Courtin and Muennig Respond to "Trials of Social Determinants".
Courtin and Muennig Respond to "Trials of Social Determinants".
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考廷和穆尼格回应“社会决定因素的审判”。
DOI：
10.1093/aje/kwac065
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发表时间：
2022
影响因子：
5
通讯作者：
Courtin E
中科院分区：
文献类型：
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作者：
Courtin E
我们感谢 Rojas-Saunero 等人。感谢他们对我们文章的评论 (1)，该文章在一项随机对照试验 (RCT) 中评估了扩大无抚养子女的低收入美国人的所得税抵免对心理健康的影响(2)。我们同意，评估实验性社会干预措施对健康的影响所带来的挑战超出了药物试验等挑战。指出，在我们的研究进行 3 年时，随访率为 69% (2)，因此我们不知道其他 31% 的参与者会对干预措施有何反应。假设不存在差异性磨损，那么假设治疗效果是随机观察到的就不是不可信的。与管理数据的联系既可以填补正在进行的试验的这些空白，也可以用来评估过去进行的试验的长期影响 (3)。美国自 20 世纪 60 年代以来开展社会政策随机对照试验的独特历史对于有兴趣评估社会政策干预长期影响的社会流行病学家来说实际上是一个宝库，而且行政数据为大多数临床试验提供了更好的后续效果。死亡率数据是可以与较早的试验相关联的管理数据的一个例子，当然前提是可以找到原始标识符并且同意过程允许链接。
We thank Rojas-Saunero et al. for their commentary (1) on our article, which assessed the mental health effects of expanding the Earned Income Tax Credit for low-income Americans without dependent children in a randomized controlled trial (RCT)(2). We agree that evaluating the health effects of experimental social interventions presents challenges that extend beyond those of, for example, drug trials.As Rojas-Saunero et al. point out, follow-up was 69% at 3 years into our study (2), so we do not know how the other 31% of participants would have responded to the intervention. Provided that there is no differential attrition, it is not implausible to assume that treatment effects were observed at random. Linkages to administrative data can both fill in these gaps for trials in progress and be used to assess the long-term impacts of trials conducted in the past (3). The United States’ unique history of conducting social policy RCTs since the 1960s is actually a treasure trove for social epidemiologists interested in assessing the long-term effects of social policy interventions, and administrative data offer superior follow-up to most clinical trials. Mortality data are one example of administrative data that can be linked to older trials, providing of course that the original identifiers can be found and that the consent process allows for the linkage.