Child care needs of parents in paid work: An interpretation of findings from Australia's Welfare 1993: Services and Assistance

1995 ◽  
Vol 20 (2) ◽  
pp. 10-13
Author(s):  
Graeme Vaughan
Keyword(s):  
Child Care ◽  
Informal Support ◽  
Care Needs ◽  
Work Arrangements ◽  
Care Services ◽  
Paid Employment ◽  
Formal Services ◽  
Using Data ◽  
Australian Bureau Of Statistics ◽  
High Level

The extent to which the child care needs of parents in paid employment are adequately met is an important matter. This paper examines the issue using data published in the recent report from the Australian Institute of Health and Welfare, Australia's Welfare 1993: Services and Assistance. Data from recent surveys by the Australian Bureau of Statistics are used to supplement the report's findings.While families with both parents or the sole parent in paid employment are the major users of formal child care services many of them continue to experience difficulties in obtaining child care that meets their needs. Many of these families need to arrange their domestic and working lives to care for children within the family or rely on informal support by other family members, friends and neighbours. Many adopt a mix of strategies-formal services, informal support and flexible work arrangements-to meet their child care needs. These families show a high level of unmet demand for formal services; mothers in these families experience difficulties in balancing the competing demands of caring for children and paid employment.

A Public Health Perspective on Child Care

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1116-1118
Author(s):  
Kathleen F. Gensheimer
Keyword(s):  
Child Care ◽  
Collective Responsibility ◽  
Care Needs ◽  
Public Health Perspective ◽  
Care Services ◽  
Personal Level ◽  
Child Care Services ◽  
To Come ◽  
The Cost ◽  
Young Life

A child care provider is the mother of young life. She nourishes the children, brings them up—gives them energy, her resources, her nerve and all the possibilities to come true—when needed or ready. To not pay her a decent wage is undervaluing the care. To over-regulate her can decrease the supply and raise the cost. To under-regulate her can harm the quality. To zone her out of residential neighborhoods does not fit in a society that "values" children. And yet, all these misdeeds are committed state-wide. Nobody is made really and effectively responsible. Yet we all are! That's why the misdeeds can go on and even increase. Collective responsibility is hidden by our ignorance and greed. At present we live in a world out of balance. We work with no support for family and child care needs. We live lives of turmoil because of a system unable to care. We live lives that call for another way of living. Can biotechnologists build a child who requires less nurturing, less loving? or Can we foster conditions that help, rather than hurt, families using child care? It will oblige all of us to assign a new value to families, children and child care. It will oblige us to establish a strong public policy so that children and child care are valued as more than a mere "life style" option.1 On a personal level, as a mother of four young children and as a consumer of child-care services, I can well relate to the issue of child care.

scholarly journals Unmet Respite Needs of Children With Medical Technology Dependence

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1175-1186 ◽  
Author(s):  
Sarah A. Sobotka ◽  
Emma Lynch ◽  
Michael T. Quinn ◽  
Saria S. Awadalla ◽  
Rishi K. Agrawal ◽  
...  
Keyword(s):  
Medical Technology ◽  
Respite Care ◽  
Care Utilization ◽  
Older Children ◽  
Care Needs ◽  
Care Services ◽  
Semistructured Interviews ◽  
Care Coordinators ◽  
Technology Dependency ◽  
High Level

Children with medical technology dependency (MTD) require a medical device to compensate for a vital body function and substantial nursing care. As such, they require constant high-level supervision. Respite care provides caregivers with a temporary break, and is associated with reduced stress; however, there are often barriers. The study utilizes mixed methodology with the National Survey of Children with Special Health Care Needs (NS-CSHCN) and semistructured interviews with state-wide care coordinators to understand the gap for respite care services. Fifty-nine percent of parents who needed respite care received none. Parents of older children with MTD were more likely to report respite needs. Care coordinators described that home health shortages created barriers to respite care utilization, and the lack of respite care can lead to hospital readmission. Although respite care is a vital resource to support families of children with MTD, it is infrequently available, which can have severe consequences.

