abstract: 'Context: The New York Paid Family Leave (NYPFL) law was passed in April 2016 and took effect January 1, 2018. Expanding paid family leave (PFL) coverage has been proposed as a public health strategy to improve population health and reduce disparities. Objective: To describe first-year enrollment in NYPFL and to evaluate utilization of NYPFL benefits. Design: Observational study. Setting: New York State. Participants: Employees enrolled in the NYPFL program (N = 8 528 580). Methods: We merged NYPFL enrollment and claim data sets for 2018. Descriptive analysis and multiple logistic regression models were used to assess utilization by demographic variables and business size. Main Outcome Measure(s): Utilization and duration of NYPFL to bond with a newborn or care for a family member differed by employees'' age, sex, race and ethnicity, residence, income, and business size. Results: Approximately 90\% of working New Yorkers (N = 8 528 580) were enrolled in NYPFL. First-year utilization of PFL for newborn bonding and family care (9.4 and 4.0 per 1000 employees, respectively) was higher than comparable state PFL programs in California, New Jersey, or Rhode Island. An estimated 38.5\% of employed women in New York utilized PFL for newborn bonding. Employees who worked at small businesses (1-49 employees) had lower utilization of PFL. Employees with lower incomes were more likely to claim PFL and employees of color or with lower incomes were more likely to take the maximum 8 weeks of PFL. Conclusions: These findings suggest that state PFL programs increase equity in employment benefits. Wider adoption of state/federal PFL programs could help reduce health disparities and improve maternal and infant health outcomes.' affiliation: 'Dennison, BA (Corresponding Author), New York State Dept Hlth, Div Chron Dis Prevent, Corning Tower,Room 1043, Albany, NY 12237 USA. Dennison, Barbara A., New York State Dept Hlth, Div Chron Dis Prevent, Corning Tower,Room 1043, Albany, NY 12237 USA. Ncube, Butho; Trang Nguyen, New York State Dept Hlth, Off Publ Hlth Practice, Albany, NY 12237 USA. Dennison, Barbara A.; Ncube, Butho; Trang Nguyen, SUNY Albany, Sch Publ Hlth, Dept Epidemiol \& Biostat, Rensselaer, NY USA. Dennison, Barbara A., SUNY Albany, Sch Publ Hlth, Dept Hlth Policy Management \& Behav, Rensselaer, NY USA.' author: Dennison, Barbara A. and Ncube, Butho and Nguyen, Trang author-email: barbara.dennison@health.ny.gov author_list: - family: Dennison given: Barbara A. - family: Ncube given: Butho - family: Nguyen given: Trang da: '2023-09-28' doi: 10.1097/PHH.0000000000001540 eissn: 1550-5022 files: [] issn: 1078-4659 journal: JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE keywords: family leave; parental leave; policy keywords-plus: EMPLOYMENT; HEALTH language: English month: SEP-OCT number: 5, SI number-of-cited-references: '23' orcid-numbers: Ncube, Ngqabutho/0000-0003-0089-7383 pages: 525-535 papis_id: 48df5a939c5a32b52bd0d4adcf778ab5 ref: Dennison2022firstyearenrollment times-cited: '2' title: 'First-Year Enrollment and Utilization of New York State Paid Family Leave: 2018' type: article unique-id: WOS:000829517900014 usage-count-last-180-days: '0' usage-count-since-2013: '1' volume: '28' web-of-science-categories: Public, Environmental \& Occupational Health year: '2022'