No abstract

Consistent with Pope Francis's efforts to eradicate social exclusion, most countries in the world have already adopted care leave policies in an effort to reduce the conflict between being an employee and being a caregiver. Care leave policies allow workers time off for family or for self‐care. Historically, care leave policies such as maternity leave are viewed as an employee benefit akin to short‐term disability leave, providing job‐protected time off for new mothers. This study reviews the literature of the short‐ and long‐run economic and societal effects of care leave policies globally, with a specific focus on care leave policies in the United States. Care leave produces positive labor market and health outcomes, including increases in leave taking, improvement in replacement wages, improvements to profitability and employee morale, increases in female workforce participation and continuity, increases in birth weight, and decreases in infant mortality. Despite positive effects, labor market inequalities such as decreases in female labor market participation rates, gender wage gaps, and occupational segregation are often promoted by care leave policies. The conflicted findings in care leave research muddle the anticipated effects of paid care leave but allow room for alternative policy recommendations.

Background COVID-19 revealed and broadened existing disparities in large cities. This article interprets the early impacts of COVID-19 on food insecurity (FI) in the Chicago and New York City (NYC) metropolitan areas for Black, Indigenous, and People of Color (BIPOC) and provides a study using a Social Determinants of Health (SDOH) framework. Methods A cross-sectional survey adapted from the National Food Access and COVID Research Team (NFACT) was deployed in Chicago ( N = 680) and in NYC ( N = 525) during summer 2020 and oversampled for race, ethnicity, and socioeconomic status. Multivariate binary logistic regression generated adjusted odds ratios (aOR) and 95% CIs for FI and select SDOH variables, which was conducted on each dataset. Results The prevalence of FI in NYC increased to 66.8% (from 57.8%) and in Chicago to 44.8% (from 41.0%). While higher income protected against FI before, protection was diminished or eliminated since COVID-19. FI declined for households with children in NYC while odds increased and became significant in Chicago. Respondents with chronic health conditions experienced increased odds of FI since COVID. In Chicago, this variable had the highest odds of FI. Respondents with depression or anxiety had increased odds of FI. In NYC, depression had the highest odds of FI. Females in NYC were protected against FI. Hispanics in NYC lost protection against FI from before to since COVID-19. Conclusions Results support the observed rise of FI for BIPOC and its association with health status. The analysis has multifaceted, structural policy implications for reducing FI in urban centers.

No abstract