Primary Child Care Arrangements of Employed Parents: Findings from the 1999 National Survey of America's Families

Author(s):  
Freya L. Sonenstein ◽  
Gary J. Gates ◽  
Stefanie Schmidt ◽  
Natalya Bolshun
PEDIATRICS ◽  
2004 ◽  
Vol 113 (Supplement_5) ◽  
pp. 1907-1916 ◽  
Author(s):  
Lynn M. Olson ◽  
Moira Inkelas ◽  
Neal Halfon ◽  
Mark A. Schuster ◽  
Karen G. O’Connor ◽  
...  

Objective. To describe the content of anticipatory guidance provided to parents of infants and toddlers and to identify primary areas of unmet need as reported by both parents and pediatricians. Methods. Parent data were obtained from the National Survey of Early Childhood Health, a nationally representative sample of parents of 2068 US children aged 4 to 35 months. Pediatrician data were obtained from the Periodic Survey of Fellows, a national survey of members of the American Academy of Pediatrics. Results. Parents and pediatricians tend to agree on the relative ranking of which topics are most frequently addressed. Parents and pediatricians both report that the traditional topics of preventive care—immunizations, feeding issues, and sleep patterns—are most frequently discussed, whereas topics that were more recently introduced into pediatric care related to developmental needs and family context are less commonly addressed. Parent-reported discussion of these topics include reading (discussed for 61% of children 19-35 months) and child care (discussed for 26% of children 19-35 months). Parent reports of some unmet need—defined as topics not discussed that the parent believes would have been helpful to them—affect 36% of children aged 4 to 9 months and 56% of children aged 10 to 35 months and are highest for the topics of discipline strategies and toilet training. Other specific areas of unmet need reported by at least 15% of parents are burn prevention, child care, reading, vocabulary development, and social development. Rates of unmet need vary with family characteristics and health system factors, including maternal education, race/ethnicity, and length of well-child visits. Conclusion. Parents and pediatricians report high rates of discussion on many topics that are critical to healthy development in the first years of life. They also identify areas of need that largely address health supervision on developmental topics. Findings indicate that additional research is needed to understand issues related to specific topic areas as well as the dynamics of personal and system factors that determine what is discussed.


PEDIATRICS ◽  
2006 ◽  
Vol 118 (5) ◽  
pp. 1852-1857 ◽  
Author(s):  
T. Coker ◽  
L. P. Casalino ◽  
G. C. Alexander ◽  
J. Lantos

2008 ◽  
Vol 16 (2) ◽  
pp. 78-89 ◽  
Author(s):  
Julie M. Rosenzweig ◽  
Eileen M. Brennan ◽  
Katherine Huffstutter ◽  
Jennifer R. Bradley

2005 ◽  
Vol 70 (5) ◽  
pp. 729-757 ◽  
Author(s):  
Julia Wrigley ◽  
Joanna Dreby

Nearly 8 million children of employed parents are in nonrelative child care, but little is known about safety risks. Drawing on the literature reporting mistakes in organizations and medical errors, the authors analyze fatalities in U.S. child care. Types of child care vary greatly in organizational features, from formally organized centers to informal care offered in providers' or children's homes. This allows analysis of how the social organization of care affects risks. A unique national dataset is used to provide a lower bound on fatalities and to analyze fatality rates across types of care. Data come from three sources: (1) a systematic national media search for 1985-2003, (2) legal records of civil and criminal court cases involving fatalities and serious injuries in child care, and (3) ethnographic data from state records in seven states. Overall child care is quite safe, but there are striking differences in fatality rates across types of care. Center care is significantly safer than care offered in private homes and offers particular protection against fatalities from violence. Detailed narratives of how fatalities occur suggest that the organization of work is a crucial factor in risk differences.


2019 ◽  
Author(s):  
Margaret Gough

ObjectivesThere is great interest in the relationship between paid and unpaid labor time. Yet, in the United States most studies have focused on the housework component of unpaid labor. Limited research has examined how parental employment status relates to child care time. This study examines how unemployment is related to time in multiple types of child care and how this relationship varies by gender.MethodsI use data from the 2003-2013 American Time Use Surveys to study cohabiting and married parents ages 18-65 (N=44,198). I predict time spent in total child care, routine child care, and educational/recreational child care by parental unemployment status using ordinary least squares and seemingly unrelated regression models, and examine differences between weekday and weekend time use. ResultsConsistent with time-based theories, I find unemployed parents spend more time in child care than employed parents, but patterns vary by gender: unemployed mothers and fathers spend more time in child care on weekdays, but unemployed fathers spent less time in child care on weekends. ConclusionsResults suggest similarities and differences between the unemployment-child care time relationship and the relationship of unemployment with other types of unpaid labor such as housework.


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