Maternal child care preferences for infants,toddlers, and preschoolers: the disconnect between policy and preference in the USA

While much research exists looking at parental preferences for child care, much of that research uses child care choice as a proxy for preference. In an effort to examine the types of care mothers prefer if no constraints were placed on their decision, this quantitative study investigated how family demographic factors and family role ideology relate to the types of child care (parental and non-parental forms) mothers prefer ‘in an ideal world’ using a sample of 345 employed mothers of children under 6 years of age in a suburb of a large metropolitan area in the southern USA. Participants completed a questionnaire examining the types of care they viewed as ideal for infants (0–12 months old), toddlers (13–30 months old), and preschoolers (31–72 months old) if no constraints were placed on the decision. Results indicated that the preferences for type of care for mothers in this sample varied according to the child's age, with a large majority of mothers preferring parental care for their children. Ideological and demographic factors predicting preferences for first and second choice of child care were also explored through binary and multinomial logistic regression, revealing the influence of ethnicity, education, and family role ideology to preferences for infant care. These results add to the existing literature by confirming previous findings about the influence of child age to child care preferences, as well as highlighting the disconnect between these preferences and the way family policies are structured in the USA.     

Cost, convenience and quality in child care demand

This paper presents an economic analysis of child care use by employed women with children under six years of age. Observations of actual child care choices are used to estimate the relative importance assigned by parents to cost, convenience and quality in child care. On the basis of these estimates, the chances that each type of child care arrangement will be used are predicted. Projections of child care use are presented for a range of potential costs, travel times, child-staff ratios, and family circumstances. This study is unique in employing information not only on child care arrangements already used, but also on the alternative arrangements available to individual families. The child care data were collected in a 1977 survey of New York City employees. Overall, the model correctly predicted 78% of the observed child care choices. The results of the analysis show strong effects of cost in child care choice. The demand for day care centers is especially sensitive to user cost; if centers were available free of charge, for example, there is a 65% chance that the average single working mother in the sample would use one. Travel time and child-staff ratios have small but statistically significant effects on the choice of child care arrangements. Weekend work schedules and presence of infants are also important choice factors. Once costs are accounted for, family income has no significant effect on the type of child care chosen.     

Familial Factors Associated With the Use of Multiple Child‐Care Arrangements

This study examined the use of multiple, concurrent, nonparental child‐care arrangements among children under 5 with employed mothers in the NICHD Study of Early Child Care and Youth Development (N= 759). Older children, those primarily cared for in informal child care, those living in cohabitating or single‐parent households, and those whose mothers were employed for 40 or fewer hours per week were likely to be in multiple arrangements. Higher quality primary child‐care and lower maternal satisfaction with primary care predicted the subsequent use of multiple arrangements. Little support for income differences in selection into multiple arrangements was found. Findings highlight the importance of child‐care characteristics and structure in child‐care choice. Policy implications are discussed.     

Telephone communication with children as part of the self‐care arrangement: A research note

Children in self‐care (latchkey) arrangements have been portrayed as a population at risk, and this has recently led to research investigations, social policy discussions, and legislative proposals. This study examines selected characteristics of mother, child, and family, and the amount of time children spend in self‐care, for their influences on the use of the telephone to communicate with children in self‐care. The analysis builds on earlier studies that indicate the importance of time, child's age, and mother's employment for understanding the growing phenomenon of self‐care. The results of multiple regression analyses are presented and discussed. As expected, the age of the child is the most important variable in predicting the length of time spent in self‐care. The age of the child and the length of time spent in self‐care are the strongest predictors of telephone communication with children in self‐care arrangements.     

Child Care and Work Absences: Trade‐Offs by Type of Care

Parents face a trade‐off in the effect of child‐care problems on employment. Whereas large settings may increase problems because of child illness, small group care may relate to provider unavailability. Analyzing the NICHD Study of Early Child Care, we find that child‐care centers and large family day care lead to mothers’ greater work absences because of a sick child, but not to maternal job exits. Greater work absences because of unavailability of small home‐based providers are associated with mothers’ job exits, especially when mothers have low earnings and use nonrelative caregivers. Our findings accentuate the need for improved hygiene practices in child care, expanded personal leave coverage for parents, and greater backup care for sick and well children.     

Employer‐Supported Child Care: Who Participates?

