Implications of Childhood Autism for Parental Employment and Earnings

Implications of Childhood Autism for Parental Employment and Earnings
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DOI:
10.1542/peds.2011-2700
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发表时间:
2012-04-01
期刊:
影响因子:
8
通讯作者:
Mandell, David S.
Mandell, David S.
中科院分区:
医学2区
文献类型:
--
作者:
Cidav, Zuleyha;Marcus, Steven C.;Mandell, David S.

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目的:为了研究与儿童自闭症谱系障碍(ASD)相关的父母劳动力参与,工作时间和年收入的变化:我们使用了2002-2008年的医疗支出面板调查,以检查ASD儿童相对于其他健康限制儿童和无健康限制儿童的父母劳动力市场结果。Logit模型被用来估计父母的劳动力参与。A tobit模型被用来估计父母的工作时间和earning.RESULTS:平均而言,ASD儿童的母亲赚35%(7189美元)比其他健康限制的儿童的母亲和56%(14755美元)比没有健康限制的儿童的母亲少。她们的就业可能性比没有健康问题的孩子的母亲低6%,平均每周工作时间少7小时。在3组中,父亲的劳动力市场结果没有统计学显著差异。平均而言,患有ASD的儿童父母双方都工作的可能性要低9%。患有自闭症谱系障碍的儿童的家庭收入比有其他健康限制的儿童低21%(10,416美元),比没有健康限制的儿童低28%(17,763美元)。家庭每周的工作时间平均为5小时,比那些没有健康limitation.CONCLUSIONS:ASD儿童的家庭面临着显着的经济负担。考虑到与ASD相关的大量医疗保健费用,除了这些费用外,收入较低的经济影响是巨大的。至关重要的是,要制定承认自闭症全面影响的全民医疗保健和工作场所政策。儿科2012;129:617-623
OBJECTIVE: To examine changes in parental labor force participation, hours of work, and annual earnings associated with childhood autism spectrum disorders (ASD).METHODS: We used the 2002-2008 Medical Expenditure Panel Survey to examine parental labor market outcomes of children with ASD relative to children with another health limitation and children without health limitations. A logit model was used to estimate parental labor force participation. A tobit model was used to estimate parental hours of work and earnings.RESULTS: On average, mothers of children with ASD earn 35% ($7189) less than the mothers of children with another health limitation and 56% ($14 755) less than the mothers of children with no health limitation. They are 6% less likely to be employed and work 7 hours less per week, on average, than mothers of children with no health limitation. There were no statistically significant differences in fathers' labor market outcomes across 3 groups. On average, children with ASD are 9% less likely to have both parents working. Family earnings of children with ASD are 21% ($10 416) less than those of children with another health limitation and 28% ($17 763) less than those of children with no health limitation. Family weekly hours of work are an average of 5 hours less than those of children with no health limitation.CONCLUSIONS: Families of children with ASD face significant economic burden. Given the substantial health care expenses associated with ASD, the economic impact of having lower income in addition to these expenses is substantial. It is essential to design universal health care and workplace policies that recognize the full impact of autism. Pediatrics 2012;129:617-623