wow-inequalities/02-data/intermediate/wos_sample/a9e2c635a2e6f068e49f30fd166d39ec-thyen-u-and-kuhltha/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Objective. This study examines 1) the way that children with chronic
conditions are cared for at home and assisted by technology affects
maternal employment and child care; 2) the social and clinical factors
associated with the decision of a mother to quit employment to care for
a child at home; and 3) the way in which care at home and the decision
of a mother to quit a job affects maternal mental health.
Design. The 6-month postdischarge status of 70 mothers of children
assisted by technology (study group) was compared with the 6-month
postdischarge status of 58 mothers of children (matched for age and
gender) hospitalized for acute illnesses (comparison group). Between
January and December 1993, we gathered information on sociodemographic
status, employment status and changes in employment, severity of the
child''s condition, child care and nursing services at home, family
support, and maternal mental health.
Results. One third of mothers in the study group reported that they quit
employment to take fare of a child at home with only 37.1\% remaining
employed outside the home, compared with 69.0\% of comparison group
mothers. Single caretakers were 15 times more likely to quit employment
compared with mothers in two-parent families. Availability of child care
had an independent effect on a mother''s decision to quit a job, whereas
the severity of the child''s condition did not. Child care hours were
significantly lower in study group families and were provided mostly by
relatives compared with daycare facilities and regular babysitters in
comparison families. Family support was highest among employed mothers
in both the study and the comparison groups and lowest in study group
mothers who were neither employed currently nor before the child''s
illness or who had quit employment to care for the child. Family income
was significantly lower in families with a child assisted by technology.
Families in the study group had 20-fold higher uncompensated health care
costs than did the comparison group. Mothers caring for a child assisted
by technology reported less good mental health than did comparison group
mothers, and employment seems to mediate this relationship.
Conclusions. Caring for a child assisted by technology seems to create
barriers to maternal employment diminishing family resources at a time
when financial needs actually may increase. Lack of family support and
child care services increase the likelihood that mothers of children
assisted by technology will stay out of the labor force. Remaining
employed buffers the negative effects of care at home on maternal mental
health. Health policies for children with chronic health problems should
address issues of financial burdens and the labor force participation of
their caretakers.'
affiliation: 'Thyen, U (Corresponding Author), Univ Lubeck, Klin Padiat, Kahlhorststr
31-35, D-23538 Lubeck, Germany.
Univ Lubeck, Klin Padiat, D-23538 Lubeck, Germany.
Massachusetts Gen Hosp, Div Gen Pediat, Boston, MA 02114 USA.
Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA.'
author: Thyen, U and Kuhlthau, K and Perrin, JM
author-email: uthyen@compuserve.com
author_list:
- family: Thyen
given: U
- family: Kuhlthau
given: K
- family: Perrin
given: JM
da: '2023-09-28'
doi: 10.1542/peds.103.6.1235
eissn: 1098-4275
files: []
issn: 0031-4005
journal: PEDIATRICS
keywords: 'chronic illness; home care; technology assisted; family support;
employment; quality of life; child care'
keywords-plus: 'PSYCHOLOGICAL ADJUSTMENT; FAMILY; STRESS; WOMEN; WORK; DISABILITIES;
FATHERS; IMPACT; PARENT'
language: English
month: JUN
number: 6, 1
number-of-cited-references: '49'
orcid-numbers: Perrin, James/0000-0002-1810-3708
pages: 1235-1242
papis_id: feb18513860c6daa075e0e95cfb36004
ref: Thyen1999employmentchild
times-cited: '135'
title: Employment, child care, and mental health of mothers caring for children assisted
by technology
2023-10-01 08:15:07 +00:00
type: article
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unique-id: WOS:000080613400030
usage-count-last-180-days: '1'
usage-count-since-2013: '13'
volume: '103'
web-of-science-categories: Pediatrics
year: '1999'