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Record W4411258447 · doi:10.1093/aje/kwaf124

Paid family leave and reduced acute respiratory infections in young infants: does everyone benefit equally?

2025· article· en· W4411258447 on OpenAlexaff
Katherine A. Ahrens, Erin Strumpf, Arijit Nandi, Justin R. Ortiz, Teresa Janević

Bibliographic record

VenueAmerican Journal of Epidemiology · 2025
Typearticle
Languageen
FieldHealth Professions
TopicPediatric health and respiratory diseases
Canadian institutionsMcGill University Health CentreMcGill UniversityUniversity of British Columbia
Fundersnot available
KeywordsMedicineRespiratory systemPediatricsRespiratory tract infectionsIntensive care medicineInternal medicine

Abstract

fetched live from OpenAlex

To examine whether the effect of a paid family leave program on acute care encounters for respiratory tract infections among young infants differed by subgroups. We examined 52 943 hospitalizations and emergency department visits between October 2015 and February 2020 among infants aged ≤8 weeks in New York, which introduced paid family leave in January 2018, and four New England control states (Massachusetts, New Hampshire, Vermont, and Maine). We conducted a controlled time series analysis that compared observed counts in New York during the putative respiratory virus season (October to March) in each population subgroup to those predicted in the absence of the policy. Absolute reductions in respiratory tract infection-related acute care encounters among young infants were greater for Hispanic as compared to non-Hispanic White infants (5.60 fewer cases per 1000 infants [95% CI, -8.74 to -2.51]) and for encounters paid for by Medicaid as compared to private payer (4.22 fewer cases per 1000 [95% CI, -6.45 to -2.18]). Findings by Child Opportunity Index 2.0 quintiles showed no clear pattern. Our findings suggest the program may have larger benefits for infants from less advantaged groups.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.015
Threshold uncertainty score0.030

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.048
GPT teacher head0.437
Teacher spread0.390 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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