County-Level COVID-19 Policy Comprehensiveness and Adult Behavioral Health during 2021.
Epidemiologic research has found worsening behavioral health in the USA since 2020. Local policies may have contributed to these patterns and associated disparities. However, scant research has systematically documented county-level COVID-19-era policymaking or empirically investigated its health im...
| Publicado en: | Journal of Urban Health Vol. 102; no. 3; pp. 713 - 726 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jun2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=186778970&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 186778970 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Jun2025 vid: 102 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 186778970 10.1007/s11524-025-00982-z ppf: 713 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P size: 815KB tig: atl: County-Level COVID-19 Policy Comprehensiveness and Adult Behavioral Health during 2021. aug: au: Wright, Emily Dore, Emily C. Jackson, Kaitlyn E. Wang, Guangyi Pletcher, Mark J. Carton, Thomas W. Hamad, Rita affil: https://ror.org/03vek6s52 Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building, 7th floor, 02115, Boston, MA, USA https://ror.org/043mz5j54 Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA https://ror.org/043mz5j54 Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA https://ror.org/01nacjv05 Louisiana Public Health Institute, New Orleans, LA, USA su: United States Psychological distress Policy sciences Mental health services Substance abuse Policy analysis Public health COVID-19 Epidemiological research sug: subj: Psychological distress Policy sciences Mental health services Substance abuse Policy analysis Public health United States Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Offices of Mental Health Practitioners (except Physicians) Health and Welfare Funds COVID-19 Epidemiological research keyword: Behavioral health Fixed effects Health behaviors Medical and Health Sciences Public Health and Health Services Mental health Policy evaluation Substance use Behavioral health Fixed effects Health behaviors Medical and Health Sciences Public Health and Health Services Mental health Policy evaluation Substance use ab: Epidemiologic research has found worsening behavioral health in the USA since 2020. Local policies may have contributed to these patterns and associated disparities. However, scant research has systematically documented county-level COVID-19-era policymaking or empirically investigated its health impacts. To investigate this question, we linked the US COVID-19 County Policy Database—a novel database with weekly data from 2020 to 2021 on 26 policies for 309 primarily urban counties—to data on adult behavioral health from the cross-sectional 2021 National Survey on Drug Use and Health (N = 25,600). We created measures of policy comprehensiveness by aggregating individual policies into an overall score, and into three domains: containment/closure, economic response, and public health. Outcomes included any past-30-day use and frequency of use of multiple substances (alcohol, binge alcohol, cigarettes, marijuana, non-marijuana illicit drug use, and vaping) and past-30-day psychological distress. Models adjusted for individual covariates, county fixed effects, and time-varying county-level COVID-19 covariates. We found that increases in overall policy comprehensiveness—and comprehensiveness in each of three domains—over time were not associated with the behavioral health outcomes assessed. Meanwhile, stratified models found some variability in associations across sex, racial/ethnic, education, and urban subgroups. This study established the feasibility, utility, and potential challenges of linking newly available COVID-19-related county policy data with health data to examine county-level policy influences on behavioral health. Further research is needed to inform responses to current behavioral health needs and future public health emergencies. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|