ArticleBMC public health2024
Childcare needs as a barrier to healthcare among women in a safety-net health system.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Gendered experiences of cause-specific unmet medical need: An intersectional analysis using MAIHDA.SSM - population health · 2026Article
- Trend in Devices and Digital Tools for Remote Consultation From Medical Providers to Specialists: Scoping Review.Online journal of public health informatics · 2026Review
- Social determinants of health and recommended A1C monitoring among women with postpartum-onset diabetes: results from a retrospective cohort.BMJ open diabetes research & care · 2026Article
- Lessons learned from a sustained mobile prenatal care delivery program: results from a mixed-methods evaluation to understand appointment attendance and patient satisfaction.BMC pregnancy and childbirth · 2026Article
- Acceptability and use of the Saving Mothers mPOWHER Maternal Health Kit.Journal of racial and ethnic health disparities · 2026Article
- Professional perspectives on barriers to accessing maternity care in England: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Sociodemographic Drivers of Delays in Seeking Medical Care in the All of Us Cohort.Nursing reports (Pavia, Italy) · 2026Article
- Child caregiving and cancer screening: a nationally representative analysis.Cancer causes & control : CCC · 2025Article
- More Than Childbirth: Unveiling the Risks of Marriage on Women's Mortality in Tang Dynasty China.American journal of human biology : the official journal of the Human Biology Council · 2025Article
- Recovering Together: The Socioecological Impact of Social Networks on Postpartum Substance Use Disorder Recovery.Community mental health journal · 2025Article
- Associations Between Transportation Barriers in the Context of Other Social Needs and Cancer Screening Adherence.AJPM focus · 2025Article
- A sex- and gender-based analysis plus of frequent healthcare utilization among individuals living with chronic pain: a cohort study.BMC health services research · 2025Article
- Provider Perspectives on the Need for Child Care Assistance During Veteran Health Care Appointments.Journal of general internal medicine · 2025Article
- Patient-Reported Barriers to Healthcare Access Among Patients with Gastrointestinal Cancer: Insights from 45,000 Participants in the All of Us Research Program.Research square · 2025Article
- Childcare Barriers and Appointment Nonadherence Among Women in a Safety-Net Health System.JAMA network open · 2025Article
- Associations of social support, living arrangements, and residential stability with cancer screening in the United States.Cancer causes & control : CCC · 2025Article
- Motivation to Clinical Trial Participation: Health Information Distrust and Healthcare Access as Explanatory Variables and Gender as Moderator.Journal of clinical medicine · 2025Article
- Harnessing technology to enhance oral health literacy among Afghan women: an interprofessional community-engaged initiative.Frontiers in public health · 2025Article
- Strategies for men's engagement and its effectiveness in improving child health and immunization-a rapid review.Frontiers in public health · 2025Review
- A qualitative assessment for planning the implementation of a social needs intervention in community-based home visiting.Women's health (London, England)Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildcare needs are an understudied social determinant of health. The effect of childcare needs on access to healthcare must be understood to inform health system interventions and policy reform. This study sought to characterize childcare needs, access to childcare, and prior experience with navigating childcare needs in healthcare settings among women in a safety-net population.
methodsWe conducted a cross-sectional study of patient-reported survey data collected in-person between April and October 2019. Surveys were administered in waiting rooms of ambulatory services in a large, urban safety-net health system in Dallas, Texas. Survey respondents were derived from a random convenience sample of women waiting for outpatient appointments. Participants were screened for having children under the age of 13 and/or childcare responsibilities for inclusion in the sample. Outcomes of interest included self-reported delayed or missed care, reasons for delayed or missed care, perceived difficulty in accessing childcare, prior methods for managing childcare during healthcare appointments, and prior experience with childcare centers.
resultsAmong the 336 respondents (96.7% response rate), 121 (36.0%) reported delaying or missing a mean 3.7 appointments/year. Among women with delayed or missed care, 54.5% reported childcare barriers as the primary reason for deferral of care, greater than transportation (33%) or insurance (25%) barriers. Respondents rated childcare access as more difficult than healthcare access. Delayed or missed care due to childcare was more common among White (68.8%) and Black (55.0%) women compared to Hispanic women (34.3%). Common methods of navigating childcare needs during scheduled appointments included bringing children to appointments (69.1%) and re-scheduling or missing the scheduled appointment (43.0%). 40.6% of patients reported leaving an appointment before completion due to childcare needs.
conclusionsChildcare needs are a leading barrier to healthcare among women accessing care in safety-net settings. Unmet childcare needs result in deferral of care, which may impact health outcomes. Childcare access is perceived as more challenging than healthcare access itself. Health system and policy interventions are needed to address childcare as a social determinant of health.
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