Earle Alison, Heymann Jody
Brandeis University, Waltham, MA, USA.
J Prim Care Community Health. 2014 Apr 1;5(2):122-7. doi: 10.1177/2150131913504590. Epub 2013 Sep 26.
To determine whether workplace flexibility policies influence parents' ability to meet their children's preventive primary health care needs.
Study sample included 917 employed adults with at least 1 child younger than 18 years in their household from a nationally representative survey of US adults. Multivariate logistic regression analyses of factors influencing parental ability to meet their children's preventive primary health care needs were conducted. Analyses assessed the effect of having access to schedule flexibility, a supervisor who is accommodating about work adjustments when family issues arise, and the ability to make personal calls without consequences on the odds of a parents' being unable to meet their child's preventive health care needs.
Being able to make a personal phone call at work was associated with a 56% (P < .05) reduction in the odds of being unable to meet children's preventive health needs. Working at a job that allowed for schedule adjustments was associated with more than 40% (P < .05) lower odds of being unable to meet preventive care needs.
Feasible steps to increase flexibility at work could make a substantial difference in parents' ability to obtain preventive care for their children.
确定工作场所灵活性政策是否会影响父母满足其子女预防性初级卫生保健需求的能力。
研究样本包括来自一项具有全国代表性的美国成年人调查中的917名有工作的成年人，其家庭中至少有一名18岁以下的子女。对影响父母满足其子女预防性初级卫生保健需求能力的因素进行多变量逻辑回归分析。分析评估了拥有灵活工作时间表、在家庭问题出现时能通融工作调整的主管以及能打私人电话而无不良后果对父母无法满足其子女预防性卫生保健需求几率的影响。
能够在工作时打私人电话与无法满足子女预防性健康需求的几率降低56%（P < 0.05）相关。在允许调整工作时间表的岗位工作与无法满足预防性保健需求的几率降低40%以上（P < 0.05）相关。
增加工作灵活性的可行措施可能会对父母为子女获得预防性保健的能力产生重大影响。
