Sharma Rajan, Tani Massimiliano, Cheng Zhiming, Ching Teresa Y C, Marnane Vivienne, Mendolia Silvia, Parkinson Bonny
Macquarie University Centre for the Health Economy (MUCHE), Macquarie University, Sydney, New South Wales, Australia.
Macquarie Business School (MQBS), Macquarie University, Sydney, Macquarie Park, New South Wales, Australia.
Ear Hear. 2025;46(2):277-285. doi: 10.1097/AUD.0000000000001588. Epub 2024 Sep 19.
Carers of children with disabilities, especially primary carers, tend to have poorer labor market outcomes than carers of typically developing children. However, the extant literature has been largely silent on whether interventions for children's disabilities spill over to carers' employment outcomes, if at all. We aimed to fill this gap.
We analyzed data from the Longitudinal Outcomes of Children with Hearing Impairment study, which is a unique panel dataset of Australian children who are deaf or hard-of-hearing (DHH). The Longitudinal Outcomes of Children with Hearing Impairment dataset includes information about 449 DHH children. We used 3 waves covering the same children at ages 0 to 3, 5 to 7, and 8 to 10 years during 2005 and 2018. We used a panel random-effects model, the use of which was supported by the Hausman specification test to control for time-invariant individual heterogeneity.
We found that primary carers (typically mothers) of DHH children with cochlear implants (CI) were more likely to be employed relative to DHH children without a CI. The positive association was stronger among carers from a lower socioeconomic background.
The association between childhood CI and carer employment may potentially be due to relaxed primary carers' time constraints to care for the child, increased self-efficacy, and reduced carer stress, enabling them to engage in other activities, including employment. Further research through large-scale, longitudinal studies is warranted to solidify the findings of this research.
残疾儿童的照料者,尤其是主要照料者,在劳动力市场上的表现往往比发育正常儿童的照料者更差。然而,现有文献在很大程度上并未提及针对儿童残疾的干预措施是否会对照料者的就业结果产生影响(如果有影响的话)。我们旨在填补这一空白。
我们分析了听力受损儿童纵向结果研究的数据,该研究是澳大利亚失聪或重听(DHH)儿童的一个独特面板数据集。听力受损儿童纵向结果数据集包含449名DHH儿童的信息。我们使用了2005年至2018年期间覆盖0至3岁、5至7岁和8至10岁同一批儿童的三个波次的数据。我们使用了面板随机效应模型,豪斯曼设定检验支持了该模型的使用,以控制时间不变的个体异质性。
我们发现,与未植入人工耳蜗(CI)的DHH儿童相比,植入CI的DHH儿童的主要照料者(通常是母亲)就业的可能性更大。这种正相关在社会经济背景较低的照料者中更强。
儿童期CI与照料者就业之间的关联可能是由于主要照料者照顾孩子的时间限制放宽、自我效能感增强以及照料者压力减轻,使他们能够参与包括就业在内的其他活动。有必要通过大规模纵向研究进行进一步研究,以巩固本研究的结果。