Family Leave and Parents of Newborn Infants or CSHCN

家事假和新生儿父母或 CSHCN

• 批准号: 7822771
• 负责人: PAUL J CHUNG
• 金额: $ 12.58万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-15 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7822771
• 关键词: Address; Advocate; Affect; California; Caring; Child; Child health care; Chronically Ill; Clinical; Conflict (Psychology); Costs and Benefits; Data Analyses; Decision Making; Economics; Educational process of instructing; Educational workshop; Emotional; Employee; Employment; Family; Family Leave; Family Policy; Family health status; Family member; Federal Government; Focus Groups; Goals; Health; Health Personnel; Healthcare; Hospitalized Child; Hospitals; Hour; Income; Inpatients; Insurance; Intervention; Interview; Knowledge; Left; Medical; Mentors; Modeling; Neonatal Intensive Care Units; Newborn Infant; Nurseries; Nurses; Occupations; Parents; Pediatric Intensive Care Units; Perception; Personal Satisfaction; Phase; Physicians; Policies; Positioning Attribute; Process; Randomized; Recruitment Activity; Reporting; Research Methodology; Research Personnel; Resources; Risk; Single-Parent Family; Social Workers; Sociology; Surveys; Time; Work; base; career; career development; design; experience; follow-up; improved; intervention effect; meetings; physical conditioning; programs; response; skills; social; successful intervention; ward

DESCRIPTION (provided by applicant): As 2-parent families have become increasingly 2-income, and as single-parent families have become more common, resolving conflicts between work and family has become critical for child health. Family leave policies allow parents to bond with a newborn infant or to care for an ill child. In July 2004, California implemented the Paid Family Leave Insurance (PFLI) program - the first major new family leave policy in the U.S. in over a decade - becoming the first state to guarantee paid family leave to most employees. What effects PFLI will have remain unclear, because how parents weigh the costs and benefits of employment and leave against the needs of their children has not been characterized. The goals in this application are to elucidate the work-family decision-making processes of parents of newborn infants and children with special health care needs (CSHCN) and to prepare for a career studying the clinical ramifications of social determinants of child health (including work-family policies). The specific aims are to examine: (1) what factors influence decisions about leave-taking and employment among parents of newborn infants or of CSHCN; (2) how taking leave (or seeking, changing, reducing, or quitting work) affects child's health and health care, parents' emotional wellbeing, and family's financial health; and (3) whether an intervention among physicians, nurses, and social workers can affect parents' knowledge and use of leave options, help parents address work-family conflicts, and improve child's health and health care, parents' emotional wellbeing, and family's financial health. Phase I will include parent focus groups, Phase II will be interviews and longitudinal follow-ups of parents with newborn or hospitalized children, and Phase III will be a hospital- based randomized controlled intervention for parents. Career development activities will include coursework in economics, sociology, and research methods. Long-term career goals include crafting studies evaluating the health effects of public work-family policies and developing effective clinical responses to these policies.

描述（由申请人提供）：随着双亲家庭的双收入越来越多，以及单亲家庭变得越来越普遍，解决工作与家庭之间的冲突对于儿童健康变得至关重要。家庭休假政策允许父母与新生婴儿建立联系或照顾生病的孩子。 2004 年 7 月，加州实施了带薪家事假保险 (PFLI) 计划，这是美国十多年来第一个重大的新家事假政策，成为第一个保证大多数员工带薪家事假的州。 PFLI 会产生什么影响仍不清楚，因为父母如何权衡就业和休假的成本和收益以及孩子的需求尚未得到描述。本申请的目标是阐明新生儿和有特殊医疗保健需求的儿童 (CSHCN) 的父母的工作与家庭决策过程，并为研究儿童健康社会决定因素的临床影响（包括工作与家庭政策）的职业做好准备。具体目的是研究：（1）哪些因素影响新生儿或CSHCN父母的休假和就业决策； (2) 请假（或寻求、改变、减少或辞职）如何影响孩子的健康和保健、父母的情绪健康以及家庭的财务健康； (3)医生、护士和社会工作者的干预是否可以影响父母对休假选择的了解和使用，帮助父母解决工作与家庭的冲突，并改善孩子的健康和保健、父母的情绪健康和家庭的财务健康。第一阶段将包括家长焦点小组，第二阶段将是对新生儿或住院儿童的家长进行访谈和纵向随访，第三阶段将是对家长进行基于医院的随机对照干预。职业发展活动将包括经济学、社会学和研究方法的课程。长期职业目标包括开展研究，评估公共工作家庭政策对健康的影响，并针对这些政策制定有效的临床应对措施。