Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.
Harvard Kennedy School, Harvard University, Cambridge, Massachusetts, USA.
Am J Ind Med. 2023 Nov;66(11):928-937. doi: 10.1002/ajim.23533. Epub 2023 Aug 28.
Access to paid family and medical leave (PFML), including leave to care for a seriously ill loved one or recover from one's own serious illness, conveys health and economic benefits for workers and their families. However, without a national PFML policy, access to paid leave remains limited and unequal. Previous work documenting inequitable access by socioeconomic status and race/ethnicity primarily focuses on parental leave, measures theoretical access to paid leave rather than actual leave uptake, and lacks an accounting for why workers of color and women may have less access to PFML. We extend this literature by looking at leave-taking for medical needs or caregiving among a high-risk population during the COVID-19 pandemic.
We draw on data from 2595 service-sector workers surveyed by the Shift Project in 2020 and 2021 to estimate inequities in leave uptake among workers who experienced qualifying events. We then estimate the relative importance of worker demographic characteristics, qualifying event types (medical vs. caregiving leave), proxies for access to state and employer PFML policies, job characteristics, and ultimately within-firm differences to these gaps.
Overall, one-fifth of workers reported sufficient leave. Women are significantly more likely than men to report insufficient or no leave. Hispanic and Black workers are more likely to take insufficient or no leave, respectively, but these differences were attenuated when controlling for covariates.
The dearth of PFML laws leaves women and workers of color without access to leave that is paid and of sufficient duration when facing a qualifying event.
获得有薪酬的家庭和医疗假(PFML),包括照顾重病亲人或从自身重病中恢复的假期,可为工人及其家庭带来健康和经济利益。然而,由于缺乏全国性的 PFML 政策,有薪酬休假的机会仍然有限且不平等。以前的工作主要集中在父母假方面,记录了社会经济地位和种族/民族方面的不平等获得情况,衡量了获得有薪酬休假的理论机会,而不是实际休假的采用情况,并且没有说明为什么有色人种工人和女性可能较少获得 PFML。我们通过在 COVID-19 大流行期间研究高风险人群的医疗需求或护理休假,扩展了这一文献。
我们利用 2020 年和 2021 年 Shift 项目调查的 2595 名服务行业工人的数据,估计经历合格事件的工人在休假采用方面的不平等情况。然后,我们估计工人人口特征、合格事件类型(医疗假与护理假)、获得州和雇主 PFML 政策的代理、工作特征,以及最终对这些差距的公司内部差异的相对重要性。
总体而言,五分之一的工人报告有足够的休假时间。女性报告休假不足或没有休假的可能性明显高于男性。西班牙裔和黑人工人分别更有可能休假不足或没有休假,但在控制了协变量后,这些差异减弱了。
缺乏 PFML 法律使得女性和有色人种工人在面临合格事件时无法获得有薪酬且持续时间足够的休假。