Association of Paid Sick Leave With Job Retention and Financial Burden Among Working Patients With Colorectal Cancer | Colorectal Cancer | JAMA | JAMA Network
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Research Letter
December 22/29, 2015

Association of Paid Sick Leave With Job Retention and Financial Burden Among Working Patients With Colorectal Cancer

Author Affiliations
  • 1Department of Internal Medicine, University of Michigan, Ann Arbor
  • 2Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor
  • 3Department of Biostatistics, University of Michigan, Ann Arbor
JAMA. 2015;314(24):2688-2690. doi:10.1001/jama.2015.12383

Workers who develop serious illnesses, such as colorectal cancer (CRC), can incur economic hardship, regardless of insurance coverage.1-4 Paid sick leave could reduce the need to take unpaid time off during treatment. However, 40% of US workers have no paid sick leave. Its provision is not mandated under the Affordable Care Act or the Family Medical Leave Act, nor is it part of health insurance coverage.5

This study examined the association between access to paid sick leave and job retention and personal financial burden among patients with CRC.

After the relevant institutional review boards granted a waiver of consent, surveys were mailed to and telephone follow-up conducted with adults with stage III CRC reported to the Surveillance, Epidemiology, and End Results cancer registries of Georgia and metropolitan Detroit between August 2011 and March 2013. Patients were contacted 4 months postoperatively and could respond up to 12 months postoperatively; only those employed at diagnosis were analyzed.

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