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About the series
Employers generally get high marks from their employees for keeping them safe during the COVID-19 pandemic. However, as the public’s response has become more divided, employers are increasingly challenged as to how to navigate conflicting beliefs. They have to walk the line between entrenched differences in employees’ positions while navigating applicable laws, regulations and court rulings that often conflict and change unnervingly fast.
We collected online responses from a panel of more than 9,600 U.S. full-time employees from December 1, 2021, to January 3, 2022. The results clarify what employers can expect from their efforts to address the pandemic in the workplace and inform policies that will address safety concerns and make employees feel safe and respected.
A large majority of employees report that they were fully vaccinated (75%) or partially vaccinated (6%), while 5% say they intend to get vaccinated. However, 14% say they had no plans to get vaccinated. Those not planning to get the vaccine are more likely to be women, Black people, and workers with income under $50,000. (See Figure 1)
White: 14%, Asian: 10%
Only one third of the unvaccinated report having had a COVID-19 infection, suggesting that almost one in 10 respondents overall might not have immunity from either vaccination or infection. A quarter of the unvaccinated say they intend to get vaccinated, so there is still an opportunity to encourage worker vaccinations.
Over a quarter (27%) report that they were infected with COVID-19 during the pandemic, and 10% of all surveyed say that they continue to have some symptoms after their initial infection.
Compared to those who did not have COVID-19, those who had COVID-19 without ongoing symptoms report 24% more presenteeism (i.e., reporting for work but not fully functioning), depression and anxiety as well as 49% more absenteeism. Those who say that they have ongoing symptoms from COVID-19 (long COVID) report 95% more absenteeism and 54% more presenteeism and twice as much anxiety and depression. (See Table 1)
No history of COVID-19 | COVID-19 without long-term symptoms | COVID-19 with long-term symptoms | |
---|---|---|---|
Portion of population | 73% | 17% | 10% |
Days lost to absenteeism | 4.1 | 6.1 | 8.0 |
Days lost to presenteeism | 12.7 | 15.8 | 19.6 |
Experiencing depression or anxiety | 34% | 42% | 71% |
Given these numbers, employers can expect a continued increase in disability claims and the need to accommodate those who continue to have symptoms after COVID-19.
Also, the prevalence of mental health concerns was alarmingly high (34%) even for those who have not had COVID-19, suggesting that the need for additional access to mental health will persist even after the pandemic recedes.
Employees generally feel their employers have kept them safe from COVID-19 (66%). Remote workers (75%) are most likely to report feeling safe along with those already subject to a vaccine mandate (71%) or regular testing (69%). Those who feel least safe are employees who say their company had no mask, distancing, testing or vaccine requirements (41%).
Nine percent report that they did not feel either safe or comfortable working onsite. They are more likely to be women, low-income workers, and those who report poor health. The 51% of employees who feel both comfortable and safe in the workplace are most likely to be at workplaces with vaccine mandates, vaccinated and high income. (See Figure 2)
high income (over 100k): 65%, low income (under 50k): 43%
Employers that made their workers feel safer gained a substantial advantage. Employees who report that they feel their employers kept them safe during the pandemic say they are twice as likely to remain with their employers, 10 times as likely to be highly engaged and are twice as likely to say they would remain with their employers for the next two years. They also lost 37% less time due to absence or presenteeism. (See Figure 3)
Would move for 5% pay increase elsewhere: 57% not safe and comfortable, 37% both safe and comfortable. Highly engaged: 5% not safe and comfortable, 51% both safe and comfortable. Days lost to absenteeism or presenteeism: 20 days not safe and comfortable, 15.2 days both safe and comfortable.
Most employees (58%) support workplace vaccine mandates, but support differs based on demographics, current vaccination status and policies of respondents’ current employers.
Men, those with high incomes, those in self-reported good health, the vaccinated and those already subject to vaccine mandates are most likely to support vaccine mandates. Vaccine mandates are supported by a majority in all racial groups. (See Figure 4)
White: 58%, Black: 54%, Hispanic: 58%, Asian: 67%, excellent health: 64%, poor health, 47%, vaccine mandate in place: 73%, no vaccine mandate in place: 38%
Retention risk was strongly correlated with employee views on vaccine mandates. One in six (17%) of those who worked at workplaces without vaccine mandates report that they would definitely leave if a mandate was implemented, while one in twenty (5%) of those who were subject to vaccine mandates say they would definitely leave if pandemic restrictions were eliminated.
Respondents likely overstate the chances they would leave their current employers, but the risk of workplace departures looms large for those in a competitive job market. (See Figure 5)
Out of all respondents, 17% definitely leave, 12% more likely to leave, 36% neither, 16% more likely to stay, 20% definitely stay. Remove pandemic restrictions at workplace with current vaccine mandate. Out of all respondents, 5% definitely leave, 12% more likely to leave, 33% neither, 28% more likely to stay, 22% definitely stay.
While the Omicron wave of COVID-19 is subsiding, employers can use this data to address decisions around pandemic response now and to help craft contingency plans to mitigate business and health risk in future outbreaks.
1 Responses were weighted by age, gender and income to be representative of U.S. full-time employees
Jeff is an internal medicine physician and has led WTW’s clinical response to COVID-19 and other health-related topics. He has served in leadership roles in provider organizations and a health plan and is an Assistant Professor at Harvard Chan School of Public Health.