Respiratory Syncytial Virus Bronchiolitis Hospitalizations in Young Infants After the Introduction of Paid Family Leave in New York State, 2015-2019
Respiratory Syncytial Virus Bronchiolitis Hospitalizations in Young Infants After the Introduction of Paid Family Leave in New York State, 2015-2019
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DOI：
10.2105/ajph.2021.306559
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发表时间：
2022-02-01
影响因子：
12.7
通讯作者：
Ahrens, Katherine A.
中科院分区：
文献类型：
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作者：
Hutcheon, Jennifer A.;Janevic, Teresa;Ahrens, Katherine A.
目标.为了确定2018年1月1日纽约州8周带薪家庭假政策的引入是否降低了婴幼儿呼吸道合胞病毒（RSV）细支气管炎或任何急性下呼吸道感染的住院率。我们使用2015年10月至2019年12月基于纽约州人口的所有付款人医院出院记录进行了中断时间序列分析。我们估计了在引入带薪家庭假后，8周或8周以下婴儿中RSV细支气管炎和任何急性下呼吸道感染的每月住院率的变化，同时控制了时间趋势和RSV季节性。我们对1岁婴儿的RSV住院率进行建模作为对照。引入带薪家事假后，RSV细支气管炎和任何急性下呼吸道感染的住院率下降了30%（率比[RR] = 0.71; 95%置信区间[CI] = 0.54，0.94; RR = 0.72; 95% CI = 0.59，0.88）。1岁婴儿则没有这种降低（RR = 0.98; 95%CI = 0.72，1.33; RR = 1.17; 95%CI = 1.03，1.32）。国家带薪家庭假与婴幼儿RSV相关住院率降低相关。
Objectives. To determine if the introduction of New York State's 8-week paid family leave policy on January 1, 2018, reduced rates of hospitalizations with respiratory syncytial virus (RSV) bronchiolitis or any acute lower respiratory tract infection among young infants.Methods. We conducted an interrupted time series analysis using New York State population-based, all-payer hospital discharge records, October 2015 to December 2019. We estimated the change in monthly hospitalization rates for RSV bronchiolitis and for any acute lower respiratory tract infection among infants aged 8 weeks or younger after the introduction of paid family leave while controlling for temporal trends and RSV seasonality. We modeled RSV hospitalization rates in infants aged 1 year as a control.Results. Hospitalization rates for RSV bronchiolitis and any acute lower respiratory tract infection decreased by 30% after the introduction of paid family leave (rate ratio [RR] = 0.71; 95% confidence interval [CI] = 0.54, 0.94; and RR = 0.72; 95% CI = 0.59, 0.88, respectively). There were no such reductions in infants aged 1 year (RR = 0.98; 95% CI = 0.72, 1.33; and RR = 1.17; 95% CI = 1.03, 1.32, respectively).Conclusions. State paid family leave was associated with fewer RSV-associated hospitalizations in young infants.