Prospective association between receipt of the economic impact payment and mental health outcomes

Tsai, Jack; Huang, Minda; Rajan, Suja S.; Elbogen, Eric B.

doi:10.1136/jech-2021-216661

Cited by 13 publications

(7 citation statements)

References 36 publications

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“…Com isso, os trabalhadores foram submetidos a interrupção das atividades laborais sem planejamento prévio ou reservas econômicas, resultando na perda financeira e no desenvolvimento de sintomas psicológicos capazes de interferir no funcionamento familiar e nos níveis de saúde mental. (28) A baixa escolaridade também associada ao comportamento suicida constitui um dos marcadores socioeconômicos e reflete as limitações no sistema educacional do Brasil para inclusão das pessoas com transtorno mental, assim como os comprometimentos psicológicos, comportamentais e cognitivos acarretados pelo transtorno mental que dificultam o acesso às práticas de ensino. (29,30) Ainda, destaca-se nesta investigação a subnotificação da tentativa de suicídio, demonstrando falhas no estabelecimento de indicadores epidemiológicos e na estruturação de programas para vigilância, monitoramento de casos e prevenção.…”

Section: Discussionunclassified

Comportamento suicida durante a pandemia da COVID-19: aspectos clínicos e fatores associados

Rocha¹,

Oliveira²,

Reis³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Analisar os aspectos clínicos e os fatores associados ao comportamento suicida durante a pandemia da COVID-19. Métodos:Estudo transversal e analítico, realizado com registros assistenciais de 130 pacientes que buscaram atendimento em emergência psiquiátrica após ideação, planejamento ou tentativa de suicídio. Utilizou-se um formulário para caracterização sociodemográfica, clínica e terapêutica, assim como para identificação das necessidades de cuidados e dos fatores associados. A análise dos dados foi constituída pelos testes Exato de Fischer, Qui-quadrado de Pearson e pela Regressão de Poisson, considerando nível de significância de 5%.Resultados: O comportamento suicida foi expresso pela tentativa de suicídio, ideação e planejamento, predominando no sexo feminino, em adultos jovens, desempregados e de baixa renda familiar, assim como em pacientes com histórico de transtorno mental, de internação psiquiátrica, de tentativas prévias e de abandono terapêutico. As principais alterações psíquicas envolveram ansiedade, depressão, sentimentos de desesperança, alucinações audiovisuais e delírios persecutórios. O consumo de substâncias psicoativas elevou em até 13,8 vezes o risco para tentativa de suicídio e as crises situacionais em 10,6 vezes a ideação. Ainda, a perda de renda e a internação anterior foram associados à manifestação do comportamento. As evidências de cuidados envolveram intervenções medicamentosas, medidas de vigilância e admissão hospitalar.Conclusão: Durante a pandemia da COVID-19, o comportamento suicida foi associado à maior predisposição para o consumo de substâncias psicoativas, crises situacionais e perda de renda. Destaca-se a necessidade de políticas públicas voltadas para identificação, prevenção e gerenciamento adequado dos estados de risco.

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Section: Discussionunclassified

Comportamento suicida durante a pandemia da COVID-19: aspectos clínicos e fatores associados

Rocha¹,

Oliveira²,

Reis³

et al. 2022

Acta Paulista De Enfermagem

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“… Watson et al, (2020) found a 14% increase in substance-abuse incidents the day after the Alaska's Permanent Fund Dividend payment and a 10% increase over the following four weeks. Regarding the economic impact payments, Tsai et al, (2021) found that those that first received the economic impact payment during the COVID-19 pandemic had a significantly increased use of any illicit drug in the past month. When taken into consideration with the previously identified COVID-19 policy impact on PWOUD such as social isolation, loss of income/ housing, reduced availability of harm reduction strategies and decreased access to MOUD ( Henderson et al, 2021 ), the sudden infusion of economic resources created by the economic impact payments may have also played a contributing role in the exacerbation of the opioid epidemic.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 economic impact payments and opioid overdose deaths

