abstract: 'Chronically ill children require several hours of additional care per day compared to healthy children. As parents provide most of this care, they have to incorporate it into their daily schedule, which implies a reduction in time for other activities. The study aimed to assess the effect of having a chronically ill child on parental employment and parental leisure activity time, and to explore the role of demographic, social, and disease-related variables in relation to employment and leisure activities. Outcomes of 576 parents of chronically ill children and 441 parents of healthy school children were analyzed with multivariate regression. Having a chronically ill child was negatively related with family employment, maternal labor force participation, and leisure activity time. Use of child care was positively related to family and maternal employment of the total group of parents. Within parents of chronically ill children, most important finding was the negative relation of dependency of the child on daily care and low parental educational level with family and maternal employment. In conclusion, parents of chronically ill children, mothers in particular, are disadvantaged in society probably due to the challenge of combining child care with work and leisure time.' affiliation: 'Grootenhuis, M (Corresponding Author), Emma Childrens Hosp, Acad Med Ctr, Pediat Psychosocial Dept, POB 22660, NL-1100 DD Amsterdam, Netherlands. Hatzmann, Janneke; Heymans, Hugo; Maurice-Stam, Heleen; Grootenhuis, Martha, Emma Childrens Hosp, Acad Med Ctr, NL-1100 DD Amsterdam, Netherlands. Peek, Niels, Acad Med Ctr, Amsterdam, Netherlands.' author: Hatzmann, Janneke and Peek, Niels and Heymans, Hugo and Maurice-Stam, Heleen and Grootenhuis, Martha author-email: m.a.grootenhuis@amc.uva.nl author_list: - family: Hatzmann given: Janneke - family: Peek given: Niels - family: Heymans given: Hugo - family: Maurice-Stam given: Heleen - family: Grootenhuis given: Martha da: '2023-09-28' doi: 10.1177/1367493513496668 eissn: 1741-2889 files: [] issn: 1367-4935 journal: JOURNAL OF CHILD HEALTH CARE keywords: 'Chronic illness; employment; functional limitation; leisure activity time; parents' keywords-plus: 'HEALTH-CARE NEEDS; FAMILIES EXPERIENCES; DEPENDENT CHILDREN; FINANCIAL BURDEN; UNITED-STATES; MENTAL-HEALTH; DISABILITIES; TECHNOLOGY; MOTHERS; WORK' language: English month: DEC number: '4' number-of-cited-references: '32' orcid-numbers: Peek, Niels/0000-0002-6393-9969 pages: 346-357 papis_id: c6b7c9046d554d7d3e2720e171bfab24 ref: Hatzmann2014consequencescaring researcherid-numbers: Peek, Niels/AAD-9334-2019 times-cited: '42' title: 'Consequences of caring for a child with a chronic disease: Employment and leisure time of parents' type: Article unique-id: WOS:000346024400006 usage-count-last-180-days: '0' usage-count-since-2013: '19' volume: '18' web-of-science-categories: Nursing; Pediatrics year: '2014'