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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Vydáno v:Preventive medicine Ročník 99; s. 58 - 62
Hlavní autoři: DeRigne, LeaAnne, Stoddard-Dare, Patricia, Collins, Cyleste, Quinn, Linda
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.06.2017
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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
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  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
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– 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
Language English
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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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StartPage 58
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
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https://dx.doi.org/10.1016/j.ypmed.2017.01.020
https://www.ncbi.nlm.nih.gov/pubmed/28189802
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