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Annual Review of Public Health

Volume 44, 2023

The Impacts of Paid Family and Medical Leave on Worker Health, Family Well-Being, and Employer Outcomes

Abstract

This article reviews the evidence on the impacts of paid family and medical leave (PFML) policies on workers’ health, family well-being, and employer outcomes. While an extensive body of research demonstrates the mostly beneficial effects of PFML taken by new parents on infant, child, and parental health, less is known about its impact on employees who need leave to care for older children, adult family members, or elderly relatives. The evidence on employers is similarly limited but indicates that PFML does not impose major burdens on them. Taken together, the evidence suggests that PFML policies are likely to have important short- and long-term benefits for population health, without generating large costs for employers. At thesame time, further research is needed to understand the effects of different policy parameters (e.g., wage replacement rate and leave duration) and of other types of leave beyond parental leave.

Keyword(s): caregiving, employers, employment, health, paid family and medical leave, parental leave
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/content/journals/10.1146/annurev-publhealth-071521-025257
2023-04-03
2024-04-27
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Literature Cited

  1. 1.
    A Better Balance 2022. Comparative chart of paid family and medical leave laws in the United States Chart, A Better Balance New York: https://www.abetterbalance.org/resources/paid-family-leave-laws-chart/
  2. 2.
    AARP, Natl. Alliance Caregiving 2020. Caregiving in the U.S. 2020 Report Res. Rep. AARP, Natl. Alliance Caregiving Washington, DC: https://www.caregiving.org/wp-content/uploads/2021/01/full-report-caregiving-in-the-united-states-01-21.pdf
  3. 3.
    Ahammer A, Halla M, Schneeweis N. 2020. The effect of prenatal maternity leave on short and long-term child outcomes. J. Health Econ. 70:102250
     [Google Scholar]
  4. 4.
    Ahmed S, Fielding D. 2019. Changes in maternity leave coverage: implications for fertility, labour force participation and child mortality. Soc. Sci. Med. 241:112573
     [Google Scholar]
  5. 5.
    Anand P, Dague L, Wagner KL. 2022. The role of paid family leave in labor supply responses to a spouse's disability or health shock. J. Health Econ. 83:102621
     [Google Scholar]
  6. 6.
    Appelbaum E, Milkman R. 2011. Leaves that pay: employer and worker experiences with paid family leave in California Rep., Cent. Econ. Policy Res. Washington, DC: https://www.cepr.net/documents/publications/paid-family-leave-1-2011.pdf
  7. 7.
    Arora K, Wolf DA. 2018. Does paid family leave reduce nursing home use? The California experience. J. Policy Anal. Manag. 37:38–62
     [Google Scholar]
  8. 8.
    Avendano M, Berkman LF, Brugiavini A, Pasini G. 2015. The long-run effect of maternity leave benefits on mental health: evidence from European countries. Soc. Sci. Med. 132:45–53
     [Google Scholar]
  9. 9.
    Bailey MJ, Byker TS, Patel E, Ramnath S 2019. The long-term effects of California's 2004 Paid Family Leave Act on women's careers: evidence from U.S. tax data Work. Pap. 26416 Natl. Bur. Econ. Res. Cambridge, MA: https://www.nber.org/papers/w26416
  10. 10.
    Baker M, Milligan K. 2010. Evidence from maternity leave expansions of the impact of maternal care on early child development. J. Hum. Resour. 45:11–32
     [Google Scholar]
  11. 11.
    Baker M, Milligan K. 2015. Maternity leave and children's cognitive and behavioral development. J. Popul. Econ. 28:2373–91
     [Google Scholar]
  12. 12.
    Bana S, Bedard K, Rossin-Slater M. 2018. Trends and disparities in leave use under California's paid family leave program: new evidence from administrative data. AEA Pap. Proc. 108:388–91
     [Google Scholar]
  13. 13.