scholarly journals Technology for Healthy Aging: Use of Electronic Communication among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 634-635
Author(s):  
Rumei Yang ◽  
Yan Du ◽  
Haocen Wang ◽  
Zuoting Nie ◽  
Chumin Ji ◽  
...  
Keyword(s):  
Older Adults ◽  
Text Messaging ◽  
Healthy Aging ◽  
Electronic Communication ◽  
Patient Portal ◽  
Care Needs ◽  
Factors Affecting ◽  
Nationally Representative ◽  
Using Data ◽  
High Level

Abstract In the digital era, many electronic platforms have been established to facilitate patient-provider communication, such as e-mail, text messaging, and patient portal. The use of these electronic platforms is termed as electronic-communication (e-communication). E-communication has a variety of personalized healthcare functions, such as exchanging information, reviewing lab results, and facilitating patient engagement. However, little is known about the actual use of e-communication among older adults who are potentially major users of e-communication considering their high-level health care needs. Understanding their use of e-communication is critical in improving the application of e-communication in older adults. Using data from American Health Information National Trends Survey (HINTS2019-Cycle3; n=1,961; meanage =74.10, range=65-98), we explored: 1) the prevalence of e-communication use among older adults, and 2) factors affecting their use of e-communication. Variables were measured by self-reports. Weighted logistic regression with replicate weights provided by the HINTS was performed for data analysis. We found that 50% older adults reported the use of e-communication in the last year. Factors associated with higher likelihood of older adults’ e-communication use included younger age (OR=09.96, 95%CI=0.93-0.98, p<0.001), higher education (OR=4.82, 95%CI=2.32-10.02, p<0.001 for college graduate or higher), higher income (OR=1.58, 95%CI=1.05-2.38, p=0.030), comorbid conditions (OR=1.64, 95%CI=1.02-2.64, p<0.001), and having a regular provider (OR=2.06, 95%CI=1.31-3.22, p=0.002). This study provided nationally representative results demonstrating a great potential use of e-communication in older adults. Special attention is needed to focus on socially vulnerable older adults (e.g., those with older age, lower education and income, and having comorbidity).

scholarly journals Paid Care Services and Transitioning Out of the Community among Diverse Older Adults with Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 955-955
Author(s):  
Maria Roche-Dean ◽  
Sol Baik ◽  
Heehyul Moon ◽  
Norma Coe ◽  
Anna Oh ◽  
...  
Keyword(s):  
Older Adults ◽  
Racial Differences ◽  
Future Research ◽  
Care Needs ◽  
Term Care ◽  
Subdistribution Hazard ◽  
Care Services ◽  
Home Based ◽  
Care Assistance ◽  
Using Data

Abstract Objectives Paid care provided in the home or through community organizations includes important support services for older adults with dementia such as cleaning and personal care assistance. These services could delay the transition to long-term care, but access may differ across sociodemographic groups. This study examined the relationship between paid care and transitioning out of the community among diverse older adults with dementia. Methods Using data from 303 participants (29.4% Black) with probable dementia in the National Health and Aging Trends Study (2011-2019), subdistribution hazard models estimated the association between receiving paid care at baseline and the probability of transitioning out of the community over the next eight years. Covariate selection was guided by the Andersen model of healthcare utilization. Results Paid care was associated with lower risk of transitioning out of the community (SHR = 0.70, 95% CI [0.50, 0.98]). This effect was similar after controlling for predisposing factors and most prominent after controlling for enabling and need for services factors (SHR = 0.63, 95% CI [0.42, 0.94]) and was only evident among Whites. There were no racial differences in the use of paid care, but Black participants were less likely to transition out of the community than Whites despite evidencing greater care needs. Discussion Paid care services may help delay transitions out of the community. Future research should seek to explain racial differences in access to and/or preferences for home-based, community-based, and residential care.

Child care: implications for overweight / obesity in Canadian children?

