California's Mental Health Services Act and Mortality Due to Suicide, Homicide, and Acute Effects of Alcohol: A Synthetic Control Application.
California's Mental Health Services Act and Mortality Due to Suicide, Homicide, and Acute Effects of Alcohol: A Synthetic Control Application.
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加州心理健康服务法和自杀、他杀和酒精急性影响导致的死亡率：综合控制应用。
DOI：
10.1093/aje/kwab123
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发表时间：
2021
影响因子：
5
通讯作者：
Ahern,Jennifer
中科院分区：
文献类型：
--
作者：
Zimmerman,ScottC;Matthay,EllicottC;Rudolph,KaraE;Goin,DanaE;Farkas,Kriszta;Rowe,ChristopherL;Ahern,Jennifer
加州的《精神卫生服务法》通过州税大幅扩大了对县精神卫生服务的资助，并为患有严重精神障碍的个人提供了广泛的预防工作和强化服务。我们估计了MHSA与自杀、他杀和酒精急性效应所致死亡率之间的关系。使用1976-2015年美国各州和哥伦比亚特区的年度死因特异性死亡率数据，我们使用准实验综合控制方法的推广来预测加州在没有MHSA的情况下使用比较州的加权组合的每种结果的死亡率。我们计算了MHSA和每种结果之间的关联，作为干预后几年（2007-2015年）加州观察到的和预测的平均年发生率之间的绝对差异和百分比差异。MHSA与平均年凶杀率（-0.81/100，000人，相当于减少13%）和急性酒精效应死亡率（-0.35/100，000人，相当于减少12%）的适度下降有关。安慰剂检验推断表明，这种关联不太可能是偶然的。MHSA与自杀无关。保护协会与死亡率由于杀人和急性酒精的影响提供了证据，适度的健康益处MHSA在人口水平。
California’s Mental Health Services Act (MHSA) substantially expanded funding of county mental health services through a state tax, and led to broad prevention efforts and intensive services for individuals experiencing serious mental disorders. We estimated the associations between MHSA and mortality due to suicide, homicide, and acute effects of alcohol. Using annual cause-specific mortality data for each US state and the District of Columbia from 1976–2015, we used a generalization of the quasi-experimental synthetic control method to predict California’s mortality rate for each outcome in the absence of MHSA using a weighted combination of comparison states. We calculated the association between MHSA and each outcome as the absolute difference and percentage difference between California’s observed and predicted average annual rates over the postintervention years (2007–2015). MHSA was associated with modest decreases in average annual rates of homicide (−0.81/100,000 persons, corresponding to a 13% reduction) and mortality from acute alcohol effects (−0.35/100,000 persons, corresponding to a 12% reduction). Placebo test inference suggested that the associations were unlikely to be due to chance. MHSA was not associated with suicide. Protective associations with mortality due to homicide and acute alcohol effects provide evidence for modest health benefits of MHSA at the population level.