{"id":"https://openalex.org/W4390822665","doi":"https://doi.org/10.1089/heq.2023.0068","title":"The Intersection of Childcare and Health Among Women at a U.S. Safety-Net Health System During the COVID-19 Pandemic: A Qualitative Study","display_name":"The Intersection of Childcare and Health Among Women at a U.S. Safety-Net Health System During the COVID-19 Pandemic: A Qualitative Study","publication_year":2024,"publication_date":"2024-01-01","ids":{"openalex":"https://openalex.org/W4390822665","doi":"https://doi.org/10.1089/heq.2023.0068","pmid":"https://pubmed.ncbi.nlm.nih.gov/38250304","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10797167"},"language":"en","primary_location":{"id":"doi:10.1089/heq.2023.0068","doi":"https://doi.org/10.1089/heq.2023.0068","is_oa":true,"landing_page_url":"https://doi.org/10.1089/heq.2023.0068","pdf_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0068?download=true","source":{"id":"https://openalex.org/S4210216380","display_name":"Health Equity","issn_l":"2473-1242","issn":["2473-1242"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0068?download=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041788509","display_name":"Seema Jain","orcid":"https://orcid.org/0000-0002-1790-751X","observed_orcids":["https://orcid.org/0000-0002-1790-751X"]},"institutions":[{"id":"https://openalex.org/I4210130412","display_name":"HonorHealth","ror":"https://ror.org/03szbwj17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210130412"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Seema Jain","raw_affiliation_strings":["HonorHealth Internal Medicine Residency, Phoenix, Arizona, USA"],"raw_orcid":"https://orcid.org/0000-0002-1790-751X","affiliations":[{"raw_affiliation_string":"HonorHealth Internal Medicine Residency, Phoenix, Arizona, USA","institution_ids":["https://openalex.org/I4210130412"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052709737","display_name":"Robin T. Higashi","orcid":"https://orcid.org/0000-0001-5232-6852","observed_orcids":["https://orcid.org/0000-0001-5232-6852"]},"institutions":[{"id":"https://openalex.org/I867280407","display_name":"The University of Texas Southwestern Medical Center","ror":"https://ror.org/05byvp690","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I867280407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robin T. Higashi","raw_affiliation_strings":["The University of Texas Southwestern Medical Center, Dallas, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Texas Southwestern Medical Center, Dallas, Texas, USA","institution_ids":["https://openalex.org/I867280407"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059282153","display_name":"Carolina Salmeron","orcid":"https://orcid.org/0000-0003-0837-9433","observed_orcids":["https://orcid.org/0000-0003-0837-9433"]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carolina Salmeron","raw_affiliation_strings":["UTHealth School of Public Health, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UTHealth School of Public Health, Houston, Texas, USA","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061715546","display_name":"Kavita Bhavan","orcid":"https://orcid.org/0000-0002-7861-6425","observed_orcids":["https://orcid.org/0000-0002-7861-6425"]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]},{"id":"https://openalex.org/I867280407","display_name":"The University of Texas Southwestern Medical Center","ror":"https://ror.org/05byvp690","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I867280407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kavita Bhavan","raw_affiliation_strings":["Parkland Health and Hospital System, Dallas, Texas, USA","The University of Texas Southwestern Medical Center, Dallas, Texas, USA"],"raw_orcid":"https://orcid.org/0000-0002-7861-6425","affiliations":[{"raw_affiliation_string":"Parkland Health and Hospital System, Dallas, Texas, USA","institution_ids":["https://openalex.org/I1286960001"]},{"raw_affiliation_string":"The University of Texas Southwestern Medical