MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Rural/urban differences in access to paid sick leave among full-time workers

Citation Type: Journal Article

Publication Year: 2022

ISSN: 1748-0361

DOI: 10.1111/JRH.12703

Abstract: Purpose: Access to paid sick leave is critically important to promoting good health, caregiving, and stopping the spread of disease. In this study, we estimate whether access to paid sick leave among US full-time workers differs between rural and urban residents. Methods: We used data from the 2020 National Health Interview Survey and included adult respondents between the ages of 18 and 64 who were employed full-time (n = 12,086). We estimated bivariate differences in access to paid sick leave by rural/urban residence, and then calculated the predicted probability of access to paid sick leave, adjusting for sociodemographic and health characteristics, across different education levels. Findings: We find a nearly 10-percentage point difference in access to paid sick leave between rural and urban adults (68.1% vs 77.1%, P<.001). The difference in access to paid sick leave between rural and urban residents remained significant even after adjusting for sociodemographic and health characteristics. The fully adjusted predicted probability of paid sick leave for rural full-time workers was 69.8%, compared with 76.4% for urban full-time workers (P<.001). We also identified lower levels of paid leave for rural (vs urban) workers within each educational category. Conclusions: Full-time workers in rural areas have less access to paid sick leave than full-time workers in urban areas. Without access to paid sick leave, rural and urban residents may go to work while contagious or forego necessary health care. Left to individual employers or localities, rural inequities in access to paid sick leave will likely persist. K E Y W O R D S chronic conditions, COVID-19, employment, paid sick leave This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Url: https://onlinelibrary.wiley.com/doi/full/10.1111/jrh.12703

Url: https://onlinelibrary.wiley.com/doi/abs/10.1111/jrh.12703

Url: https://onlinelibrary.wiley.com/doi/10.1111/jrh.12703

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Authors: Henning-Smith, Carrie; Dill, Janette; Baldomero, Arianne; Kozhimannil, Katy Backes

Periodical (Full): The Journal of Rural Health

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