The Role of Financial Strain in Adult Alcohol, Cannabis, CNS Depressant and Polysubstance Use, and Mitigating Effects of Earned Income Tax Credit Policies: a Longitudinal Study using PATH data
财务压力在成人酒精、大麻、中枢神经系统抑制剂和多物质使用中的作用,以及所得税抵免政策的缓解影响:使用 PATH 数据的纵向研究
基本信息
- 批准号:10647501
- 负责人:
- 金额:$ 5.11万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-06-01 至 2025-05-31
- 项目状态:未结题
- 来源:
- 关键词:AccountingAcuteAdultAffectAlcohol consumptionAlcoholsAwardCannabisCannabis policyCentral Nervous System DepressantsChronicDataData CollectionDrug usageEconomic RecessionEconomicsEligibility DeterminationFamilyFinancial HardshipFinancial SupportFundingFutureGoalsHousingIncomeIncome TaxIndividualInstitutionInterventionInterviewK-Series Research Career ProgramsLongitudinal StudiesLongitudinal cohortLow Income PopulationMediatingMental HealthMentorshipModelingModificationNational Institute of Drug AbuseOccupationsOutcomePerceptionPersonsPoliciesPolicy ResearchPopulation Assessment of Tobacco and HealthPovertyPrevalencePrincipal InvestigatorRecreationReportingResearchResearch PersonnelResearch PriorityRiskRisk ReductionRoleSex DifferencesSourceStainsStimulantStressStructural ModelsSubstance Use DisorderSumSurveysTaxesTimeUnited StatesWeightacute stressbehavioral healthbiological adaptation to stresscareercoping mechanismdeprivationeligible participantepidemiology studyexperiencefederal policyhealinghealth economicshigh riskinsightmarijuana usenovelparticipant interviewpaymentpolysubstance useprogramspsychosocialsexsocial factorsspellingstressorsubstance usetrend
项目摘要
PROJECT SUMMARY/ ABSTRACT
Financial strain and substance use are widespread in the United States (US), as many adults struggle to meet
basic financial needs. Financial strain is distinct from its sources (e.g., job or income loss), as perception of strain
may be necessary to produce a stress-response that prompts substance use as a coping mechanism. Studies
examining the relationship between financial strain and substance use have focused on the association between
financial strain and alcohol use, or acute financial strain due to sudden changes in job or income. However, there
is a need to examine whether the relationship between financial strain and substance use varies by substance,
and the duration of financial strain (i.e., acute financial strain due to sudden job or income loss, chronic financial
strain due to persistent deprivation, or intermittent financial strain due to repeated periods of economic
insecurity). Anti-poverty programs such as the federal Earned Income Tax Credit (EITC) may provide an
opportunity to reduce financial strain and subsequent substance use by providing financial support to low-income
populations. The current R36 proposal seeks to provide novel insights about the associations between acute,
chronic, or intermittent financial strain and cannabis, CNS depressant, alcohol, and polysubstance use, and
whether federal EITC eligibility alters these relationships. To achieve these goals, we propose three aims that
will leverage individual- and state-level data from 5 waves (2013-2019) of the Population Assessment of Tobacco
and Health study, a longitudinal cohort of >30,000 US adults. Aim 1 will examine the association between
financial strain and cannabis, CNS depressant, alcohol, or polysubstance use at subsequent time points using
parametric g-computation, accounting for time-varying confounding, and examining effect modification by sex.
Aim 2 will create exposure trajectories of financial strain (i.e., none, acute, chronic, and intermittent) across four
waves of data collection, and examine the risk of cannabis, CNS depressant, alcohol, or polysubstance use at
Wave 5 using a mixed model to adjust for substance use trajectories and recency of financial strain. Aim 3 will
examine whether federal EITC eligibility is associated with short-term changes in financial strain, cannabis, CNS
depressant, alcohol or polysubstance use, and whether financial strain mediates the relationship between federal
EITC eligibility and substance use, examining effect modification by sex and state EITC. This project will advance
NIDA’s research priority to support dissertation research examining social factors that influence drug use
outcomes, and determine how policies affect drug use trends. Findings from this R36 study will help identify
individuals at risk for substance use, inform policies seeking to alleviate financial strain, and will inform a future
K award application. The proposed project and mentorship team will provide the principal investigator with the
opportunity to develop expertise at the intersection of health economics, substance use epidemiology, and policy
research, in pursuit of her long-term goal of becoming an independent researcher at an academic institution.
项目摘要/摘要
财政紧张和物质使用在美国(US)很普遍,因为许多成年人都在努力满足
基本的金融需求。财务压力与其来源不同(例如,工作或收入损失),如紧张感
可能是必要的,以产生一种压力反应,促使物质使用作为一种应对机制。研究
研究财务压力和物质使用之间的关系集中在以下方面的关联:
财务紧张和酗酒,或由于工作或收入的突然变化而造成的严重财务紧张。但
有必要审查财务紧张与药物使用之间的关系是否因药物而异,
以及财务紧张的持续时间(即,由于突然失去工作或收入而造成的严重财务紧张,
由于持续贫困而造成的紧张,或由于经济周期反复出现而造成的间歇性财政紧张,
不安全)。反贫困计划,如联邦劳动所得税抵免(EITC),可以提供一个
有机会通过向低收入者提供财政支助,减少财政紧张和随后的药物使用
人口。目前的R36提案旨在提供关于急性,
慢性或间歇性财务紧张和大麻、中枢神经系统疾病、酒精和多种物质使用,以及
联邦EITC资格是否改变了这些关系。为了实现这些目标,我们提出了三个目标,
将利用烟草人口评估的5波(2013-2019)中的个人和州一级数据
和健康研究,一个超过30,000名美国成年人的纵向队列。目标1将研究
在随后的时间点,经济紧张和大麻、CNS兴奋剂、酒精或多种物质的使用,
参数g计算,考虑时变混杂,并检查性别的效应修饰。
目标2将创建财务压力的风险敞口轨迹(即,无、急性、慢性和间歇性)
数据收集的浪潮,并检查大麻,中枢神经系统兴奋剂,酒精或多种物质使用的风险,
第5波使用混合模型来调整物质使用轨迹和最近的财务紧张。目标3将
检查联邦EITC资格是否与财务紧张,大麻,CNS的短期变化有关
酒精或多种物质的使用,以及经济压力是否介导了联邦
EITC资格和物质的使用,检查性别和国家EITC的影响修改。该项目将推进
NIDA的研究重点是支持论文研究,研究影响药物使用的社会因素
结果,并确定政策如何影响吸毒趋势。这项R36研究的结果将有助于确定
面临物质使用风险的个人,为寻求缓解财政压力的政策提供信息,并将为未来提供信息。
K奖申请。拟议的项目和指导团队将向主要研究者提供
有机会在卫生经济学,物质使用流行病学和政策的交叉点发展专业知识
研究,追求她的长期目标,成为一个独立的研究人员在学术机构。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Sarah Gutkind的其他文献
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