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Higher COVID-19 Vaccination And Narrower Disparities In US Cities With Paid Sick Leave Compared To Those Without
Schnake-Mahl, Alina S. O'Leary, Gabriella Skinner, Alexandra Kolker, Jennifer Roux, Ana V. Diez Raifman, Julia R. Bilal, Usama
Schnake-Mahl, Alina S.
O'Leary, Gabriella
Skinner, Alexandra
Kolker, Jennifer
Roux, Ana V. Diez
Raifman, Julia R.
Bilal, Usama
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Journal article
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2022-11-01
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Health Services Administration and Policy
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http://dx.doi.org/10.1377/hlthaff.2022.00779
Abstract
Paid sick leave provides workers with paid time off to receive COVID-19 vaccines and to recover from potential vaccine adverse effects. We hypothesized that US cities with paid sick leave would have higher COVID-19 vaccination coverage and narrower coverage disparities than those without such policies. Using county-level vaccination data and paid sick leave data from thirty-seven large US cities in 2021, we estimated the association between city-level paid sick leave policies and vaccination coverage in the working-age population and repeated the analysis using coverage in the population ages sixty-five and older as a negative control. We also examined associations by neighborhood social vulnerability. Cities with a paid sick leave policy had 17 percent higher vaccination coverage than cities without such a policy. We found stronger associations between paid sick leave and vaccination in the most socially vulnerable neighborhoods compared with the least socially vulnerable ones, and no association in the population ages sixty-five and older. Paid sick leave policies are associated with higher COVID-19 vaccination coverage and narrower coverage disparities. Increasing access to these policies may help increase vaccination and reduce inequities in coverage.
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Higher COVID-19 Vaccination And Narrower Disparities In US Cities With Paid Sick Leave Compared To Those Without
Alina S. Schnake-Mahl, Gabriella O’Leary, Pricila H. Mullachery, Alexandra Skinner, Jennifer Kolker, Ana V. Diez Roux, Julia R. Raifman, and Usama Bilal
Health Affairs 2022 41:11, 1565-1574
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Health Affairs, Vol. 41, No. 11
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