Childcare Responsibilities Research Articles

Women in the UK construction industry: are we still clinging to the “old boys club”?

PurposeThe construction industry is famous for gender imbalance and reluctance in initiating change. In recent years, construction is becoming an attractive career choice for women. However, this change has been gradual. The purpose of this research was to understand the challenges women are facing in construction sector after a decade of implementation of the Equality Act 2010 in the UK and how women in the sector feel the industry could be further improved. This research investigated real-life experiences to identify where the industry needs to make viable improvements.Design/methodology/approachA qualitative research methodology was adopted. In total, 31 semi-structured interviews were conducted to collect data, which was then analysed using content analysis for inference and conclusion.FindingsThis research revealed that women still experience adversity forcing them to work harder than usual to prove their belonging in construction sector. The “man’s world” culture is still widespread. However, women have seen improvements over recent years but believe more can be done from an intersectionality perspective. This is pertinent due to the Brexit and Covid-19 situation.Originality/valueThe study contributes to the field of equality and diversity in the construction sector. Women believe that factors such as bespoke initiatives, equal pay, flexible working hours (considering childcare and caring responsibilities), mental health and well-being support, and equality and diversity policies will enable the construction sector to create conducive environment for women now and in the future.

Development of work-life/family policy and gendered division of childcare responsibility: the case of South Korea

PurposeThis paper aims to overcome the limitations of studies on work-life balance, which have focused on Western countries without considering “mental” dimensions of gendered childcare. By concentrating on South Korea as a case study, this paper also aims to examine how the gendered division of childcare changed when Korea's work-life/family policy followed European work-family conciliation policy.Design/methodology/approachThe Korean Time Use Survey (KTUS) in 2009 and 2019 are used for multiple regression analyses. Based on discussions about theories on unpaid work distribution within households and its stratification effects, this study examines the relationship between wife's and husband's behaviors and the stratification effects in the gendered division of childcare alongside the work-life/family policy change.FindingsSubstantial findings indicate the necessity of strengthening various legal and institutional structures that might increase husbands' characteristics of caring masculinities. Additionally, while policies developed to support flexible working arrangements, low-income women at risk of being trapped in dual poverty of time and income should be carefully considered.Originality/valueThis study focuses especially on South Korea, thereby contributing to understanding how national policy and gendered distribution of childcare are related. Notably, this link has not been widely discussed in the literature on work-life balance. It also suggests viable directions for future policies depending on gender and socioeconomic status.

Professional activity, gender and disease-related emotions: The impact on parents' experiences in caring for children with phenylketonuria

IntroductionClinical management of rare diseases often fails to acknowledge the challenges faced by caregivers. Whilst management of phenylketonuria (PKU) may not be considered as dire as other conditions, most studies primarily concentrate on clinical issues, dietary adherence, or the quality of life of the PKU patients, leaving caregivers in the background. The aim of the study was to evaluate the psychosocial effects of PKU on family caregivers. MethodsBetween October 30th, 2022 and February 28th, 2023, we collected data from caregivers of children with PKU using an anonymous, self-administered, computer-assisted online questionnaire. The survey was distributed among to patients during their regular visits to five Polish PKU treatment centers. ResultsA total of 159 Polish caregivers of children with PKU completed the survey. This research shows that while women caregivers were more likely to be unemployed due to their responsibilities for childcare (50.3% compared to 0% for men), and men caregivers were more likely to be employed full-time (93.8% compared to 40.6% for women), the former reported higher emotional engagement in caregiving (88.1% vs 56.3% respectively). Significantly, unemployed mothers reported higher levels of loneliness, helplessness, and emotional control problems, and lacked psychological/emotional support more often than employed mothers. This research also shows a statistically significant positive correlation between mothers' education level and financial situation (p < 0.05) and education level and professional activity (p < 0.01). Additionally, a significant positive correlation was found between perceived financial situation and feeling of happiness (p < 0.001), and between financial situation and professional activity (p < 0.001). Finally, a significant positive correlation was observed between feeling of happiness and professional activity (p < 0.05). ConclusionsAccording to our findings, there is a link between subjective happiness, financial situation, and professional activity among female caregivers. The relationship between these factors goes beyond just the income earned from work. The results of our study imply that there could even be a therapeutic advantage for working mothers. It is crucial to recognize the emotional difficulties that employed mothers may experience while taking care of a child with PKU, and to provide them with the necessary assistance and resources to meet their needs. Additionally, our results may provide a foundation for redefining the support system for caregivers in Poland.

