Extended Paid Maternity Leave Associated With Improved Maternal Mental Health In Hong Kong.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-05-01 DOI:10.1377/hlthaff.2023.00742
Ellie Bostwick Andres, Xinyu Du, Sharon Sze Lu Pang, Jiayi Noel Liang, Jiaxi Ye, Ming Hin Lee, Marie Tarrant, Sofie Shuk-Fei Yung, Janice M Johnston, Kris Yuet Wan Lok, Jianchao Quan
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Abstract

In July 2020, Hong Kong extended statutory paid maternity leave from ten weeks to fourteen weeks to align with International Labour Organization standards. We used the policy enactment as an observational natural experiment to assess the mental health implications of this policy change on probable postnatal depression (Edinburgh Postnatal Depression Scores of 10 or higher) and postpartum emotional well-being. Using an opportunistic observational study design, we recruited 1,414 survey respondents with births before (August 1-December 10, 2020) and after (December 11, 2020-July 18, 2022) policy implementation. Participants had a mean age of thirty-two, were majority primiparous, and were mostly working in skilled occupations. Our results show that the policy was associated with a 22 percent decrease in mothers experiencing postnatal depressive symptoms and a 33 percent decrease in postpartum emotional well-being interference. Even this modest change in policy, an additional four weeks of paid leave, was associated with significant mental health benefits. Policy makers should consider extending paid maternity leave to international norms to improve mental health among working mothers and to support workforce retention.

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在香港,延长带薪产假与改善产妇心理健康有关。
2020 年 7 月,香港将法定带薪产假从十周延长至十四周,以与国际劳工组织的标准接轨。我们将这一政策的颁布作为一个观察性自然实验,以评估这一政策变化对可能出现的产后抑郁(爱丁堡产后抑郁评分 10 分或以上)和产后情绪健康的影响。我们采用机会观察研究设计,在政策实施前(2020 年 8 月 1 日至 12 月 10 日)和政策实施后(2020 年 12 月 11 日至 2022 年 7 月 18 日)招募了 1414 名分娩的调查对象。调查对象的平均年龄为 32 岁,大多数为初产妇,大多从事技术性职业。我们的研究结果表明,政策实施后,母亲产后抑郁症状减少了 22%,产后情绪健康干扰减少了 33%。即使是这一微小的政策变化,即增加四周的带薪休假,也能带来显著的心理健康益处。政策制定者应考虑将带薪产假延长至国际标准,以改善职业母亲的心理健康并支持劳动力保留。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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