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Canadian Journal of Public Health

, Volume 101, Supplement 1, pp S9–S15 | Cite as

Paid Health and Family Leave: The Canadian Experience in the Global Context

  • S. Jody Heymann
  • Megan Gerecke
  • Martine Chaussard
Quantitative Research
  • 6 Downloads

Abstract

Objectives

Two thirds of Canadian adults participate in the workforce. Their health and that of their families can be markedly affected by the availability of paid sick leave, paid leave to care for family members’ health and paid parental leave.

Methods

We gathered data from all Canadian provinces and territories on these essential leave policies and compared Canadian policies with data collected on 186 United Nations (UN) countries.

Results

While Canada pays sickness benefits for 15 weeks for serious illnesses, globally at least 90 countries provide benefits for at least 26 weeks or until recovery. Moreover, within Canada only Saskatchewan and Quebec guarantee job protection if sick leave lasts over 12 days.

Results

The federal government guarantees Canadian workers six weeks of paid leave to provide care or support to gravely ill family members. Only 39 countries guarantee such leave with pay. Most, but not all, provinces guarantee workers’ job protection during compassionate care leave.

Results

Eligibility for job protection during parental leave varies across the country from having no restrictions to requiring at least one year of service.

Conclusion

Compared with Canada, many countries offer a longer duration of paid sick leave for employees and replace a higher percentage of wages lost. Internationally, Canada performs well in having policies that guarantee paid leave to care for dependants with serious illnesses, but it lags behind in the provision of paid leave to address the health needs of children or family members’ with non-life-threatening conditions. Finally, while paid parental leave is of adequate duration, the wage replacement rate lowers its accessibility to families with limited means.

Key words

Sick leave family leave parental leave public policy comparative study provincial government 

Résumé

Objectifs

Deux tiers des adultes canadiens se trouvent sur le marché du travail. Leur santé et celle de leur famille pourraient sensiblement être affectées par la disponibilité de congés de maladie payés, de congés payés permettant de prendre soin de la santé d’un parent et de congés parentaux rémunérés.

Méthodes

Nous avons recueilli des données pertinentes sur ces politiques de congé dans chacune des provinces et dans les territoires canadiens, et les avons comparées aux données provenant de 186 pays des Nations Unies.

Résultats

Alors que le Canada verse des prestations de maladie pendant 15 semaines pour les maladies graves, on trouve à l’échelle mondiale au moins 90 pays versant de telles prestations pendant au moins 26 semaines ou encore jusqu’à la guérison. En outre, à travers le Canada, ce n’est qu’en Saskatchewan et au Québec que l’on offre une garantie de protection de l’emploi si le congé de maladie dure plus de 12 jours.

Résultats

Le gouvernement fédéral garantit aux travailleurs canadiens six semaines de congé payé pour fournir des soins ou du soutien aux membres de leur famille gravement malades. Seulement 39 pays garantissent de tels congés payés. La plupart des provinces–mais pas toutes–garantissent aux travailleurs la protection de l’emploi pendant le congé de compassion.

Résultats

Les conditions d’accès à la protection de l’emploi durant le congé parental varie à travers le Canada, allant d’aucune restriction à l’exigence d’au moins une année de service.

Conclusion

Par rapport au Canada, de nombreux pays offrent un plus long congé de maladie payé pour les employés et remplacent un pourcentage plus élevé de perte de salaire. À l’échelle internationale, le Canada performe bien en ce qui a trait aux politiques garantissant un congé payé pour prendre soin de personnes à charge gravement malades, mais il accuse du retard au niveau des congés payés pour s’occuper des besoins en santé des enfants ou des membres de la famille souffrant de conditions moins graves. Enfin, bien que le congé parental soit d’une durée adéquate, le taux de remplacement salarial offert limite son accessibilité aux familles à faibles revenus.

