WCW's Women Change Worlds Blog

Recently, NPR, with the Robert Wood Johnson Foundation and Harvard School of Public Health, released a poll that found that one-quarter of Americans reported that they had experienced significant amounts of stress in the previous month. That level of stress is similar to levels found in earlier polls. But is this much stress making us sick? The poll found that 70% of people experiencing high levels of stress reported that they were sleeping less--not getting enough sleep can negatively affect health. Other research tells us even more about the possible health consequences of too much stress and our capacity to cope with it. One of the top three sources of stress in the NPR poll, for individuals reporting high levels of stress, was stress from work problems. We know that jobs that are very stressful, with too much to do, can contribute to health problems, but only when those demands or challenges are not offset by the resources and authority to make decisions about the work. In fact, jobs that are very challenging--and in which workers have the authority and resources they need--are good for our health. The bad jobs are those with heavy demands that you can’t address or that never end--or those jobs that have no challenge whatsoever, that involve repetitive or boring work, with no say over what work gets done when. Not surprisingly, in the NPR poll, people in lower-paid jobs, with annual incomes under $20,000, reported more stress from work problems than did those with incomes of $50,000 or more (64% of low-income individuals reported work stress, compared to 57% of higher income people).

Another factor in whether stress makes us sick is whether the stress is chronic or from a single event. Certain life events are very stressful, such as the death of a loved one or divorce; one-in-six people reported that the most stressful event in the previous year was the death of a loved one, and fewer than one-in-ten reported a life change or transition, such as divorce, was the most stressful event. However, ongoing stressful conditions, such as chronic health problems, being a single parent following divorce, or poverty, are more likely to wear away at our health and wellbeing. The NPR poll found that individuals with a chronic illness were more likely to report high stress in the previous month (36% compared to 26% overall), as were individuals living in poverty (36%) and single parents (35%). These chronic stressors tax our abilities to cope with stress. For those individuals with high levels of stress, problems with finances was one of the main sources of stress, and this was especially true for those living in poverty (70% reported financial stress), those with disabilities (64%) or in poor health (69%), and for women (58%, compared to 45% for men). Chronic stress can lead to wear and tear or allostatic load, which can suppress immune function and lead to susceptibility to disease.

The other major contributor to stress, according to the poll, was having too many responsibilities overall. While this can mean different things to different people, it’s interesting to note that women were more likely than men to say that this was one of the reasons they were so stressed in the previous month. One life situation that can give us that overload feeling is combining employment with raising a family. While many men and women find that combination to be beneficial – would you give up your family or choose to stop working? – there are circumstances when the combination can be a negative. Women and men can experience strain from the stresses of too much to do at work and at home. However, because women tend to spend more time in family labor than do men, women with young children and not enough support or resources at work or at home are particularly at risk.

Poverty, bad jobs, too many responsibilities— these can all contribute to poorer health; these stressors are not randomly experienced by everyone, but rather fall more heavily on those with less advantage and opportunity in their lives. In a 2010 review of the latest research on stress and health, Peggy Thoits argued that the greater exposure of members of less-advantaged groups (women, race-ethnic minorities, lower-income and working class individuals) to chronic or high stress was one of the reasons that we find poorer health among women, race-ethnic minorities, lower-income and working class individuals. There are many possible responses to this reality, but central to that must be recognizing the health consequences of high levels of stress and addressing some of the underlying stressors, such as inequality and injustice.

Nancy Marshall, Ed.D. is an Associate Director and Senior Research Scientist at the Wellesley Centers for Women (WCW) at Wellesley College. She leads the Work, Families and Children Team at WCW and is an Adjunct Associate Professor at Wellesley College.

Courtney Martin, a friend of the Wellesley Centers for Women, journalist, author of “Do It Anyway: The New Generation of Activists,” and one of the founding directors of the Solutions Journalism Network, is a regular contributor to the New York Times online opinion pages. In her July 24th article, she writes, "...what working mothers really need are systematic ways to find and afford safe, local care options for their kids. While many parents scramble to find care in the summer months, especially for older children out of school, it’s a year-round challenge for families with kids younger than preschool age."

Read Martin's full article,"Child Care and the Overwhelmed Parent">>

For five years, from 2008 until 2013, I studied how Mississippi implements its child care certificates for low-income women who received the certificates as a welfare benefit. I brought to the work a racial lens and decades of studying the political right as a movement. I found a profound impact of both race and right-wing politics in my study of the Mississippi welfare bureaucracy and how low-income women and their children are treated. It has been a challenging and enlightening five years of travel, reading, conducting interviews, and mining historical and contemporary narratives.

