Paid sick leave and preventive health care service use among US working adults
Paid sick leave and preventive health care service use among US working adults
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DOI：
10.1016/j.ypmed.2017.01.020
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发表时间：
2017-06-01
影响因子：
5.1
通讯作者：
Quinn, Linda
中科院分区：
文献类型：
--
作者：
DeRigne, LeaAnne;Stoddard-Dare, Patricia;Quinn, Linda
对许多美国工人来说，管理工作和医疗保健可能是一场斗争。本文探讨了有带薪病假和接受预防保健服务之间的关系，并假设没有带薪病假的人获得一系列预防保健服务的可能性较小。2016年，来自13个样本的横截面数据，来自2015年全国健康访谈调查（NHIS）的545名年龄在18-64岁的成年人，目前有薪就业研究有薪病假与八项预防保健服务的关系，包括：（1）血压检查，（2）胆固醇检查，（3）空腹血糖检查;（4）注射流感疫苗;（5）看过医生;（6）做巴氏试验;（7）做乳房X光检查;（8）进行结肠癌检查。多变量logistic回归的结果，保持10个人口统计学，工作，收入和医疗相关变量稳定，没有带薪病假的受访者报告在过去12个月内使用了八项预防性健康服务中的六项的可能性要小得多。这些重要的研究结果仍然是强大的，即使是工人谁曾报告说，他们已经被告知有风险因素有关的预防性服务。这些研究结果支持的想法，没有获得带薪病假，美国工人的风险放弃预防性医疗保健，这可能会导致需要医疗保健在后期的疾病进展和工人和美国的医疗保健系统作为一个整体的成本更高。(C)2017爱思唯尔公司All rights reserved.
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. (C) 2017 Elsevier Inc. All rights reserved.