Lundstrom Eric W, Asfaw Abay, Tsai Rebecca
Eric W. Lundstrom is with the Epidemic Intelligence Service, Centers for Disease Control and Prevention (CDC), and the Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, OH. Rebecca Tsai is with the Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati. Abay Asfaw is with the Economic Research and Support Office, National Institute for Occupational Safety and Health, Washington, DC.
Am J Public Health. 2025 Aug;115(8):1308-1311. doi: 10.2105/AJPH.2025.308095. Epub 2025 May 22.
To measure the associations between access to paid sick leave (PSL) and COVID-19 vaccination status in the United States, both overall and stratified by occupation and industry of employment. We extracted data on employed adults aged 18 to 64 years from the 2021 and 2022 US Medical Expenditure Panel Survey. We assessed associations between PSL and COVID-19 vaccination status using logistic regression. We used marginal effects analyses to estimate associations within occupation and industry groups. Our analytic sample (n = 15 089) represented more than 114 million employed US adults. Access to PSL was significantly associated with receipt of a COVID-19 vaccination (adjusted odds ratio = 1.33; 95% confidence interval = 1.14, 1.55). Marginal effects analyses indicated that this association was significant within most occupation and industry groups. These findings suggest PSL is associated with higher COVID-19 vaccination rates among US workers. PSL remains an important tool for improving preventive health care access and reducing rates of infectious disease in the United States. (. 2025;115(8):1308-1311. https://doi.org/10.2105/AJPH.2025.308095).
为了衡量美国带薪病假（PSL）的可获得性与新冠病毒疫苗接种状况之间的关联，包括总体关联以及按职业和就业行业分层的关联。我们从2021年和2022年美国医疗支出面板调查中提取了18至64岁就业成年人的数据。我们使用逻辑回归评估了带薪病假与新冠病毒疫苗接种状况之间的关联。我们使用边际效应分析来估计职业和行业组内的关联。我们的分析样本（n = 15089）代表了超过1.14亿美国就业成年人。带薪病假的可获得性与新冠病毒疫苗接种显著相关（调整后的优势比 = 1.33；95%置信区间 = 1.14, 1.55）。边际效应分析表明，这种关联在大多数职业和行业组中都很显著。这些发现表明，带薪病假与美国工人中较高的新冠病毒疫苗接种率相关。带薪病假仍然是改善美国预防性医疗保健可及性和降低传染病发病率的重要工具。（. 2025;115(8):1308 - 1311. https://doi.org/10.2105/AJPH.2025.308095）