Center, Dallas, Texas, USA","institution_ids":["https://openalex.org/I867280407"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5041788509"],"corresponding_institution_ids":["https://openalex.org/I4210130412"],"apc_list":{"value":950,"currency":"USD","value_usd":950},"apc_paid":{"value":950,"currency":"USD","value_usd":950},"fwci":4.5158,"has_fulltext":true,"cited_by_count":10,"citation_normalized_percentile":{"value":0.94839713,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"8","issue":"1","first_page":"32","last_page":"38"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.3499000072479248,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.3499000072479248,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.24570000171661377,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10722","display_name":"Work-Family Balance Challenges","score":0.10819999873638153,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/child-care","display_name":"child care","score":0.8389999866485596},{"id":"https://openalex.org/keywords/women-s-health","display_name":"women's health","score":0.7559999823570251},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8809999823570251},{"id":"https://openalex.org/keywords/safety-net-health-system","display_name":"safety-net health system","score":0.8320000171661377},{"id":"https://openalex.org/keywords/low-income-households","display_name":"low-income households","score":0.8610000014305115},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7239999771118164},{"id":"https://openalex.org/keywords/primary-caregivers","display_name":"primary caregivers","score":0.4359999895095825},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.7509999871253967},{"id":"https://openalex.org/keywords/competing-priorities","display_name":"competing priorities","score":0.6299999952316284},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.8199999928474426},{"id":"https://openalex.org/keywords/hispanic-women","display_name":"Hispanic women","score":0.6179999709129333},{"id":"https://openalex.org/keywords/african-american-women","display_name":"African American women","score":0.9520000219345093}],"concepts":[{"id":"https://openalex.org/C2778216598","wikidata":"https://www.wikidata.org/wiki/Q1131802","display_name":"Safety net","level":2,"score":0.7877271175384521},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6082014441490173},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.503938615322113},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.47812405228614807},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44034093618392944},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.42492741346359253},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.4210784435272217},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.417593389749527},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.41403627395629883},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.413139283657074},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3820788562297821},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.27019694447517395},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.17460495233535767},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1714366376399994},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1089/heq.2023.0068","doi":"https://doi.org/10.1089/heq.2023.0068","is_oa":true,"landing_page_url":"https://doi.org/10.1089/heq.2023.0068","pdf_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0068?download=true","source":{"id":"https://openalex.org/S4210216380","display_name":"Health Equity","issn_l":"2473-1242","issn":["2473-1242"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10797167","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10797167","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10797167/pdf/heq.2023.0068.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"Text"},{"id":"pmid:38250304","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38250304","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health equity","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2c6429ec08074dbb8c1d1a8b78043d85","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/2c6429ec08074dbb8c1d1a8b78043d85","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Equity, Vol 8, Iss 1, Pp 32-38 (2024)","raw_type":"article"},{"id":"pmh:oai:doaj.org/article:bdd67d29d02e498db0139293d036da5a","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/bdd67d29d02e498db0139293d036da5a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Equity, Vol 8, Iss 1, Pp 32-38 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1089/heq.2023.0068","doi":"https://doi.org/10.1089/heq.2023.0068","is_oa":true,"landing_page_url":"https://doi.org/10.1089/heq.2023.0068","pdf_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0068?download=true","source":{"id":"https://openalex.org/S4210216380","display_name":"Health Equity","issn_l":"2473-1242","issn":["2473-1242"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.9629999995231628,"id":"https://metadata.un.org/sdg/10"},{"display_name":"Gender equality","score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4390822665.pdf","grobid_xml":"https://content.openalex.org/works/W4390822665.