Paid Sick Leave Mandates and Cancer Prevention

带薪病假规定和癌症预防

基本信息

批准号：
10457267
负责人：
Kevin Callison
金额：
$ 26.77万
依托单位：
TULANE UNIVERSITY OF LOUISIANA
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-05 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10457267
关键词：
Address Adherence Adult Advisory Committees Affect Affordable Care Act Age Breast Cancer Detection Cancer Detection Caring Centers for Disease Control and Prevention (U.S.)Chantix Cities Colonoscopy Colorectal Colorectal Cancer Computed Tomographic Colonography Congresses Cost Sharing Counseling County Data Databases Developed Countries Diagnostic Drug Prescriptions Early Diagnosis Econometric Models Exhibits Exposure to Family Feces Flexible fiberoptic sigmoidoscopy Health Health Expenditures Health Professional Improve Access Individual Knowledge Life Link Mammography Medical Methods Modeling Municipalities National Health Interview Survey Occupations Persons Pharmaceutical Preparations Policies Preventive care Preventive service Provider Quality of life Quasi-experiment Recommendation Regulation Reporting Research Research Design Screening for cancer Series Services Sick Leave Smoker Smoking Cessation Intervention Statutes and Laws Techniques Testing Time Tobacco Use Cessation Tobacco use United States Wages Woman Work Zyban base cancer prevention cancer type care systems colorectal cancer screening econometrics health care availability improved malignant breast neoplasm population health preventable death prevention service screening screening guidelines smoking cessation

项目摘要

PROJECT SUMMARY/ABSTRACT We propose to estimate the causal effect of paid sick leave mandates on the use of cancer prevention services including screenings for breast and colorectal cancers, smoking cessation counseling, and smoking cessation medications. Though the benefits of breast cancer screening, colorectal cancer screening, and smoking cessation services are significant and well-known, current use of these services remains below recommended levels. Work commitments and the prospect of lost wages are known factors contributing to delays in seeking medical care. Paid sick leave, which allows workers paid time away from their job, mitigates these concerns and has the potential increase access to health care professionals. Recently, 8 states and 25 cities and counties have enacted legislation requiring employers to provide paid sick leave benefits to their workers. However, a causal relationship between paid sick leave mandates and use of cancer prevention services has yet to be established. In a preliminary study, we show that these mandates led to increased access to paid sick leave benefits among previously uncovered workers. We now seek to determine whether the expansion of paid sick leave increases the use of cancer prevention services and adherence to recommended cancer screenings. Our objective for this project is to estimate the effect of paid sick leave mandates on rates of breast cancer screenings (Aim #1: screening and diagnostic mammography and adherence to ACS and USPSTF recommendations), colorectal cancer screenings (Aim #2: colonoscopy, CT colonography, flexible sigmoidoscopy, and stool-based screenings), and smoking cessation services (Aim #3: smoking cessation counseling and prescription fills for smoking cessation medication). We will accomplish our objective by combining information on paid sick leave mandates with medical and prescription drug claims covering 50 million life-years over a ten-year period from the Truven Health Analytics MarketScan® Commercial Claims Research Database. We will employ validated, statistically rigorous econometric modeling to compare changes in the use of cancer prevention services for those affected by a paid sick leave mandate to those who were unaffected. Our proposed research seeks to investigate a particularly salient barrier to cancer detection and provide the first causal evidence of the effect of paid sick leave on cancer prevention. Addressing this knowledge gap is of critical importance as improved adherence to preventive care services, including screenings for breast cancer, colorectal cancer, and tobacco cessation, is estimated to save more than 2 million life-years annually and reduce health care expenditures by nearly $4 billion per year. Our results will inform an active policy debate over the merits of paid sick leave coverage, identify opportunities to address the sub-optimal use of preventive care, and quantify the potential for paid sick leave benefits to improve population health and quality of life.

项目摘要/摘要我们建议估计有带薪病假的因果关系对使用癌症预防服务的使用包括乳房和结直肠癌的筛查，戒烟咨询和戒烟药物。虽然乳腺癌筛查，结直肠癌筛查和吸烟的好处戒烟服务是重要的，众所周知的，这些服务的当前使用仍然低于建议水平。工作承诺和工资损失的前景是已知的因素，导致延迟医疗。带薪病假，这使工人付出时间远离工作，减轻这些问题，并有可能增加获得医疗保健专业人员的机会。最近，8个州和25个城市和县制定了法律，要求雇主向工人提供带薪病假的福利。但是，有偿病假任务与使用癌症预防服务之间的因果关系尚未已确立的。在一项初步研究中，我们表明这些授权导致有带薪病假的机会增加以前未发现的工人的好处。我们现在寻求确定是否扩大有薪病人休假增加了癌症预防服务的使用和遵守推荐的癌症筛查。我们对该项目的目标是估计有偿病假规定对乳腺癌率的影响筛查（AIM＃1：筛查和诊断乳房X线摄影以及遵守ACS和USPSTF 建议），结直肠癌筛查（目标＃2：结肠镜检查，CT结肠造影，灵活 Sigmoid镜检查和基于凳子的筛查）和戒烟服务（AIM＃3：戒烟咨询和处方填充戒烟药）。我们将通过将有带薪病假的信息与医疗和处方药索赔相结合，涉及5000万 Truven Health AnalyticsMarketScan®商业索赔研究的十年中的终身年份数据库。我们将采用经过验证的，统计上严格的经济建模来比较使用的变化针对受带薪病假影响的人的癌症预防服务，对那些不受影响的人。我们拟议的研究旨在调查癌症检测的特别显着障碍，并提供第一个因果关系证明有带薪病假对预防癌症的影响。解决这一知识差距至关重要重要的是提高了对预防性护理服务的依从性，包括乳腺癌的筛查，大肠癌和烟草戒烟估计每年可节省超过200万的寿命，并减少医疗保健支出每年近40亿美元。我们的结果将为您的积极政策辩论提供有关带薪病假覆盖范围的优点，确定解决预防性护理次优的机会，以及量化带薪病假的潜力，以改善人口健康和生活质量。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The Effect of Paid Sick Leave Mandates on Coverage, Work Absences, and Presenteeism.

DOI：
10.3368/jhr.57.4.1017-9124r2
发表时间：
2022-07
期刊：
JOURNAL OF HUMAN RESOURCES
影响因子：
5.2
作者：
Callison, Kevin;Pesko, Michael F.
通讯作者：
Pesko, Michael F.

Cancer Screening after the Adoption of Paid-Sick-Leave Mandates.

DOI：
10.1056/nejmsa2209197
发表时间：
2023-03-02
期刊：
The New England journal of medicine
影响因子：
0
作者：
通讯作者：

Does paid sick leave encourage staying at home? Evidence from the United States during a pandemic.

带薪病假是否鼓励呆在家里？

DOI：
10.1002/hec.4665
发表时间：
2023
期刊：
Health economics
影响因子：
2.1
作者：
Andersen,Martin;Maclean,JohannaCatherine;Pesko,MichaelF;Simon,Kosali
通讯作者：
Simon,Kosali

Comparison of Screening Mammogram Rates Before vs During the COVID-19 Pandemic Among Medicaid Beneficiaries in Louisiana.

DOI：
10.1001/jamanetworkopen.2022.51687
发表时间：
2023-01-03
期刊：
JAMA NETWORK OPEN
影响因子：
13.8
作者：
Shao, Yixue;Callison, Kevin;Anderson, Andrew;LaVeist, Thomas A.;Walker, Brigham
通讯作者：
Walker, Brigham

Medicaid Expansion and Cancer Mortality by Race and Sex in Louisiana.