Alina S. Schnake-Mahl (
Gabriella O'Leary, Drexel University.
Health Aff (Millwood). 2022 Nov;41(11):1565-1574. doi: 10.1377/hlthaff.2022.00779.
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.
带薪病假为工人提供了带薪休假时间，以接种 COVID-19 疫苗并从潜在的疫苗副作用中恢复。我们假设，提供带薪病假的美国城市的 COVID-19 疫苗接种率会更高，且覆盖范围的差距会小于没有此类政策的城市。我们使用了 2021 年来自美国 37 个大城市的县级疫苗接种数据和带薪病假数据，估计了市级带薪病假政策与工作年龄人群疫苗接种率之间的关联，并使用 65 岁及以上人群的疫苗接种率作为负对照重复了该分析。我们还通过社区社会脆弱性检验了关联。有带薪病假政策的城市的疫苗接种率比没有此类政策的城市高 17%。我们发现，与最不脆弱的社区相比，带薪病假与疫苗接种之间的关联在社会最脆弱的社区中更强，而在 65 岁及以上人群中则没有关联。带薪病假政策与更高的 COVID-19 疫苗接种率和更窄的覆盖范围差距有关。增加获得这些政策的机会可能有助于提高疫苗接种率并减少覆盖范围的不平等。
