The Impact of a Child's Special Health Care Needs on Maternal Work Participation during Early Motherhood
Background Many women temporarily reduce work hours or stop working when caring for small children. However, mothers of children with special health care needs may face particular challenges balancing childrearing responsibilities and employment demands. This study examines how the work participatio...
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| Veröffentlicht in: | Paediatric and perinatal epidemiology 2013-07, Vol.27 (4), p.353-360 |
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| container_title | Paediatric and perinatal epidemiology |
| container_volume | 27 |
| creator | Hauge, Lars Johan Kornstad, Tom Nes, Ragnhild Bang Kristensen, Petter Irgens, Lorentz M. Eskedal, Leif T. Landolt, Markus A. Vollrath, Margarete E. |
| description | Background
Many women temporarily reduce work hours or stop working when caring for small children. However, mothers of children with special health care needs may face particular challenges balancing childrearing responsibilities and employment demands. This study examines how the work participation among mothers of children with special health care needs compares with that of mothers in general during early motherhood, focusing in particular on the extent of the child's additional health care needs.
Methods
By linkage of the population‐based Norwegian Mother and Child Cohort Study with national registers on employment, child health care needs, and social background factors, 41 255 mothers employed prior to childbirth were followed until child age 3 years to investigate associations between the child's care needs and mother's dropping out of employment.
Results
In total, 16.3% of the formerly employed mothers were no longer employed at child age 3 years. Mothers of children with mild care needs did not differ from mothers in general, whereas mothers of children with moderate [Risk Ratio (RR) 1.45; 95% confidence interval (CI) 1.17, 1.80] and severe care needs [RR 2.19; 95% CI 1.67, 2.87] were at substantial risk of not being employed at follow‐up. The impact of the child's health care needs remained strong also after adjusting for several factors associated with employment in general.
Conclusions
Extensive childhood health care needs are associated with reduced short‐term employment prospects and remain a substantial influence on mothers' work participation during early motherhood, irrespective of other important characteristics associated with maternal employment. |
| doi_str_mv | 10.1111/ppe.12063 |
| format | Article |
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Many women temporarily reduce work hours or stop working when caring for small children. However, mothers of children with special health care needs may face particular challenges balancing childrearing responsibilities and employment demands. This study examines how the work participation among mothers of children with special health care needs compares with that of mothers in general during early motherhood, focusing in particular on the extent of the child's additional health care needs.
Methods
By linkage of the population‐based Norwegian Mother and Child Cohort Study with national registers on employment, child health care needs, and social background factors, 41 255 mothers employed prior to childbirth were followed until child age 3 years to investigate associations between the child's care needs and mother's dropping out of employment.
Results
In total, 16.3% of the formerly employed mothers were no longer employed at child age 3 years. Mothers of children with mild care needs did not differ from mothers in general, whereas mothers of children with moderate [Risk Ratio (RR) 1.45; 95% confidence interval (CI) 1.17, 1.80] and severe care needs [RR 2.19; 95% CI 1.67, 2.87] were at substantial risk of not being employed at follow‐up. The impact of the child's health care needs remained strong also after adjusting for several factors associated with employment in general.
