title: The impact of child care problems on employment: findings from a national survey of US parents.
abstract: OBJECTIVE
  Many parents struggle to secure high-quality, consistent child care services, and this may impact employment decisions. Our objectives were to determine the type of employment problems that parents attribute to difficulties in securing child care and to identify whether having a child with behavior problems and/or chronic illness is independently associated with child care-related employment problems in the United States.
  
  
  METHODS
  This study included parents of children aged 0 to 13 years by using household-level sampling from the nationally representative random digit dial survey Gallup panel. We included 9 measures of child care-related employment problems. Poststratification weights were applied based on census region, income, and education by using Stata's poststratification commands.
  
  
  RESULTS
  A survey was conducted of 1431 households with at least 1 parent employed. Overall, 46% of households reported 1 or more child care-related employment change. Being absent from work (21%) and changing the work schedule (27%) were the most prevalent changes reported. Two-parent households were significantly less likely to report child care-related employment changes compared with single parent households. Households with a stay-at-home parent were less likely to report child care-related absenteeism but more likely to report recently quitting work compared with households without a stay-at-home parent. Having a child with behavior problems or a serious chronic health condition was associated with double to triple odds of many child care-related employment problems.
  
  
  CONCLUSIONS
  Child care-related employment problems are common among families with a child with chronic illness or behavior problems. These findings support the need for pediatricians and policy makers to strive for the implementation of more parent-friendly labor conditions.
authors.affiliation: Children's Institute, Rochester, NY 14607, USA. gmontes@childrensintitute.net
authors.forename: Guillermo
authors.initials: G
authors.lastname: Montes
authors.forename: Jill S
authors.initials: JS
authors.lastname: Halterman
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D000367:Age Factors; D002648:Child; D002653:Child Behavior Disorders; D002654:Child Care / Q000706:statistics & numerical data*; D002675:Child, Preschool; D002908:Chronic Disease; D003657:Decision Making; D004651:Employment / Q000523:psychology* / Q000706:statistics & numerical data*; D005192:Family Health; D005260:Female; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D010290:Parents / Q000523:psychology*; D014481:United States