Mots clés

congé de maladie congé familial congé parental politique publique étude comparative gouvernement provincial 

References

  1. 1.
    Statistics Canada. Labour force characteristics by age and sex. The Daily January 8, 2010. Available at: https://doi.org/www.statcan.gc.ca/daily-quotidien/ 100108/t100108a1-eng.htm (Accessed January 25, 2010).Google Scholar
  2. 2.
    Statistics Canada. The Canadian Labour Market at a Glance. 2007. Available at: https://doi.org/www.statcan.gc.ca/pub/71-222-x/2008001/sectionb/b-mothers-meres-eng.htm (Accessed December 8, 2008).Google Scholar
  3. 3.
    Canadian Caregiver Coalition. Caregiver Facts. August 2008. Available at: https://doi.org/www.ccc-ccan.ca/media.php?mID=124 (Accessed December 8, 2008).Google Scholar
  4. 4.
    Health Canada. National Profile of Family Caregivers in Canada–2002. Available at: https://doi.org/www.hc-sc.gc.ca/hcs-sss/alt_formats/hpb-dgps/pdf/pubs/2002-caregiv-interven/2002-caregiv-interven-eng.pdf (Accessed December 8, 2008).Google Scholar
  5. 5.
    Gilleski DB. A dynamic stochastic model of medical care use and work absence. Econometrica 1998;66:1–45.Google Scholar
  6. 6.
    Aronsson G, Gustafsson K, Dallner M. Sick but yet at work: An empirical study of sickness and presenteeism. J Epidemiol Community Health 2000;54:502–9.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Grinyer A, Singleton V. Sickness absence as risk-taking behaviour: A study of organizational and cultural factors in the public sector. Health Risk Soc 2000;2:7–21.Google Scholar
  8. 8.
    Johannsson G. Work-life balance: The case of Sweden in the 1990s. Soc Sci Inform 2002;41:303–17.Google Scholar
  9. 9.
    Murphy B, Schofield H, Nankervis J, Bloch S, Herman H, Singh B. Women with multiple roles: The emotional impact of caring for ageing parents. Ageing Soc 1997;17:277–91.Google Scholar
  10. 10.
    Joshi H, Paci P, Waldfogel J. The wages of motherhood: Better or worse? Cambridge J Econ 1999;23:543–64.Google Scholar
  11. 11.
    National Alliance for Caregiving and American Association of Retired People. Caregiving in the U.S. 2004. Available at: https://doi.org/www.caregiving.org/data/ 04finalreport.pdf (Accessed December 8, 2008).Google Scholar
  12. 12.
    Heymann J. The Widening Gap: Why America’s Working Families are in Jeopardy and What Can Be Done about It. New York: Basic Books, 2000.Google Scholar
  13. 13.
    Earle A, Ayanian JZ, Heymann SJ. What predicts women’s ability to return to work after newly diagnosed coronary heart disease: Findings on the importance of paid leave. J Womens Health 2006;15(4):430–41.Google Scholar
  14. 14.
    Skatun JD. Take some days off, why don’t you? Endogenous sick leave and pay. J Health Econ 2003;22(3):379–402.PubMedGoogle Scholar
  15. 15.
    Lovell V. No Time to Be Sick: Why Everyone Suffers When Workers Don’t Have Paid Sick Leave. Washington, D.C.: Institute for Women’s Policy Research, 2004. Available at: https://doi.org/www.iwpr.org/pdf/B242.pdf (Accessed December 8, 2008).Google Scholar
  16. 16.
    Centers for Disease Control and Prevention. Key Facts about Influenza and the Influenza Vaccine. 2006. Available at: https://doi.org/www.cdc.gov/flu/key-facts.htm (Accessed February 23, 2009).Google Scholar
  17. 17.
    Centers for Disease Control and Prevention. Good Health Habits for Preventing the Flu. 2006. Available at: https://doi.org/www.cdc.gov/flu/protect/ habits.htm (Accessed February 23, 2009).Google Scholar