STIGMA AND LOW SENSE OF COHERENCE AS LONG-TERM PREDICTORS OF DEPRESSIVE AND ANXIETY SYMPTOMS IN THE POPULATION AMID THE COVID-19 PANDEMIC.

The COVID-19 has had a profound negative impact on the population's mental health. This study aimed to determine the prevalence of depressive and anxiety symptoms in the general population during the third wave of the COVID-19 pandemic and to identify risk factors associated with these symptoms after implementing initial prevention strategies. A cross-sectional study was conducted among 200 visitors to five general practices in February 2021 in Slovenia. The response rate was 82.0% (164/200). A structured survey was used to assess sociodemographic factors, depressive and anxiety symptoms, exposure to COVID-19 stressors, stress coping strategies used, and sense of coherence (SOC). A score of ≥10 points on the Patient Health Questionnaire-9 and ≥10 points on the General Anxiety Disorder-7 questionnaire were considered as cut-offs for screened depression and anxiety, respectively. The Mann-Whitney U test, chi-square test, and binary logistic regression were used for statistical analysis. The prevalence of screened depression and anxiety was 24.4% and 12.9%, respectively. Independent predictors of depression were stigma related to COVID-19 (OR 2.42, 95% CI 1.57-3.73, p<0.001), low SOC (OR 5.89, 95% CI 2.21-15.72, p<0.001), and smoking (OR 3.53, 95% CI 1.23-10.10. p=0.019). Independent predictors of anxiety were religious rituals cancellation (OR 1.64, 95% CI 1.02-2.65, p=0.040), childcare responsibilities (OR 1.70, 95% CI 1.07-2.69, p=0.025), increased contact with close ones (OR 1.92, 95% CI 1.11-3.29, p=0.019), and low SOC (OR 5.21, 95% CI 1.22-22.31, p=0.026). Despite efforts to address the pandemic through prevention strategies and the burden of the pandemic decreasing, we still found a high prevalence of depressive and anxiety symptoms. While some risk factors can be addressed quickly, such as by providing stable childcare and schooling and enabling assess to mental health services for vulnerable families, others require a longer-term approach, such as strengthening SOC and reducing stigma.

An institutional ethnography analysis on skilled Chinese immigrant mothers’ experiences in Canada

ABSTRACT This research follows Dorothy Smith’s Institutional Ethnography (IE) approach to explore skilled Chinese immigrant mothers’ post-migration experiences in Canada. Empirical evidence reveals that these immigrant women undertake intensified childcare responsibilities by acting as primary caregivers and educators for their children with reduced familial support after migration. These immigrant women are also compelled to participate in paid work as income producers and supporters with inadequate employment-related support from the host society. These skilled Chinese immigrant mothers’ experiences are constructed by multiple discourses that continue, converge, and compete. Under these discourses, skilled Chinese immigrant mothers experience intensified work after migration, but receive limited familial and social support, which leaves them subservient to the patriarchal demands in both private and public social structures.

Liability for Violation of the Duty of Care and Upbringing in the Criminal Code of the Federal Republic of Germany

