's and parents' experiences of, and involvement in, the sharing of family resources. The authors estimate linear structural equation models to test an adapted FSM, which includes separate pathways (for parents and children) from economic hardship to intra‐family conflict.ResultsBoth parent‐ and child‐reported economic pressure and psychological distress have significant direct and indirect associations with intra‐family conflict. The adapted model works the same way in lower and higher income households, as well as in lone parent and couple‐headed families.ConclusionChildren's experiences as social actors and influence as social agents are important in shaping parent–child relationships. This suggests that the standard FSM is limited in its insights about how economic hardship affects children and families and its policy applications for interventions to mitigate the impacts of child poverty. Research applying the FSM should seek to conceptualize children as active “child‐beings,” rather than as passive “adult‐becomings.”

Do social investment policies reduce income inequality? An analysis of industrial countries

Scholars and policymakers who call for social investment (SI) policies hope that SI policies reduce income inequality and poverty, among other policy goals. Meanwhile, some others point out potentially less pro-poor effects of SI policies. There are relatively few cross-national studies that empirically examine the distributional effects of SI policies. The current study seeks to fill the gap by investigating the effects of SI policies on income inequality in OECD countries. The empirical analysis finds mixed results. Parental leave benefits reduce market income inequality, but other family support policies do not lessen inequality, and family allowances and paid leave (the length of generous leave) even increase it. The effects of some family policies are partly context-specific. In contexts where there are a large number of single-mother households, parental leave benefits reduce market income inequality. There is no stable evidence that education and active labour market policy (ALMP) reduce market income inequality. Education and ALMP, however, reduce disposable income inequality (even after controlling for left governments and Nordic countries). The article suggests that in countries with high education and/or ALMP spending, the skills of workers towards the lower end of the income distribution may be relatively high (even though their pre-tax and transfer income may be low), and it may make their income salvageable with redistributive policies. In this sense, SI policies and conventional redistributive policies may be complementary in reducing disposable income inequality.

The Reshaping of Daily Time during the COVID-19 Pandemic: Lone Parent’s Work-Family Articulation in a Low-Intensity Lockdown

The COVID-19 pandemic and related restrictions have triggered simultaneous changes across multiple life domains within a very short timeframe. This major shock has seriously challenged the ability of families to adapt to unanticipated changes over which they had little control. Switzerland instigated a low-intensity lockdown in response to COVID-19 in the spring of 2020. The resulting alterations to family life included changes to employment situations and working conditions (such as layoffs, temporary unemployment and home-based work) and the need to arrange home-schooling and childcare. This study examines how a sample of individuals with a trajectory of lone parenthood living in French-speaking Switzerland adapted their everyday lives to accommodate the shifting demands in the domains of employment and family responsibilities. Interviews were conducted between April and June 2020 for the longitudinal project “The multiple paths of lone parenthood”. Using this data, we analysed the COVID-related changes to work and family life, focusing on their time structuring. We found that parents who remained employed faced the greatest time pressures, although their experiences varied significantly depending on the adaptability of their work schedules, as well as the child(ren)’s age(s) and degree of autonomy. Home-based work and home-schooling resulted in more flexible schedules, although parents with the greatest work and family demands sought more time-structured organisation to facilitate their articulation. Social support was a crucial buffer for parents with conflicting demands across domains.

Universal Credit, Lone Mothers and Poverty: Some Ethical Challenges for Social Work with Children and Families

ABSTRACT This article critically evaluates and contests the flagship benefit delivery system Universal Credit for lone mothers by focusing on some of the ethical challenges it poses, as well as some key implications it holds for social work with lone mothers and their children. Universal Credit was first introduced in the United Kingdom (UK) in 2008, and echoes conditionality-based welfare policies adopted by neoliberal governments internationally on the assumption that paid employment offers a route out of poverty for citizens. However, research evidence suggests that the risks of conditionality polices for lone parents can often include increased poverty, a deterioration in mental health or even destitution posed by paternalistic sanctions or precarious low-paid employment, which can undermine parenting capacities and children’s well-being. The article also critically appraises and questions challenges posed by an increased reliance upon contractual ethics by governments, alongside the wider behaviour-modifying policies of the workfare-orientated state. This includes that working-class lone mothers can erroneously be stigmatised as representing a morally challenged dependent burden through activation policies and risk-averse social work practices.

Parenting an adolescent with complex regional pain syndrome: A dyadic qualitative investigation of resilience.

