Interpersonal Violence Among Women Seeking Welfare: Unraveling Lives

• DOI: 10.2105/ajph.2004.057786
• Publication Date: 2006-06-30T14:40:27Z
• Authors: E. Anne Lown; Laura A. Schmidt; James Wiley
• Keywords: Adult; Adolescent; Social Problems; Federal Government; Aid to Families with Dependent Children; Risk Assessment; California; Interviews as Topic; 5. Gender equality; Risk Factors; Prevalence; Humans; 0501 psychology and cognitive sciences; 10. No inequality; Poverty; Crime Victims; Local Government; Battered Women; Sex Offenses; 05 social sciences; 1. No poverty; Public Assistance; Middle Aged; 3. Good health; Multivariate Analysis; Female

Objectives. Exposure to violence is a widespread problem among women who receive welfare benefits. Research has focused on partner violence among women with children on Temporary Assistance for Needy Families (TANF), ignoring low-income women without dependent children who are eligible for General Assistance (GA). Methods. We report findings from a survey of 1235 women seeking TANF (N=1095) and GA (N=140) throughout a California county. Results. Estimates of recent physical, sexual, and severe violence were high in both populations. However, the highest rates occurred among women without children seeking GA, suggesting that they are at higher risk for sexual violence and more severe forms of physical violence, especially from intimate partners. This increased risk is partly accounted for by the co-occurrence of other serious health and social problems. In multivariate analyses, past-year violence was associated with substance use (adjusted odds ratio [AOR]=2.0, 95% confidence interval [CI] = 1.5, 2.9), recent homelessness (AOR = 1.9, 95% CI = 1.4, 2.6), family fragmentation including divorce or separation (AOR=3.1, 95% CI 1.8, 5.2), or foster care involvement (AOR=2.2, 95% CI=1.1, 4.5) Conclusions. Welfare reform created TANF programs to address domestic violence. Women seeking GA may need similar services because of the high prevalence of violence.