The relevance of the topic of research is determined by the fact that the problem of non-fulfillment or improper fulfillment by parents (persons who replace them) of childcare responsibilities exists in all countries, regardless of the form of government, state system and income level of the population. Ukraine is in the process of integration with the European Union, so it is useful to study the foreign legislative approach to regulating responsibility for the violation of these obligations. The aim of the article is to study the German experience of establishing criminal liability for non-fulfillment of childcare obligations. Dogmatic, systemic-structural, statistical, historical-legal, formal-legal research methods were used in the research. Attention is paid to German legislation, which provides for the right and duty of parents to care for and bring up children. The genesis of the criminal law regarding the liability for violation of these duties is given. Statistical data on the number of criminal proceedings and persons convicted of this criminal offense (2010–2021) are summarized. The peculiarities of the structure of the crime provided for in § 171 of the Criminal Code of the Federal Republic of Germany have been studied; objective and subjective characteristics. The analysis was carried out on the basis of the doctrine of German criminal law and the practice of courts of general jurisdiction, in particular the Federal Supreme Court of Germany. The practice of the Federal Constitutional Court of Germany was used. Based on the study, conclusions were formulated regarding the definition of: the legal interest that is protected; signs of "gross" violation of duties; criteria for establishing the consequence of the crime, which is provided as the tort of creating danger. The peculiarities of the qualification of the crime in case of its commission in a place where an armed conflict is taking place are noted. The allocation of an independent structural section (subsection) in the Criminal Code of Ukraine, which includes criminal offenses against family, is supported. The discussion of the criminalization of harm caused by a crime provided by Art. 166 of the Criminal Code of Ukraine, creating a real threat (danger) of causing harm to the victim is proposed.

New evidence of gender inequality during COVID-19 outbreak in the Middle East and North Africa

The COVID-19 pandemic has significantly altered employment and income distribution, impacting women and men differently. This study investigates the negative effects of COVID-19 on the labour market, focusing on the gender gap in five countries in the Middle East and North Africa (MENA) region. The study indicates whether women are more susceptible to losing their jobs, either temporarily or permanently, switching their primary occupation, and experiencing decreased working hours and income compared to men during the COVID-19 outbreak. The study utilizes a multivariate Probit model to estimate the relationship between gender and adverse labour outcomes controlling for correlations among outcomes. Data are obtained from the Combined COVID-19 MENA Monitor Household Survey, covering Egypt, Tunisia, Morocco, Jordan, and Sudan. The findings of this study offer empirical evidence of the gender gap in labour market outcomes during the pandemic. Women are more likely than men to experience negative work outcomes, such as permanent job loss and change in their main job. The increased childcare and housework responsibilities have significantly impacted women's labour market outcomes during the pandemic. However, the availability of telework has reduced the likelihood of job loss among women. The study's results contribute to a better understanding of the impact of COVID-19 on gender inequality in understudied MENA countries. Mitigation policies should focus on supporting vulnerable women who have experienced disproportionate negative effects of COVID-19.

The labour market entry of immigrant women in Germany: disentangling the determinants of labour force participation

ABSTRACT The labour market entry of immigrants is key to their integration, but also one of the stages where disadvantage arises. In seeking to understand this disadvantage, much of the existing research does not acknowledge the gender-specific dynamics at play and for immigrant women, this often means that their labour force participation (LFP) is overlooked. Thus, this study seeks to investigate the LFP decision in its own right, exposing the gender-specific nature of this stage of labour market integration and its determinants, including labour market resources, like education and language skills, and motivations, like childcare pressures, gender role attitudes and personality traits. Relying on data from the Recent Immigration Processes and Early Integration Trajectories in Germany (ENTRA) survey of recently-arrived immigrants, I investigate the LFP of women from four different origin groups – Poland, Italy, Syria and Turkey. The results highlight that, unlike immigrant men, for immigrant women, the LFP decision is much more salient, and both labour market resources as well as motivations are decisive determinants. Nonetheless, even after accounting for these factors, Turkish and Syrian women still show persistently lower LFP compared to immigrant women from European origins. Moreover, childcare responsibilities are identified as a crucial female-specific barrier.

Three decades of research in substance use disorder treatment for syringe services program participants: a scoping review of the literature

