title: Discrepancy between expected and actual child support payments: predicting the health and health-related quality of life of children living in low-income, single-parent families.
abstract: OBJECTIVE
  Although the amount and frequency of child support payments received by single parents are often erratic and fluctuate, no study to date has quantitatively explored how the discrepancy between expected and actual payments relates to child health. This study aims to examine whether the discrepancy between expected and actual child support payments predicts a range of child health outcomes, including global health, health-related quality of life, involvement in activities and parental psychological distress.
  
  
  METHODS
  This study used results from the Longitudinal Study of Australian Children, which included a sample of parents of children aged 4-5 years (n = 4983). The questionnaire was completed by the parent who spent the most time with the child and knew the child best. From the 4983 families, 332 low-income single parents reliant on welfare with a formal or informal child support order in place were identified.
  
  
  RESULTS
  After controlling for income, the discrepancy between expected and actual child support predicted school functioning, conduct problems, total mental health problems and involvement in activities. Discrepancy between expected and actual child support payments did not predict the remaining health-related quality of life domains, mental health domains, global child health or parental psychosocial distress.
  
  
  CONCLUSIONS
  This was the first study to examine how the discrepancy between expected and actual child support payments relates to child health, providing important data on the effectiveness of the child support system for children's well-being. These findings highlight the potential impact of the discrepancy on school functioning, conduct problems, total mental health problems and involvement in activities.
authors.affiliation: School of Health and Social Development, Burwood, Vic., Australia. kay.cook@deakin.edu.au
authors.forename: K
authors.initials: K
authors.lastname: Cook
authors.forename: E
authors.initials: E
authors.lastname: Davis
authors.forename: B
authors.initials: B
authors.lastname: Davies
mesh_terms: D000328:Adult; D001315:Australia; D002669:Child Welfare / Q000191:economics*; D002675:Child, Preschool; D005260:Female; D005378:Financial Support; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D011788:Quality of Life; D020954:Single-Parent Family / Q000523:psychology; D012944:Social Support; D012959:Socioeconomic Factors