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Paid sick days and health care use: An analysis of the 2007 national health interview survey data

2011; Wiley; Volume: 54; Issue: 10 Linguagem: Inglês

10.1002/ajim.20988

1097-0274

Won Kim Cook,

Employment and Welfare Studies

American Journal of Industrial MedicineVolume 54, Issue 10 p. 771-779 Research Article Paid sick days and health care use: An analysis of the 2007 national health interview survey data† Won Kim Cook PhD, MPH, Corresponding Author Won Kim Cook PhD, MPH [email protected] Alcohol Research Group, Public Health Institute, Emeryville, CAAlcohol Research Group, Public Health Institute, 6475 Christie Avenue, Suite 400, Emeryville, CA 94608-1010.Search for more papers by this author Won Kim Cook PhD, MPH, Corresponding Author Won Kim Cook PhD, MPH [email protected] Alcohol Research Group, Public Health Institute, Emeryville, CAAlcohol Research Group, Public Health Institute, 6475 Christie Avenue, Suite 400, Emeryville, CA 94608-1010.Search for more papers by this author First published: 14 July 2011 https://doi.org/10.1002/ajim.20988Citations: 18 † Disclosure Statement: The authors report no conflicts of interests. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Background In identifying factors of health care use, past research has focused on individual-level characteristics or on the health care system itself. This study investigates whether access to paid sick days, an amenable environmental factor outside the health care system, is associated with primary and emergency care use. Methods A nationally representative sample of 14,302 U.S. working adults extracted from the 2007 National Health Interview Survey data was used. Multiple logistic regressions were performed, controlling for demographic variables, health conditions and status, and access to health care. Results Workers with lower socioeconomic status, poorer health status, or without health insurance or regular places for care were more likely to lack paid sick days than higher-status workers. For all U.S. working adults, access to paid sick days benefits was significantly associated with increased use of outpatient care but not with reduced use of ER. For U.S. working adults with health insurance coverage, access to paid sick days benefits was significantly associated with increased use of outpatient care and reduced use of emergency care. 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