The impact of workplace policies and other social factors on self-reported influenza-like illness incidence during the 2009 H1N1 pandemic

S. Kumar, S.C. Quinn, K.H. Kim, L.H. Daniel and V.S. Freimuth

American Journal of Public Health, 2012, vol. 102, issue 1, 134-140

Abstract: We assessed the impact of social determinants of potential exposure to H1N1-which are unequally distributed by race/ethnicity in the United States-on incidence of influenza-like illness (ILI) during the 2009 H1N1 pandemic. Methods. In January 2010 we surveyed a nationally representative sample (n=2079) of US adults from the Knowledge Networks online research panel, with Hispanic and African American oversamples. The completion rate was 56%. Results. Path analysis examining ILI incidence, race, and social determinants of potential exposure to H1N1 demonstrated that higher ILI incidence was related to workplace policies, such as lack of access to sick leave, and structural factors, such as number of children in the household. Hispanic ethnicity was related to a greater risk of ILI attributable to these social determinants, even after we controlled for income and education. Conclusions. The absence of certain workplace policies, such as paid sick leave, confers a population-attributable risk of 5 million additional cases of ILI in the general population and 1.2 million cases among Hispanics. Federal mandates for sick leave could have significant health impacts by reducing morbidity from ILI, especially in Hispanics.

Date: 2012
References: Add references at CitEc
Citations: View citations in EconPapers (10)

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2011.300307

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2011.300307_9

DOI: 10.2105/AJPH.2011.300307

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().