States' COVID-19 Mitigation Policies and Psychological Health, Drug Overdose, and Suicide among U.S. Adults

各州的 COVID-19 缓解政策以及美国成年人的心理健康、药物过量和自杀

基本信息

批准号：
10493415
负责人：
Shannon M Monnat
金额：
$ 41.76万
依托单位：
SYRACUSE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-30 至 2026-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10493415
关键词：
Address Adult Adverse effects Affect Age Bayesian Modeling Black Populations Buffers Businesses COVID-19 COVID-19 impact COVID-19 pandemic COVID-19 prevention COVID-19 severity Cause of Death Collaborations Conflict (Psychology)Consequentialism County Data Data Reporting Data Set Economics Education Elderly Employment Ethnic Origin Family Family health status Financial Hardship Funding Future Gender Geography Health Health Personnel Healthcare Home Individual Life Cycle Stages Light Living Arrangement Measures Medicaid Mental Depression Mental Health Methods Natural experiment Not Hispanic or Latino Outcome Overdose Patient Self-Report Personal Satisfaction Persons Pharmaceutical Preparations Play Policies Population Race Reporting Risk SARS-CoV-2 infection Schools Sleep Disorders Social Work Social isolation Subgroup Suicide Surveys System Unemployment Variant Vital Statistics Work adverse outcome age group aged base combat design experience health care availability high dimensionality innovation large scale data member mortality novel pandemic disease racial and ethnic response self-reported anxiety sex social social relationships substance use suicide mortality suicide rate trend

项目摘要

The COVID-19 pandemic and the mitigation policies it prompted may have had profound consequences for the psychological health of U.S. adults, including their risk of dying from drug overdose and suicide. To mitigate the spread of COVID-19, some U.S. states enacted policies like stay-at-home orders and business closures. To mitigate adverse economic and health effects, some states enacted policies like eviction moratoria and extended unemployment benefits. These policies may have affected adults’ psychological health and related mortality through social isolation, work-family conflict, interpersonal strain, economic wellbeing, employment disruptions, and more. The overarching objective of this proposal is to rigorously assess how state-level COVID-19 mitigation policies have affected psychological health and related mortality from drug overdose and suicide among working age and older adults. The project is significant and will have a sustained impact because it: 1) identifies how states’ mitigation policies affect psychological health and mortality in both the short and longer- terms, 2) leverages adults’ self-reports of how COVID-19 and mitigation policies affected their lives and psychological health with county-level administrative data on drug overdose and suicide mortality, and 3) empirically develops meaningful composite measures of state mitigation policies to assess their impact on psychological health and mortality. The project is innovative in that it: 1) uses and extends novel survey data from working-age adults on how the pandemic and its mitigation policies affected their lives, 2) uses recently- developed methods for analyzing large contextual datasets containing high-dimensional and correlated data and 3) focuses on the impacts of policies on psychological health and related causes of death, specifically drug- overdoses and suicides, in the short and longer terms. The project will accomplish its objective through three Specific Aims. Aim 1 identifies how U.S. states’ COVID-19 policies are associated with adult psychological health. It uses a new, national survey of U.S. adults aged 18-64 (National Wellbeing Survey) conducted in Feb/Mar 2021 by PI Monnat. Using its self-reported data on how COVID-19 has affected people’s lives, we will assess: a) how states’ COVID-19 policies predict individuals’ psychological health approximately one year after COVID-19 began in the U.S., b) how economic, social, and health care conditions help explain the associations; and c) how the associations vary by age, sex, race/ethnicity, and education. Aim 2 identifies how U.S. states’ COVID-19 policies affected fatal drug overdose and suicide rates at the county level. Using mortality data from the National Vital Statistics System, we will assess: a) the immediate and lagged effects of states’ COVID-19 policies on county-level fatal drug overdose and suicide rates among adults aged 18 and older, b) how economic, social, and health care conditions explain these effects, and c) variation by age, sex, and race/ethnicity. Aim 3 collects four new annual waves of the NWS, in close collaboration with the Consortium, to identify longer-term consequences of states’ COVID-19 policies and individuals’ adaptations on adult psychological health.

COVID-19 大流行及其可能对全球经济产生深远影响的缓解政策美国成年人的心理健康状况，包括因药物过量和自杀而死亡的风险。随着 COVID-19 的传播，美国一些州颁布了居家令和企业关闭等政策。为了减轻对经济和健康的不利影响，一些州颁布了暂停驱逐和延长驱逐等政策这些政策可能影响成年人的心理健康和相关死亡率。通过社会孤立、工作与家庭冲突、人际紧张、经济福祉、就业中断，该提案的首要目标是严格评估州级 COVID-19 的情况。缓解政策影响了心理健康以及因吸毒过量和自杀而导致的相关死亡率该项目意义重大，并将产生持续影响，因为：1) 确定各州的缓解政策如何影响短期和长期的心理健康和死亡率术语，2) 利用成年人对 COVID-19 和缓解政策如何影响他们的生活的自我报告，心理健康与药物过量和自杀死亡率的县级行政数据，以及 3) 根据经验制定有意义的国家缓解政策综合措施，以评估其对该项目的创新之处在于：1）使用并扩展了新颖的调查数据。来自工作年龄成年人的关于流行病及其缓解政策如何影响他们的生活的信息，2) 最近使用- 开发了分析包含高维和相关数据的大型上下文数据集的方法 3）重点关注政策对心理健康和相关死亡原因的影响，特别是药物- 从短期和长期来看，该项目将通过三个方面实现其目标。具体目标 1 确定美国各州的 COVID-19 政策与成人心理的关系。它使用了一项针对 18-64 岁美国成年人的新的全国调查（全国幸福感调查）。 2021 年 2 月/3 月，作者：PI Monnat，我们将利用其关于 COVID-19 如何影响人们生活的自我报告数据。评估：a) 各州的 COVID-19 政策如何预测大约一年后个人的心理健康状况 COVID-19 始于美国，b) 经济、社会和医疗保健条件如何帮助解释这些关联； c) 这些关联如何因年龄、性别、种族/族裔和教育程度而变化。目标 2 确定美国各州的情况如何。根据死亡率数据，COVID-19 政策对县级药物过量和自杀率产生了致命影响。在国家人口动态统计系统中，我们将评估：a) 各州 COVID-19 的直接影响和滞后影响关于 18 岁及以上成年人致命药物过量和自杀率的县级政策，b) 经济、社会和医疗保健条件解释了这些影响，以及 c) 年龄、性别和种族/民族的差异目标 3。与联盟密切合作，收集 NWS 的四个新年度浪潮，以确定长期各州的 COVID-19 政策和个人的适应对成人心理健康的影响。