Mothers' Employment Attributes and Use of Preventive Child Health Services

Megan Shepherd-Banigan, Janice F Bell, Anirban Basu, Cathryn Booth-Laforce, Jeffrey R. Harris

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

This study examines whether paid sick leave and hours worked per week are associated with receipt of recommended well-child visits, preventive dental care, influenza vaccines, obesity screening, and vision screening among U.S. children aged 0 to 17 years whose mothers were employed using data from the Medical Expenditure Panel Survey. Residual inclusion instrumental variables methods were used to address unobserved confounding related to maternal employment and child health care use. Instruments were the industry-specific mean of paid leave and hours worked. Fewer than half of children received the recommended number of well-child visits and dental care; only 14% of children received an influenza vaccine in the past year. Paid sick leave was associated with increased adherence to recommended well-child visits (marginal probability, 0.12; 95% confidence interval [CI] = 0.23, 0.01), preventive dental care (marginal probability, 0.28; 95% CI = 0.34, 0.33), and receipt of the influenza vaccine (marginal probability, 0.09; 95% CI = 0.13, 0.05).

Original languageEnglish (US)
Pages (from-to)208-226
Number of pages19
JournalMedical Care Research and Review
Volume74
Issue number2
DOIs
StatePublished - Apr 1 2017

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Keywords

  • child health
  • maternal employment policies
  • pediatric preventive care

ASJC Scopus subject areas

  • Health Policy

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