Although Mississippi is majority white (60.6 % vs. 37.2 % Black in 2008), its poor are disproportionately African American (55% of low income households). Its overall poverty rate is 28%. Black people’s median earnings in Mississippi are about $10,000 less than whites. Approximately 13.9 % of children live below half of the poverty level, the highest percentage in the country. According to KidsCount, a project of the Annie E. Casey Foundation, Mississippi’s overall rank in child well-being is 50th out of 50 states.

Because many white people in Mississippi think of welfare as a “Black” program, its image is doubly stigmatized--by the negative stereotype of welfare recipients and by the widespread belief that recipients are African American. No Mississippi governor in recent memory has made the state’s low income people a priority. As a result, recipients of welfare services are viewed with suspicion and hostility.

Usually, some 6,000 children are on the waiting list to receive a child care certificate. This is no longer a matter of explicitly racial policies, but is a product of de facto racism in the implementation of Mississippi’s subsidized child care. By creating daunting barriers for low-income mothers in accessing subsidies for child care, Mississippi is disproportionately leaving their children behind.

In Mississippi, advocacy for low-income women and children tends to occur only in the non-profit and non-governmental sectors, which are both relatively under-resourced in comparison with other states. No adequately powerful counter-voice exists to offset the public tone of hostility toward low-income women. Further, conscious and sub-conscious racism is so entrenched in Mississippi that even policies that would appear to address racial discrimination turn out to have no impact. Mississippi could be said to be “Ground Zero” for structural racism. So intractable is this form of racism at all class levels that the elimination of Jim Crow laws and practices has failed to eliminate structural racism. Neglect of poor children of color in Mississippi is but one outcome.

A symptom of the Mississippi Department of Human Services’ attitude toward welfare recipients is its latest scheme to fingerprint mothers each time they drop off their children at child care and when they pick them up. Only welfare recipients will have to use the fingerprint scanner. This scheme has cost Mississippi $8 million dollars and is intended to “reduce fraud and thus make more child care certificates available to others.” Child care providers and certificate recipients mobilized in opposition to the program. It has been temporarily stopped by the courts, but only because MDHS has been unable to complete the research the court required of it.

Mississippi is not alone in its pervasive structural racism. In every state in the country, race plays a role in the opportunities available to children and the likelihood of success for families. The perception by whites of the motivations of low-income people has been heavily influenced by a rightist campaign to demonize the poor as “dependent” and failing to take personal responsibility for their lives. This campaign has amounted to a war on the poor. Mississippi is but a shining example of that war.

For those of us who believe that improvement in the lives of Mississippians depends on empowerment of Black and white Mississippians from the ground up, child care is a crucial component. We learn more every year about the development of a child’s brain and what an enormous difference it can make to the future life of a child if that development is nurtured and expanded in the earliest years. Child care is not the only key to breaking through the barriers standing in the way of low-income Mississippians, but high quality early child care is an intervention that holds the possibility of changing outcomes for low-income children.

Jean Hardisty, Ph.D. is a Senior Scholar at the Wellesley Centers for Women at Wellesley College. This blog draws upon the report, Between A Rock and A Hard Place: Race and Child Care in Mississippi.

The following blog article was posted onHuffington Post, March 25, 2014 by Alex Sanger, chair of the International Planned Parenthood Council and member of the Wellesley Centers for Women Council of Advisors.

After two weeks of intense negotiations, the 58th session of the Commission on the Status of Women ended early Saturday morning with a strong call to prioritize gender equality and the human rights of women in order to achieve sustainable development.

The Commission was convened at the UN headquarters in New York to address the challenges and achievements of the Millennium Development Goals (MDGs) in improving the lives of women and girls in developing countries. While the MDGs resulted in a reduction of poverty in some respects, the goals furthest from being achieved are those focused on women and girls -- particularly on achieving gender equality and improving maternal health. With the MDGs set to expire in 2015, the Commission's outcome document will help shape priorities for the next global development framework.

The Commission specifically called for a stand-alone goal on gender equality, a move that was applauded by women's rights activists.

A stand-alone goal on gender equality signals that gender equality and women's rights are important in and of themselves, as well as a priority for governmental investment. It recognizes that sustainable and meaningful development must address the root causes of gender inequality, which deny women and girls an education, the right to make decisions about their bodies and childbearing, to decent employment -- and equal pay for equal work -- and to live free of violence.

The Commission also stated that the post-2015 development agenda must include gender-specific targets across other development goals, strategies, and objectives -- especially those related to education, health, economic justice, and the environment. It also called on governments to address the discriminatory social norms and practices that foster gender inequality, including early and forced marriage and other forms of violence against women and girls, and to strengthen accountability mechanisms for women's human rights.