  18. 18.
    Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med 2004;46(4):398–412.PubMedGoogle Scholar
  19. 19.
    Chatterji M, Tilley CJ. Sickness, absenteeism, presenteeism, and sick pay. Oxford Econ Papers 2002;54:669–87.Google Scholar
  20. 20.
    Li JH, Birkhead GS, Strogatz DS, Coles FB. Impact of institution size, staffing patterns, and infection control practices on communicable disease outbreaks in New York State nursing homes. Am J Epidemiol 1996;143(10):1042–49.PubMedGoogle Scholar
  21. 21.
    Robertson J. Young Children in Hospital. London, England: Tavistock, 1970.Google Scholar
  22. 22.
    Van der Schyff G. The role of parents during their child’s hospitalization. Aust Nurs J 1979;8:57–61.Google Scholar
  23. 23.
    Mahaffy P. The effects of hospitalization on children admitted for tonsillec-tomy and adenoidectomy. Nurs Res 1965;14:12–19.PubMedGoogle Scholar
  24. 24.
    Palmer SJ. Care of sick children by parents: A meaningful role. J Adv Nurs 1993;18:185.PubMedGoogle Scholar
  25. 25.
    Taylor M, O’Connor P. Resident parents and shorter hospital stay. Arch Dis Child 1989;64(2):274–76.PubMedPubMedCentralGoogle Scholar
  26. 26.
    Heymann SJ, Vo PH, Bergstrom CA. Child care providers’ experiences caring for sick children: Implications for public policy. Early Child Dev Care 2002;172(1):1–8.Google Scholar
  27. 27.
    Heymann SJ, Toomey S, Furstenberg F. Working parents: What factors are involved in their ability to take time off from work when their children are sick? Arch Pediatr Adolesc Med 1999;153(8):870–74.PubMedGoogle Scholar
  28. 28.
    Loda FA, Glezen WP, Clyde WA. Respiratory disease in group day care. Pediatrics 1972;49:428–37.PubMedGoogle Scholar
  29. 29.
    Sullivan P, Woodward WE, Pickering LK, Dupont HL. Longitudinal study of occurrence of diarrheal disease in day care centres. Am J Public Health 1984;74:987.PubMedPubMedCentralGoogle Scholar
  30. 30.
    Dahl IL, Grufman M, Hellberg C, Krabbe M. Absenteeism because of illness at daycare centers and in three-family systems. Acta Paediatr Scand 1991;80:436.PubMedGoogle Scholar
  31. 31.
    Mottonen M, Uhari M. Absences for sickness among children in day care. Acta Paediatr 1992;81:929.PubMedGoogle Scholar
  32. 32.
    Strangert K. Respiratory illness in preschool children with different forms of day care. Pediatrics 1976;57:191.PubMedGoogle Scholar
  33. 33.
    Doyle AB. Incidence of illness in early group and family day care. Pediatrics 1976;58:607.PubMedGoogle Scholar
  34. 34.
    Bennet SJ. Relationships among selected antecedent variables and coping effectiveness in postmyocardial infarction patients. Res Nurs Health 1993;16:131–39.Google Scholar
  35. 35.
    Gorkin L, Schron EB, Brooks MM, Wiklund I, Kellen J, Verter J, et al. Psychosocial predictors of mortality in the Cardiac Arrhythmia Suppression Trial-1 (CAST-1). Am J Cardiol 1993;71:263–67.PubMedGoogle Scholar
  36. 36.
    Tsouna-Hadjis E, Vemmos KN, Zakopoulos N, Stamatelopoulos S. First-stroke recovery process: The role of family support. Arch Phys Med Rehabil 2000;81:881–87.PubMedGoogle Scholar
  37. 37.
    Seeman TE. Health promoting effects of friends and family on health outcomes in older adults. Am J Health Promot 2000;14:362–70.PubMedGoogle Scholar
  38. 38.
