在患有围产期健康并发症的分娩父母中获得带薪育儿假的障碍:一项多方法研究
Lisset M Dumet1, William H Dow2, Deborah Karasek3
1Oregon Health & Science University - Portland State University School of Public Health, Portland, Oregon.
概括
患有围产期并发症的父母对带薪育儿假 (PPL) 的理解和支持较低. 医疗保健和人力资源专业人员应该改善向这些脆弱的父母提供PPL信息.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 孕产妇和儿童的健康
- 卫生政策 卫生政策
背景情况:
- 有偿育儿假 (PPL) 的认识很低,在美国的父母中分布不均.
- 有限的研究存在于未满足的信息和支持需要的父母与产周并发症访问PPL.
- 评估弱势群体中PPL的获取是非常重要的,因为它对母亲和婴儿健康的影响.
研究的目的:
- 调查围产期并发症与父母对获得带薪育儿假的理解和支持之间的关系.
- 确定患有围产期并发症的家长在导航PPL时所面临的挑战.
- 为改善弱势母组PPL访问的战略提供信息.
主要方法:
- 一种混合方法的方法,结合了调查数据 (n=1,007) 和采访 (n=7) 来自加利福尼亚州的母亲.
- 调查分析使用线性概率模型来评估围产阶段并发症和PPL支持之间的关联.
- 采访数据进行了专题分析,以探索围产期并发症如何影响PPL访问.
主要成果:
- 与没有并发症的父母相比,患有围产并发症的父母对PPL福利的理解较低,并且在获得假期方面获得的支持也较低.
- 围产期并发症在导航PPL方面创造了独特的挑战,涉及多个行政实体.
- 在休假过程中,监督者在提供情感和财务支持方面发挥着至关重要的作用.
结论:
- 医疗保健和人力资源人员需要加强培训,以有效地支持家长,特别是那些患有围产并发症的家长,获得PPL.
- 对于在PPL申请过程中面临健康挑战的家长,需要改进信息传播和支持系统.
- 解决患有围产期并发症的父母的独特需求可以提高平等获得带薪育儿假的好处.
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