This project examines the consequences of having a child with chronic conditions on parental labor force outcomes (labor force participation, employment, hours worked, and wage) and use of employer-based health insurance and child care. We hypothesize that maternal labor force participation will be reduced for women with a chronically ill child and that the effect will be greater for married women. Among co-resident fathers, we anticipate that having a child with a chronic health condition will increase labor force participation because of the specialization of roles within a family. We anticipate that among employed women, having a child with a chronic condition will increase use of employer-based health insurance and will decrease use of using non- relative child care compared to employed women with apparently healthy children. This study will use the National Longitudinal Survey of Youth Child Data. Public policies such as the Supplemental Security income program and private workplace policies such as sick leave time are based on assumptions about parents' behavior relative to their child's health status. Yet little is known about how a child's health status influences family labor force and child care decisions. This study will provide context to these ongoing policy debates. The project will also provide information useful to families as they seek to understand their experience in the context of the experience of others and to physicians who can use the information to provide anticipatory guidance to patients and their families.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Small Research Grants (R03)
Project #
5R03HD039862-02
Application #
6526418
Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Evans, V Jeffrey
Project Start
2001-09-24
Project End
2004-08-31
Budget Start
2002-09-01
Budget End
2004-08-31
Support Year
2
Fiscal Year
2002
Total Cost
$86,500
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02199
Kuhlthau, Karen; Hill, Kristen Smith; Yucel, Recai et al. (2005) Financial burden for families of children with special health care needs. Matern Child Health J 9:207-18