Policy Impact of Research Findings on the Association of Diaper Need and Mental Health

      Abstract

      Background

      Maternal mental illness constitutes one of most significant public health problems facing women of reproductive age and their children. Women who mother in poverty experience additional stressors, pointing to the need for innovative public health promotion efforts to reduce mental illness. Simple innovations, like making diapers more available and affordable, may represent an effective method of addressing this problem. This paper describes the research findings on diaper need reported by the New Haven Mental Health Outreach for Mothers Partnership and the process of translating these findings into broader policy and advocacy efforts.

      Methods

      National-, state-, and local-level diaper policy activities that occurred from 2013 to 2016 were examined after a journal article that focused on diaper need and associated psychosocial variables was published in Pediatrics.

      Results

      Based on analysis of policy activities that occurred from 2013 to 2016 after Pediatrics published the diaper need findings, several diaper-related policy activities were identified: 1 at the city level, 11 at the state level, and 2 at the federal level. Five of the identified activities represented policy changes that were enacted or implemented.

      Conclusions

      Community coalitions can effect gender-responsive policy change by conducting and disseminating research, engaging stakeholders, and mobilizing and leveraging their networks.
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      References

        • Alegría M.
        • Chatterji P.
        • Wells K.
        • Cao Z.
        • Chen C.N.
        • Takeuchi D.
        • Meng X.L.
        Disparity in depression treatment among racial and ethnic minority populations in the United States.
        Psychiatric Services. 2008; 59: 1264
        • Blehar M.C.
        Public health context of women's mental health research.
        Psychiatric Clinics. 2003; 26: 781-799
        • Bureau of Labor Statistics
        Women in the labor force: A databook.
        Author, Washington, DC2014 (Available:) (Accessed: May 25, 2017)
        • Bureau of Labor Statistics
        Employment characteristics of families–2016, Table 5. Employment status of the population by sex, marital status, and presence and age of own children under 18, 2015–2016 annual averages.
        Author, Washington, DC2017
        • Bureau of Labor Statistics
        Employment characteristics of families–2016, Table 6. Employment status of mothers with own children under 3 years old by single year of age of youngest child and marital status, 2015-2016 annual averages.
        U.S. Department of Labor, Washington, DC2017
        • Bureau of Labor Statistics
        Women in the labor force: A databook, Table 5. Employment status, by gender, presence and age of children, race, and Hispanic or Latino ethnicity, March 2015.
        United States Department of Labor, Washington, DC2017
        • Cashman K.
        Policies like the Hygiene Assistance for Families of Infants and Toddlers Act will help the poor pay for diapers.
        2015 (Available:) (Accessed: May 1, 2017)
        • Davis C.
        • Davis K.
        • Gardner M.
        • Heimovitz H.
        • Johnson S.
        • McIntyre R.
        • Weihe M.
        Who Pays? A distributional analysis of the tax systems in all 50 states.
        2015 (Available: www.itep.org/pdf/whopaysreport.pdf. Accessed: September 30, 2016)
        • Dillon L.
        Gov. Brown vetoes bill that would have cut taxes on tampons and diapers.
        2016 (Los Angeles Times. Available:) (Accessed: September 30, 2016)
        • Fortuna L.R.
        • Alegria M.
        • Gao S.
        Retention in depression treatment among ethnic and racial minority groups in the United States.
        Depression and Anxiety. 2010; 27: 485-494
        • Glied S.
        • Kofman S.
        Women and mental health: Issues for health reform.
        Commission on Women's Health, The Commonwealth Fund, New York1995
        • Greenberg M.
        Obama administration provides crucial help to children, families and communities in FY 2017 budget.
        Health and Human Services, Administration for Children and Families, Washington, DC2016
        • Hess C.
        The Status of Women in Connecticut’s Workforce.
        Institute for Women's Policy Research, Washington D.C.2014 (Available: https://ctpcsw.files.wordpress.com/2010/07/status-of-women-in-connecticuts-workforce-2014-11.pdf. Accessed: May 24, 2017.)
        • Hess C.
        • Milli J.
        • Hayes J.
        • Hegewisch A.
        • Mayayeva Y.
        • Roman S.
        • Augeri J.
        The Status of Women in the States: 2015.
