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

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

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.

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
1.
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
2.
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
3.
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.2020-035378PubMedGoogle ScholarCrossref
4.
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
5.
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.2009.0137PubMedGoogle ScholarCrossref
6.
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_00106Google ScholarCrossref
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