The Pro-family Workplace: Social and Economic Policies and Practices and Their Impacts on Child and Family Health
Social and economic policies designed to improve working conditions and employee well-being in adulthood have often resulted in the unintentional improvement of the health of children and their parents. Unfortunately, the USA is behind in implementing such policies and is losing ground in the health of its families compared to most other industrialized countries. We present historical patterns of infant mortality and women’s life expectancy, both indicators of child and family health, over time and across the USA and other industrialized countries. Using a predominantly ecosocial framework, we review the channels or mechanisms that may link social or economic policy to a physiological change in children and/or their close family members. We continue to review a range of family and labor policies and evidence linking specific family and work policies to child and family health outcomes. We argue that, despite challenges, the identification of social and economic policies that impact the work/family interface and promote family health and well-being is critical and that the conditions which improve health for families will likely require modification in the public policy arena.
KeywordsInfant Mortality OECD Country Parental Leave Childhood Poverty Maternal Employment
This research was conducted as part of the Work, Family, and Health Network, which is funded by a cooperative agreement through the National Institutes of Health and the Centers for Disease Control and Prevention: National Institute of Child Health and Human Development (Grant U01HD051217, U01HD051218, U01HD051256, U01HD051276), National Institute on Aging (Grant U01AG027669), Office of Behavioral and Social Sciences Research, and National Institute for Occupational Safety and Health (Grant U010H008788).
- Almond, D., Chay, K., & Greenstone, M. (2006). Civil rights, the war on poverty, and black-white convergence in infant mortality in the rural south and Mississippi. MIT Department of Economics Working Paper (Vol. No. 07-04). Cambridge: MIT.Google Scholar
- Bowlby, J. (1969). Attachment and loss. London: Hogarth Press.Google Scholar
- Cutler, D., & Meara, E. (1999). The technology of birth: Is it worth it? NBER Working Paper Series, Vol. 7930.Google Scholar
- Eurostat, the Statistical Office of the European Communities (Ed.). (2002). Eurostat yearbook 2002: The statistical guide to Europe Data 1990–2000. Luxembourg: Office for Official Publications of the European Communities. http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-40-01-319/EN/KS-40-01-319-EN.PDF.
- Galobardes, B., Lynch, J. W., & Smith, G. D. (2008). Is the association between childhood socioeconomic circumstances and cause-specific mortality established? Update of a systematic review. Journal of Epidemiology and Community Health, 62(5), 387–390. doi:62/5/387[pii]10.1136/jech.2007.065508.CrossRefGoogle Scholar
- Gornick, J., & Meyers, M. (Eds.). (2004). Welfare regimes in relation to paid work and care. Netherlands: Elsevier Science.Google Scholar
- Heymann, J., Earle, A., & Hayes, J. (2007). The work, family and equity index: How does the United States measure up? Montreal, QC: The Project on Global Working Families, The Institute for Health and Social Policy, McGill University.Google Scholar
- Immervoll, H., Sutherland, H., & deVos, K. (2001). Reducing child poverty in the European Union: The role of child benefits. Bristol, UK: The Policy Press.Google Scholar
- Lawrence, R. A. (1997). A review of the medical benefits and contraindications to breastfeeding in the United States. Maternal and child health technical information bulletin. Arlington, VA: National Center for Education in Maternal and Child Health.Google Scholar
- Lundberg, O., Yngwe, M. A., Stjarne, M. K., Elstad, J. I., Ferrarini, T., Kangas, O., et al. (2008). The role of welfare state principles and generosity in social policy programmes for public health: an international comparative study. Lancet, 372(9650), 1633–1640. doi:S0140-6736(08)61686-4[pii]10.1016/S0140-6736(08)61686-4.CrossRefGoogle Scholar
- MacDorman, M., Rowley, D., Lyasu, S., Kiely, J., Gardner, P., & Davis, M. (1994). Infant mortality. In L. Wilcox & J. Marks (Eds.), From Data to Action: CDC’s Public Health Surveillance for Women, Infants and Children (pp. 231–250). Hyattsville, MD: US Department of Health and Human Services.Google Scholar
- Mills, S. P. (2009). Workplace lactation programs: A critical element for breastfeeding mothers’ success. Official Journal of American Association of Occupational Health Nurses, 57(6), 227–231.Google Scholar
- Office, C. B. (1992). Factors contributing to the infant mortality ranking of the United States. Washington, DC: CBO Staff Memorandum.Google Scholar
- Organisation for Economic Cooperation and Development. (2009a). Breastfeeding rates. OECD Social Policy Division. http://www.oecd.org/dataoecd/30/56/43136964.pdf.
- Organization for Economic Cooperation and Development. (2009b). Health status, life expectancy. http://stats.oecd.org/Index.aspx.
- Organization for Economic Cooperation and Development. (2009c). Maternal and infant mortality. http://stats.oecd.org/Index.aspx.
- Ruggles, S., Alexander, J. T., Genadek, K., Goeken, R., Schroeder, M. B., & Sobek, M. (2004). Integrated public use microdata series: Version 3.0 [Machine-readable database]. Minneapolis, MN: Minnesota Population Center.Google Scholar
- Semmelweis, I. (1861/1983). The etiology, the concept, and the prophylaxis of childbed fever. In K. Codell Carter (Ed. & Trans.), Wisconsin: The Board of Regents of The University of Wisconsin System.Google Scholar
- Spencer, N. (2004). The effect of income inequality and macro-level social policy on infant mortality and low birthweight in developed countries–a preliminary systematic review. Child: Care, Health and Development, 30(6), 699–709. doi:CCH485[pii]10.1111/j.1365-2214.2004.00485.x.CrossRefGoogle Scholar
- U.S. Department of Commerce United States Census (2011). Statistical Abstract: The National Data Book. http://www.census.gov/compendia/statab/cats/births_deaths_marriages_divorces.html.
- Work Family Health Network. (2005). Work, family and health network. Kaiser Permanente Center for Health Research. http://www.kpchr.org/workfamilyhealthnetwork/public/default.aspx.
- World Health Organization. (2011). Breastfeeding. Retrieved August 11, 2011, from http://www.who.int/topics/breastfeeding/en/.