Child‐care vouchers are becoming more common and can provide child‐care assistance to a wide spectrum of the population. There is little empirical research, however, on which workers participate in their employer's child‐care programs. In this exploratory study, employees with children at 1 large university completed questionnaires to gather information on their child‐care arrangements and their experience with the employer's child‐care voucher program (N = 949). Results indicate that the employees who were most in need of child‐care assistance in terms of family structure, job type, and child‐care expenses were more likely to receive vouchers. Federal policy limiting the structure of employer‐sponsored voucher programs appeared to present barriers to participation for certain groups of employees.     

The Child Care Arrangements of Preschool-Age Children in Immigrant Families in the United States

This study examined the child care arrangements of children in immigrant families. Using data from the Survey of Income and Program Participation (SIPP), the study found great diversity in the child care arrangements of children according to their nativity status. Children in immigrant families, especially those in low‐income immigrant families, were found less likely to use centre‐based child care. Mexican, Asian, and other Hispanic children are also less likely to use centre‐based child care. Because quality centre‐based child care has been shown to benefit preschool‐age children and help prepare them for school, both scholastically and psychologically, less use of centre‐based child care among children in immigrant families compared to children in non‐immigrant families is a potentially troubling finding. Public policies promoting greater access to and more use of centre‐based child care, especially for low‐income immigrant families and two‐parent immigrant families, may make a significant difference to their children's long‐term adaptation, and their children's school readiness and achievement.     

Parental Housing Assistance and Parent‐Child Proximity in Italy

Many studies of intergenerational exchanges include parent‐child proximity as an exogenous explanatory variable. Proximity may itself be a consequence of intergenerational resource flows, however. We analyze patterns of economic transfers between generations and their relationship to parent‐child proximity in Italy. Parental support for a child's home purchase may influence the child's choice of location, whether to facilitate parent‐child contacts, grandchild care, or parent care. We examine the situation of married couples, focusing on housing help received and the association of that help with proximity to each spouse's parents. Using 1998 survey data and multinomial logistic regression models, we find that past housing assistance has a significant effect on current proximity to each spouse's parents, controlling for parents' survival, family composition, and other factors.     

Paternal Child Care and Relationship Quality: A Longitudinal Analysis of Reciprocal Associations

This study explored reciprocal associations between paternal child‐care involvement and relationship quality by following British couples from the birth of a child until he or she reached school age. It extends the literature by distinguishing between paternal engagement in absolute terms and relative to the mother and by considering relationship quality reports of mothers and fathers and family breakdown. The analysis was based on the British Millennium Cohort Study, a representative survey of children born in 2000 and 2001 and their parents (N = 5,624 couples). The author applied ordinary least squares regression analysis with lagged dependent variables and event history modeling. Fathers' relative child‐care share was positively associated with mothers' relationship satisfaction, whereas fathers' absolute child‐care frequency was positively related to their own perceived relationship quality for most time periods. Fathers' relative and absolute child‐care contributions were positively associated with relationship stability over the preschool years. Greater perceived relationship quality of mothers, but not fathers, was associated with more frequent paternal engagement.     

Welfare‐to‐Work Reform and Intergenerational Support: Grandmothers' Response to the 1996 PRWORA

The 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA; Pub. L. 104‐193) in the United States aimed at encouraging work among low‐income mothers with children below age 18. In this study, the author used a sample of 2,843 intergenerational family observations from the Health and Retirement Study to estimate the effects of the reform on single grandmothers who are related to those mothers. The results suggest that the reform decreased time transfers but increased money transfers from grandmothers. The results are consistent with an intergenerational family support network where higher child care subsidies motivated the family to shift away from grandmother provided child care and where grandmothers increased money transfers to either help cover the remaining cost of formal care or to partly compensate for the loss in benefits of welfare leavers.     

Is family planning an economic decision?

