Changes in Self-Reported Adult Health and Household Food Security With the 2021 Expanded Child Tax Credit Monthly Payments.
Changes in Self-Reported Adult Health and Household Food Security With the 2021 Expanded Child Tax Credit Monthly Payments.
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DOI：
10.1001/jamahealthforum.2023.1672
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发表时间：
2023-06-02
期刊：
影响因子：
--
通讯作者：
Wisk, Lauren E.
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文献类型：
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作者：
Rook, Jordan M.;Yama, Cecile L.;Schickedanz, Adam B.;Feuerbach, Alec M.;Lee, Steven L.;Wisk, Lauren E.
2021年扩大的儿童税收抵免（ECTC）每月支付与成人整体健康或家庭粮食安全的变化相关吗？在这项重复的横断面研究中，使用了来自39479名受访者的全国代表性调查数据和差异设计中的差异，ECTC支付的资格与成人整体健康和家庭粮食安全的改善有关。这项横断面研究的结果表明，2019年COVID-19时代的ECTC每月付款政策可能与符合条件的家庭中成年人的健康和营养改善有关。2021年扩大的儿童税收抵免（ECTC）从2021年7月至2021年12月为有孩子的家庭提供每月付款。这一政策与成人健康的关系尚未得到充分研究。研究ECTC每月付款之前和期间成人自我报告的健康和家庭粮食安全的变化。这项重复的横断面研究使用多变量回归和差异中的差异估计，评估了39479名国民健康访谈调查（2019年1月至2021年12月）受访者在每月付款之前与期间的成人健康和食品安全。分析按收入分层，重点是低收入与中等收入和高收入家庭。2021年7月至2021年12月期间ECTC每月付款的资格。总体自我报告的成人健康和家庭粮食安全作为二元结果（极好或非常好的健康与良好，一般或差的健康;粮食安全与粮食不安全）。在这项对39479名美国成年人进行的全国代表性横断面研究中，（平均[SD]年龄，41.0 [13.0]岁; 7234 [21.7%]西班牙裔，321 [0.9%]非西班牙裔美国印第安人/阿拉斯加原住民，2205 [5.7%]非西班牙裔亚洲人，5113 [13.7%]非西班牙裔黑人，和23 704 [55.8%]白色个人），受访者主要是女性（21 511 [52.4%]），就业（33 035 [86.7%]）和已婚（19 838 [55.7%]）。在支付ECTC每月付款之前，7633名符合ECTC条件的成年人（60.1%）报告健康状况良好或非常好，10950人（87.8%）报告有粮食安全。在不符合ECTC条件的成年人中，10778人（54.9%）报告健康状况良好或非常好，17839人（89.1%）报告食品安全。在每月支付款项后，与不符合ECTC条件的成年人相比，符合ECTC条件的成年人报告极好或非常好的健康状况的概率调整后增加了3.0个百分点（pp）（95%CI，0.2 - 5.7）。此外，符合ECTC条件的成年人在食品安全概率方面比不符合ECTC条件的成年人增加了1.9个百分点（95% CI，0.1 - 3.7）。在收入分层分析中，ECTC资格与整体健康之间的关联集中在中等收入和高收入家庭中（优秀或非常好的健康状况增加3.7个百分点; 95% CI，0.5 - 6.9）。相反，ECTC资格与粮食安全之间的关联集中在低收入成年人中（粮食安全增加3.9个百分点; 95% CI，0 - 7.9）。这项横断面研究的结果表明，每月ECTC付款与改善成人的整体健康和粮食安全。现金转移方案可能是改善成人健康和家庭营养的有效工具。这项横断面研究探讨了成人自我报告的健康和家庭粮食不安全的变化之前和期间扩大儿童税收抵免每月付款。
Were 2021 Expanded Child Tax Credit (ECTC) monthly payments associated with changes in adult overall health or household food security? In this repeated cross-sectional study using nationally representative survey data from 39 479 respondents and a difference-in-differences design, eligibility for ECTC payments was associated with improved overall adult health and household food security. The results of this cross-sectional study suggest that the COVID 19–era policy of ECTC monthly payments may have been associated with improved health and nutrition in adults in eligible households. The 2021 Expanded Child Tax Credit (ECTC) provided families with children monthly payments from July 2021 to December 2021. The association of this policy with adult health is understudied. To examine changes in adult self-reported health and household food security before and during ECTC monthly payments. This repeated cross-sectional study used multivariable regression with a difference-in-differences estimator to assess adult health and food security for 39 479 respondents to the National Health Interview Survey (January 2019 to December 2021) before vs during monthly payments. Analyses were stratified by income to focus on low-income vs middle-income and upper-income households. Eligibility for ECTC monthly payments from July 2021 to December 2021. Overall self-reported adult health and household food security as binary outcomes (excellent or very good health vs good, fair, or poor health; food secure vs food insecure). In this nationally representative cross-sectional study of 39 479 US adults (mean [SD] age, 41.0 [13.0] years; 7234 [21.7%] Hispanic, 321 [0.9%] non-Hispanic American Indian/Alaska Native, 2205 [5.7%] non-Hispanic Asian, 5113 [13.7%] non-Hispanic Black, and 23 704 [55.8%] White individuals), respondents were predominantly female (21 511 [52.4%]), employed (33 035 [86.7%]), and married (19 838 [55.7%]). Before disbursement of ECTC monthly payments, 7633 ECTC-eligible adults (60.1%) reported excellent or very good health, and 10 950 (87.8%) reported having food security. Among ECTC-ineligible adults, 10 778 (54.9%) reported excellent or very good health and 17 839 (89.1%) reported food security. Following disbursement of monthly payments, ECTC-eligible adults experienced a 3.0 percentage point (pp) greater adjusted increase (95% CI, 0.2-5.7) in the probability of reporting excellent or very good health compared with ECTC-ineligible adults. Additionally, ECTC-eligible adults experienced a 1.9 pp greater adjusted increase (95% CI, 0.1-3.7) in the probability of food security than ECTC-ineligible adults. In income-stratified analyses, the association between ECTC eligibility and overall health was concentrated among middle-income and upper-income households (3.7-pp increase in excellent or very good health; 95% CI, 0.5-6.9). Conversely, the association between ECTC eligibility and food security was concentrated among low-income adults (3.9-pp increase in food security; 95% CI, 0-7.9). The results of this cross-sectional study suggest that monthly ECTC payments were associated with improved adult overall health and food security. Cash transfer programs may be effective tools in improving adult health and household nutrition. This cross-sectional study examines changes in adult self-reported health and household food insecurity before and during Expanded Child Tax Credit monthly payments.
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DOI：
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