The Agreed Conclusions reaffirmed the Cairo Programme of Action as well as the Beijing Platform of Action, which called for investments in "quality comprehensive sexual and reproductive health care" including emergency contraception, information and education, safe abortion where allowed by law, and prevention and treatment of sexually transmitted infections and HIV. Furthermore, the Conclusions called for the recognition of the human rights of women to "decide freely and responsibly on matters related to their sexuality... free from coercion, discrimination, and violence."

Member States also recognized that progress toward achieving the Millennium Development Goals -- which include eradicating poverty and expanding access to health services such as reproductive health -- has been held back due to persistent "unequal power relations between women and men," particularly discriminatory laws, social norms, and gender stereotypes.

The governments expressed concern that several critical issues related to gender equality were not adequately addressed by the MDGs, including violence against women and girls; harmful practices such as early and forced marriage and female genital mutilation; women's and adolescents' sexual and reproductive health and reproductive rights; women's and girls' disproportionate share of unpaid work, particularly unpaid care work; the gender wage gap; women's equal access to and control of resources including land; women's inheritance rights; and women's full participation in decision-making at all levels.

The Commission called for measures to ensure universal access to primary education, especially for girls and vulnerable youth, as well as measures to strengthen the ability of women to participate in formal and informal labor sectors. The governments also called for efforts to ensure that women's rights and health obtain the prominence they deserve in the next global development framework.

Women's health and rights organizations applauded governments who stood up for the rights of all individuals to live free of violence, discrimination, and barriers to accessing sexual and reproductive health services, particularly for girls. However, advocates expressed disappointment that a small minority of conservative governments spurred on by the Holy See--which holds special observer status at the UN -- held up negotiations by objecting to concepts as fundamental as gender and the human rights of women throughout the two weeks of negotiations.

In particular, advocates noted that, despite a 20-year legacy of UN prohibition of discrimination and violence based on sexual orientation and increasingly on gender identity, government delegates gave in to pressure to exclude recognition of these violations in the final agreed conclusions. 

Alexander Sanger is the author of Beyond Choice: Reproductive Freedom in the 21st Century, published in January 2004 by PublicAffairs. The grandson of Margaret Sanger, who founded the birth control movement over eighty years ago, Mr. Sanger is currently Chair of the International Planned Parenthood Council and has served as a Goodwill Ambassador for the United Nations Population Fund.

New York Times columnist and anti-trafficking advocate Nicholas Kristof recently opened January’s Human Trafficking Awareness month with a Google+ Hangout entitled, “What does 2014 hold for the fight against modern-day slavery?” My answer is the need to dispel myths about sexual violence against women and children within the anti-trafficking movement so that we can all work effectively and sustainably toward ending exploitation. I hold little hope for truly ending human trafficking unless we understand the systemic nature of violence against women and children.

I strongly believe human trafficking and sexual slavery are a manifestation and continuation of interpersonal and systemic violence. For instance, the top two risk factors for sexual exploitation are a history of child sexual abuse and poverty. Yet, International Justice Mission founder and President Gary Haugen argued that an environment of impunity, not violence, is to blame:

[S]lavery is first and foremost a violent crime…and if you were to look at any other crime that would take place in our community that’s violent – let’s say rape – we would of course want to change those attitudes. We would of course want to make sure that the streets were well lit. We would want to make sure that women knew how to walk safely and avoid dangerous areas. But you would start, absolutely, that people who committed sexual assaults actually went to jail for it. You are more likely to get struck by lightning than go to jail for committing that violent crime.

Utilizing such “rape myths” like the need for well-lit streets and women’s ability to walk safely perfectly illustrates Haugen’s limited understanding of sexual violence: the majority of sexual assault survivors know their assailants and most rapes occur at home.

“Law enforcement is absolutely a critical component,” said Rachel Lloyd, trafficking survivor and founder of Girls Educational & Mentoring Services (GEMS), “but it isn’t the only component…and it won’t be the thing that long-term changes the issue.”

We will not end human trafficking and slavery unless we understand the very nature of violence and how it permeates our culture. Among industrialized nations, the U.S. has the worst record of death from violence and child death from abuse and neglect. We have the second-highest incidence of child poverty. Estimates across various surveys suggest one in every four girls and one in four boys in this country are sexually abused, 90 percent of them by either a family member or someone they know and trust. We have created the “perfect storm” for trafficking.

