Mothers' Employment Attributes and Use of Preventive Child Health Services.

Journal Article (Journal Article)

This study examines whether paid sick leave and hours worked per week are associated with receipt of recommended well-child visits, preventive dental care, influenza vaccines, obesity screening, and vision screening among U.S. children aged 0 to 17 years whose mothers were employed using data from the Medical Expenditure Panel Survey. Residual inclusion instrumental variables methods were used to address unobserved confounding related to maternal employment and child health care use. Instruments were the industry-specific mean of paid leave and hours worked. Fewer than half of children received the recommended number of well-child visits and dental care; only 14% of children received an influenza vaccine in the past year. Paid sick leave was associated with increased adherence to recommended well-child visits (marginal probability, 0.12; 95% confidence interval [CI] = 0.23, 0.01), preventive dental care (marginal probability, 0.28; 95% CI = 0.34, 0.33), and receipt of the influenza vaccine (marginal probability, 0.09; 95% CI = 0.13, 0.05 ).

Full Text

Duke Authors

Cited Authors

  • Shepherd-Banigan, M; Bell, JF; Basu, A; Booth-LaForce, C; Harris, JR

Published Date

  • April 2017

Published In

Volume / Issue

  • 74 / 2

Start / End Page

  • 208 - 226

PubMed ID

  • 26928958

Pubmed Central ID

  • PMC6936102

Electronic International Standard Serial Number (EISSN)

  • 1552-6801

Digital Object Identifier (DOI)

  • 10.1177/1077558716634555


  • eng

Conference Location

  • United States