This study examines economic models of household choice and the role of economic factors in determining the timing of births. A static economic model is presented and tested with data from the Netherlands. After the availability of contraceptives, the family size variable shifted from being an exogenous to an endogenous one, because births could be regulated. Costs of childbearing were construed to have maintenance costs for parents and society, attendance costs of care, and intangible costs such as anxiety or personal freedom. Benefits were intangible ones, such as joy and happiness; income; public benefits; and attendance benefits. Intangible benefits enlarged the utility of children, but maintenance costs diminished resources available for consumption. Child quality was a product of market goods purchased by parents and others and household labor. Household time allocation varied with child's age. Private responsibility for children varied by country. Quality of child care varied between countries and over time. Quality was dependent upon economies of scale, variable costs by the age of the child, variable time commitments by age of the child, and market substitutes for private child care. Higher income families spent more money but less time on children. It is pointed out that Becker's model explained number of children, but not timing of births. Postponement of birth was unlikely for those with a limited education, an unpleasant job, and low wages. When the advantages and disadvantages of having a baby were positive, spouses or single women with a high subjective preference were expected to bear a child as soon as possible. Government policy can affect the average family size by increasing or decreasing the financial and/or time burden of children. Postponement may be chosen based on long term analysis of a couple's future, the formation and use of capital, and/or high subjective time preference. Before and after first birth are different frames of reference for couples. Before the birth, the future may be vague. After the birth, life without a child becomes unimaginable.     

Running Away from Out‐of‐Home Care: A Multilevel Analysis

Previous research suggests that the likelihood of runaway episodes among children in out‐of‐home care varies across different communities/regions. However, the potential regional variation has rarely been reflected in attempts to understand runaway episodes in out‐of‐home care systems. The current study examines the effects of child characteristics, family characteristics and child welfare system‐related characteristics on the likelihood of runaway episodes among children in out‐of‐home care, while accounting for county‐level variations in the risk of runaway behaviours. The authors employed multilevel analyses using data on children aged 12–17 from the 2009 AFCARS database. Results demonstrate that the likelihood of runaway episodes varied across counties. Accounting for county variation, children's ages, gender, diagnosed clinical conditions, family structures, number of removals, number of placements, removal manner, and case plan goals significantly predicted runaway status. Implications are discussed.     

Health insurance coverage and routine health care use among children by family immigration status

This study utilizes Los Angeles Family and Neighborhood Survey data to investigate children's (17 years and younger) health insurance coverage and routine medical and dental care visits by family immigration status (N = 2846). We use a combination of nativity (U.S. and foreign born) and legal status (authorized and unauthorized) of mothers and their children to categorize family immigration status (citizen mother-citizen child; authorized mother-citizen/authorized child; unauthorized mother-citizen/authorized child; unauthorized mother-unauthorized child). Health care use is measured by routine medical visits and dental visits. We find that health insurance coverage and dental visits are lowest for the children of unauthorized mothers but gaps are most pronounced for unauthorized mother–unauthorized child pairs. Policy implications, in light of recent health and immigration-related legislation, are discussed.     

Signs of Change? At‐Home and Breadwinner Parents' Housework and Child‐Care Time

The authors analyze American Time Use Survey data to examine patterns in domestic work among at‐home and breadwinner parents to gauge how time availability, relative earnings, and gender shape time use in couples with extreme differences in earnings and work hours. They find that involvement in female‐typed housework is an important driver of overall housework time. It is counternormative housework behavior by at‐home fathers that shapes conclusions about how time availability, relative resources, and gender influence parents' housework. Although time availability appears to shape child care in comparable ways across parents, mothers are more engaged in child care than similarly situated fathers. Overall, comparisons point to the importance of distinguishing among gender‐normative housework tasks and accounting for differences in engagement on work and nonwork days. The results provide a basis for assessing the social significance of growing numbers of parents in work–family roles that are not gender normative.     

Within‐ and Between‐Family Associations of Marital Functioning and Child Well‐being

This study clarifies within‐family and between‐family links between marital functioning and child well‐being. Expanding on existing prospective research, this study tests whether changes in parents' marital functioning are associated with corresponding changes in their children's well‐being, independent from associations that exist when comparing different families. Participants (N = 1,033) were members of married, opposite‐sex couples with children who participated in five waves of a larger study of marriage in the U.S. Army. Spouses' constructive communication, verbal conflict, and marital satisfaction each showed between‐family associations with parent‐reported child internalizing and externalizing problems. In contrast, within‐family associations were significant only for parents' communication behaviors. That is, parents who reported lower levels of marital satisfaction also reported lower child well‐being, whereas change in parents' communication was associated with change in child well‐being over time. Isolating within‐family effects is important for understanding marital and child functioning and for identifying potential targets for effective intervention.     

