Evidence map›Paper›PMID 34433691›Full record

ArticlePediatrics2021

Children With Special Health Care Needs and Forgone Family Employment.

Carolyn C Foster, Anna Chorniy, Soyang Kwon, Kristin Kan, Nia Heard-Garris, Matthew M Davis

Open access · greenAbstract readVideo-Audio Media
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 61 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Carolyn C FosterDivision of Advanced General Pediatrics and Primary Care, Departments of Pediatrics ccfoster@luriechildrens.org.
Anna ChorniyMedical Social Sciences.
Soyang KwonDivision of Advanced General Pediatrics and Primary Care, Departments of Pediatrics.
Kristin KanDivision of Advanced General Pediatrics and Primary Care, Departments of Pediatrics.
Nia Heard-GarrisDivision of Advanced General Pediatrics and Primary Care, Departments of Pediatrics.
Matthew M DavisDivision of Advanced General Pediatrics and Primary Care, Departments of Pediatrics.
Lurie Children's Hospital · USNorthwestern University · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
PA-20-072: Supplement to A Chicago Center of Excellence in Learning Health Systems Research Training (ACCELERAT)K12HS026385 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FRANKLIN, PATRICIA D, KHO, ABEL N. · 2018 to 2022
$3.4M
K Administrative Supplement:ACHiP-ACEs and Cardiometabolic Health in Pediatrics: Using a Coping and Stress Reduction Intervention to Reduce Cardiometabolic Risk in Adolescents with AdversityK01HL147995 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI HEARD-GARRIS, NIA JENEE' · 2019 to 2023
$886k
HOMeVent4Kids: Home-based Optimization of Mechanical Ventilation for ChildrenK23HL149829 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI FOSTER, CAROLYN C. · 2020 to 2024
$775k
AHRQ HHS K12 HS026385NHLBI NIH HHS K01 HL147995NHLBI NIH HHS K23 HL149829NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundFamily income is known to affect child health, but this relationship can be bidirectional. We sought to characterize this relationship by quantifying forgone family employment (FFE) due to a child's health condition in families of children with special health care needs (CSHCN) with updated figures.

methodsWe conducted a secondary data analysis from the 2016-2017 National Survey of Children's Health. CSHCN with previously employed caregivers were included (

resultsFFE occurred in 14.5% (95% confidence interval [CI] 12.9%-16.1%) of previously employed families with CSHCN and was 40.9% (95% CI 27.1%-54.7%) for children with an intellectual disability. We observed disproportionately high FFE among CSHCN who were 0 to 5 years old and of Hispanic ethnicity. We found a strong association between FFE and increasing hours of family-provided medical care, with an adjusted odds ratio (aOR) of 1.72 (95% CI 1.25-2.36) for <1 hour per week (compared with 0 hours), an aOR of 5.96 (95% CI 4.30-8.27) for 1 to 4 hours per week, an aOR of 11.89 (95% CI 6.19-22.81) for 5 to 10 hours per week, and an aOR of 8.89 (95% CI 5.26-15.01) for >10 hours per week. Lost earnings for each household with FFE were estimated at ∼$18 000 per year.

conclusionsWith our findings, we highlight the need to implement programs and policies that address forgone income experienced by families of CSHCN.

Indexed as

IncomeUnemploymentCaregiversChildChild, PreschoolChildren with DisabilitiesFemaleHealth Services Needs and DemandHealth SurveysHumansInfantInfant, NewbornMalePublic AssistanceRacial GroupsUnited States

Identifiers

PMID34433691
PMCPMC9219960
OpenAlexW3193694610

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.