    Berkman LF. The role of social relations in health promotion. Psychosom Med 1995;57:245–54.PubMedGoogle Scholar
  39. 39.
    Ruhm CJ. Parental leave and child health. J Health Econ 2000;19(6):931–60.PubMedGoogle Scholar
  40. 40.
    Avery ME. A 50-year overview of perinatal medicine. Early Hum Dev 1992;29(1–3):43–50.PubMedGoogle Scholar
  41. 41.
    Crouch M, Manderson L. The social life of bonding theory. Soc Sci Med 1995;41(6):837–44.PubMedGoogle Scholar
  42. 42.
    Anisfeld E, Lipper E. Early contact, social support, and mother-infant bonding. Pediatrics 1983;72(1):79–83.PubMedGoogle Scholar
  43. 43.
    Johnson CK, Gilbert MD, Herdt GH. Implications for adult roles from differential styles of mother-infant bonding: An ethological study. J Nerv Ment Dis 1979;167(1):29–37.PubMedGoogle Scholar
  44. 44.
    Lamb ME. Early contact and maternal-infant bonding: One decade later. Pediatrics 1982;70(5):763–68.PubMedGoogle Scholar
  45. 45.
    Mertin PG. Maternal-infant attachment: A developmental perspective. Aust N Z J Obstet Gynaecol 1986;26(4):280–83.PubMedGoogle Scholar
  46. 46.
    Henry JP, Wang S. Effects of early stress on adult affiliative behavior. Psychoneuroendocrinol 1998;23(8):863–75.Google Scholar
  47. 47.
    Nettelbladt P. Father/son relationship during the preschool years. An inte-grative review with special reference to recent Swedish findings. Acta Psychi-atr Scand 1983;68(6):399–407.Google Scholar
  48. 48.
    Taubenheim AM. Paternal-infant bonding in the first-time father. J Obstet Gynecol Neonatal Nurs 1981;10(4):261–64.Google Scholar
  49. 49.
    Feldman R, Sussman AL, Zigler E. Parental leave and work adaptation at the transition to parenthood: Individual, marital and social correlates. Appl Dev Psychol 2004;25:459–79.Google Scholar
  50. 50.
    Coutrona CE, Troutman BR. Social support, infant temperament and parenting self-efficacy: A mediational model of post-partum depression. Child Dev 1986;57:1507–18.Google Scholar
  51. 51.
    Brandth B, Kvande E. Flexible work and flexible fathers. Work Employ Soc 2004;15(2):251–67.Google Scholar
  52. 52.
    Leon-Cava N, Lutter C, Ross J, Luann M. Quantifying the Benefits of Breastfeeding: A Summary of the Evidence. Washington DC: Pan American Health Organization (PAHO), 2002.Google Scholar
  53. 53.
    Ip S, Chung M, Raman G, Chew P, Magula M, Devine D, et al. Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries. Prepared for: Agency for Healthcare Research and Quality, AHRQ Publication 07-E007; Rockville, MD, April 2007.Google Scholar
  54. 54.
    Cattaneo A, Yngve A, Koletzko B, Guzman LR. Protection, promotion and support of breast-feeding in Europe: Current situation. Public Health Nutr 2005;8(1):39–46.PubMedGoogle Scholar
  55. 55.
    Bates CJ, Prentice A. Breast milk as a source of vitamins, essential minerals and trace elements. Pharmacol Ther 1994;62(1–2):193–220.PubMedGoogle Scholar
  56. 56.
    Habicht JP, DaVanzo J, Butz WP. Does breastfeeding really save lives, or are apparent benefits due to biases? Am J Epidemiol 1986;123(2):279–90.PubMedGoogle Scholar
  57. 57.
    Hobcraft JN, McDonald JW, Rutstein SO. Demographic determinants of infant and early child mortality: A comparative analysis. Popul Stud (Camb) 1985;39(3):363–85.Google Scholar
  58. 58.
    Jason JM, Nieburg P, Marks JS. Mortality and infectious disease associated with infant-feeding practices in developing countries. Pediatrics 1984;74(4 Pt 2):702–27.PubMedGoogle Scholar
