2021年县级COVID-19政策全面性和成人行为健康:县级COVID-19政策和成人行为健康
Emily Wright1, Emily C Dore1, Kaitlyn E Jackson1
1Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building, 7th floor, Boston, MA, 02115, USA.
概括
当地COVID-19政策从2020-2021年没有显著影响成人行为健康,包括物质使用和心理痛苦. 需要进一步的研究来理解这些复杂的关系.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 自2020年以来,在美国观察到恶化的行为健康趋势.
- 地方政策对这些趋势和健康差异的潜在影响.
- 有限的研究系统地记录了县级COVID-19政策制定及其对健康的影响.
研究的目的:
- 实证地调查县级COVID-19政策与成人行为健康结果之间的关联.
- 将一个新的县政策数据库与国家健康调查数据联系起来.
- 评估政策全面性对物质使用和心理痛苦的影响.
主要方法:
- 将美国COVID-19县政策数据库 (2020-2021) 与2021年国家药物使用和健康调查 (N=25,600) 联系起来.
- 在整体,制/关闭,经济和公共卫生领域创建的政策全面性得分.
- 分析了与物质使用 (酒精,大麻,非法药物,电子烟) 和心理痛苦的关联,调整为共变量和县固定效应.
主要成果:
- 整体政策综合性和特定领域综合性增加与行为健康结果无关.
- 分层分析表明,在性别,种族/种族,教育和城市化方面,协会中的一些子组变异性.
- 确定了将政策和健康数据联系起来进行县级分析的可行性.
结论:
- 县级COVID-19政策的测量结果显示,在2020-2021年期间,与成人行为健康结果没有显著的关联.
- 需要进一步的研究才能充分理解当地政策对行为健康的微妙影响.
- 调查结果强调了使用新型政策数据库进行公共卫生研究的实用性和挑战.
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