Paid sick leave and preventive health care service use among U.S. working adults

Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and receiving preventive health care services, and hypothesized that those without paid sick leave would be less likely to obtain a range of preventive care...

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Veröffentlicht in:	Preventive medicine Jg. 99; S. 58 - 62
Hauptverfasser:	DeRigne, LeaAnne, Stoddard-Dare, Patricia, Collins, Cyleste, Quinn, Linda
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Elsevier Inc 01.06.2017
Schlagworte:	Adult Blood Glucose - analysis Blood pressure Blood Pressure Determination Cholesterol Early Detection of Cancer Fasting blood sugar Female Flu shots Health Services Accessibility Humans Influenza Vaccines - administration & dosage Internal Medicine Male Pap smears Preventive health services Preventive Health Services - statistics & numerical data Preventive Health Services - utilization Sick Leave - statistics & numerical data Sick leave policy United States Sick leave policy Pap smears Flu shots Blood pressure Cholesterol Fasting blood sugar Preventive health services P reventive health services B lood pressure C holesterol P ap smears F asting blood sugar S ick leave policy F lu shots
ISSN:	0091-7435, 1096-0260
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Abstract	Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and receiving preventive health care services, and hypothesized that those without paid sick leave would be less likely to obtain a range of preventive care services. In 2016, cross-sectional data from a sample of 13,545 adults aged 18–64 with current paid employment from the 2015 National Health Interview Survey (NHIS) were examined to determine the relationship between having paid sick leave and obtaining eight preventive care services including: (1) blood pressure check; (2) cholesterol check; (3) fasting blood sugar check; (4) having a flu shot; (5) having seen a doctor for a medical visit; (6) getting a Pap test; (7) getting a mammogram; (8) getting tested for colon cancer. Findings from multivariable logistic regressions, holding 10 demographic, work, income, and medical related variables stable, found respondents without paid sick leave were significantly less likely to report having used six of eight preventive health services in the last 12months. The significant findings remained robust even for workers who had reported having been previously told they had risk factors related to the preventive services. These findings support the idea that without access to paid sick leave, American workers risk foregoing preventive health care which could lead to the need for medical care at later stages of disease progression and at a higher cost for workers and the American health care system as a whole. •Paid sick leave is investigated as an enabling factor to receiving preventive health services.•Workers without paid sick leave were less likely to have received preventive health services.•Workers without paid sick leave were less likely to have received a flu shot.•Workers without paid sick leave were less likely to have had a pap smear.
AbstractList	Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and receiving preventive health care services, and hypothesized that those without paid sick leave would be less likely to obtain a range of preventive care services. In 2016, cross-sectional data from a sample of 13,545 adults aged 18–64 with current paid employment from the 2015 National Health Interview Survey (NHIS) were examined to determine the relationship between having paid sick leave and obtaining eight preventive care services including: (1) blood pressure check; (2) cholesterol check; (3) fasting blood sugar check; (4) having a flu shot; (5) having seen a doctor for a medical visit; (6) getting a Pap test; (7) getting a mammogram; (8) getting tested for colon cancer. Findings from multivariable logistic regressions, holding 10 demographic, work, income, and medical related variables stable, found respondents without paid sick leave were significantly less likely to report having used six of eight preventive health services in the last 12months. The significant findings remained robust even for workers who had reported having been previously told they had risk factors related to the preventive services. These findings support the idea that without access to paid sick leave, American workers risk foregoing preventive health care which could lead to the need for medical care at later stages of disease progression and at a higher cost for workers and the American health care system as a whole. •Paid sick leave is investigated as an enabling factor to receiving preventive health services.•Workers without paid sick leave were less likely to have received preventive health services.•Workers without paid sick leave were less likely to have received a flu shot.