Abstract
Introduction
Temporary Assistance for Needy Families requirements can be stress-inducing, difficult for families to complete, and may be detrimental during early life. We assessed the impact of TANF requirements on primary caregiving mothers’ experiences of material hardship, anxiety, depression, and parental aggravation in the first year of a child’s life.
Methods
Survey responses were selected from mothers in the Future of Families and Childhood Wellbeing Study, who received TANF in the first year of their child’s life (N = 1085).
Results
Survey-weighted regression models showed associations between: presence of any requirements and increased material hardship, work requirements and increased material hardship, requirement to name the father of their child and increased depression, benefit cuts and increased parental aggravation, and benefit cuts and increased material hardship.
Discussion
Federal and state policies should revise requirement programs to increase program accessibility and support the mental health and financial stability of mothers applying for TANF to facilitate sustainable movement into employment.
Significance
Previous research has demonstrated negative health impacts associated with TANF implementation and distribution for low-income families. This study is one of the first to examine the relationship between experiencing specific TANF benefit requirements and maternal mental health, parental aggravation, and material hardship outcomes within a nationally representative sample. Findings showing significant associations between presence of requirements, driven by specific requirement types, with increased rates of material hardship, depression, and parental aggravation. Results suggest state level policy changes are needed to reduce unnecessary harm being done to vulnerable families.
Similar content being viewed by others
Data Availability
Data must be requested through Fragile Families Child Wellbeing Survey (https://fragilefamilies.princeton.edu/).
Code Availability
Code for analyses will be made available as a supplemental.SAS program file.
References
Adhia, A., & Jeong, J. (2019). Fathers’ perpetration of intimate partner violence and parenting during early childhood: Results from the Fragile Families and Child Wellbeing Study. Child Abuse & Neglect, 96, 104103. https://doi.org/10.1016/j.chiabu.2019.104103
An, S., & Choi, G.-Y. (2019). Is TANF truly accessible and helpful? Victims’ experiences with domestic violence screening under the family violence option. Affilia, 34(4), 461–480. https://doi.org/10.1177/0886109919857670
Ash, M. J., Livingston, M. D., Komro, K., Spencer, R. A., Walker, A., & Woods-Jaeger, B. (2023). The impact of increased minimum wage on child neglect varies by developmental age of child. Journal of Interpersonal Violence. https://doi.org/10.1177/08862605221150458
Brown, J. G. (2000). Client cooperation with child support enforcement: Challenges and strategies to improvement. Department of Health and Human Services, OEI-06-98-00041, p. 24.
Burnside, A., & Schott, L. (2017). States should invest more of their TANF dollars in basic assistance for families. Center on Budget and Policy Priorities. Retrieved from https://www.cbpp.org/research/family-income-support/states-should-invest-more-of-their-tanf-dollars-in-basic-assistance
Conger, K. J., Rueter, M. A., & Conger, R. D. (2000). The role of economic pressure in the lives of parents and their adolescents: The family stress model. In L. J. Crockett & R. K. Silbereisen (Eds.), Negotiating adolescence in times of social change (pp. 201–223). Cambridge University Press.
Davis, O. (2019). What is the relationship between benefit conditionality and mental health? Evidence from the United States on TANF policies. Journal of Social Policy, 48(2), 249–269. https://doi.org/10.1017/S0047279418000363
Falk, G. (2012). Temporary assistance for needy families (TANF): Welfare-to-work revisited. Congressional Research Service, 84, 104–193.
Gigantesco, A., & Morosini, P. (2008). Development, reliability and factor analysis of a self-administered questionnaire which originates from the World Health Organization’s Composite International Diagnostic Interview: Short Form (CIDI-SF) for assessing mental disorders. Clinical Practice and Epidemiology in Mental Health : CP & EMH, 4, 8. https://doi.org/10.1186/1745-0179-4-8
Hagen, J. L., & Lurie, I. (1993). The job opportunities and basic skills training program and child care: Initial state developments. Social Service Review, 67(2), 198–216.