Conclusions
Extensive childhood health care needs are associated with reduced short‐term employment prospects and remain a substantial influence on mothers' work participation during early motherhood, irrespective of other important characteristics associated with maternal employment.</description><identifier>ISSN: 0269-5022</identifier><identifier>EISSN: 1365-3016</identifier><identifier>DOI: 10.1111/ppe.12063</identifier><identifier>PMID: 23772937</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>child care ; Child Care - economics ; Child Care - psychology ; child disability ; Child Rearing - psychology ; Child, Preschool ; Children & youth ; Cohort Studies ; Confidence intervals ; Disabled Children - psychology ; Employment ; Employment - economics ; Employment - psychology ; Female ; Health care ; Hospitals ; Humans ; Infant ; Mother-Child Relations - psychology ; Mothers - psychology ; Norway ; Socioeconomic Factors ; special health care needs ; Women, Working - psychology ; work participation</subject><ispartof>Paediatric and perinatal epidemiology, 2013-07, Vol.27 (4), p.353-360</ispartof><rights>2013 John Wiley & Sons Ltd</rights><rights>2013 John Wiley & Sons Ltd.</rights><rights>Copyright © 2013 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4243-308fb5f0c996a168bb9aafc6f27ec4f18ea525cba4e8375ef77c388e3774b6c3</citedby><cites>FETCH-LOGICAL-c4243-308fb5f0c996a168bb9aafc6f27ec4f18ea525cba4e8375ef77c388e3774b6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fppe.12063$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fppe.12063$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23772937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hauge, Lars Johan</creatorcontrib><creatorcontrib>Kornstad, Tom</creatorcontrib><creatorcontrib>Nes, Ragnhild Bang</creatorcontrib><creatorcontrib>Kristensen, Petter</creatorcontrib><creatorcontrib>Irgens, Lorentz M.</creatorcontrib><creatorcontrib>Eskedal, Leif T.</creatorcontrib><creatorcontrib>Landolt, Markus A.</creatorcontrib><creatorcontrib>Vollrath, Margarete E.</creatorcontrib><title>The Impact of a Child's Special Health Care Needs on Maternal Work Participation during Early Motherhood</title><title>Paediatric and perinatal epidemiology</title><addtitle>Paediatr Perinat Epidemiol</addtitle><description>Background
Many women temporarily reduce work hours or stop working when caring for small children. However, mothers of children with special health care needs may face particular challenges balancing childrearing responsibilities and employment demands. This study examines how the work participation among mothers of children with special health care needs compares with that of mothers in general during early motherhood, focusing in particular on the extent of the child's additional health care needs.
Methods
By linkage of the population‐based Norwegian Mother and Child Cohort Study with national registers on employment, child health care needs, and social background factors, 41 255 mothers employed prior to childbirth were followed until child age 3 years to investigate associations between the child's care needs and mother's dropping out of employment.
Results
In total, 16.3% of the formerly employed mothers were no longer employed at child age 3 years. Mothers of children with mild care needs did not differ from mothers in general, whereas mothers of children with moderate [Risk Ratio (RR) 1.45; 95% confidence interval (CI) 1.17, 1.80] and severe care needs [RR 2.19; 95% CI 1.67, 2.87] were at substantial risk of not being employed at follow‐up. The impact of the child's health care needs remained strong also after adjusting for several factors associated with employment in general.
Conclusions
Extensive childhood health care needs are associated with reduced short‐term employment prospects and remain a substantial influence on mothers' work participation during early motherhood, irrespective of other important characteristics associated with maternal employment.</description><subject>child care</subject><subject>Child Care - economics</subject><subject>Child Care - psychology</subject><subject>child disability</subject><subject>Child Rearing - psychology</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Disabled Children - psychology</subject><subject>Employment</subject><subject>Employment - economics</subject><subject>Employment - psychology</subject><subject>Female</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Mother-Child Relations - psychology</subject><subject>Mothers - psychology</subject><subject>Norway</subject><subject>Socioeconomic Factors</subject><subject>special health care needs</subject><subject>Women, Working - psychology</subject><subject>work participation</subject><issn>0269-5022</issn><issn>1365-3016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi1ERbeFA38AWeJAOaT1R2wnR7QsbdVtWcRKy81ynAlxm10HOxHsv6-32_aAhJiLD_PMoxm_CL2l5JSmOut7OKWMSP4CTSiXIuOEypdoQpgsM0EYO0RHMd4SQqQo2St0yLhSrORqgtplC_hy3Rs7YN9gg6et6-oPEX_vwTrT4Qsw3dDiqQmAbwDqiP0GX5sBwiZ1Vz7c4YUJg7OuN4NLvXoMbvMTz0zotvjaDy2E1vv6NTpoTBfhzeN7jJZfZsvpRTb_en45_TTPbM5ynjYvmko0xJalNFQWVVUa01jZMAU2b2gBRjBhK5NDwZWARinLiwLSQXklLT9GJ3ttH_yvEeKg1y5a6DqzAT9GTXPKBMl5rv6PclkqqriSCX3_F3rrx90H7IRMFUKJvEzUxz1lg48xQKP74NYmbDUleheUTkHph6AS--7ROFZrqJ_Jp2QScLYHfrsOtv826cVi9qTM9hMuDvDnecKEOy3TFUKvbs71j29Xn-dyNdeE3wNvvapR</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Hauge, Lars Johan</creator><creator>Kornstad, Tom</creator><creator>Nes, Ragnhild Bang</creator><creator>Kristensen, Petter</creator><creator>Irgens, Lorentz M.