BackgroundSyringe services programs (SSPs) provide a spectrum of health services to people who use drugs, with many providing referral and linkage to substance use disorder (SUD) treatment, and some offering co-located treatment with medications for opioid use disorder (MOUD). The objective of this study was to review the evidence for SSPs as an entry point for SUD treatment with particular attention to co-located (onsite) MOUD.MethodsWe performed a scoping review of the literature on SUD treatment for SSP participants. Our initial query in PubMed led to title and abstract screening of 3587 articles, followed by full text review of 173, leading to a final total of 51 relevant articles. Most articles fell into four categories: (1) description of SSP participants’ SUD treatment utilization; (2) interventions to link SSP participants to SUD treatment; (3) post-linkage SUD treatment outcomes; (4) onsite MOUD at SSPs.ResultsSSP participation is associated with entering SUD treatment. Barriers to treatment entry for SSP participants include: use of stimulants, lack of health insurance, residing far from treatment programs, lack of available appointments, and work or childcare responsibilities. A small number of clinical trials demonstrate that two interventions (motivational enhancement therapy with financial incentives and strength-based case management) are effective for linking SSP participants to MOUD or any SUD treatment. SSP participants who initiate MOUD reduce their substance use, risk behaviors, and have moderate retention in treatment. An increasing number of SSPs across the United States offer onsite buprenorphine treatment, and a number of single-site studies demonstrate that patients who initiate buprenorphine treatment at SSPs reduce opioid use, risk behaviors, and have similar retention in treatment to patients in office-based treatment programs.ConclusionsSSPs can successfully refer participants to SUD treatment and deliver onsite buprenorphine treatment. Future studies should explore strategies to optimize the implementation of onsite buprenorphine. Because linkage rates were suboptimal for methadone, offering onsite methadone treatment at SSPs may be an appealing solution, but would require changes in federal regulations. In tandem with continuing to develop onsite treatment capacity, funding should support evidence-based linkage interventions and increasing accessibility, availability, affordability and acceptability of SUD treatment programs.

Who's minding the children: Gender equity in the first 2 years of the pandemic

AbstractThe wholesale changes brought about by the COVID‐19 pandemic to men and women's paid work arrangements and work–family balance provide a natural experiment for testing the common elements of two theories, needs exposure (Schafer et al. Canadian Review of Sociology/Revue Canadienne De Sociologie, 57(4);2020:523–549) and parental proximity (Sullivan et al. Family Theory &amp; Review, 2018;10(1):263–279) against a third theory also suggested by Schafer et al. (2020), and labelled in this article, entrenchment/exacerbation of gender inequality. Both needs exposure and parental proximity suggest that by being home because of the pandemic, in proximity to their children, fathers are exposed to new and enduring family needs, which may move them toward more equal sharing in childcare and other domestic responsibilities. By contrast to studies that have tested such theories using retrospective, self‐report survey data over a 2‐year period, we analyse more than a decade of time‐use diary data from the American Time Use Survey (ATUS) that covers the first 2 years of the pandemic. We model the secular and quarterly trends to predict what would have occurred in the absence of the pandemic, contrasting this to what indeed happened. Our analyses consider aggregate and individual impacts, using methods of sequence analysis, clustering, and matching. Among our results, we find that the division of childcare responsibilities did not become more equitable during the pandemic. Suggestions for future research are provided as are suggestions for the implementation of social policies that could influence greater gender equity in unpaid work and childcare.

Amplifying inequalities: Gendered perceptions of work flexibility and the division of household labor during the COVID‐19 pandemic

AbstractDuring the COVID‐19 pandemic in the US, mothers have taken on more of the responsibility for childcare (including remote schooling) and housework. How did dual‐income couples negotiate domestic labor during the pandemic in ways that ended up with women taking on a larger role? Based on in‐depth interviews with 33 parents, we found that men's jobs were often discussed as being more demanding, particularly in their need for protected time, or requiring rigid time commitments, while women's work was considered more flexible and able to accommodate childcare needs. We argue that gendered perceptions about the flexibility of paid work shaped couple's negotiations over the division of labor. While many interviewees considered men's jobs as “simply more demanding,” we propose that this is a gendered perception that reflects entrenched cultural norms that associate masculinity with paid work and thus men's paid work is prioritized in many families.

Caring for Children in Relation to Financial Hardship, Advance Care Planning, and Genetic Testing Among Adolescent and Young Adults with Cancer.

