A guaranteed income intervention to improve the health and financial well-being of low-income black emerging adults: study protocol for the Black Economic Equity Movement randomized controlled crossover trial.
A guaranteed income intervention to improve the health and financial well-being of low-income black emerging adults: study protocol for the Black Economic Equity Movement randomized controlled crossover trial.
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DOI：
10.3389/fpubh.2023.1271194
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发表时间：
2023
影响因子：
5.2
通讯作者：
Lightfoot, Marguerita A.
中科院分区：
文献类型：
--
作者：
Lippman, Sheri A.;Libby, Margaret K.;Nakphong, Michelle K.;Arons, Abigail;Balanoff, Monica;Mocello, Adrienne Rain;Arnold, Emily A.;Shade, Starley B.;Qurashi, Fahad;Downing, Alexandria;Moore, Alexis;Dow, William H.;Lightfoot, Marguerita A.
关键词：
经济不平等系统性地影响18-24岁的黑人新兴成年人(BEA)及其成年后的健康轨迹。保证收入(GI)--临时的、无条件的现金支付--作为解决数十年结构性种族主义和撤资造成的资源分配不公平问题的政策解决方案，正在获得越来越多的支持。GI为接受者提供安全、时间和支持，使他们能够过渡到成年，并显示出改善心理和身体健康结果的希望。到目前为止，很少有GI飞行员针对新兴成年人。BEEM试验旨在确定向BEA提供GI是否可以改善财务健康、心理和身体健康，以此作为解决健康差距的一种手段。采用随机对照交叉试验设计，来自旧金山和加利福尼亚州奥克兰的300名低收入BEA被随机分配，在最初12个月的随访(第一阶段)或在总共24个月的第二个12个月的随访(第二阶段)期间，每月获得500美元的GI。所有参与者都可以参加可选的同行讨论小组和财务指导，以增强财务能力。主要意向治疗分析将使用通用估计方程(GEE)评估在12个 月的I期GI接受者中GI的影响，并与等待名单的ARM参与者进行比较。主要结果包括：(A)经济状况(投资于教育/培训)；(B)精神健康状况(抑郁症状)；(C)对精神健康、性健康和生殖健康服务的需求未得到满足。二级分析将使用GEE和因果推理方法来检查可选财务能力组成部分的影响，以调整子阶层之间的差异。我们还将探讨支付结束后GI影响的消散程度。研究结果将在整个研究期间通过每3个 月进行一次调查来收集。由36名参与者组成的嵌套纵向定性队列将进一步阐明GI如何影响这些结果。我们还讨论了反种族主义实践如何指导干预设计、评估设计和实施。这些发现将提供第一个实验证据，证明有针对性的GI与补充的财务规划相结合是否改善了城市BEA的财务福祉、心理健康和未得到满足的卫生服务需求。结果将为利用GI作为减少健康差距的政策工具提供及时的证据。Https://clinicaltrials.gov，标识符NCT05609188。
Economic inequity systematically affects Black emerging adults (BEA), aged 18–24, and their healthy trajectory into adulthood. Guaranteed income (GI)–temporary, unconditional cash payments–is gaining traction as a policy solution to address the inequitable distribution of resources sewn by decades of structural racism and disinvestment. GI provides recipients with security, time, and support to enable their transition into adulthood and shows promise for improving mental and physical health outcomes. To date, few GI pilots have targeted emerging adults. The BEEM trial seeks to determine whether providing GI to BEA improves financial wellbeing, mental and physical health as a means to address health disparities. Using a randomized controlled crossover trial design, 300 low-income BEA from San Francisco and Oakland, California, are randomized to receive a $500/month GI either during the first 12-months of follow-up (Phase I) or during the second 12-months of a total of 24-months follow-up (Phase II). All participants are offered enrollment in optional peer discussion groups and financial mentoring to bolster financial capability. Primary intention-to-treat analyzes will evaluate the impact of GI at 12 months among Phase I GI recipients compared to waitlist arm participants using Generalized Estimating Equations (GEE). Primary outcomes include: (a) financial well-being (investing in education/training); (b) mental health status (depressive symptoms); and (c) unmet need for mental health and sexual and reproductive health services. Secondary analyzes will examine effects of optional financial capability components using GEE with causal inference methods to adjust for differences across sub-strata. We will also explore the degree to which GI impacts dissipate after payments end. Study outcomes will be collected via surveys every 3 months throughout the study. A nested longitudinal qualitative cohort of 36 participants will further clarify how GI impacts these outcomes. We also discuss how anti-racism praxis guided the intervention design, evaluation design, and implementation. Findings will provide the first experimental evidence of whether targeted GI paired with complementary financial programming improves the financial well-being, mental health, and unmet health service needs of urban BEA. Results will contribute timely evidence for utilizing GI as a policy tool to reduce health disparities. https://clinicaltrials.gov, identifier NCT05609188.
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影响因子：
4.5
作者：
Closson K;Dietrich JJ;Nkala B;Musuku A;Cui Z;Chia J;Gray G;Lachowsky NJ;Hogg RS;Miller CL;Kaida A
通讯作者：
Kaida A
影响因子：
56.9
作者：
Banerjee, Abhijit;Duflo, Esther;Udry, Christopher
通讯作者：
Udry, Christopher
影响因子：
12.7
作者：
Braveman, Paula A.;Cubbin, Catherine;Pamuk, Elsie
通讯作者：
Pamuk, Elsie
影响因子：
4.4
作者：
Byck, Gayle R.;Bolland, John;Mustanski, Brian S.
通讯作者：
Mustanski, Brian S.
DOI：
10.1111/j.1749-6632.2009.05337.x
发表时间：
2010-01-01
期刊：
BIOLOGY OF DISADVANTAGE: SOCIOECONOMIC STATUS AND HEALTH
影响因子：
--
作者：
Adler, Nancy E.;Stewart, Judith
通讯作者：
Stewart, Judith