Tracing the Health Consequences of Family Support during the COVID-19 Pandemic

追踪 COVID-19 大流行期间家庭支持对健康的影响

• 批准号: 10696231
• 负责人: Emily Wiemers
• 金额: $ 40.7万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10696231
• 关键词: Address; Adult; Affect; Age; American; Body mass index; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 pandemic effects; Caring; Characteristics; Collaborations; Communities; Complement; Data; Data Set; Databases; Dimensions; Disadvantaged; Disparity; Economic Conditions; Economics; Effectiveness; Elderly; Environment; Ethnic Origin; Exposure to; Extended Family; Face; Family; Family dynamics; Family health status; Family member; Financial Support; Gender; Generations; Goals; Health; Health and Retirement Study; Health protection; Household; Household and Family; Housing; Individual; Inequality; Interview; Knowledge; Life; Life Cycle Stages; Link; Measures; Medical; Medical Records; Mental Health; Neighborhoods; Occupations; Outcome; Patient Self-Report; Personal Satisfaction; Persons; Policies; Population; Privatization; Race; Records; Research; Respondent; Retirement; Risk; Risk Factors; Role; Sampling; Schools; Severities; Sleep; Socioeconomic Status; Surveys; Time; Training; Unemployment; Update; Variant; Work; combat; contextual factors; data dissemination; data resource; depressive symptoms; design; economic cost; economic impact; experience; family structure; family support; health care availability; health disparity; local economy; member; outcome disparities; pandemic disease; pandemic impact; pandemic response; panel study of income dynamics; physical conditioning; programs; prospective; residence; response; safety net; social group

PROJECT SUMMARY The initial health impacts of the COVID-19 pandemic have been unequal across social groups, and disparities in the economic impact of COVID-19 have amplified existing economic inequalities and health gaps. When faced with health and economic challenges, Americans often rely on family members, including those who are not coresident, to provide time help, financial assistance, and shared housing. Yet, for many disadvantaged Americans, the increased need for help from family comes at a time when the ability of family to provide help is diminished. Public transfers designed to alleviate economic hardships of the pandemic may interact with family transfers, but the combined effects are unknown. Despite the interdependence of health and economic challenges across generations and the effect of family support on health outcomes in the face of challenges, most research on pandemic effects focuses on individuals and households. This project fills this gap in the research creating a multidimensional contextual database linked to the Health and Retirement Study (HRS) and the Panel Study of Income Dynamics (PSID) to examine the effects of the pandemic across generations of American families. The HRS and PSID have collected data on the health and well-being of individuals and their family members for decades, include supplements on COVID-19 health and economic challenges and on public and private transfers to combat these challenges, and will continue indefinitely to support an understanding of the health impacts during and in the years following the pandemic. This project enhances these data by building a contextual database on the pandemic linkable to the generations of families in the HRS and PSID across dimensions of exposure to risk; state, local, and school policies; local economic conditions; health care availability; preexisting health factors; and structural inequalities. The proposed project addresses four Aims: (1) build and maintain a multidimensional contextual database linked to generations of HRS and PSID families; (2) describe how pandemic-related health and economic challenges differed across groups and were shared within families; (3) assess how care, financial support, and coresidence from family members responded to pandemic- related health and economic challenges and how each interacted with public transfer programs; and (4) study the physical and mental health effects in the immediate aftermath and the years following the pandemic and whether family support and public transfers mitigated negative health effects. Disparities across race-ethnicity, socioeconomic status, gender, age and retirement status, and family structure are assessed in each aim. Causal effects of the impact of the pandemic will be estimated using a combination of subjective assessments elicited from respondents and analytic strategies. The results provide a comprehensive understanding of the health and economic challenges the pandemic posed to American families and how it impacted their physical and mental health. Consortium collaborations will facilitate harmonization of contextual factors and health outcomes and support dissemination of the contextual data resource to the broader research community.

项目概要 COVID-19 大流行对各个社会群体的最初健康影响是不平等的，并且存在差异 COVID-19 的经济影响加剧了现有的经济不平等和健康差距。当面对 面对健康和经济挑战，美国人常常依赖家庭成员，包括那些不在家的人 共同居住，提供时间帮助、经济援助和共享住房。然而，对于许多弱势群体来说 美国人对家庭帮助的需求增加，而家庭提供帮助的能力却越来越低。 减少了。旨在缓解大流行造成的经济困难的公共转移可能会与家庭产生互动 转移，但综合影响尚不清楚。尽管健康和经济相互依存 几代人面临的挑战以及面对挑战时家庭支持对健康结果的影响， 大多数关于流行病影响的研究都集中在个人和家庭。该项目填补了这一空白 研究创建了一个与健康和退休研究 (HRS) 相关的多维上下文数据库，以及 收入动态小组研究（PSID），旨在研究这一流行病对几代人的影响 美国家庭。 HRS 和 PSID 收集了有关个人及其健康和福祉的数据 数十年的家庭成员，包括有关 COVID-19 健康和经济挑战以及公共问题的补充品 和私人转移来应对这些挑战，并将继续无限期地支持对 大流行期间和之后几年的健康影响。该项目通过构建来增强这些数据 一个关于大流行病的背景数据库，可与 HRS 和 PSID 中的几代家庭联系起来 风险暴露的维度；州、地方和学校政策；当地经济状况；卫生保健 可用性；先前存在的健康因素；和结构性不平等。拟议项目有四个目标：(1) 建立和维护与几代 HRS 和 PSID 家族相关联的多维上下文数据库； (2) 描述与流行病相关的健康和经济挑战在不同群体之间有何不同以及如何在不同群体之间共享 家庭； (3) 评估家庭成员的照顾、经济支持和共同居住如何应对流行病- 相关的健康和经济挑战以及各自如何与公共转移计划相互作用； (4)学习 大流行之后以及之后几年对身心健康的影响，以及 家庭支持和公共转移是否减轻了对健康的负面影响。不同种族之间的差异， 每个目标都评估社会经济地位、性别、年龄和退休状况以及家庭结构。因果关系 将结合所得出的主观评估来估计大流行的影响 来自受访者和分析策略。结果提供了对健康和健康的全面了解 大流行给美国家庭带来的经济挑战及其对他们身心的影响 健康。联盟合作将促进背景因素和健康结果的协调， 支持向更广泛的研究界传播背景数据资源。