CHRONIC DRUG USE, DEPRESSION, AND LABOR SUPPLY

描述：(申请人摘要) 迈阿密大学卫生服务研究中心最近收集了 关于慢性吸毒者(CDU)和非吸毒者的广泛社区信息 用户(NDU)，以检查卫生服务利用率、访问和 成本。该调查工具包含有关人口统计、健康状况 身份、生活方式行为和劳动力市场活动。它还包括 20个条目的Zung抑郁自评量表(SDS)。该计划的主要目标是 建议的小额拨款申请是使用这组独特的数据来分析 CDU和NDU患者吸毒与抑郁的关系 这些条件对劳动力市场决策的影响。一些研究人员已经 研究了毒品使用和劳动力市场问题之间的关系，但没有研究 已经使用基于社区的数据来调查共生和混淆 抑郁和用药对劳动力市场行为的影响。这项研究 该项目将追求以下具体目标： 1.检查CDU、抑郁的患病率，以及 以社区为基础的个体样本中的CDU和抑郁症。 2.评估CDU和抑郁症对心理健康的主要影响和交互作用。 就业概率。 3.在受雇的条件下，评估以下因素的主要影响和交互作用 CDU和抑郁症在过去12个月中的工作周数。 拟议的研究将为调查人员(包括Dr。 亚历山大，一位非裔美国健康经济学家，他有资格成为一个更新、更少的人 有经验的调查员)使用一组独特的数据来检查 药物使用、抑郁和劳动力供应之间的关系。因为雇主 政策制定者对共同发生和混淆的情况知之甚少 吸毒和抑郁对劳动力市场的影响、研究和政策 这一应用的重要性是立竿见影的和广泛的。CDU作为一个组 已经被挑出来进行干预和办公室的扩展研究 国家药物管制政策。此外，美国的心理健康问题 各州已成为社区、卫生和社会服务的挑战。 机构、管理保健组织、雇主和家庭。由此产生的 调查结果将有助于政策制定者和雇主就 在工作场所药物管制方案和工作场所药物管制方案之间分配稀缺资源 其他选择，如改善员工的心理健康。

DESCRIPTION: (Applicant's Abstract) The University of Miami Health Services Research Center recently collected extensive community-based information on chronic drug users (CDUs) and non-drug users (NDUs) to examine differences in health services utilization, access, and cost. The survey instrument contains information on demographics, health status, lifestyle behaviors, and labor market activities. It also includes the 20-item Zung Self-Rating Depression Scale (SDS). The primary objective of the proposed small grant application is to use this unique set of data to analyze the relationships between drug use and depression among CDUs and NDUs, and the effects of these conditions on labor market decisions. Some researchers have examined the relationships between drug use labor market problems, but no study has used community-based data to investigate the co-occurring and confounding effects of depression and drug use on labor market behavior. This research project will pursue the following specific aims: 1. Examine the prevalence of CDU, depression, and the comorbid conditions of CDU and depression in a community-based sample of individuals. 2. Estimate the main and interaction effects of CDU and depression on the probability of employment. 3. Conditional on being employed, estimate the main and interaction effects of CDU and depression on the number of weeks worked during the past 12 months. The proposed study will provide support for the investigators (including Dr. Alexandre, an African American health economist who qualifies as a newer, less experienced investigator) to use a unique set of data to examine the relationships between drug use, depression, and labor supply. Since employers and policymakers are not well informed about the co-occurring and confounding effects of drug use and depression on the labor market, the research and policy importance of this application is immediate and widespread. CDUs as a group have been singled out for intervention and extended study by the Office of National Drug Control Policy. Moreover, mental health problems in the United States have become a challenge to communities, health and social service agencies, managed care organizations, employers, and families. The resulting findings will help policy makers and employers make decisions regarding the allocation of scarce resources between workplace drug control programs and other alternatives such as improving employees' mental health.