    Bartel AP, Kim S, Ruhm CJ, Waldfogel J. 2021. California's paid family leave law and the employment of 45–64 year old adults. IZA Discuss. Pap. 14380 Inst. Labor Econ. (IZA) Bonn, Ger: https://docs.iza.org/dp14380.pdf
  14. 14.
    Bartel AP, Rossin-Slater M, Ruhm C, Slopen M, Waldfogel J. 2021. The impact of paid family leave on employers: evidence from New York Work. Pap. 28672 Natl. Bur. Econ. Res. Cambridge, MA: https://docs.iza.org/dp14262.pdf
  15. 15.
    Bartel AP, Rossin-Slater M, Ruhm CJ, Slopen M, Waldfogel J. 2021. Support for paid family leave among small employers increases during the COVID-19 pandemic. Socius 7: https://doi.org/10.1177/23780231211061959
    [Crossref] [Google Scholar]
  16. 16.
    Bartel AP, Rossin-Slater M, Ruhm CJ, Stearns J, Waldfogel J. 2018. Paid family leave, fathers’ leave-taking, and leave-sharing in dual-earner households. J. Policy Anal. Manag. 37:110–37
     [Google Scholar]
  17. 17.
    Baum CL, Ruhm CJ. 2016. The effects of paid family leave in California on labor market outcomes. J. Policy Anal. Manag. 35:2333–56
     [Google Scholar]
  18. 18.
    Beuchert LV, Humlum MK, Vejlin R. 2016. The length of maternity leave and family health. Labour Econ 43:55–71
     [Google Scholar]
  19. 19.
    Braga B, Butrica BA, Mudrazija S, Peters HE. 2022. Impacts of state paid family leave policies for older workers with spouses or parents in poor health IZA Discuss. Pap. 15007 Inst. Labor Econ. (IZA) Bonn, Ger: https://docs.iza.org/dp15007.pdf
  20. 20.
    Brenøe AA, Canaan SP, Harmon NA, Royer HN. 2020. Is parental leave costly for firms and coworkers? Work. Pap., w26622 Natl. Bur. Econ. Res. Cambridge, MA: https://www.nber.org/papers/w26622
  21. 21.
    Brown S, Herr J, Roy R, Klerman J 2020. Employee and worksite perspectives of the Family and Medical Leave Act: results from the 2018 surveys Rep., Abt Assoc Rockville, MD: https://www.dol.gov/sites/dolgov/files/OASP/evaluation/pdf/WHD_FMLA2018SurveyResults_FinalReport_Aug2020.pdf
  22. 22.
    Bullinger LR. 2019. The effect of paid family leave on infant and parental health in the United States. J. Health Econ. 66:101–16
     [Google Scholar]
  23. 23.
    Bütikofer A, Riise J, Skira MM. 2021. The impact of paid maternity leave on maternal health. Am. Econ. J. Econ. Policy 13:167–105
     [Google Scholar]
  24. 24.
    Carneiro P, Løken KV, Salvanes KG. 2015. A flying start? Maternity leave benefits and long-run outcomes of children. J. Polit. Econ. 123:2365–412
     [Google Scholar]
  25. 25.
    Chatterji P, Markowitz S. 2005. Does the length of maternity leave affect maternal health?. South. Econ. J. 72:116–41
     [Google Scholar]
  26. 26.
    Chatterji P, Markowitz S, Brooks-Gunn J. 2013. Effects of early maternal employment on maternal health and well-being. J. Popul. Econ. 26:1285–301
     [Google Scholar]
  27. 27.
    Chen F. 2021. Does paid family leave save infant lives? Evidence from United States GLO Discuss. Pap. 874 Glob. Labor. Organ. (GLO) Essen, Ger: https://ideas.repec.org/p/zbw/glodps/874.html
  28. 28.
    Choudhury AR, Polachek SW. 2021. The impact of paid family leave on the timely vaccination of infants. Vaccine 39:212886–93
     [Google Scholar]
  29. 29.