We also must acknowledge how violence is perpetuated. We often overlook that most of the few exploiters who have been studied report a history of child sexual abuse. Men who buy sex also report histories of sexual abuse and describe themselves as “sex addicts.” Abused children can repeat the violation throughout their lives, often within gendered norms, according to trauma expert Bssel van der Kolk, M.D. Abused boys can re-victimize, thus fulfilling the masculine imperative of being dominant and in control, while abused girls can go on to form relational attachments with victimizing boys or men.

If we are to stop human trafficking we must prioritize healing the wounds of abused boys through comprehensive, trauma-informed care over jailing angry, isolated men who become traffickers. We must focus on ensuring abused girls have economic opportunity based on intellect rather than equating their worth with their bodies. I am not arguing we sympathize with offenders because they have been abused. However, I am saying that jailing exploiters and solicitors will not stop trafficking: cycles of child sexual abuse and poverty are the fuel that keeps the engine running. We need to empty the gas line.

Kate Price, M.A., project associate at the Jean Baker Miller Training Institute (JBMTI) at the Wellesley Centers for Women (WCW), is also a social scientist in the cultural construction of childhood. As a survivor of the commercial sexual exploitation of children (CSEC), Price authored a chapter in the textbook, Global Perspectives on Prostitution and Sex Trafficking: Europe, Latin America, North America, and Global (Lexington Books) and a JBMTI working paper, Longing to Belong: Relational Risks and Resilience of Commercially Sexually Exploited Children, examining CSEC through a Relational-Cultural Theory lens.

Social Justice Dialogue: Eradicating Poverty

When people have limited choices, have no secure directions to follow, and are held back by insurmountable barriers, they are bound to remain in a situation of stagnancy, including poverty. Poverty is experienced physically and spiritually. It is too often the plight of the rural African girl—generations of whom have lived with little food, no clean water in poor housing, the target of domestic violence and rape, forced into early marriage for the bride price, with little (if any) schooling, no sex education, and no basic supplies for daily care and health. Their dreams are limited by not knowing their potential--they have very few resources, mentors nor models to help them.

A typical day of a rural girl who does attend school starts with fetching water and going to the garden to work before walking miles to school. Most children will go hungry at school; there may be no chairs or even books. They walk home in the evening, after gathering wood and picking greens that they will cook over a fire for the family dinner. There is no light to study by, no beds on which to sleep. Older girls cannot afford sanitary supplies and they use rags and leaves instead, often skipping school when they menstruate. In rural Uganda, secondary and higher education for girls is impossible without outside assistance. There are numerous financial demands for families—food, soap, kerosene, clothing, and medication—education is not considered essential. Because of this, many adolescent girls are often married off as their parents cannot afford educating them beyond the free primary education in public schools. There is much illiteracy throughout the communities and the cycle of poverty continues generation after generation.

I was fortunate, however, that my parents were not desperate for the bride price when I was a growing up. I could have been sold for a cow or a goat. Instead, at age 14, when I was feeling hopeless and working as a barmaid, a wonderful family in Kentucky (who knew one of my cousins from when they had done missionary work years earlier) enabled my return to school by paying my school fees for five years. I went on to earn my college degree before working with organizations that were striving to improve the lives of poor families in Africa.

I then turned my attention to Africa’s rural girl. I founded the Pearl Community Empowerment Foundation because I wanted to directly involve, empower, and benefit rural communities in Eastern Uganda through education, mentorship, trainings, and advocacy. I wanted to develop partnerships for social, cultural, and economic development. I knew that secondary, tertiary, and vocational education could break the unending cycle of poverty. Girls who are educated can become role models for their siblings and communities. They can learn new ways of growing crops. They can understand how to keep their families healthy. They may develop new skills to bring income to their families.

Working with individuals and partners from around the world, the Foundation helps rural girls in Africa and others in their communities, to break out of poverty. We are supporting girls’ education by connecting them with sponsors and mentors from across the globe. We facilitate a letter exchange program between students from the rural schools and students from other corners of the world. We teach the parents, grandparents, and communities about the importance of education. We train parents in crop production, micro-financing, and making hand crafts. We also encourage our partners and volunteers from across the globe to not just support our work but to visit. Two years since our founding, we have hosted in rural Ugandan communities 16 volunteers from the United States, Australia, and Europe—last week, five visited from England. The visits are meaningful and wonderful learning experiences for everyone.

More girls need such support. We have been able to send 67 girls to secondary school—these are 67 less girls who have been married off at young ages. More than 1,600 have expressed interest in our program. While there is still so much to do, we know that in collaboration with the international community, our grassroots communities can help break cycles of poverty and create cycles of opportunity through education. I believe everybody has the potential to live a better life. Given the opportunity, education and motivation, anyone can become someone inspiring. Nobody is a nobody, everybody is somebody.

