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Member Research and Reports

Member Research and Reports

Harvard, NPR, RWJF: Poll Shows Gap between Parent Views and Expert Assessments of the Quality of U.S. Child Care

A new NPR/Robert Wood Johnson Foundation/Harvard T.H. Chan School of Public Health poll suggests a major gap between parents’ views and research experts’ assessments of the quality of child care in the U.S. Most parents (59%) believe their child receives “excellent” quality child care. By contrast, the most recent major study on the state of U.S. child care suggests a majority of child care is not high quality.

NPR, RWJF, and the Harvard Chan School polled 1,120 parents or guardians of children 5-years old or younger who were not yet in kindergarten and received regularly scheduled care at least once a week from someone other than a parent, and found that about three in five parents (59%) rate the quality of care their child receives as “excellent.” However, findings from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development published in 2006 indicated that a majority of child care in the U.S. is of “fair” quality.

“This poll gives voice to the challenges that many parents face in finding high quality and affordable care for their children,” says Dr. Gillian SteelFisher, Deputy Director of the Harvard Opinion Research Program at Harvard Chan School, who directed the poll.

View the complete poll findings.

October 18, 2016 Note: Check back over the next few days to watch the video of The Forum at Harvard T.H. Chan School of Public Health webcast on “Child Care and Health in America: Today’s Challenges for Tomorrow’s Children” that was recorded  today. Visit this link to learn more about the event.

Cost is the most common challenge in finding child care reported by parents (27%). It continues to be an issue once parents have found child care, with about one in three (31%) who pay a fee for their child care saying it causes a financial problem for their families. The burden of cost is felt in particular by parents who report that their financial situation is not strong, with more than half (61%) of those parents saying the cost of child care has caused a financial problem.

Further, two out of three parents (67%) report that they had limited options for child care. Parents who feel their financial situation is not strong are more likely to say they had limited options (79%) than their counterparts with strong finances.

Despite the challenges, most parents feel child care has benefitted their families. Over half of parents report that child care has had a very positive impact on their child’s well-being (72%), overall learning (67%), and physical health (58%). Furthermore, many parents – especially mothers – say child care has had had a very positive impact on their own well-being (62%) and their relationship with the child (58%).

Parents also feel that child care has lasting effects, with most saying it has a major impact on a child’s overall well-being (86%), health (62%), and job success later in life (52%), for example.

Substantial shares of parents say their child care does not have policies to promote health, such as providing a chance for teeth-brushing (50%), limiting sugary foods (19%) or limiting screen time (17%), but those whose child care does implement these policies view the policies favorably. For example, two thirds of parents (68%) whose child care limits sugary foods or drinks believe this has a major impact on their child’s health.

Parents face challenges finding back-up care when a child gets sick and cannot receive their usual care. Three in four working parents (75%) say they have had to miss work, and one in five parents report negative repercussions for themselves or their spouses such as docked pay (12%) or getting in trouble with a supervisor (10%). Findings suggest that, in households with two working parents, mothers are more likely to stay home with a sick child than fathers (45% vs. 13%) when one parent is more likely to stay home. While parents most often cite job flexibility as a driver for this decision, traditional views of gender roles are also important, as the second-most common reason mothers stay home is that it is “their responsibility or role” to stay home with the child (16%).

Read more: https://www.hsph.harvard.edu/news/press-releases/parent-views-on-child-care-quality-poll/