        2015 (Available:) (Accessed: May 24, 2017)
        • Hygiene Assistance for Families of Infants and Toddlers Act of 2015, H.R. 4055
        U.S. House of Representatives, 114th Congress.
        2015 (Washington, DC)
        • Jacobs A.W.
        • Hill T.D.
        • Tope D.
        • O'Brien L.K.
        Employment transitions, child care conflict, and the mental health of low-income urban women with children.
        Women's Health Issues. 2016; 26: 366-376
        • Kruse A.
        Diaper need and maternal mental health: A geographic assessment in the city of new haven (Master's Thesis).
        2013 (Yale University. Available:) (Accessed: May 30, 2017. Available from Dissertations & Theses @ Yale University; ProQuest Dissertations & Theses Global (1569212))
        • Landivar L.C.
        By the numbers: Happy Mother's Day.
        2017 (Available:) (Accessed: May 12, 2017)
        • Lundberg-Love P.K.
        • Nadal K.
        • Paludi M.A.
        Women and mental disorders.
        ABC-CLIO, Santa Barbara, CA2011
        • Massengale K.E.C.
        • Erausquin J.T.
        • Old M.
        Organizational and health promotion benefits of diaper banks and community-based organization partnerships.
        Children and Youth Services Review. 2017; 76: 112-117
        • Massengale K.E.C.
        • Erausquin J.T.
        • Old M.
        Health, social, and economic outcomes experienced by families as a result of receiving assistance from a community-based diaper bank.
        Maternal and Child Health Journal. 2017;
        • McLean C.P.
        • Asnaani A.
        • Litz B.T.
        • Hofmann S.G.
        Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness.
        Journal of Psychiatric Research. 2011; 45: 1027-1035
        • Miller J.
        • Tate L.
        Innovative Approaches to Closing the Diaper Gap. The White House.
        2016 (Available https://obamawhitehouse.archives.gov/blog/2016/12/22/innovative-approaches-closing-diaper-gap. Accessed: September 27, 2017)
        • Muntaner C.
        • Eaton W.W.
        • Miech R.
        • O’Campo P.
        Socioeconomic position and major mental disorders.
        Epidemiologic Reviews. 2004; 26: 53-62https://doi.org/10.1093/epirev/mxh001
        • Myers J.
        No vouchers for families on welfare to buy diapers after Gov. Jerry Brown vetoes plan.
        2016 (Los Angeles Times. Available:) (Accessed: September 25, 2016)
        • National Women's Law Center
        A snapshot of working mothers.
        2017 (Available:) (Accessed: June 2, 2017)
        • Pew Research Center
        Parenting in America: Outlook, worries, aspirations are strongly linked to financial situation.
        Pew Research Center, Washington D.C2015 (Available: http://www.pewsocialtrends.org/2015/12/17/parenting-in-america/. Accessed: May 24, 2017)
        • Platt J.
        • Prins S.
        • Bates L.
        • Keyes K.
        Unequal depression for equal work? How the wage gap explains gendered disparities in mood disorders.
        Social Science & Medicine. 2016; 149: 1-8
        • Smith M.V.
        • Kruse A.
        • Weir A.
        • Goldblum J.
        Diaper need and its impact on child health.
        Pediatrics. 2013; 132: 253-259
        • Smith M.V.
        • Lincoln A.K.
        Integrating social epidemiology into public health research and practice for maternal depression.
        American Journal of Public Health. 2011; 101: 990-994
        • Wang P.S.
        • Berglund P.
        • Kessler R.C.
        Recent care of common mental disorders in the United States.
        Journal of General Internal Medicine. 2000; 15: 284-292
        • Women's Bureau
        Working mothers issue brief.
        2016 (Available:) (Accessed: May 24, 2017)
        • World Health Organization
        Gender Disparities in Mental Health. Mental Health: A call for Action by World Health Ministers.
        World Health Organization, Geneva2001

      Biography

      Lori R. Wallace, PhD, MPH, is a Postdoctoral Associate at the MOMS Partnership. Her research focuses on mental health outcomes among minority populations and on understanding how factors at different levels of influence interact to impact disorder risk.

      Biography

      Alison M. Weir, PhD, JD, is Chief of Policy, Research, and Analysis, National Diaper Bank Network. She has been a lawyer in private practice, a Lieutenant Colonel in the Air Force, an instructor at the U.S. Air Force Academy, a speechwriter, and a Supreme Court Fellow.

      Biography

      Megan V. Smith, DrPH, MPH, is Associate Professor, Departments of Psychiatry and Child Study Center, Yale School of Medicine; and Chronic Disease Epidemiology & Social & Behavioral Social Sciences, Yale School of Public Health. She is the Founder and Director of the MOMS Partnership.