The Parent Concerns Questionnaire: evaluation of a mothers' self report instrument for the identification of problems and needs in child and family social work

The measurement of problems and needs is a major issue for policy and practice in social work and social service provision. There has, furthermore, in recent years, been an increasing emphasis on gaining an understanding of users or clients' views of needs and service provision. However, there have been few attempts to develop practitioner and ‘client friendly’ ways of gaining information on problems and needs, either on an individual basis, or through the collection of aggregated data which can be used by local authorities as a whole. Where these have taken place there has been little attempt to assess their reliability or validity. This paper reports on the design and development of the Parent Concerns Questionnaire, an instrument designed to obtain the views of mothers in general, and depressed mothers in particular, in families subject to child and family care intervention. The paper reports on the reliability and validity of this instrument, which is presented as appropriate for use, both with families containing depressed mothers and other families subject to child and family care intervention. It may be used to examine problems and needs both on an individual family‐by‐family basis, and through the aggregation of data, on an authority‐wide basis. Copyright © 2000 John Wiley & Sons, Ltd.     

Who Uses Formal,Early Child Care in California? A Comparative Study of Children from Immigrant and Nonimmigrant Families

The purpose of this study is to examine the predictors of formal, early child care usage and to study the differences between immigrant and nonimmigrant families in their use of formal (center-based, preschool, Head Start, and family child care) and informal child care arrangements (grandparent and nanny) among California’s children. Since the California Health Interview Survey (CHIS) had children from California’s immigrant and nonimmigrant families, the data for 897 preschool age children who attended child care for 10 h or more were retrieved from the CHIS 2005 Child Survey. This study found that immigrants are twice more likely (OR = 2.006; p < 0.005) to use formal child care than nonimmigrant families in California. The study concludes with implications for social work.     

Child Care Use and Parental Desire to Switch Care Type Among a Low-Income Population

This study investigates the use of and satisfaction with child care among low-income families, who are those likely to be affected by recent changes in public policy that emphasize increased work effort. Data from the Survey of Wisconsin Works Families portray differences in the use of center-based care depending on whether or not the family received a child care subsidy. A multivariate analysis of a measure of parental satisfaction, whether a parent would switch child care sources if all care were available at no charge, suggests that parents tend to be more satisfied with center-based care than with alternative forms of care. The analysis also suggests that mothers who received a child care subsidy were significantly more likely to have their children in center-based care.     

Public Child‐Care Expansion and Changing Gender Ideologies of Parents in Germany

This study investigates whether the expansion of public child care for children aged younger than 3 years in Germany has been associated with individual‐level change in gender ideologies. The authors develop and test a theoretical framework of the short‐term impact of family policy institutions on ideology change. The analysis links the German Family Panel pairfam (2008 to 2015) with administrative records on county‐level child‐care provision for those aged younger than 3 years and applies fixed effects panel models. The findings show that the child‐care expansion has been associated with moderate changes toward less‐traditional gender ideologies only among mothers in West Germany and mostly among mothers without a college degree. In East Germany, the authors found evidence of more traditional gender ideologies among mothers without a college degree as the child‐care reform unfolded. The results provide evidence that policy reforms may alter gender ideologies also in the short‐term.     

What do the parents of tomorrow know about child care? A survey of 14–16 year olds

What do the parents of tomorrow know about child care? This study aimed to obtain a baseline measurement of child care knowledge, to ascertain any differences in knowledge between adolescents with and without mild to moderate learning difficulties (MLD). In addition, we were interested to establish the effect of school nurse health education health input on knowledge in the learning difficulties subgroup. Assessment was by self‐completed questionnaire and interview of a random sample of 14–16 year olds attending mainstream and special schools. Sixty pupils from secondary school and 33 from a MLD school took part in the study. Pupil knowledge in basic parenting and child care was dependent on the type of school attended, reading ability of those attending the MLD school and the provision of health education in the special school by the school nurse. No associations were found between pupils knowledge and their gender, family position or family size. Pupils from both schools scored lower in the areas of health service organisation and personnel, health promotion and management of common childhood conditions. Adolescents have insufficient knowledge of basic child care and services available for new parents. The effect of school based health education in these areas is promising. Copyright © 2001 John Wiley & Sons, Ltd.