Purpose: When a cancer diagnosis coincides with caring for children, it may influence the financial impacts of cancer and decisions to pursue advance care planning (ACP) or genetic testing. We examined associations between caring for children and financial hardship, ACP, and genetic testing among female adolescent and young adult (AYA) cancer survivors in North Carolina and California. Methods: Participants were diagnosed at ages 15-39 years with breast, melanoma, gynecologic, lymphoma, or thyroid cancer during 2004-2016. We estimated adjusted prevalence differences (aPDs) and ratios (aPRs) for each outcome by child caring status using marginal structural binomial regression models. Results: Among 1595 women ages 19-54 years at survey (median = 7 years since diagnosis), 819 (51.3%) reported that they were caring for children at diagnosis. Women caring for children had a higher prevalence of material financial hardship (e.g., medical debt; 30% vs. 21.9%; aPD = 9%, 95% confidence interval [CI]: 3 to 14; aPR = 1.39, 95% CI: 1.12 to 1.72) but similar levels of psychological financial hardship compared to noncaregivers. Women caring for children were more likely to complete ACPs (42.2% vs. 30.7%; aPD = 9%, 95% CI: 3 to 16; aPR = 1.30, 95% CI: 1.08 to 1.57). Among the 723 survivors of breast, endometrial, and ovarian cancer, the prevalence of genetic testing was higher among women caring for children (89%) than noncaregivers (81%); this difference was not statistically significant. Conclusion: Women caring for children at diagnosis may be at elevated risk for adverse financial outcomes and may benefit from additional financial navigation support. Childcare responsibilities may further complicate health decision-making for AYAs diagnosed with cancer.

0249 Individual differences of sleep pattern and duration between two consecutive night shifts among night workers

Abstract Introduction Working at night leads to shortened and disturbed daytime sleep. Night workers usually adopt one of several sleep patterns between consecutive nights: sleeping right after night work (morning sleep), delaying sleep to the afternoon (afternoon sleep), or dividing sleep into two or more episodes (split sleep). However, few studies have examined sleep pattern and duration between consecutive nights in real-world workers. The objective of this study was to examine individual differences in sleep pattern and duration when working consecutive night shifts. Methods Night workers (n=241, 43.0±16.5y, 67.2% female) from various occupations who reported working consecutive nights completed an online survey. The survey included questions on socio-demographics and daytime sleep and nap schedules. Sleep pattern (morning vs. afternoon vs. split) and total sleep time (sleep+naps) were derived from survey responses. Cross-tabulations and ANOVA were conducted. Results On average, night workers reported a total daytime sleep of 5.37±2.69 hours (range 0-14.25 hours). 65.1% reported morning sleep, 10% afternoon sleep, and 24.9% split sleep. Split sleepers (6.78±2.13 hours) reported longer total sleep than morning (4.86±2.75 hours) or afternoon (5.11±2.37 hours) sleepers. Younger age (&amp;lt; 50y), single marital status, shorter night shift tenure (≤10 years), working ≤3 consecutive shifts, and having ill or disabled dependents were associated with greater prevalence of morning sleep; older age (≥50y), married or separated/widowed, &amp;gt;10 years night shift tenure, working ≥4 consecutive shifts, and having no dependents were associated with greater prevalence of afternoon or split sleep. Having childcare responsibility was associated with more split sleep than no children. Similarly, younger age (&amp;lt; 50y), singles, shorter night shift tenure, working three or fewer consecutive shifts, having ill or disabled dependents, and having a second job were associated with shorter total sleep. However, having childcare responsibility was associated with greater total sleep. Conclusion Sleep timing and duration between consecutive nights were influenced by age, marital status, dependents, night work tenure, and number of consecutive night shifts. Future studies are needed to explore what sleep pattern is most beneficial for sleep, performance, safety, and health outcomes of these workers. Support (if any) The study was supported by grant R01 AG044416 from the US National Institutes of Health.

Sex differences in Allergy and Immunology training programs

Currently, women represent 54% of enrolled U.S. medical students and 47% of all residents and fellows in ACGME-accredited programs, having achieved equal representation at a trainee level in the last decades.1,2 However, this still has not translated into equality in leadership positions across all medical fields.3 In particular with Allergy and Immunology (A/I), it has been demonstrated that female academic allergists are less likely to become full professors than their male counterparts,4 and women are less frequently first authors, although this is increasing.5 Although A/I has made efforts to address these disparities, such as through the creation of specialized committees and professional development initiatives6, it is clear that these efforts take time to have meaningful effects and promote more complete representation, particularly in leadership. A variety of factors likely contribute to this, including increased childcare and household responsibilities for female physicians compared to male physicians, lack of mentorship, and cultural expectations.4,7 This paper seeks to evaluate the current breakdown of A/I trainees, faculty and leadership position by sex and to identify what discrepancies still exist in training, faculty, or in leadership positions, if at all.