Beatrice Achieng Nas, BSC, a Community Solutions Program Fellow through the International Research & Exchanges Board, is a visiting scholar at the Wellesley Centers for Women for the fall 2013 semester. She worked previously with Build Africa Uganda before founding the Pearl Community Empowerment Foundation.

Social Justice Dialogue: Eradicating Poverty

More than the Gender Wage Gap…On Many Fronts the Economic News is Not Good for Women

In spite of attention-grabbing headlines like, “The Richer Sex: How the Majority of Female Breadwinners is Transforming Sex, Love, and the Family" (Liza Mundy, 2012), on many fronts the economic news is not good for women: and indeed for the poorest, the news is getting worst.

It is not good news when we examine:

• The gender wage gap that continues at all educational levels. In 2012, the median annual earnings for womenworking full-time were 76.5 % of men’s earnings and had barely changed since 2001. This is evident in the gap between the median earnings for women and men with Associate’s degrees ($42,300 and $55, 600, respectively), and continues through earnings for those with Ph. D. degrees.


• Racial/ethnic disparities among women. The gender wage gap is smaller between African-American and Hispanic men and women (89%), but it is much larger when compared to white men (64% and 53%, respectively). Although the median earnings of Black, Hispanic, and White women with less than a high school diploma are almost equal (around $380), the median weekly earnings of White women with Associate degrees is $678, compared to $595 for Black women and $611 for Hispanic women.


• The incidence of family poverty, particularly among households headed by women of color. In 2012, 18.4% of all families with children under the age of 18 lived in poverty. However, almost 49% of Hispanic, 47% of Black, and 38% of White single-mother households with dependent children lived in poverty.


• The inadequacy of full-time, year-round minimum wage earnings to support a family. In 2009, single mothers earning the hourly minimum wage of $7.25 earned just over $15,000--well below the poverty level of $17,285 for a family of three. These earnings are far below the median U.S. family income (almost $50,000) and the median earnings of dual earning households (over $78,000).


• The erosion of public benefits for the poorest families. The greatest income gap emerges in the discrepancy between the amount of income received by families with federal cash benefits known as TANF (Temporary Aid to Needy Families) and the federal poverty level. In 2012, not a single state’s TANF benefits for a family of three brought the family up to 50% of the poverty level, i.e., $8,641 per year. For example, the Massachusetts TANF benefit for a mother with two children under the age of 18 was $7,400 a year. Even when the value of food benefits (Supplemental Nutrition Assistance Program) is added to TANF, only one state (Alaska) brings its families up to 80% of poverty level.


• The erosion of opportunities for economic advancement through education for low-income mothers. The ‘welfare reform’ policy of the mid-1990’s diminished access to education for TANF recipients. Prior to TANF, forty-eight states had counted participation in postsecondary education for periods ranging from 24 to 72 months; post-1996, women have had difficulty participating in even 12-months of vocational training. Instead, welfare-to-work programs have shunted women back into the same low-paid jobs without benefits they had previously.

The earnings and wealth gap is not a recent phenomenon; it has been growing steadily for three decades. However, only recently has it become a topic of general interest, particularly as the gap between the very rich and the very poor accelerated during a time of deep economic recession. This inequality gap has seeped into the national consciousness as it became a rallying cry for the “99 percent” movement, and trickled into the 2012 presidential debates.

Clearly, at the Wellesley Centers for Women an account of economic inequality is incomplete without the concerns outlined here: the inequalities among women, including the deep poverty of vulnerable families headed by women. In addition, we must address the often overlooked and alarming educational divide that exacerbates these economic concerns by eroding the possibility of social mobility through education, particularly for the poorest women. While access to college has become a mantra of the current administration, we must become more aware of and concerned with the educational divide as it affect low-income mothers – both in and out of the workforce.

Erika Kates, Ph.D. is a Research Scientist at the Wellesley Centers for Women at Wellesley College, working in two major research areas: Gender and Justice with a focus on women, and low-income women’s access to education.

Sources:
Center on Budget and Policy Priorities. March 2013. The Value of TANF Cash Benefits Continued to Erode in 2012. Washington D.C.: CBPP.
U.S. Census Bureau. Current Population Survey. 2012.
U.S. Census Bureau Statistical Abstract of the U.S. 2012 (based on 2009 data) Tables 692, 703.
American Association of University Women. Fall 2013. The Simple Truth About the Gender Pay Gap. Washington D.C. AAUW.