    Chung PJ, Garfield CF, Elliott MN, Carey C, Eriksson C, Schuster MA. 2007. Need for and use of family leave among parents of children with special health care needs. Pediatrics 119:5e1047–55
     [Google Scholar]
  30. 30.
    Chung PJ, Lui CK, Cowgill BO, Hoffman G, Elijah J, Schuster MA 2012. Employment, family leave, and parents of newborns or seriously ill children. Acad. Pediatr. 12:3181–88
     [Google Scholar]
  31. 31.
    Cools S, Fiva JH, Kirkebøen LJ. 2015. Causal effects of paternity leave on children and parents. Scand. J. Econ. 117:3801–28
     [Google Scholar]
  32. 32.
    Dagher RK, McGovern PM, Dowd BE. 2014. Maternity leave duration and postpartum mental and physical health: implications for leave policies. J. Health Politics Policy Law. 39:2369–416
     [Google Scholar]
  33. 33.
    Dahl GB, Løken KV, Mogstad M, Salvanes KV. 2016. What is the case for paid maternity leave?. Rev. Econ. Stat. 98:4655–70
     [Google Scholar]
  34. 34.
    Danzer N, Lavy V. 2018. Paid parental leave and children's schooling outcomes. Econ. J. 128:60881–117
     [Google Scholar]
  35. 35.
    Doran EL, Bartel AP, Ruhm CJ, Waldfogel J. 2020. California's paid family leave law improves maternal psychological health. Soc. Sci. Med. 256:113003
     [Google Scholar]
  36. 36.
    Earle A, Heymann J. 2011. Protecting the health of employees caring for family members with special health care needs. Soc. Sci. Med. 73:168–78
     [Google Scholar]
  37. 37.
    Gallen Y. 2018. The effect of parental leave extensions on firms and coworkers Work. Pap. 2018-40 Becker Friedman Inst., Univ. Chicago Chicago:
  38. 38.
    Gimm G, Yang YT. 2016. The effect of paid leave laws on family caregivers for the elderly. Ageing Int 41:2214–26
     [Google Scholar]
  39. 39.
    Ginja R, Karimi A, Xiao P 2020. Employer responses to family leave programs IZA Work. Pap. 13833 Inst. Labor Econ. (IZA) Bonn, Ger: https://www.iza.org/publications/dp/13833/employer-responses-to-family-leave-programs
  40. 40.
    Goodman JM, Elser H, Dow WH. 2020. Employer-reported access to paid parental leave: a study of San Francisco's paid parental leave ordinance. SSM Popul. Health 11:100627
     [Google Scholar]
  41. 41.
    Haas L, Hwang CP. 2008. The impact of taking parental leave on fathers’ participation in childcare and relationships with children: lessons from Sweden. Community Work Fam 11:185–104
     [Google Scholar]
  42. 42.
    Hamad R, Modrek S, White JS. 2019. Paid family leave effects on breastfeeding: a quasi-experimental study of US policies. Am. J. Public Health 109:1164–66
     [Google Scholar]
  43. 43.
    Heymann SJ, Earle A, Egleston B 1996. Parental availability for the care of sick children. Pediatrics 98:2226–30
     [Google Scholar]
  44. 44.
    Huang R, Yang M. 2015. Paid maternity leave and breastfeeding practice before and after California's implementation of the nation's first paid family leave program. Econ. Hum. Biol. 16:45–59
     [Google Scholar]
  45. 45.
    Huebener M, Jessen J, Kühnle D, Oberfichtner M. 2021. A firm-side perspective on parental leave IZA Work. Pap. 14478 Inst. Labor Econ. (IZA) Bonn, Ger: https://docs.iza.org/dp14478.pdf
  46. 46.
    Huerta MC, Adema W, Baxter J, Han W-J, Lausten M et al. 2014. Fathers’ leave and fathers’ involvement: evidence from four OECD countries. Eur. J. Soc. Secur. 16:4308–46
     [Google Scholar]
  47. 47.