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W2055257512","https://openalex.org/W2068027776","https://openalex.org/W2111653528","https://openalex.org/W2142225512","https://openalex.org/W2159084757","https://openalex.org/W2163081728","https://openalex.org/W2296868014","https://openalex.org/W2328121038","https://openalex.org/W2341973430","https://openalex.org/W2500387364","https://openalex.org/W3018058107","https://openalex.org/W3093369882","https://openalex.org/W4210287738","https://openalex.org/W4220678859","https://openalex.org/W4220802198","https://openalex.org/W4229021116","https://openalex.org/W4252956592","https://openalex.org/W4285385992"],"related_works":["https://openalex.org/W4307878630","https://openalex.org/W4399750723","https://openalex.org/W4308735731","https://openalex.org/W4304193929","https://openalex.org/W7223011496","https://openalex.org/W6939660502","https://openalex.org/W4285383134","https://openalex.org/W4380852716","https://openalex.org/W7171976189","https://openalex.org/W4398185855"],"abstract_inverted_index":{"Introduction:":[0],"Lack":[1],"of":[2,43,119,224,230],"childcare":[3,34,49,70,111,120,214,225],"has":[4],"been":[5],"linked":[6],"to":[7,32,59,107,124,207,235],"missed":[8],"health":[9,36,55,68,99,125,204,211],"care":[10,37,126],"appointments":[11],"for":[12,16,25,48,133],"adult":[13,164],"women,":[14,165],"especially":[15],"lower-income":[17],"women.":[18],"The":[19],"COVID-19":[20,74],"pandemic":[21],"created":[22],"additional":[23],"stressors":[24],"many":[26],"low-income":[27,196],"families":[28],"that":[29],"already":[30],"struggled":[31],"meet":[33],"and":[35,69,90,171,188,215,243],"needs.":[38],"By":[39],"exploring":[40],"the":[41,61,73,102,130],"experiences":[42],"women":[44,63,197],"who":[45,116],"were":[46,95,129,141,163],"referred":[47,96],"services":[50],"at":[51,101,134],"a":[52,122,202,227,232],"U.S.":[53],"safety-net":[54,104,203],"system,":[56],"we":[57,238],"aimed":[58],"understand":[60],"challenges":[62],"faced":[64],"in":[65,83,143,184,201],"managing":[66],"their":[67,209],"needs":[71,212],"during":[72],"pandemic.":[75],"Methods:":[76],"We":[77,147,155],"conducted":[78,142],"semistructured":[79],"interviews":[80],"with":[81,198],"participants":[82,94,158,162],"Dallas":[84],"County,":[85],"TX":[86],"between":[87],"August":[88],"2021":[89],"February":[91],"2022.":[92],"All":[93],"from":[97],"women's":[98],"clinics":[100],"county's":[103],"hospital":[105,114],"system":[106,205],"an":[108],"on-site":[109],"drop-off":[110],"center":[112],"by":[113],"staff":[115],"identified":[117,173],"lack":[118],"as":[121,174,226],"barrier":[123],"access.":[127],"Participants":[128],"primary":[131],"caregiver":[132],"least":[135],"one":[136],"child":[137],"\u2264age":[138],"13.":[139],"Interviews":[140],"English":[144],"or":[145,176],"Spanish.":[146],"analyzed":[148],"data":[149],"using":[150],"thematic":[151],"content":[152],"analysis.":[153],"Results:":[154],"interviewed":[156],"22":[157],"(mean":[159],"age":[160],"34);":[161],"had":[166],"on":[167],"average":[168],"3":[169],"children,":[170],"primarily":[172],"Hispanic":[175],"African":[177],"American.":[178],"Three":[179],"interrelated":[180],"themes":[181],"emerged:":[182],"disruptions":[183],"access,":[185],"competing":[186],"priorities,":[187],"exacerbated":[189],"psychological":[190],"distress.":[191],"Conclusions:":[192],"Findings":[193],"demonstrate":[194],"how":[195,237],"young":[199],"children":[200],"struggle":[206],"address":[208],"own":[210],"amid":[213],"other":[216],"household":[217],"demands.":[218],"Our":[219],"study":[220],"advances":[221],"our":[222],"understanding":[223],"social":[228],"domain":[229],"health,":[231],"necessary":[233],"step":[234],"inform":[236],"build":[239],"structural":[240],"support":[241],"systems":[242],"drive":[244],"policy":[245],"interventions.":[246]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2024-01-13T00:00:00"}
