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Published on: August 29, 2018
Points-Based Attendance Systems Associated With Presenteeism Despite Paid Sick Leave Protections
Meredith Slopen1, Kess Ballentine2, Kristen Harknett3
1Meredith Slopen (meredith.slopen@stonybrook.edu), Stony Brook University, Stony Brook, New York.
Health Affairs (Project Hope)
|June 1, 2026
Summary
Points systems for work attendance increase presenteeism, even when paid sick leave is available. These systems undermine public health benefits, suggesting a need for better enforcement and outreach to reduce sick workdays.
Area of Science:
- Occupational Health
- Public Health Policy
- Workplace Studies
Background:
- Presenteeism, working while ill, is common in the US workforce.
- Paid sick leave mandates may reduce presenteeism, but their interaction with attendance policies is unclear.
Purpose of the Study:
- To investigate the association between points-based attendance systems and presenteeism.
- To determine if paid sick leave mandates influence this association.
Main Methods:
- Analysis of 2024 Shift Project data from service workers across sixty-three firms.
- Examined the relationship between exposure to points systems and presenteeism, considering paid sick leave coverage.
Main Results:
- Exposure to points systems significantly increased presenteeism by 18.9 percentage points.
- This effect persisted even for workers who had not accrued points.
- Paid sick leave mandates did not mitigate the impact of points systems on presenteeism.
Conclusions:
- Points-based attendance systems counteract the benefits of paid sick leave mandates.
- Reducing presenteeism requires enhanced outreach and enforcement of paid sick leave laws.
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