Evidence map›Paper›PMID 40751181›Full record

ArticleBMC public health2025

Sociodemographic and occupational factors influencing pregnant workers' awareness and utilization of the New York City Pregnant Workers Fairness Act.

Justine Marcinek, Venu Gopal Bangla, Michael Belingheri, Lynn C Onyebeke, Demetrios M Papazaharias, Hsiao-Hsien Leon Hsu, Marti D Soffer, Roberto G Lucchini, Omara Afzal, Yueh-Hsiu Mathilda Chiu

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Justine MarcinekGraduate School of Biomedical Sciences, Department of Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Venu Gopal BanglaGraduate School of Biomedical Sciences, Department of Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Michael BelingheriDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Lynn C OnyebekeDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Demetrios M PapazahariasDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Hsiao-Hsien Leon HsuDepartment of Environmental Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Marti D SofferDepartment of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Roberto G LucchiniDepartment of Environmental Health Science, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
Omara AfzalDepartment of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Yueh-Hsiu Mathilda ChiuGraduate School of Biomedical Sciences, Department of Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. mathilda.chiu@mssm.edu.

Funding

NIOSH CDC HHS T42 OH008422Pilot Projects Research Training Program of the NY/NJ Education and Research Center, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention T42OH008422
6 · The paper itself

Abstract

backgroundThe New York City (NYC) Pregnant Workers Fairness Act (PWFA) went into effect in January 2014 to provide greater flexibility for pregnant workers' accommodations, yet no studies to date have evaluated its effectiveness and utilization. We examined factors associated with pregnant workers' PWFA awareness, understanding of PWFA, and receipt of accommodations in a lower socioeconomic status population in NYC.

methodsParticipants included 481 pregnant workers who attended prenatal visits at Mount Sinai Hospital Obstetrics and Gynecology Clinic in NYC in 2017. Detailed demographic and occupational data were collected via in-person interviews using a pregnancy and work survey. Information on participants' PWFA awareness, knowledge of PWFA-eligible accommodations, and accommodations received was also obtained. Multivariable-adjusted logistic regressions were used to identify the factors influencing PWFA awareness, knowledge of PWFA-eligible accommodations, and accommodations received among six common examples.

resultsOnly 14% of participants had ever heard of NYC PWFA legislation. Lower educational level (≤ 12th grade) (Adjusted Odds Ratio [aOR] = 0.54, 95% Confidence Interval [CI] = 0.30-0.98) and being unsure of workplace maternity leave policy (aOR=0.39, 95% CI=0.18-0.87) were associated with lack of PWFA awareness. Regardless of PWFA awareness, no maternity leave policy (aOR = 0.15, 95% CI = 0.04-0.48 vs. paid policy) and being unsure of maternity leave policy (aOR = 0.19, 95% CI = 0.06-0.59 vs. paid policy) were associated with no knowledge of any PWFA-eligible accommodations. Regardless of their PWFA awareness, women working for ≤ 5 years (aOR=0.42, 95% CI=0.22-0.83), non-U.S. born (aOR=0.57, 95% CI=0.36-0.90), and high-risk pregnancy clinic patients (aOR=0.59, 95% CI=0.38-0.93) all had lower odds of receiving PWFA-eligible accommodations, such as adjustment to lighter duty, compared to their counterparts.

conclusionsLower educational level, lack of paid workplace maternity leave policy, shorter job tenure, and non-U.S. born were associated with decreased PWFA awareness and/or accommodations received. As more women continue to work during pregnancy, interventions promoting PWFA awareness and utilization are paramount for protecting the maternal and child health of these identified vulnerable groups, especially given that final regulations for a national PWFA recently went into effect across the United States in June 2024.

Indexed as

Health Knowledge, Attitudes, PracticePregnant PeoplePrenatal CareAdultFemaleHumansNew York CityPregnancySociodemographic FactorsSurveys and QuestionnairesYoung AdultMaternal healthOccupational healthPregnancyPregnant workersPublic health lawPublic health policy

Identifiers

PMID40751181
PMCPMC12315298

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.