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Unavailability of paid sick leave among parents is a barrier for children's utilization of nonemergency health services: Evidence from the National Health Interview Survey

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  • Brayan V. Seixas
  • James Macinko

Abstract

Objective To assess the association between availability of paid sick leave among parents and children's use of several distinct types of nonurgent health services and emergency care. Methods Using pooled 2013 to 2017 data from the National Health Interview Survey (NHIS), we created dyadic units of observation linking adults with their children (n = 21 235). Descriptive statistics, logistic regressions for binary outcomes, and regular and zero‐inflated negative binomial regressions for count outcomes assessed the relationship between parental coverage by paid sick leave benefits and 12 dependent variables related to health care utilization. Regression analyses controlled for a set of child, parent, and family covariates. Results Overall, 58.3% of individuals in our sample reported having paid sick leave in their current or latest job. There are substantial disparities in availability of paid sick leave in terms of parent sex, race, education, and income. Controlling for covariates, the odds of children with at least one parent with access to paid sick leave having any visit to a medical office in the past 12 months are 27% higher than for children whose parents do not have this benefit. Similar positive associations were observed for general doctor visit (OR = 1.18, 95%CI: 1.05‐1.32), mental health professional visit (OR = 1.19, 95%CI: 1.01‐1.42), and receipt of flu vaccination (OR = 1.21, 95%CI: 1.11‐1.33). There was no statistically significant association with emergency room use, once covariates were controlled. Conclusions Availability of paid sick leave among parents is associated with increased children's utilization of nonemergency health services and primary care.

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  • Brayan V. Seixas & James Macinko, 2020. "Unavailability of paid sick leave among parents is a barrier for children's utilization of nonemergency health services: Evidence from the National Health Interview Survey," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(5), pages 1083-1097, September.
    • Handle: RePEc:bla:ijhplm:v:35:y:2020:i:5:p:1083-1097
    DOI: 10.1002/hpm.2988
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    References listed on IDEAS

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    1. Jody Heymann & Hye Jin Rho & John Schmitt & Alison Earle, 2009. "Contagion Nation: A Comparison of Paid Sick Day Policies in 22 Countries," CEPR Reports and Issue Briefs 2009-19, Center for Economic and Policy Research (CEPR).
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    1. Johanna Catherine Maclean & Sabrina Wulff Pabilonia, 2024. "Paid Sick Leave and Childcare," NBER Working Papers 32710, National Bureau of Economic Research, Inc.

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