R Bhatia1, M Katz. 1. San Francisco Department of Public Health, Department of Medicine, University of California 94102, USA. rajiv_bhatia@dph.sf.ca.us
Abstract
OBJECTIVES: This study estimated the magnitude of health improvements resulting from a proposed living wage ordinance in San Francisco. METHODS: Published observational models of the relationship of income to health were applied to predict improvements in health outcomes associated with proposed wage increases in San Francisco. RESULTS: With adoption of a living wage of $11.00 per hour, we predict decreases in premature death from all causes for adults aged 24 to 44 years working full-time in families whose current annual income is $20,000 (for men, relative hazard [RH] = 0.94, 95% confidence interval [CI] = 0.92, 0.97; for women, RH = 0.96, 95% CI = 0.95, 0.98). Improvements in subjectively rated health and reductions in the number of days sick in bed, in limitations of work and activities of daily living, and in depressive symptoms were also predicted, as were increases in daily alcohol consumption. For the offspring of full-time workers currently earning $20,000, a living wage predicts an increase of 0.25 years (95% CI = 0.20, 0.30) of completed education, increased odds of completing high school (odds ratio = 1.34, 95% CI = 1.20, 1.49), and a reduced risk of early childbirth (RH = 0.78, 95% CI = 0.69, 0.86). CONCLUSIONS: A living wage in San Francisco is associated with substantial health improvement.
OBJECTIVES: This study estimated the magnitude of health improvements resulting from a proposed living wage ordinance in San Francisco. METHODS: Published observational models of the relationship of income to health were applied to predict improvements in health outcomes associated with proposed wage increases in San Francisco. RESULTS: With adoption of a living wage of $11.00 per hour, we predict decreases in premature death from all causes for adults aged 24 to 44 years working full-time in families whose current annual income is $20,000 (for men, relative hazard [RH] = 0.94, 95% confidence interval [CI] = 0.92, 0.97; for women, RH = 0.96, 95% CI = 0.95, 0.98). Improvements in subjectively rated health and reductions in the number of days sick in bed, in limitations of work and activities of daily living, and in depressive symptoms were also predicted, as were increases in daily alcohol consumption. For the offspring of full-time workers currently earning $20,000, a living wage predicts an increase of 0.25 years (95% CI = 0.20, 0.30) of completed education, increased odds of completing high school (odds ratio = 1.34, 95% CI = 1.20, 1.49), and a reduced risk of early childbirth (RH = 0.78, 95% CI = 0.69, 0.86). CONCLUSIONS: A living wage in San Francisco is associated with substantial health improvement.
Authors: Andrew L Dannenberg; Rajiv Bhatia; Brian L Cole; Carlos Dora; Jonathan E Fielding; Katherine Kraft; Diane McClymont-Peace; Jennifer Mindell; Chinwe Onyekere; James A Roberts; Catherine L Ross; Candace D Rutt; Alex Scott-Samuel; Hugh H Tilson Journal: Am J Public Health Date: 2005-12-27 Impact factor: 9.308
Authors: Brian L Cole; Riti Shimkhada; Hal Morgenstern; Gerald Kominski; Jonathan E Fielding; Sheng Wu Journal: J Epidemiol Community Health Date: 2005-08 Impact factor: 3.710
Authors: Kitty S Chan; Eric Roberts; Rachael McCleary; Christine Buttorff; Darrell J Gaskin Journal: Am J Public Health Date: 2014-07-17 Impact factor: 9.308
Authors: Tsu-Yu Tsao; Kevin J Konty; Gretchen Van Wye; Oxiris Barbot; James L Hadler; Natalia Linos; Mary T Bassett Journal: Am J Public Health Date: 2016-04-14 Impact factor: 9.308