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

• 批准号: 10647501
• 负责人: Sarah Gutkind
• 金额: $ 5.11万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 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: https://reporter.nih.gov/project-details/10647501
• 关键词: Accounting; Acute; Adult; Affect; Alcohol consumption; Alcohols; Award; Cannabis; Cannabis policy; Central Nervous System Depressants; Chronic; Data; Data Collection; Drug usage; Economic Recession; Economics; Eligibility Determination; Family; Financial Hardship; Financial Support; Funding; Future; Goals; Housing; Income; Income Tax; Individual; Institution; Intervention; Interview; K-Series Research Career Programs; Longitudinal Studies; Longitudinal cohort; Low Income Population; Mediating; Mental Health; Mentorship; Modeling; Modification; National Institute of Drug Abuse; Occupations; Outcome; Perception; Persons; Policies; Policy Research; Population Assessment of Tobacco and Health; Poverty; Prevalence; Principal Investigator; Recreation; Reporting; Research; Research Personnel; Research Priority; Risk; Risk Reduction; Role; Sex Differences; Source; Stains; Stimulant; Stress; Structural Models; Substance Use Disorder; Sum; Surveys; Taxes; Time; United States; Weight; acute stress; behavioral health; biological adaptation to stress; career; coping mechanism; deprivation; eligible participant; epidemiology study; experience; federal policy; healing; health economics; high risk; insight; marijuana use; novel; participant interview; payment; polysubstance use; programs; psychosocial; sex; social factors; spelling; stressor; substance use; trend

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 由于许多成年人难以见面，因此财务压力和吸毒的使用是美国（美国）的宽度 基本财务需求。财务压力与其来源不同（例如，工作或收入损失），因为对压力的看法 产生应力反应可能是必要的，该应力响应促使物质使用作为应对机制。研究 研究财务压力与使用物质之间的关系已集中在 财务压力和饮酒，或由于工作或收入突然变化而导致的急性财务压力。但是，那里 需要检查财务应变和物质使用之间的关系是否因物质而异， 以及财务压力的持续时间（即由于突然的工作或收入损失，慢性财务 由于持续的剥夺或由于经济的重复时期而导致的财务压力，压力是压力 不安全感）。反贫困计划，例如联邦赚取的所得税信用（EITC）可以提供 通过为低收入提供财务支持来减少财务压力和随后的物质使用的机会 人群。当前的R36提案旨在提供有关急性关联的新颖见解 慢性或间歇性财务应变和大麻，中枢神经系统抑郁症，酒精和多核酸的使用，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5波（2013-2019）的人口评估的个人和州级数据 和健康研究，纵向人群> 30,000名美国成年人。 AIM 1将检查 财务压力和大麻，CNS抑郁剂，酒精或多核算的使用，随后的时间点使用 参数G-Compunt，考虑时变的混杂以及通过性别进行效果修改。 AIM 2将在四个 收集数据的浪潮，并检查大麻，CNS抑郁症，酒精或多物质的风险 第5波使用混合模型来调整物质使用轨迹和财务应变的重新度。目标3意志 检查联邦EITC资格是否与金融压力的短期变化，大麻，CNS有关 抑郁症，酒精或多物质的使用，以及金融压力是否介导联邦之间的关系 EITC的资格和物质使用，检查性别和状态EITC的效果修饰。这个项目将进步 NIDA的研究优先级支持论文研究，研究影响吸毒使用的社会因素 结果，并确定政策如何影响毒品使用趋势。这项R36研究的发现将有助于识别 有危险使用物质的个人，告知寻求减轻财务压力的政策，并将告知未来 K奖申请。拟议的项目和Mentalship团队将为首席研究员提供 在健康经济学，物质使用流行病学和政策的交集中发展专业知识的机会 研究，追求她成为学术机构独立研究人员的长期目标。