Paid time off and cardiovascular disease events, The Health and Retirement Study, 2010-2022
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ID: 315384
2026
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Abstract
Abstract Background The United States does not guarantee universal access to employer based paid time off. Several studies demonstrate the relationship between workplace benefits and cardiovascular disease (CVD) risk. The objective of our analysis was to evaluate the relationship between access to employer based paid time off and risk of incident CVD events in a sample of working older adults in the US. Methods Our sample consisted of 5,604 persons age 50 and older from the 2010 and 2016 longitudinal prospective cohorts of the Health and Retirement Study, a nationwide US sample. Our exposure was whether participants had access to employer based paid time off benefits at baseline. Our outcome was incident cardiovascular disease events including myocardial infarctions, strokes, and transient ischemic attacks. We compare rates of CVD events among persons with and without benefits. Results 81.5% of our sample had paid time off benefits. In adjusted models, persons with access to paid time off benefits had a 32% lower risk of a CVD event over 6-14 years (mean 7.5 years) of follow up (HR= 0.68, 95% CI= 0.49, 0.94). Discussion Paid time off benefits were associated with a reduced risk of CVD events among older adults in the United States.
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| Authors | Samuel L. Swift, Mussammat Snigdha Sowrin, Tali Elfassy, Adina Zeki Al Hazzouri, Barbara N Harding |
| Journal | Health Affairs Scholar |
| Year | 2026 |
| DOI |
10.1093/haschl/qxag134
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| URL | |
| Keywords | Keywords not found |
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