2012 ◽  
Vol 33 (1) ◽  
pp. 1-11 ◽  
Author(s):  
L McLaren ◽  
M Zarrabi ◽  
DJ Dutton ◽  
MC Auld ◽  
JCH Emery
Keyword(s):  
Child Care ◽  
Low Income ◽  
Labour Force ◽  
Overweight And Obesity ◽  
Ongoing Research ◽  
Daycare Centre ◽  
Relative Care ◽  
Participation Of Women ◽  
Sociodemographic Correlates ◽  
Using Data

Introduction Over recent decades, two prominent trends have been observed in Canada and elsewhere: increasing prevalence of childhood overweight and obesity, and increasing participation of women (including mothers) in the paid labour force and resulting demand for child care options. While an association between child care and children's body mass index (BMI) is plausible and would have policy relevance, its existence and nature in Canada is not known. Methods Using data from the National Longitudinal Survey of Children and Youth, we examined exposure to three types of care at age 2/3 years (care by non-relative, care by relative, care in a daycare centre) in relation to change in BMI percentile (continuous and categorical) between age 2/3 years and age 6/7 years, adjusting for health and sociodemographic correlates. Results Care by a non-relative was associated with an increase in BMI percentile between age 2/3 years and age 6/7 years for boys, and for girls from households of low income adequacy. Conclusion Considering the potential benefits of high-quality formal child care for an array of health and social outcomes and the potentially adverse effects of certain informal care options demonstrated in this study and others, our findings support calls for ongoing research on the implications of diverse child care experiences for an array of outcomes including those related to weight.

scholarly journals Impact of Long Working Hours and Shift Work on Perceived Unmet Dental Need: A Panel Study

2021 ◽  
Vol 18 (6) ◽  
pp. 2939
Author(s):  
Hye-Eun Lee ◽  
Nam-Hee Kim ◽  
Tae-Won Jang ◽  
Ichiro Kawachi
Keyword(s):  
Shift Work ◽  
Dental Care ◽  
Fixed Effects ◽  
Panel Study ◽  
Working Hours ◽  
Care Needs ◽  
Long Working Hours ◽  
Care Services ◽  
Dental Care Needs ◽  
Dental Needs

This study investigates whether workers with long working hours as well as shift workers perceive higher unmet dental care needs, and whether there is a gender difference in the associations. We used the Korea Health Panel (2009, 2011–2014) involving 20,451 person-wave observations from 5567 individuals. Perceived unmet dental care needs was defined when the participants reported that they perceived a need for dental treatment or check-up but had failed to receive dental care services during the past year. Fixed effects logit models were applied to examine how changes in weekly working hours or shift work status were linked to changes in perceived unmet dental needs within each individual. Among participants, 15.9–24.7% reported perceived unmet dental needs and the most common reason was time scarcity. We found that long working hours (>52 h/week) was significantly associated with perceived unmet dental needs due to time scarcity in both men (OR = 1.42, 95% CI 1.13–1.78) and women (OR = 1.35, 95% CI 1.03–1.79) compared workers working 40–52 h per week. Shift work was also a significant risk factor, but only in women (OR = 1.57, 95% CI 1.06–2.32). These findings provide evidence for labor policies to reduce working hours in order to improve access to dental care services.

scholarly journals Policy Frameworks and Parental Choice: Using Conjoint Analysis to Understand Parental Decision Making for Child Care

2021 ◽  
pp. 0192513X2110223
Author(s):  
Adrienne M. Davidson ◽  
Samantha Burns ◽  
Delaine Hampton ◽  
Linda White ◽  
Michal Perlman
Keyword(s):  
Child Care ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
The United States ◽  
Poor Quality ◽  
Child Care Providers ◽  
Care Providers ◽  
Care Services ◽  
Parental Decision Making ◽  
Child Care Services

Many children in Canada and the United States experience poor-quality child care on a regular basis. Under the rubric of “parent choice,” governments continue to permit a variety of licensed care providers (centers and homes) as well as unlicensed home child care providers. Research suggests, however, that parents are not well-informed consumers about child care services, unaware of even the basic characteristics of their child’s care. In this study, we provide findings from a latent profile analysis based on a conjoint survey conducted in Toronto, Canada to better understand the factors that influence parents’ decisions in selecting child care services. Based on responses from over 700 parents, we identify five classes of parents that reflect a range of preferences in selecting child care. However, most groups show a strong preference for licensed early childhood education and care (ECEC) options. Limitations of this study and implications for policy are discussed.

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