</creator><creator>Eskedal, Leif T.</creator><creator>Landolt, Markus A.</creator><creator>Vollrath, Margarete E.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>201307</creationdate><title>The Impact of a Child's Special Health Care Needs on Maternal Work Participation during Early Motherhood</title><author>Hauge, Lars Johan ; Kornstad, Tom ; Nes, Ragnhild Bang ; Kristensen, Petter ; Irgens, Lorentz M. ; Eskedal, Leif T. ; Landolt, Markus A. ; Vollrath, Margarete E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4243-308fb5f0c996a168bb9aafc6f27ec4f18ea525cba4e8375ef77c388e3774b6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>child care</topic><topic>Child Care - economics</topic><topic>Child Care - psychology</topic><topic>child disability</topic><topic>Child Rearing - psychology</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Disabled Children - psychology</topic><topic>Employment</topic><topic>Employment - economics</topic><topic>Employment - psychology</topic><topic>Female</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Mother-Child Relations - psychology</topic><topic>Mothers - psychology</topic><topic>Norway</topic><topic>Socioeconomic Factors</topic><topic>special health care needs</topic><topic>Women, Working - psychology</topic><topic>work participation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hauge, Lars Johan</creatorcontrib><creatorcontrib>Kornstad, Tom</creatorcontrib><creatorcontrib>Nes, Ragnhild Bang</creatorcontrib><creatorcontrib>Kristensen, Petter</creatorcontrib><creatorcontrib>Irgens, Lorentz M.</creatorcontrib><creatorcontrib>Eskedal, Leif T.</creatorcontrib><creatorcontrib>Landolt, Markus A.</creatorcontrib><creatorcontrib>Vollrath, Margarete E.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Paediatric and perinatal epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hauge, Lars Johan</au><au>Kornstad, Tom</au><au>Nes, Ragnhild Bang</au><au>Kristensen, Petter</au><au>Irgens, Lorentz M.</au><au>Eskedal, Leif T.</au><au>Landolt, Markus A.</au><au>Vollrath, Margarete E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of a Child's Special Health Care Needs on Maternal Work Participation during Early Motherhood</atitle><jtitle>Paediatric and perinatal epidemiology</jtitle><addtitle>Paediatr Perinat Epidemiol</addtitle><date>2013-07</date><risdate>2013</risdate><volume>27</volume><issue>4</issue><spage>353</spage><epage>360</epage><pages>353-360</pages><issn>0269-5022</issn><eissn>1365-3016</eissn><abstract>Background
Many women temporarily reduce work hours or stop working when caring for small children. However, mothers of children with special health care needs may face particular challenges balancing childrearing responsibilities and employment demands. This study examines how the work participation among mothers of children with special health care needs compares with that of mothers in general during early motherhood, focusing in particular on the extent of the child's additional health care needs.
Methods
By linkage of the population‐based Norwegian Mother and Child Cohort Study with national registers on employment, child health care needs, and social background factors, 41 255 mothers employed prior to childbirth were followed until child age 3 years to investigate associations between the child's care needs and mother's dropping out of employment.
Results
In total, 16.3% of the formerly employed mothers were no longer employed at child age 3 years. Mothers of children with mild care needs did not differ from mothers in general, whereas mothers of children with moderate [Risk Ratio (RR) 1.45; 95% confidence interval (CI) 1.17, 1.80] and severe care needs [RR 2.19; 95% CI 1.67, 2.87] were at substantial risk of not being employed at follow‐up. The impact of the child's health care needs remained strong also after adjusting for several factors associated with employment in general.
Conclusions
Extensive childhood health care needs are associated with reduced short‐term employment prospects and remain a substantial influence on mothers' work participation during early motherhood, irrespective of other important characteristics associated with maternal employment.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23772937</pmid><doi>10.1111/ppe.12063</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-5022 |
| ispartof | Paediatric and perinatal epidemiology, 2013-07, Vol.27 (4), p.353-360 |
| issn | 0269-5022 1365-3016 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | child care Child Care - economics Child Care - psychology child disability Child Rearing - psychology Child, Preschool Children & youth Cohort Studies Confidence intervals Disabled Children - psychology Employment Employment - economics Employment - psychology Female Health care Hospitals Humans Infant Mother-Child Relations - psychology Mothers - psychology Norway Socioeconomic Factors special health care needs Women, Working - psychology work participation |
| title | The Impact of a Child's Special Health Care Needs on Maternal Work Participation during Early Motherhood |
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