Dataset Information

Opting Out and Buying Out: Wives' Earnings and Housework Time.

ABSTRACT: It has been proposed that the negative association between wives' earnings and their time in housework is due to greater outsourcing of household labor by households with high-earning wives, but this hypothesis has not been tested directly. In a sample of dual-earner married couples in the Consumption and Activities Mail Survey of the Health and Retirement Study (N = 796), use of market substitutes for women's housework was found to be only weakly associated with wives' time cooking and cleaning. Furthermore, expenditures on market substitutes explain less than 15% of the earnings-housework time relationship. This suggests that use of market substitutes plays a smaller role in explaining variation in wives' time in household labor than has previously been hypothesized.

SUBMITTER: Killewald A

PROVIDER: S-EPMC3205086 | biostudies-literature | 2011 Apr

REPOSITORIES: biostudies-literature

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Opting Out and Buying Out: Wives' Earnings and Housework Time.

Killewald Alexandra A

Journal of marriage and the family 20110401 2

It has been proposed that the negative association between wives' earnings and their time in housework is due to greater outsourcing of household labor by households with high-earning wives, but this hypothesis has not been tested directly. In a sample of dual-earner married couples in the Consumption and Activities Mail Survey of the Health and Retirement Study (N = 796), use of market substitutes for women's housework was found to be only weakly associated with wives' time cooking and cleaning ...[more]

PMID: 22053115

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Project description:ImportanceHealth care systems deliver automated text or telephone messages to remind patients of appointments and to provide health information. Patients who receive multiple messages may demonstrate message fatigue by opting out of future messages.ObjectiveTo assess whether the volume of automated text or interactive voice response (IVR) telephone messages is associated with the likelihood of patients requesting to opt out of future messages.Design, setting, and participantsThis retrospective cohort study was conducted at Kaiser Permanente Colorado (KPCO), an integrated health care system. All adult members who received 1 or more automated text or IVR message between October 1, 2018, and September 30, 2019, were included.ExposuresReceipt of automated text or IVR messages.Main outcomes and measuresMessage volume and opt-out rates obtained from messaging systems over 1 year.ResultsOf the 428 242 adults included in this study, 59.7% were women, and 66.5% were White; the mean (SD) age was 52.3 (17.7) years. During the study period, 84.1% received 1 or more text messages (median, 4 messages; interquartile range, 2-8 messages) and 67.8% received 1 or more IVR messages (median, 3 messages; interquartile range, 1-6 messages). A total of 8929 individuals (2.5%) opted out of text messages, and 4392 (1.5%) opted out of IVR messages. In multivariable analyses, individuals who received 10 to 19.9 or 20 or more text messages per year had higher opt-out rates for text messages compared with those who received fewer than 2 messages per year (adjusted odds ratio [aOR]: 10-19.9 vs <2 messages, 1.27 [95% CI, 1.17-1.38]; ≥20 vs <2 messages, 3.58 [95% CI, 3.28-3.91]), whereas opt-out rates increased progressively in association with IVR message volume, with the highest rates among individuals who received 10.0 to 19.9 messages (aOR, 11.11; 95% CI, 9.43-13.08) or 20.0 messages or more (aOR, 49.84; 95% CI, 42.33-58.70). Individuals opting out of text messages were more likely to opt out of IVR messages (aOR, 4.07; 95% CI, 3.65-4.55), and those opting out of IVR messages were more likely to opt out of text messages (aOR, 5.92; 95% CI, 5.29-6.61).Conclusions and relevanceIn this cohort study among adult members of an integrated health care system, requests to discontinue messages were associated with greater message volume. These findings suggest that, to preserve the benefits of automated outreach, health care systems should use these messages judiciously to reduce message fatigue.

Dataset Information

Opting Out and Buying Out: Wives' Earnings and Housework Time.

Publications

Opting Out and Buying Out: Wives' Earnings and Housework Time.

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