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TARGETING, UNIVERSALISM AND SINGLE MOTHER POVERTY: A MULTI-LEVEL ANALYSIS ACROSS 18 AFFLUENT DEMOCRACIES
ABSTRACTWe examine the influence of individual characteristics and targeted and universal social policy on single mother poverty with a multi-level analysis across 18 affluent democracies. Although single mothers are disproportionately poor in all countries, there is even more cross-national variation in single mother poverty than for poverty among the overall population. By far, the U.S. has the highest rate of poverty among single mothers. The analyses show that single mother poverty is a function of the household's employment, education, age composition, and the presence of other adults. Beyond individual characteristics, social policy exerts substantial influence on single mother poverty. We find that two measures of universal social policy significantly reduce single mother poverty. Alternatively, one measure of targeted social policy does not have significant effects, while another measure is only significantly negative when controlling for universal social policy. Moreover, the effects of universal social policy are larger. Additional analyses show that universal social policy does not have counterproductive consequences in terms of family structure or employment, while the results are less clear for targeted social policy. Although debates often focus on altering the behavior or characteristics of single mothers, welfare universalism could be an even more effective anti-poverty strategy.
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TARGETING, UNIVERSALISM AND SINGLE MOTHER POVERTY: A MULTI-LEVEL ANALYSIS ACROSS 18 AFFLUENT DEMOCRACIES
BackgroundCommunity mobilisation interventions for HIV prevention among female sex workers (FSWs) aim to organise FSWs for collective action and challenge the structures of power that underlie HIV risk. Assessing intervention impact is challenging because the importance of direct individual exposure to intervention components may decrease over time as change occurs at social-normative, policy and other structural levels. In this paper, the authors examine changes over time in consistent condom use among FSWs in Rajahmundry, Andhra Pradesh, the location of a long-standing community mobilisation intervention.MethodsThe authors analyse cross-sectional data collected among FSWs at three time points (n=2276) using respondent-driven sampling. Multiple logistic regression was used to assess the association of programme exposure with consistent condom use and whether this association varied over time.ResultsThe proportion of FSWs having no exposure or only receptive exposure to the intervention decreased over time, while active utilisation increased from 19.4% in 2006 to 48.5% in 2009–2010. Consistent condom use with clients also increased from 56.3% in 2006 to 75.3% in 2009–2010. Multivariate analysis showed that age, age at start of sex work, venue, living conditions and programme exposure were significantly associated with condom use. The positive association between programme exposure and consistent condom use did not vary significantly over time.ConclusionsFindings indicate improvements in HIV risk reduction behaviour among FSWs and suggest that the intervention has substantial reach in the FSW population. The intervention's strategies may be contributing to population-level HIV risk reduction among FSWs.
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