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Parents and caregivers have struggled to arrange childcare throughout the COVID-19 pandemic,1 and early evidence suggests negative effects on caregiver employment.2 However, analyses have not compared pre–COVID-19 and post–COVID-19 periods or stratified estimates by children’s health care needs. Forgoing employment is more common among caregivers of children with special health care needs (CSHCN).3 We estimate childcare-related employment disruptions before and after COVID-19, accounting for CSHCN status and sociodemographic factors.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: February 17, 2022.
Published Online: June 13, 2022. doi:10.1001/jamapediatrics.2022.1766
Corresponding Author: Caleb Easterly, BA, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Dr, 1101 McGavran-Greenberg Hall, CB 7411, Chapel Hill, NC 27599 (email@example.com).
Author Contributions: Mr Easterly had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Easterly, Kim, Steiner.
Acquisition, analysis, or interpretation of data: Easterly, Kim, deJong.
Drafting of the manuscript: Easterly, Kim.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Easterly, Kim.
Study supervision: deJong, Steiner.
Conflict of Interest Disclosures: None reported.
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