Mothers' Employment Attributes and Use of Preventive Child Health Services.

Mothers' Employment Attributes and Use of Preventive Child Health Services.
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DOI:
10.1177/1077558716634555
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发表时间:
2017-04
期刊:
Medical care research and review : MCRR
影响因子:
--
通讯作者:
Harris JR
Harris JR
中科院分区:
其他
文献类型:
--
作者:
Shepherd-Banigan M;Bell JF;Basu A;Booth-LaForce C;Harris JR

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本研究使用医疗支出小组调查的数据,调查了美国0至17岁的母亲受雇的儿童,带薪病假和每周工作时间是否与接受建议的儿童健康检查、预防性牙科保健、流感疫苗、肥胖筛查和视力筛查有关。残差包含工具变量方法用于解决与孕产妇就业和儿童保健使用相关的未观察到的混淆。工具是特定行业的带薪休假和工作时间平均值。不到一半的儿童接受了建议次数的健康检查和牙科护理;去年只有14%的儿童接种了流感疫苗。带薪病假与提高对儿童健康检查建议的依从性(边际概率,0.12;95%可信区间[CI] = 0.23, 0.01)、预防性牙科保健(边际概率,0.28;95% CI = 0.34, 0.33)和接种流感疫苗(边际概率,0.09;95% CI = 0.13, 0.05)相关。
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 ).
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