DeRigne LeaAnne, Stoddard-Dare Patricia, Collins Cyleste, Bai Rong
Sandler School of Social Work, Florida Atlantic University, United States.
School of Social Work, Cleveland State University, United States.
Policy Polit Nurs Pract. 2020 Aug;21(3):164-173. doi: 10.1177/1527154420937659. Epub 2020 Jul 5.
Having asthma is a chronic condition that requires both acute and preventive care as a vital component of asthma action plans. This study looks at how having access to paid sick leave days may be important to adherence to asthma action plans. Does having paid sick days facilitate preventive care, help people avoid acute asthma incidents, reduce the number of lost work days, reduce the cost of care, and lessen financial worry among asthma sufferers? This research builds on a growing body of literature that has established a relationship between paid sick leave days and preventive and acute health care use and outcomes and yet is the first of its kind to examine the relationship specifically between asthma and paid sick leave. This study used secondary data analysis to examine the relationship between six outcome variables categories and having paid sick leave in a nationally representative sample of = 1,676 working U.S. adults in the National Health Interview Survey. Workers without paid sick leave benefits were significantly more likely to report they were worried about finances and struggle to afford their prescription medication compared to their counterparts who have paid sick leave benefits. Examined in light of past findings, workers with asthma who lack paid sick leave are in a precarious situation where they have increased worry likely due in part to reduced take-home pay due to unpaid sick days and increased medical expenses. There was no relationship between having paid sick leave and the receipt of preventive asthma care, measures of asthma control, receipt of patient education, and asthma medication use. Implications for policy and practice are put forth.
患有哮喘是一种慢性疾病，需要将急性护理和预防性护理作为哮喘行动计划的重要组成部分。本研究探讨了享有带薪病假对遵守哮喘行动计划可能有多重要。享有带薪病假是否有助于预防性护理，帮助人们避免急性哮喘发作，减少误工天数，降低护理成本，并减轻哮喘患者的经济担忧？这项研究建立在越来越多的文献基础之上，这些文献已经确立了带薪病假与预防性和急性医疗保健的使用及结果之间的关系，但它是同类研究中首个专门研究哮喘与带薪病假之间关系的。本研究使用二次数据分析，在全国健康访谈调查中一个具有全国代表性的、由1676名在职美国成年人组成的样本中，检验六个结果变量类别与享有带薪病假之间的关系。与享有带薪病假福利的同事相比，没有带薪病假福利的员工更有可能报告他们担心财务问题，难以负担处方药费用。根据过去的研究结果来看，缺乏带薪病假的哮喘患者处境艰难，他们的担忧增加，部分原因可能是无薪病假导致实得工资减少，以及医疗费用增加。享有带薪病假与接受哮喘预防性护理、哮喘控制措施、接受患者教育以及使用哮喘药物之间没有关系。本文还提出了对政策和实践的启示。
