First Advisor

Brad Wipfli

Date of Award

Spring 3-2023

Document Type


Degree Name

Bachelor of Science (B.S.) in Public Health Studies: Community Health Promotion and University Honors


Health Studies




Sick leave -- Influence -- Research, Chronic diseases -- Prevention, Racism




The purpose of this systematic review is to assess the impact of paid sick leave (PSL) availability on chronic disease prevention, treatment, and recovery. Furthermore, this study aims to investigate the role of race on this relationship as a possible source of systemic racism. The findings of this review show a growing body of evidence that affirms the statistically significant association between PSL and chronic disease-related outcomes. The availability of PSL has the potential to remove financial barriers allowing employees to access preventative services for chronic diseases. Access to PSL also increases work resumption by improving financial stability after being diagnosed with chronic illness, a time of major uncertainty for many people. Several studies indicated race as a confounding variable between PSL and chronic disease outcomes. Due to the limitations of studies' samples and statistical analyses, more research is required for the complete assessment of race's impact on the relationship between PSL and chronic disease outcomes.


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