How does paid sick leave relate to health care affordability and poverty among US workers?

Soc Work Health Care. 2018 May-Jun;57(5):376-392. doi: 10.1080/00981389.2018.1447532. Epub 2018 Mar 12.

Abstract

Secondary data analysis on the 2015 National Health Interview Survey was conducted to determine if having paid sick leave increases the odds of being able to afford specific health care goods and services, and not having access to paid sick leave increases the odds of being in poverty, being food insecure and having elevated medical costs among a representative sample of US workers age 18-64. We found a statistically significant association between paid sick leave and ability to afford dental care, eyeglasses and prescription medication. Workers who lack paid sick leave are more likely than those with paid sick leave to be in poverty and have high medical costs. In conclusion, we found a relationship between paid sick leave benefits and being able to afford needed healthcare services and goods and being more vulnerable to economic hardship.

Keywords: Dental care; eyeglasses; health care costs; poverty; prescriptions; sick leave.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Health Care Costs / statistics & numerical data*
  • Health Services Accessibility / economics*
  • Health Services Accessibility / statistics & numerical data*
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Poverty / statistics & numerical data
  • Sick Leave / statistics & numerical data*
  • United States / epidemiology