Effect of health insurance on workplace absenteeism in the U.S. workforce.
OBJECTIVE
The objectives of this study were to examine the relationship between health insurance (HI) and number of missed workdays (MW), and how it is modified by level of access to care (AC) and healthcare use (HC).


METHODS
The authors conducted a retrospective study of 1996-1999 Medical Expenditure Panel Survey of U.S. employees.


RESULTS
Of 25,676 individuals, 13,957 (54%) reported MW (mean [standard deviation] = 4.3 [0.092]). Having HI was significantly associated with decreased likelihood of MW. Higher level of AC was significantly associated with greater number of MW. HC was significantly associated with increased likelihood of and greater number of MW.


CONCLUSIONS
Having HI any time over the year is significantly associated with decreased likelihood of and smaller number of MW. HC use is an important explanatory variable and appears to be a confounder between HI and MW. The benefits to employers of ensuring that employees have health coverage should be explored.
Lofland
Jennifer H
JH
Department of Health Policy, Thomas Jefferson University, Philadelphia, PA 19107, USA. jennifer.lofland@jefferson.edu
Frick
Kevin D
KD
D000041:Absenteeism; D000328:Adult; D005260:Female; D006264:Health Benefit Plans, Employee; D006296:Health Services / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012189:Retrospective Studies; D014481:United States