    Kang JY, Park S, Kim B, Kwon E, Cho J. 2019. The effect of California's paid family leave program on employment among middle-aged female caregivers. Gerontologist 59:61092–102
     [Google Scholar]
  48. 48.
    Khan MS. 2020. Paid family leave and children health outcomes in OECD countries. Child. Youth Serv. Rev. 116:105259
     [Google Scholar]
  49. 49.
    Lerner S, Appelbaum E. 2014. Business as usual: New Jersey employers’ experiences with family leave insurance CEPR Rep. Issue Briefs 2014–12 Cent. Econ. Policy Res. (CEPR) Washington, DC: https://www.cepr.net/documents/nj-fli-2014-06.pdf
  50. 50.
    Lichtman-Sadot S, Bell NP. 2017. Child health in elementary school following California's paid family leave program. J. Policy Anal. Manag. 36:4790–827
     [Google Scholar]
  51. 51.
    Liu Q, Skans ON. 2010. The duration of paid parental leave and children's scholastic performance. BE J. Econ. Anal. Policy. 10:13
     [Google Scholar]
  52. 52.
    Månsdotter A, Lindholm L, Winkvist A. 2007. Paternity leave in Sweden—costs, savings and health gains. Health Policy 82:1102–15
     [Google Scholar]
  53. 53.
    Milkman R, Appelbaum E. 2013. Unfinished Business: Paid Family Leave in California and the Future of U.S. Work-Family Policy Ithaca, NY: Cornell Univ. Press
  54. 54.
    Natl. Partnersh. Women Fam 2020. New Department of Labor family and medical leave data illustrates gaps in coverage, threatening the financial security of American workers Press Release August 10. https://www.nationalpartnership.org/our-impact/news-room/press-statements/new-department-of-labor-data-shows-gap-in-coverage.html
  55. 55.
    Natl. Partnersh. Women Fam 2021. State paid family & medical leave insurance laws Chart, Natl. Partnersh. Women Fam. Washington, DC: https://www.nationalpartnership.org/our-work/resources/economic-justice/paid-leave/state-paid-family-leave-laws.pdf
  56. 56.
    Nepomnyaschy L, Waldfogel J. 2007. Paternity leave and fathers’ involvement with their young children. Community Work Fam 10:4427–53
     [Google Scholar]
  57. 57.
    OECD 2020. Employment: length of maternity leave, parental leave, and paid father-specific leave OECD Stat. updated Sept 12 2022. https://stats.oecd.org
  58. 58.
    Olivetti C, Petrongolo B. 2017. The economic consequences of family policies: lessons from a century of legislation in high-income countries. J. Econ. Perspect. 31:1205–30
     [Google Scholar]
  59. 59.
    Pac J, Bartel AP, Ruhm CJ, Waldfogel J. 2019. Paid family leave and breastfeeding: evidence from California Work. Pap. w25784 Natl. Bur. Econ. Res. Cambridge, MA: https://www.nber.org/system/files/working_papers/w25784/w25784.pdf
  60. 60.
    Pavalko EK, Henderson KA. 2006. Combining care work and paid work: Do workplace policies make a difference?. Res. Aging 28:3359–74
     [Google Scholar]
  61. 61.
    Persson P, Rossin-Slater M. 2019. When dad can stay home: fathers’ workplace flexibility and maternal health Work. Pap. 25902 Natl. Bur. Econ. Res. Cambridge, MA: https://www.nber.org/papers/w25902
  62. 62.
    Petts RJ, Knoester C. 2019. Paternity leave and parental relationships: variations by gender and mothers’ work statuses. J. Marriage Fam. 81:2468–86
     [Google Scholar]
  63. 63.
    Petts RJ, Knoester C. 2020. Are parental relationships improved if fathers take time off of work after the birth of a child?. Soc. Forces 98:31223–56
     [Google Scholar]
  64. 64.
    Pihl AM, Basso G. 2019. Did California paid family leave impact infant health?. J. Policy Anal. Manag. 38:1155–80
     [Google Scholar]
  65. 65.
