PDF(Pubmed)
Abstract：
Intimate partner violence (IPV) is a risk factor for homicides and suicides. As poverty is both a predictor and a consequence of IPV, interventions that alleviate poverty-related stressors could mitigate IPV-related harms. Temporary Assistance for Needy Families (TANF), a monthly cash assistance program, is one such potential intervention. In the state of Georgia, the TANF diversion program, which provides a non-recurrent lump-sum payment to deter individuals from monthly TANF benefits, is an understudied component of TANF that may influence the effectiveness of state TANF programs in supporting IPV survivors.
This study quantifies and qualifies the role of Georgia\'s TANF diversion program in shaping IPV-related mortality.
This study relies on a mixed-methods sequential explanatory design. Using data from the Georgia Violent Death Reporting System (GA-VDRS), an interrupted time series analysis was conducted to estimate the effect of TANF diversion on IPV-related homicides and suicides. Semi-structured interviews were then administered with TANF policy experts and advocates, welfare caseworkers, and benefit recipients (n = 20) to contextualize the quantitative findings.
The interrupted time series analysis revealed three fewer IPV-related deaths per month after implementing TANF diversion, compared to pre-diversion forecasts (coefficient = -3.003, 95%CI [-5.474, -0.532]). However, the qualitative interviews illustrated three themes regarding TANF diversion: (1) it is a \"band-aid\" solution to the access barriers associated with TANF, (2) it provides short-term relief to recipients making hard choices, and (3) its limitations reveal avenues for policy change.
While diversion has the potential to reduce deaths from IPV, it may be an insufficient means of mitigating the poverty-related contributors to IPV harms. Its limitations unveil the need for improved programs to better support IPV survivors.
This study quantifies and qualifies the role of Georgia\'s TANF diversion program in shaping IPV-related mortality.
This study relies on a mixed-methods sequential explanatory design. Using data from the Georgia Violent Death Reporting System (GA-VDRS), an interrupted time series analysis was conducted to estimate the effect of TANF diversion on IPV-related homicides and suicides. Semi-structured interviews were then administered with TANF policy experts and advocates, welfare caseworkers, and benefit recipients (n = 20) to contextualize the quantitative findings.
The interrupted time series analysis revealed three fewer IPV-related deaths per month after implementing TANF diversion, compared to pre-diversion forecasts (coefficient = -3.003, 95%CI [-5.474, -0.532]). However, the qualitative interviews illustrated three themes regarding TANF diversion: (1) it is a \"band-aid\" solution to the access barriers associated with TANF, (2) it provides short-term relief to recipients making hard choices, and (3) its limitations reveal avenues for policy change.
While diversion has the potential to reduce deaths from IPV, it may be an insufficient means of mitigating the poverty-related contributors to IPV harms. Its limitations unveil the need for improved programs to better support IPV survivors.
摘要：
亲密伴侣暴力（IPV）是杀人和自杀的危险因素。由于贫困既是IPV的预测因素，也是IPV的结果，减轻与贫困相关的压力源的干预措施可以减轻与IPV相关的危害。贫困家庭临时援助（TANF），每月的现金援助计划,就是这样一个潜在的干预。在佐治亚州,TANF转移计划,提供非经常性一次性付款，以阻止个人每月的TANF福利，是TANF中研究不足的组成部分，可能会影响州TANF计划支持IPV幸存者的有效性。
本研究量化并鉴定了佐治亚州TANF转流计划在影响IPV相关死亡率方面的作用。
这项研究依赖于混合方法的序贯解释性设计。使用来自佐治亚州暴力死亡报告系统(GA-VDRS)的数据，我们进行了中断时间序列分析,以估计TANF转流对IPV相关凶杀和自杀的影响.然后与TANF政策专家和倡导者进行了半结构化访谈，福利个案工作者，并使接受者(n=20)受益，以将定量结果情境化。
中断的时间序列分析显示，在实施TANF转移后，每月与IPV相关的死亡人数减少了3人，与导流前预测相比（系数=-3.003，95CI[-5.474，-0.532]）。然而,定性访谈说明了有关TANF转移的三个主题：（1）它是与TANF相关的访问障碍的“创可贴”解决方案，（2）它为做出艰难选择的接受者提供短期救济，(3)其局限性揭示了政策变革的途径。
虽然转移有可能减少IPV导致的死亡，这可能不足以减轻与贫困有关的IPV危害。它的局限性揭示了改进计划以更好地支持IPV幸存者的必要性。
本研究量化并鉴定了佐治亚州TANF转流计划在影响IPV相关死亡率方面的作用。
这项研究依赖于混合方法的序贯解释性设计。使用来自佐治亚州暴力死亡报告系统(GA-VDRS)的数据，我们进行了中断时间序列分析,以估计TANF转流对IPV相关凶杀和自杀的影响.然后与TANF政策专家和倡导者进行了半结构化访谈，福利个案工作者，并使接受者(n=20)受益，以将定量结果情境化。
中断的时间序列分析显示，在实施TANF转移后，每月与IPV相关的死亡人数减少了3人，与导流前预测相比（系数=-3.003，95CI[-5.474，-0.532]）。然而,定性访谈说明了有关TANF转移的三个主题：（1）它是与TANF相关的访问障碍的“创可贴”解决方案，（2）它为做出艰难选择的接受者提供短期救济，(3)其局限性揭示了政策变革的途径。
虽然转移有可能减少IPV导致的死亡，这可能不足以减轻与贫困有关的IPV危害。它的局限性揭示了改进计划以更好地支持IPV幸存者的必要性。