Adolescent chronic pain exists within a social context, affecting the lives of adolescents, parents, peers, and wider family members. Typically, parental research has focussed on the negative impact on parents associated with parenting an adolescent with chronic pain. However, a small number of studies have identified positive parental outcomes and functioning, with a focus on parental resilience. This study sought to extend existing knowledge by providing a detailed and contextualized understanding of how parental dyads experience and demonstrate resilience in response to parenting an adolescent with Complex Regional Pain Syndrome (CRPS) and the meaning that parents ascribe to these shared experiences. An Interpretative Phenomenological Analysis (IPA) was used to conduct an in-depth qualitative interview study of parents of an adolescent with CRPS. Semi-structured interviews were conducted via Skype with eight mother-father parental dyads of an adolescent aged 11-25 years with CRPS. A single prominent theme 'masking reality in the face of pain' dominated the parental discourse and experience of resilience. Resilience was experienced as an incongruence between private distress and the perceived obligation to display socially desirable resilience behaviours to protect their child from their own distress. Study findings highlight the benefits of strength-based interventions to enhance parental resilience. This is particularly important since parental behaviours have been shown to influence child pain outcomes. Future research should seek to explore resilience in different populations such as lone parents, siblings, and those parenting an adolescent with pain conditions other than CRPS.

Decomposing the Decline of Cash Assistance in the United States, 1993 to 2016.

Cash assistance allocations from Temporary Assistance for Needy Families (TANF) and its predecessor program fell from $34.3 billion to $7.4 billion in real value from 1993 to 2016, a 78% decrease. Some investigations of TANF point to favorable labor market changes as the source of the decline, whereas others point to declining benefit levels and barriers to benefit receipt. This study introduces a framework to decompose the decline of TANF cash assistance into changes in need for cash assistance, the participation rate among those meeting income-based eligibility standards, and benefit levels among those receiving cash support. Using the U.S. Current Population Survey, I find that declining participation explains 52% of the decline in TANF cash assistance from 1993 onward, whereas declining need explains 21%, and declining benefit levels explain 27%. The study then applies reweighting techniques to measure the extent to which compositional changes in the population, such as rising employment rates among single mothers, can explain changes in need, participation, and benefit levels. The results suggest that compositional changes explain only 22% of the decline of TANF cash assistance, confirming that the majority of the decline is due to reduced participation and benefit levels rather than reduced demand for cash support. Adding the noncompositional share of the decline in TANF back to observed levels of cash spending in 2016 would result in nearly $20 billion in additional transfers, more than the minimum amount necessary to lift all single-mother households out of poverty.

How divided is the attitudinal context for policymaking? Changes in public attitudes to the welfare state, inequality and immigration over two decades in Britain

AbstractIf public attitudes towards the welfare state, inequality and immigration are becoming increasingly polarized, as recent political events might suggest, the space for progressive social policies is more constrained. Using data from the British Social Attitudes Survey (BSA) spanning 23years, we analyse trends in these attitudes, examining whether there has been divergence between those who have been more and less exposed to disadvantage through changes in the economy and the welfare state across more than two decades. Taken in this longer term context, and examining characteristics not previously considered in relation to public attitudes such as lone parenthood and disability, we find little evidence of polarization in attitudes to welfare, inequality and immigration and even some evidence of attitudinal gaps narrowing. We conclude that given this lack of division, there may be greater room for more pro‐welfare and progressive policies than the prevalent narrative of polarization suggests.

Impoverished Single Mother Households and Violent Delinquency: Bonding, Negative, and Bridging Social Capital

This paper develops an economic and social capital model linking single mothering in poverty to adolescent violence. Our model focuses on bonding social capital within parent-child relationships, negative social capital in delinquent peer groups, and bridging social capital residing in youths’ friendship networks. Our research is the first to consider that the family experiences of adolescents’ peers affect adolescent violence. We test hypotheses using the Add Health, finding that peer networks are a source of bridging social capital through which collective parenting helps explain youth violence as well as the links between family structural (dis)advantages and youth violence.

Welfare Regime Variation in the Impact of the Great Recession on Deprivation Levels: A Dynamic Perspective on Polarisation vs Convergence for Social Risk Groups, 2005–2014

AbstractThis paper investigates changes over the period 2005 to 2014 in material deprivation dynamics of social risk groups in 11 European countries covering a range of welfare regimes. The period covered experienced dramatic economic change, encompassing periods of boom, the Great Recession and early recovery. Social risk groups are defined as groups which differ in the challenges that they face in converting resources into desired outcomes. The comparative element of the paper allows us to assess whether certain welfare regimes were better at protecting more vulnerable groups. Results, based on the longitudinal component of the European Union Statistics on Income and Living Conditions and on analysis of deprivation dynamics between pairs of years, showed large inequality between groups in the risk of persistent deprivation – with lone parents and people with disability most at risk in all countries. Variation across welfare regimes was restricted to the contrast between the liberal and the remaining regimes. Countries belonging to the former regime (UK and Ireland) were distinctive in showing the largest social risk gap in persistent deprivation and were the only ones which experienced substantial polarisation between groups with the Great Recession.

Empowering Lone Parents to Progress towards Employability

AbstractPolicymakers in liberal welfare states like the UK have prioritised extending the reach of compulsory activation to target vulnerable jobseeker groups, such as lone parents. However, such interventions – especially when combined with intensified welfare conditionality – appear to have had limited positive effects on lone parents’ employability, while often negatively impacting wellbeing. This article argues that the problem is a disconnect between the complex barriers to employability faced by lone parents (including their need to balance work and caring) and the content of ‘work-first’ activation favoured by successive UK Governments. We report positive findings from in-depth interviews with lone parents and key stakeholders involved in more person-centred, non-compulsory local employability services. Multi-agency service delivery, collaborative governance and a clear role for user voice in programme design were important facilitators of positive experiences. Our analysis points to the need for services that empower lone parents to make choices to progress towards employment while supporting family life.

