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Pediatrics

Childcare and Employment Disruptions in 2020 Among Caregivers of Children With and Without Special Health Care Needs

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To identify the key insights or developments described in this article

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JAMA Pediatrics

June 13, 2022

Research Letter

Article Information and Disclosures

Caleb Easterly, BA¹;

Doyoung Kim, MSc¹;

Michael J. Steiner, MD, MPH²;

et al

Neal A. deJong, MD, MPH²

Author Affiliations

¹Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill
²Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina School of Medicine at Chapel Hill

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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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Article Information

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 (caleb_easterly@unc.edu).

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.

References

Karpman M , Gonzalez D , Kenney GM . Parents are struggling to provide for their families during the pandemic: material hardships greatest among low-income, Black, and Hispanic parents. Accessed February 11, 2022. https://www.urban.org/research/publication/parents-are-struggling-provide-their-families-during-pandemic

Modestino AS , Lincoln A , Ladge J . The importance of childcare in reopening the economy. Accessed February 11, 2022. https://econofact.org/the-importance-of-childcare-in-reopening-the-economy

Foster CC , Chorniy A , Kwon S , Kan K , Heard-Garris N , Davis MM . Children with special health care needs and forgone family employment. Pediatrics. 2021;148(3):e2020035378. doi:10.1542/peds.2020-035378 PubMed Google Scholar Crossref

US Census Bureau. National Survey of Children’s Health datasets: 2020. Accessed January 15, 2022. https://www.census.gov/programs-surveys/nsch/data/datasets.2020.html

Fairbrother GL , Carle AC , Cassedy A , Newacheck PW . The impact of parental job loss on children’s health insurance coverage. Health Aff (Millwood). 2010;29(7):1343-1349. doi:10.1377/hlthaff.2009.0137 PubMed Google Scholar Crossref

Schaller J , Zerpa M . Short-run effects of parental job loss on child health. Am J Health Econ. 2019;5(1):8-41. doi:10.1162/ajhe_a_00106 Google Scholar Crossref

Childcare and Employment Disruptions in 2020 Among Caregivers of Children With and Without Special Health Care Needs

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