    Pragg B, Knoester C. 2017. Parental leave use among disadvantaged fathers. J. Fam. Issues 38:81157–85
     [Google Scholar]
  66. 66.
    Raub A, Nandi A, Earle A, De Guzman Chorny N, Wong E et al. 2018. Paid parental leave: a detailed look at approaches across OECD countries Rep., WORLD Policy Anal. Cent. Los Angeles: https://www.worldpolicycenter.org/sites/default/files/WORLD%20Report%20-%20Parental%20Leave%20OECD%20Country%20Approaches_0.pdf
  67. 67.
    Rossin M. 2011. The effects of maternity leave on children's birth and infant health outcomes in the United States. J. Health Econ. 30:2221–39
     [Google Scholar]
  68. 68.
    Rossin-Slater M 2018. Maternity and family leave policy. The Oxford Handbook of Women and the Economy SL Averett, LM Argys, SD Hoffman 323–44. Oxford, UK: Oxford Univ. Press
     [Google Scholar]
  69. 69.
    Ruhm CJ. 2000. Parental leave and child health. J. Health Econ. 19:6931–60
     [Google Scholar]
  70. 70.
    Saad-Lessler J. 2020. How does paid family leave affect unpaid care providers?. J. Econ. Ageing 17:100265
     [Google Scholar]
  71. 71.
    Schuster MA, Chung PJ, Elliott MN, Garfield CF, Vestal KD, Klein DJ. 2008. Awareness and use of California's paid family leave insurance among parents of chronically ill children. JAMA 300:91047–55
     [Google Scholar]
  72. 72.
    Schuster MA, Chung PJ, Elliott MN, Garfield CF, Vestal KD, Klein DJ. 2009. Perceived effects of leave from work and the role of paid leave among parents of children with special health care needs. Am. J. Public Health 99:4698–705
     [Google Scholar]
  73. 73.
    Shabo V. 2021. Polling summary: in Build Back Better, paid family and medical leave is one of the most popular policies. New America Blog Nov. 10. https://www.newamerica.org/better-life-lab/blog/polling-summary-paid-family-and-medical-leave-is-one-of-the-most-popular-planks-in-the-build-back-better-agenda
    [Google Scholar]
  74. 74.
    Shim J. 2016. Family leave policy and child mortality: evidence from 19 OECD countries from 1969 to 2010. Int. J. Soc. Welf. 25:3215–21
     [Google Scholar]
  75. 75.
    Stearns J. 2015. The effects of paid maternity leave: evidence from temporary disability insurance. J. Health Econ. 43:85–102
     [Google Scholar]
  76. 76.
    Tanaka S. 2005. Parental leave and child health across OECD countries. Econ. J. 115:501F7–28
     [Google Scholar]
  77. 77.
    US Bur. Labor Stat 2021. What data does the BLS publish on family leave? Fact Sheet, US Bur. Labor Stat. Washington, DC: https://www.bls.gov/ncs/ebs/factsheet/family-leave-benefits-fact-sheet.htm
  78. 78.
    Waldfogel J, Liebman E. 2019. Paid family care leave: a missing piece in the U.S. social insurance system Rep., Wash. Cent. Equitable Growth Washington, DC: https://equitablegrowth.org/research-paper/paid-family-care-leave/
  79. 79.
    Washbrook E, Ruhm CJ, Waldfogel J, Han W-J. 2011. Public policies, women's employment after childbearing, and child well-being. BE J. Econ. Anal. Policy. 11:12938
     [Google Scholar]
/content/journals/10.1146/annurev-publhealth-071521-025257
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The Impacts of Paid Family and Medical Leave on Worker Health, Family Well-Being, and Employer Outcomes
Annual Review of Public Health 44, 429 (2023); https://doi.org/10.1146/annurev-publhealth-071521-025257
/content/journals/10.1146/annurev-publhealth-071521-025257
/content/journals/10.1146/annurev-publhealth-071521-025257
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