Sprague¹,

Yeh²,

Lan³

et al. 2022

International Journal of Drug Policy

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Background Given the global economic recessions mediated by the COVID-19 pandemic and that many countries have implemented direct income support programs, we investigated the timing of the COVID-19 economic impact payments and opioid overdose deaths. Methods A longitudinal, observational study design that included data from the Ohio Department of Health was utilized. Statistical change point analyses were conducted to identify significant changes in weekly number of opioid overdose deaths from January 1 of 2018 to August 1 of 2020. Additional analyses including difference-in-difference, time series tests, interrupted time series regression analysis and Granger causality test were performed. Results A single change point was identified and occurred at week 16, 2020. For 2020, the median opioid overdose deaths numbers for weeks 1-16 and weeks 17-32 were 68.5 and 101, respectively. The opioid overdose deaths numbers from weeks 17-32 of 2020 were significantly higher than those in weeks 1-16 of 2020 and those in 2018 and 2019 (before and after week 16). The interrupted time series regression analysis indicated more than 203 deaths weekly for weeks 17-32 of 2020 compared to all other weeks. The result of the Granger causality test found that the identified change point (week 16 of 2020) directly influenced the increase in opioid overdose deaths in weeks 17-32 of 2020. Conclusion The identified change point may refer to the timing of many factors, not only the economic payments and further research is warranted to investigate the potential relationship between the COVID-19 economic impact payments and overdose deaths.

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“…This included child benefit in the U.K., Canadian child benefits in Canada, child tax benefit in South Korea, and child allowance in Japan, among many others. A growing body of COVID-19 studies in the U.S. has also found that there are relationships between income supplements and mental health, such as stimulus checks [17], economic impact payment [18], unemployment insurance [19], supplemental nutrition assistance programs [20], and temporary assistance for needy families [21,22], among many others. Focusing on child mental health, studies identified the positive role of cash assistance.…”

Section: Expansion Of the Us Child Tax Credit Amid The Crisis Of Ment...mentioning

confidence: 99%

Child Tax Credit, Spending Patterns, and Mental Health: Mediation Analyses of Data from the U.S. Census Bureau’s Household Pulse Survey during COVID-19

Park

Kim

2023

IJERPH

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This study examined the relationship between the receipt of COVID-19 child tax credit and adult mental health problems in the United States, and we explored whether and the extent to which a wide range of spending patterns of the credit—15 patterns regarding basic necessities, child education, and household expenditure—mediated the relationship. We used COVID-19-specialized data from the U.S. Census Bureau’s Household Pulse Survey, a representative population sample (N = 98,026) of adult respondents (18 and older) who participated between 21 July 2021 and 11 July 2022. By conducting mediation analyses with logistic regression, we found relationships between the credit and lower levels of anxiety (odds ratio [OR] = 0.914; 95% confidence interval [CI] = 0.879, 0.952). The OR was substantially mediated by spending on basic necessities such as food and housing costs (proportion mediated = 46% and 44%, respectively). The mediating role was relatively moderate in the case of spending on child education and household expenditure. We also found that spending the credit on savings or investments reduces the effect of the child tax credit on anxiety (−40%) while donations or giving to family were not a significant mediator. Findings on depression were consistent with anxiety. The child tax credit–depression relationships were substantially mediated by spending on food and housing (proportion mediated = 53% and 70%). These mediation analyses suggested that different patterns of credit spending are important mediators of the relationship between the receipt of the child tax credit and mental illnesses. Public health approaches to improve adult mental health during and after the COVID-19 pandemic need to consider the notable mediating role of spending patterns.

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Prospective association between receipt of the economic impact payment and mental health outcomes

Cited by 13 publications

References 36 publications

Comportamento suicida durante a pandemia da COVID-19: aspectos clínicos e fatores associados

Comportamento suicida durante a pandemia da COVID-19: aspectos clínicos e fatores associados

COVID-19 economic impact payments and opioid overdose deaths

Child Tax Credit, Spending Patterns, and Mental Health: Mediation Analyses of Data from the U.S. Census Bureau’s Household Pulse Survey during COVID-19

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