Exploring gender differences in uptake of GP partnership roles: a qualitative mixed-methods study.

The unadjusted gender pay gap in general practice is reported to be 33.5%. This reflects partly the differential rate at which women become partners, but evidence exploring gender differences in GPs' career progression is sparse. To explore factors affecting uptake of partnership roles, focusing particularly on gender differences. Convergent mixed-methods research design using data from UK GPs. Secondary analysis of qualitative interviews and social media analysis of UK GPs' Twitter commentaries, which informed the conduct of asynchronous online focus groups. Findings were combined using methodological triangulation. The sample comprised 40 GP interviews, 232 GPs tweeting about GP partnership roles, and seven focus groups with 50 GPs. Factors at individual, organisational, and national levels influence partnership uptake and career decisions of both men and women GPs. Desire for work-family balance (particularly childcare responsibilities) presented the greatest barrier, for both men and women, as well as workload, responsibility, financial investment, and risk. Greater challenges were, however, reported by women, particularly regarding balancing work-family lives, as well as prohibitive working conditions (including maternity and sickness pay) and discriminatory practices perceived to favour men and full-time GPs. There are some long-standing gendered barriers that continue to affect the career decisions of women GPs. The relative attractiveness of salaried, locum, or private roles in general practice appears to discourage both men and women from partnerships presently. Promoting positive workplace cultures through strong role models, improved flexibility in roles, and skills training could potentially encourage greater uptake.

Associations Between Distinct State Anxiety Profiles, Exposure to Stressful Life Events, Resilience, and Coping in Patients with Gynecologic Cancers Receiving Chemotherapy

In a sample of patients with gynecologic cancers who are receiving chemotherapy, subgroups of patients with distinct state anxiety profiles were identified, and differences among the subgroups in demographic and clinical characteristics, stress, exposure to stressful life events, resilience, and coping behaviors were evaluated. Patients (n = 230) completed questionnaires six times over two chemotherapy cycles. State anxiety was measured using the Spielberger State Anxiety Inventory. Subgroups of patients with distinct state anxiety profiles were identified using latent profile analysis. Differences among the classes were assessed using parametric and nonparametric tests. Three distinct state anxiety profiles were identified: low (55.2%), moderate (38.3%), and very high (6.5%). Compared with the low class, persons in the other two classes had lower functional status, more comorbidities, higher perceived stress, and lower resilience and were more likely to report a history of depression and to use disengagement coping strategies. Compared with the low class, the very high class was more likely to report childcare responsibilities; have a history of lung disease, stomach disease, or low back pain; have experienced physical neglect, serious money problems, a serious disaster, or foster care; or were a caregiver for someone with a severe disability. Nearly 45% of patients reported clinically meaningful levels of state anxiety that persisted over two cycles of chemotherapy. Experiences with a variety of stressors may be risk factors for higher levels of anxiety during chemotherapy. Clinicians need to perform comprehensive social histories and assess for anxiety in patients receiving chemotherapy.

Locked-in at home: The gender difference in analyst forecasts after the COVID-19 school closures

This paper explores the shock of school closures caused by the COVID-19 pandemic to study the effect of childcare responsibilities on analyst forecasts. With manually collected data on whether analysts have children, I find that female analysts with children (mother analysts) are less likely to issue timely forecasts after school closures, compared to male analysts with children (father analysts). Mother analysts’ forecasts also become less accurate after school closures, but the negative effect only exists among forecasts for firms with relatively low institutional ownership, suggesting that mother analysts prioritize maintaining the forecast accuracy for firms that are more important to their careers. Additionally, mother analysts shift forecast release times to avoid childcare hours. My findings imply that childcare responsibilities hurt the productivity of mother analysts more than that of father analysts, even though these women have established themselves in a competitive industry.