•Workers without paid sick leave were less likely to have had a pap smear. Abstract Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and receiving preventive health care services, and hypothesized that those without paid sick leave would be less likely to obtain a range of preventive care services. In 2016, cross-sectional data from a sample of 13,545 adults aged 18 – 64 with current paid employment from the 2015 National Health Interview Survey (NHIS) were examined to determine the relationship between having paid sick leave and obtaining eight preventive care services including: (1) blood pressure check; (2) cholesterol check; (3) fasting blood sugar check; (4) having a flu shot; (5) having seen a doctor for a medical visit; (6) getting a Pap test; (7) getting a mammogram; (8) getting tested for colon cancer. Findings from multivariable logistic regressions, holding 10 demographic, work, income, and medical related variables stable, found respondents without paid sick leave were significantly less likely to report having used six of eight preventive health services in the last 12 months. The significant findings remained robust even for workers who had reported having been previously told they had risk factors related to the preventive services. These findings support the idea that without access to paid sick leave, American workers risk foregoing preventive health care which could lead to the need for medical care at later stages of disease progression and at a higher cost for workers and the American health care system as a whole. Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and receiving preventive health care services, and hypothesized that those without paid sick leave would be less likely to obtain a range of preventive care services. In 2016, cross-sectional data from a sample of 13,545 adults aged 18-64 with current paid employment from the 2015 National Health Interview Survey (NHIS) were examined to determine the relationship between having paid sick leave and obtaining eight preventive care services including: (1) blood pressure check; (2) cholesterol check; (3) fasting blood sugar check; (4) having a flu shot; (5) having seen a doctor for a medical visit; (6) getting a Pap test; (7) getting a mammogram; (8) getting tested for colon cancer. Findings from multivariable logistic regressions, holding 10 demographic, work, income, and medical related variables stable, found respondents without paid sick leave were significantly less likely to report having used six of eight preventive health services in the last 12months. The significant findings remained robust even for workers who had reported having been previously told they had risk factors related to the preventive services. These findings support the idea that without access to paid sick leave, American workers risk foregoing preventive health care which could lead to the need for medical care at later stages of disease progression and at a higher cost for workers and the American health care system as a whole.
Author	Stoddard-Dare, Patricia Collins, Cyleste DeRigne, LeaAnne Quinn, Linda
Author_xml	– sequence: 1 givenname: LeaAnne surname: DeRigne fullname: DeRigne, LeaAnne email: lderigne@fau.edu organization: School of Social Work, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, United States – sequence: 2 givenname: Patricia surname: Stoddard-Dare fullname: Stoddard-Dare, Patricia email: p.stoddarddare@csuohio.edu organization: School of Social Work, Cleveland State University, 2121 Euclid Ave, Cleveland, OH 44115, United States – sequence: 3 givenname: Cyleste surname: Collins fullname: Collins, Cyleste email: c.c.collins44@csuohio.edu organization: School of Social Work, Cleveland State University, 2121 Euclid Ave, Cleveland, OH 44115, United States – sequence: 4 givenname: Linda surname: Quinn fullname: Quinn, Linda email: l.quinn@csuohio.edu organization: Department of Mathematics, Cleveland State University, 2121 Euclid Ave, Cleveland, OH 44115, United States
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/28189802$$D View this record in MEDLINE/PubMed
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Keywords	Sick leave policy Pap smears Flu shots Blood pressure Cholesterol Fasting blood sugar Preventive health services P reventive health services B lood pressure C holesterol P ap smears F asting blood sugar S ick leave policy F lu shots
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Snippet	Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and receiving... Abstract Managing work and health care can be a struggle for many American workers. This paper explored the relationship between having paid sick leave and...
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SubjectTerms	Adult Blood Glucose - analysis Blood pressure Blood Pressure Determination Cholesterol Early Detection of Cancer Fasting blood sugar Female Flu shots Health Services Accessibility Humans Influenza Vaccines - administration & dosage Internal Medicine Male Pap smears Preventive health services Preventive Health Services - statistics & numerical data Preventive Health Services - utilization Sick Leave - statistics & numerical data Sick leave policy United States
Title	Paid sick leave and preventive health care service use among U.S. working adults
URI	https://www.clinicalkey.com/#!/content/1-s2.0-S0091743517300440 https://www.clinicalkey.es/playcontent/1-s2.0-S0091743517300440 https://dx.doi.org/10.1016/j.ypmed.2017.01.020 https://www.ncbi.nlm.nih.gov/pubmed/28189802 https://www.proquest.com/docview/1867984904
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