Collaborative Innovation in Labor Market Inclusion

AbstractThis article deploys the concept of “collaborative innovation” to discuss key stakeholders’ and service users' experiences of innovative labor market inclusion services. We draw on work by Sørensen and Torfing (2011, 2016, 2017) to frame collaborative innovation as a distinctive approach to the coproduction of services that respond to user needs, and highlight the importance of governance and leadership practices that foster mutual learning and boundary spanning innovation. The article reports on 102 interviews with service users (in this case, unemployed lone parents) and 117 interviews with key stakeholders involved in local partnerships. We identify benefits from such collaborative approaches in terms of innovative service design and positive outcomes for service users. We conclude that policy makers should consider the potential added value of collaborative innovation in labor market inclusion.

Pre-school childcare and inequalities in child development.

Centre-based childcare may benefit pre-school children and alleviate inequalities in early childhood development, but evidence on socio-emotional and physical health outcomes is limited. Data were from the UK Millennium Cohort Study (n = 14,376). Inverse-probability weighting was used to estimate confounder-adjusted population-average effects of centre and non-centre-based childcare (compared to parental care only) between ages 26–31 months on (age 3): internalising and externalising symptoms, pro-social behaviour, independence, emotional dysregulation, vocabulary, school readiness, and body mass index. To assess impacts on inequalities, controlled direct effects of low parental education and lone parenthood on all outcomes were estimated under two hypothetical scenarios: 1) universal take-up of centre-based childcare; and 2) parental care only. On average, non-centre based childcare improved vocabulary and centre-based care improved school readiness, with little evidence of other benefits. However, socio-economic inequalities were observed for all outcomes and were attenuated in scenario 1 (universal take-up). For example, inequalities in externalising symptoms (according to low parental education) were reduced from a confounder-adjusted standard deviation difference of 7.8 (95% confidence intervals: 6.7–8.8), to 1.7 (0.6–2.7). Inequalities by parental education in scenario 2 (parental care only) were wider than in scenario 1 for externalising symptoms (at 3.4; 2.4–4.4), and for emotional dysregulation and school readiness. Inequalities by lone parenthood, which were smaller, fell in scenario 1, and fell further in scenario 2. Universal access to centre-based pre-school care may alleviate inequalities, while restricted access (e.g. during lockdown for a pandemic such as Covid-19) may widen some inequalities in socioemotional and cognitive development.

Psychological distress and living conditions among Japanese single-mothers with preschool-age children: An analysis of 2016 Comprehensive Survey of Living Conditions

BackgroundThe early life period provides a critical foundation for child health and development, and mothers exert great influence as primary caregivers. Previous studies have shown that single-motherhood is associated with negative child outcomes. In Japan, few studies have addressed the situation faced by single-mothers with young children, such as living conditions and mental health issues. MethodsWe utilized nationwide data from the Comprehensive Survey of Living Conditions (2016), collected by the Japanese Ministry of Health, Labour and Welfare and compared mothers from single-mother households with those from two-parent households, with further subdivision by intergenerational cohabitation. Socio-demographic characteristics, lifestyle habits, psychological distress, subjective health status, and stress were examined. ResultsWe observed that single-mothers without intergenerational cohabitation seemed to experience harsh living conditions compared to other types of households. Severe psychological distress was observed in 11% of single-mothers without cohabitation compared with 6% among single-mothers with cohabitation and 4% among mothers of two-parent households. Multivariate analysis adjusting for demographic variables showed about a two-fold increased risk of severe psychological distress (OR=2.34, 95% CI: 1.71-3.22) associated with single-mothers without intergenerational cohabitation compared to mothers from two-parent household without cohabitation. Single-mothers without cohabitation tended to smoke and drink alcohol frequently and seemed sleep-deprived. LimitationsDue to the cross-sectional design, we could not make inference on causality. ConclusionsOur study highlighted needs for targeted support for single-mothers without intergenerational cohabitation. Efforts in public health and other related fields may present opportunities to reduce negative intergenerational impacts of adversities among socially vulnerable families.

Hidden rules of the selection for clinical psychology training course: Is there an underline bias towards applicants from ethnic and disadvantage groups? A personal reflection

This piece is set to explore, if there are any biases or ‘unwritten rules’ for a successful placement offer on a clinical psychology training course. My aim is to raise awareness and to try to understand why candidates from certain groups find it more difficult to pass the selection process. Coming from a marginalised group I may generalise my findings, but my intention is purely to understand more about the challenges minorities face with during the selection process. I am 43 years old, male, Middle Eastern, a lone parent, English is not my first language(Hebrew is), and from a low socio-economic status.