Sex-related differences in the prevalence of substance use disorders, treatment, and overdose among parents with young children

IntroductionRisk factors and treatment rates for substance use disorders (SUDs) differ by sex. Females often have greater childcare and household responsibilities than males, which may inhibit SUD treatment. We examined how SUD, medication for opioid use disorder (MOUD) receipt, and overdose rates differ by sex among parents with young children (<5 years). MethodsUsing deidentified national administrative healthcare data from Optum’s Clinformatics® Data Mart Database version 8.1 (2007–2021), we identified parents aged 26–64 continuously enrolled in commercial insurance for ≥ 30 days and linked to ≥ 1 dependent child < 5 years from January 1, 2016-February 29, 2020. We used generalized estimating equations to estimate the average predicted prevalence of SUD diagnosis, MOUD receipt after opioid use disorder (OUD) diagnosis, and overdose by parent sex in any month, adjusting for age, race/ethnicity, state of residence, enrollment month, and mental health conditions. ResultsFrom 2016 to 2020, there were 2,241,795 parents with a dependent child < 5 years, including 1,155,252 (51.5%) females and 1,086,543 (48.5%) males. Male parents had a higher average predicted prevalence of an SUD diagnosis (11.1% [11, 11.16]) than female parents (5.5% [5.48, 5.58]). Among parents with OUD, the average predicted prevalence of receiving MOUD was 27.4% [26.1, 28.63] among male and 19.7% [18.34, 21.04] among female parents, with no difference in overdose rates by sex. ConclusionFemale parents are less likely to be diagnosed with an SUD or receive MOUD than male parents. Removing policies that criminalize parental SUD and addressing childcare-related barriers may improve SUD identification and treatment.

Sleep Quality of Family Caregivers of Children With Tracheostomies or Home Ventilators: A Scoping Review.

Family caregivers of children with tracheostomies or home ventilators are more likely to experience poor sleep quality when undertaking the full responsibility of caring for fragile children. This scoping review aimed to identify the sleep quality, related factors, and their impact on the health of family caregivers of children with tracheostomies or home ventilators. The included studies (N = 16) were retrieved through PubMed, CINAHL, Cochrane Library, Embase, PsycINFO, and Web of Science. Family caregivers' sleep were low in quality, frequently disturbed, and insufficient. Their sleep quality was related to fatigue, anxiety, depression, family functioning, and health-related quality of life. The sleep disturbing factors were classified as child, caregiver, or environment-related, which were mutually interrelated. This review emphasizes the need to develop nursing interventions to both improve the sleep quality of family caregivers and the health of children with tracheostomies or home ventilators based on an in-depth understanding of the family's context.

Recruitment and Enrollment of Low-income, Minority Residents of Urban Public Housing into Research.

Research participation among vulnerable populations is often limited by the same socioeconomic factors that contribute to poor health. Identifying best practices for inclusion is critical to addressing health disparities. Urban public housing communities bear a disproportionate burden of chronic disease and may represent an opportunity to directly engage historically vulnerable populations in research designed to ultimately reduce that burden. We used mixed-method data to analyze recruitment effectiveness among a random sample of households (N = 380) across two public housing developments in Boston, MA who were approached for participation in a pre-COVID oral health study. Quantitative data from detailed recruitment tracking methods was analyzed to assess the relative efficiency of the methods employed. Field journals of study staff were qualitatively analyzed to identify community-specific recruitment barriers and facilitators. The participation rate among randomly sampled households was 28.6% (N = 131), with participation from primarily Hispanic (59.5%) or Black (26%) residents. Door-to-door knocking with response yielded the highest participation (44.8%), followed by responses to informational study flyers (31%). Primary barriers to enrollment included references to unemployment and employment variations, shift work, childcare responsibilities, time demands, and managing multiple appointments and social services. This study finds active, door-to-door knocking and return visits resolved barriers to participation, and reduced safety concerns and historic distrust. It's time to consider how best to adapt effective pre-COVID recruitment practices for utilization under current and future exposure conditions as effective recruitment of populations such as urban public housing residents into research is only becoming more important.