  59. 59.
    Feachem RG, Koblinsky MA. Interventions for the control of diarrhoeal diseases among young children: Promotion of breast-feeding. Bull World Health Organ 1984;62(2):271–91.PubMedPubMedCentralGoogle Scholar
  60. 60.
    Dewey K, Heinig M, Nommsen-Rivers L. Differences in morbidity between breastfed and formula-fed infants. Part 1. J Pediatr 1995;126(5):696–702.PubMedGoogle Scholar
  61. 61.
    Howie P, Forsyth J, Ogston S, Clark A, Florey C. Protective effect of breast feeding against infection. BMJ 1990;300(6716):11–16.PubMedPubMedCentralGoogle Scholar
  62. 62.
    Lepage P, Munyakazi C, Hennart P. Breastfeeding and hospital mortality in children in Rwanda. Lancet 1982;1(8268):403.PubMedGoogle Scholar
  63. 63.
    Cerqueriro M, Murtagh P, Halac A, Avila M, Weissenbacher M. Epidemiolog-ic risk factors for children with acute lower respiratory tract infection in Buenos Aires, Argentina: A matched case-control study. Rev Infect Dis 1990;8(12 Suppl):S1021–28.Google Scholar
  64. 64.
    Watkins CJ, Leeder SR, Corkhill RT. The relationship between breast and bottle feeding and respiratory illness in the first year of life. J Epidemiol Community Health 1979;33(3):180–82.PubMedPubMedCentralGoogle Scholar
  65. 65.
    Wright A, Holberg C, Martinez F, Morgan W, Taussig L. Breast feeding and lower respiratory tract illness in the first year of life. BMJ 1989;299(6705):946–49.PubMedPubMedCentralGoogle Scholar
  66. 66.
    Aniansson G, Alm B, Andersson B, Hakansson A, Larsson P, Nylen O, et al. A prospective cohort study on breast-feeding and otitis media in Swedish infants. Pediatr Infect Dis J 1994;13(3):183–88.PubMedGoogle Scholar
  67. 67.
    Duncan B, Ey J, Holberg C, Wright A, Martinez F, Taussig L. Exclusive breastfeeding for at least 4 months protects against otitis media. Pediatrics 1993;91(5):867–72.PubMedGoogle Scholar
  68. 68.
    Arnold C, Makintube S, Istre G. Daycare attendance and other risk factors for invasive Haemophilus influenzae type B disease. Am J Epidemiol 1993;138(5):333–40.PubMedGoogle Scholar
  69. 69.
    Gdalevich M, Mimouni D, David M, Mimouni M. Breast-feeding and the onset of atopic dermatitis in childhood: A systematic review and meta-analysis of prospective studies. J Am Acad Dermatol 2001;45(4):487–647.Google Scholar
  70. 70.
    Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: A meta-analysis. Am J Clin Nutr 1999;70(4):525–35.PubMedGoogle Scholar
  71. 71.
    Mortensen EL, Michaelsen KF, Sanders SA, Reinisch JM. The association between duration of breastfeeding and adult intelligence. JAMA 2002;287(18):2365–71.PubMedGoogle Scholar
  72. 72.
    McGill Institute for Health and Social Policy. Raising the Global Floor: Adult Labour. A WoRLD Legal Rights Database. Available at: https://doi.org/www.raisingtheglob-alfloor.org (Accessed November 17, 2009).Google Scholar
  73. 73.
    Heymann J, Earle A. Raising the Global Floor: Dismantling the Myth That We Can’t Afford Good Working Conditions For Everyone. Stanford: Stanford University Press, 2010.Google Scholar

Copyright information

© The Canadian Public Health Association 2010

Authors and Affiliations

  • S. Jody Heymann
    • 1
  • Megan Gerecke
    • 1
  • Martine Chaussard
    • 1
  1. 1.Institute for Health and Social PolicyMcGill UniversityMontrealCanada

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