The influence of race/ethnicity on disadvantaged mothers’ child care arrangements

Radey, Melissa; Brewster, Karin L.

doi:10.1016/j.ecresq.2007.05.004

Cited by 68 publications

(65 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23,25 Our study did not find that Hispanic families were at higher risk for ED/UC use, consistent with studies revealing that Hispanic families are more dependent on child care provided by extended families. 38,39 Parents without sick leave benefits face a considerable dilemma as they risk either loss of wages or loss of a job to stay home with a sick child excluded from child care. Parents may view the situation as a socioeconomic emergency, choosing the inconvenience of an urgent medical evaluation over the inability to return to work in a timely manner.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department and Urgent Care for Children Excluded From Child Care

Hashikawa¹,

Brousseau

Singer

et al. 2014

Pediatrics

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Previous studies have revealed that children in child care are frequently ill with mild illness and are unnecessarily excluded from child care at high rates.WHAT THIS STUDY ADDS: Parent race/ethnicity, single parents, and work-related concerns are associated with increased emergent/urgent care use for a sick child excluded from child care, even for mild illnesses.abstract BACKGROUND: Children in child care are frequently unnecessarily excluded for illness. We investigated parental use of urgent medical evaluation for sick children unable to attend child care. METHODS:In May 2012, authors conducted a nationally representative survey of parents, who completed online questions regarding child illness causing absence from child care and their medical care-seeking behavior. Main outcome was parents' use of emergency department or urgent care (ED/UC). RESULTS:Overall survey participation rate was 62%. Of participating parent cohort with children 0 to 5 years old, 57% (n = 357) required child care, of which 84% (n = 303) required out-of-home child care. Over 88% of parents sought acute medical care for their sick children unable to attend child care. Approximately one-third of parents needed a doctor' s note for employers and/or child care. Parents sought medical evaluation (.1 option possible) from primary care (81%), UC (26%), or ED (25%). ED/UC use was most common for rash (21%) and fever (15%). Logistic regression indicated ED/UC use was significantly higher among single/divorced parents (odds ratio [OR] = 4.3; 95% confidence interval [CI]: 2.5-13.5); African American parents (OR = 4.2; 95% CI: 1.2-14.6); parents needing a doctor' s note (OR = 4.2; 95% CI: 1.5-11.7); and those with job concerns (OR = 3.4; 95% CI: 1.2-9.7).CONCLUSIONS: A substantial proportion of parents whose sick children cannot attend child care seek care in ED/UC. Training child care professionals regarding appropriate illness exclusions may decrease ED/UC visits by lowering child care exclusions. Pediatrics 2014;134:e120-e127 AUTHORS:

show abstract

Section: Discussionmentioning

confidence: 99%

Emergency Department and Urgent Care for Children Excluded From Child Care

Hashikawa¹,

Brousseau

Singer

et al. 2014

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Following previous studies, we considered six potential demographic and socioeconomic selection factors: ethnicity, maternal age, family income, maternal education, single parenthood, and the number of children in the family (Early and Burchinal 2001;Fram and Kim 2008;Fuller et al 1996;Geoffroy et al 2012;NICHD Early Child Care Research Network 1997;Radey and Brewster 2007;Singer et al 1998; van Gameren and Ooms 2009;Zachrisson et al 2013). We hypothesized that the role of these factors would differ across policy contexts as a function of the generosity of public assistance for ECEC, in general, and for specific groups.…”

Section: Child and Family Policies Ecec Use And Socioeconomic Selectionmentioning

confidence: 99%

Who uses early childhood education and care services? Comparing socioeconomic selection across five western policy contexts

Petitclerc

Côté

Doyle

et al. 2017

ICEP

View full text Add to dashboard Cite

Growing evidence suggests that children's participation in early childhood education and care (ECEC), especially center-based services, is associated with positive outcomes, particularly for children over one year of age and children of low socioeconomic backgrounds. This signals an important opportunity for reducing socioeconomic disparities in young children's development. Many western countries have adopted policies to encourage maternal employment, facilitate ECEC service use, or both, often focusing on disadvantaged families. Yet few studies to date have tested the impact of these policies for reducing socioeconomic selection into ECEC. This study integrates data from five cohorts of children living in different western, high-income countries (UK, USA, Netherlands, Canada, and Norway; total N = 21,437). We compare participation rates and socioeconomic selection into ECEC across the different policy contexts in infancy (5-9 months) and early childhood (36-41 months). Policy environments where parents had access to at least 6 months of paid maternity/parental leave had lower ECEC participation in infancy but higher participation in early childhood. Higher participation rates were also associated with universal ECEC subsidies (i.e., not targeted to low-income families). In general, low income, low maternal education and having more than one child were associated with reduced use of ECEC. Selection effects related to low income and number of children were reduced in countries with universal ECEC subsidies when out-of-pocket fees were income-adjusted or reduced for subsequent children, respectively. Most socioeconomic selection effects were reduced in Norway, the only country to invest more than 1% of its GDP into early childhood. Nevertheless, low maternal education was consistently associated with reduced use of ECEC services across all countries. Among families using services however, there were few selection effects for the type of ECEC setting (center-based vs. non-center-based), particularly in early childhood. In sum, this comparative study suggests wide variations in ECEC participation that can be linked to the policy context, and highlights key policy elements which may reduce socioeconomic disparities in ECEC use.

show abstract

“…Research suggests that different racial/ethnic groups have different patterns of childcare use (Radey & Brewster, 2007), so a moderation analysis is needed to examine whether similar patterns exist across groups. There are no a priori hypotheses for these analyses, but the results will help in examining whether the results generalize across groups.…”

Section: Moderationmentioning

confidence: 99%

Family Income and School Readiness Skills

Portnow

View full text Add to dashboard Cite

The influence of race/ethnicity on disadvantaged mothers’ child care arrangements

Cited by 68 publications

References 29 publications

Emergency Department and Urgent Care for Children Excluded From Child Care

Emergency Department and Urgent Care for Children Excluded From Child Care

Who uses early childhood education and care services? Comparing socioeconomic selection across five western policy contexts

Family Income and School Readiness Skills

Contact Info

Product

Resources

About