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Wednesday, April 22, 2026

Mandates Narrow Gender Gaps In Paid Sick Leave Coverage For Low-Wage Workers In The US - healthaffairs.org

Abstract

Paid sick leave helps workers recover from illness and manage care obligations and protects public health. Yet access to paid sick leave remains limited and unequal in the United States. Drawing on surveys of 61,223 service-sector workers collected during the period 2017–21 by the Shift Project, we documented limited access to paid sick leave and stark gender inequality, with women less likely than men to have paid sick leave. Part-time employment and gender segregation by industry subsector each explain part, but not all, of the gender disparity. However, in states and localities that mandate paid sick leave for workers, workers are far more likely to report access to this benefit, and the gender gap is eliminated. Guaranteeing paid sick leave to all workers would offer a range of benefits for workers, employers, and public health while also offering the further benefit of reducing gender inequality.

The United States is unique among high-income, developed countries in lacking a federal guarantee of paid time off from work when sick.1 These benefits are important for workers, but they also play a role in protecting public health by reducing the number of workers going to work when sick and thus the spread of infectious illnesses.2,3 This dual benefit is particularly evident for service-sector workers. For service-sector workers themselves, low wages and unstable and insufficient work hours produce household economic insecurity4 that makes access to paid time off...



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