Hildebrandt, E. (2002). The health effects of work-based welfare. Journal of Nursing Scholarship, 34(4), 363–368. https://doi.org/10.1111/j.1547-5069.2002.00363.x
Hofferth, S., Bickham, D., Brooks-Gunn, J., Davis-Kean, P., & Yeung, J. (2018). Contributions of research based on the PSID child development supplement. The Annals of the American Academy of Political and Social Science, 680(1), 97–131. https://doi.org/10.1177/0002716218798308
Holcomb, S., Johnson, L., Hetling, A., Postmus, J., Steiner, J., Braasch, L., & Riordan, A. (2017). Implementation of the family violence option 20 years later: A review of state welfare rules for domestic violence survivors. Journal of Policy Practice, 16, 1–17. https://doi.org/10.1080/15588742.2017.1311820
Kalil, A., Seefeldt, K., & Wang, H. (2002). Sanctions and material hardship under TANF. Social Service Review, 76, 642–662. https://doi.org/10.1086/342998
Macomber, J. E., Moore, K. A., & Brown, B. V. (2016). Adults’ environment and behavior: Parental aggravation. Urban Institute. Retrieved from https://www.urban.org/research/publication/adults-environment-and-behavior-parental-aggravation
Meyers, M. K., & Garfinkel, I. (2007). Social indicators and the study of inequality. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.1018735
Mughal, M. K., Giallo, R., Arnold, P., Benzies, K., Kehler, H., Bright, K., & Kingston, D. (2018). Trajectories of maternal stress and anxiety from pregnancy to three years and child development at 3 years of age: Findings from the All Our Families (AOF) pregnancy cohort. Journal of Affective Disorders, 234, 318–326. https://doi.org/10.1016/j.jad.2018.02.095
National Academies of Sciences, E. (2019). Vibrant and healthy kids: Aligning science. Practice, and Policy to Advance Health Equity. https://doi.org/10.17226/25466
Office of the Assistant Secretary for Planning and Evaluation. (2004). Measures of Material Hardship. US Department of Health and Human Services. Retrieved from https://aspe.hhs.gov/reports/measures-material-hardship
Olson, L. (2019). Punitive WorkFirst policies disproportionately harm families of color. Budget and Policy Center. Retrieved from https://budgetandpolicy.org/schmudget/punitive-workfirst-policies-disproportionately-harm-families-of-color/
Pavetti, L. (2018). TANF studies show work requirement proposals for other programs would harm millions, do little to increase work. Center on Budget and Policy Priorities. Retrieved from https://www.cbpp.org/research/family-income-support/tanf-studies-show-work-requirement-proposals-for-other-programs-would
Public Data Documentation, Future of Families and Child Wellbeing Study. (2023). Future of families and child wellbeing study. Retrieved from https://ffcws.princeton.edu/data-and-documentation/public-data-documentation
Roberts, P. (2005). Child support cooperation requirements and public benefits programs: An overview of issues and recommendations for change (p. 27). Center for Law and Social Policy.
Schott, L., Pavetti, L., & Floyd, I. (2015). How states use federal and state funds under the TANF Block Grant. Center on Budget and Policy Priorities. Retrieved from https://www.cbpp.org/research/family-income-support/how-states-use-federal-and-state-funds-under-the-tanf-block-grant
Schram, S. F., Soss, J., Fording, R. C., & Houser, L. (2009). Deciding to discipline: Race, choice, and punishment at the frontlines of welfare reform. American Sociological Review, 74(3), 398–422. https://doi.org/10.1177/000312240907400304
Shelleby, E. C. (2018). Economic stress in fragile families: Pathways to parent and child maladjustment. Journal of Child and Family Studies, 27(12), 3877–3886. https://doi.org/10.1007/s10826-018-1232-z
Spencer, R., Lemon, E., Komro, K., Livingston, M. D., & Woods-Jaeger, B. (2021). Women experiencing temporary assistance for needy families: Implications for women’s wellbeing and intimate relationships.
Suh, B., & Luthar, S. S. (2020). Parental aggravation may tell more about a child’s mental/behavioral health than Adverse Childhood Experiences: Using the 2016 National Survey of Children’s Health. Child Abuse & Neglect, 101, 104330. https://doi.org/10.1016/j.chiabu.2019.104330
Turner, J., & Grieco, M. (2000). Gender and time poverty: The neglected social policy implications of gendered time, transport and travel. Time & Society, 9(1), 129–136. https://doi.org/10.1177/0961463X00009001007
US Department of Health and Human Services. (2019). About TANF. Retrieved from https://www.acf.hhs.gov/ofa/programs/tanf/about
US Department of Health and Human Services, O. of F. A. (2020). Characteristics and Financial Circumstances of TANF Recipients, Fiscal Year 2019. Characteristics and Financial Circumstances of TANF Recipients, Fiscal Year 2019. Retrieved from https://www.acf.hhs.gov/ofa/data/characteristics-and-financial-circumstances-tanf-recipients-fiscal-year-2019
Acknowledgements
Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health under award numbers R01HD036916, R01HD039135, and R01HD040421, as well as a consortium of private foundations. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding
This study was supported by funds from the National Center for Injury Prevention and Control (Grant No: R01CE003104, Award: Evaluating family economic policies as primary prevention strategies to prevent family and youth violence, PIs Woods-Jaeger and Livingston).
Author information
Authors and Affiliations
Contributions
AW: Analyses, writing, revisions, figures and tables. RAS: Writing introduction/discussion sections, revisions/edits, analyses, theoretical framework. EL: Writing introduction/discussion, revision/edits on multiple drafts. BW-J: Writing introduction, discussion, providing edits and feedback on multiple drafts. KAK: Writing introduction, discussion, providing edits and feedback on multiple drafts. MDL: Edits and revisions on multiple drafts, supervising analyses
Corresponding author
Ethics declarations
Conflict of interest
We have no conflicts of interest to disclose.
Ethical Approval
This study was approved by Emory University Institutional IRB.
Consent to Participate
N/A.
Consent for Publication
This article has not been published elsewhere. We consent for Child and Maternal Health Journal to publish this article upon acceptance.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Walker, A., Spencer, R.A., Lemon, E. et al. The Impact of Temporary Assistance for Needy Families Benefit Requirements and Sanctions on Maternal Material Hardship, Mental Health, and Parental Aggravation. Matern Child Health J 27, 1392–1400 (2023). https://doi.org/10.1007/s10995-023-03699-0
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-023-03699-0