Department of Epidemiology, School of Public Health, University of Washington, Hans Rosling Center for Population Health, 3980 15th Avenue NE, Box 351619, Seattle, WA, 98195-7230, USA.
Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA, USA.
Prev Sci. 2022 Nov;23(8):1370-1378. doi: 10.1007/s11121-022-01417-w. Epub 2022 Aug 2.
Family- and neighborhood-level poverty are associated with youth violence. Economic policies may address this risk factor by reducing parental stress and increasing opportunities. The federal Earned Income Tax Credit (EITC) is the largest cash transfer program in the US providing support to low-income working families. Many states have additional EITCs that vary in structure and generosity. To estimate the association between state EITC and youth violence, we conducted a repeated cross-sectional analysis using the variation in state EITC generosity over time by state and self-reported data in the Youth Risk Behavior Surveillance System (YRBSS) from 2005 to 2019. We estimated the association for all youth and then stratified by sex and race and ethnicity. A 10-percentage point greater state EITC was significantly associated with 3.8% lower prevalence of physical fighting among youth, overall (PR: 0.96; 95% CI 0.94-0.99), and for male students, 149 fewer (95% CI: -243, -55) students per 10,000 experiencing physical fighting. A 10-percentage point greater state EITC was significantly associated with 118 fewer (95% CI: -184, -52) White students per 10,000 experiencing physical fighting in the past 12 months while reductions among Black students (75 fewer; 95% CI: -176, 26) and Hispanic/Latino students (14 fewer; 95% CI: -93, 65) were not statistically significant. State EITC generosity was not significantly associated with measures of violence at school. Economic policies that increase financial security and provide financial resources may reduce the burden of youth violence; further attention to their differential benefits among specific population subgroups is warranted.
家庭和邻里贫困与青少年暴力有关。经济政策可以通过减轻父母压力和增加机会来解决这一风险因素。联邦所得税抵免(EITC)是美国最大的现金转移计划,为低收入工作家庭提供支持。许多州还有其他 EITC,其结构和慷慨程度各不相同。为了估计州 EITC 与青少年暴力之间的关系,我们使用各州 EITC 慷慨程度随时间的变化以及 2005 年至 2019 年青少年风险行为监测系统(YRBSS)中的自我报告数据进行了重复横断面分析。我们估计了所有青少年的关联,然后按性别、种族和族裔进行分层。州 EITC 增加 10 个百分点与青少年身体打架的总体发生率降低 3.8%显著相关(PR:0.96;95%CI 0.94-0.99),对于男学生,每 10000 名学生中经历身体打架的人数减少 149 人(95%CI:-243,-55)。州 EITC 增加 10 个百分点,与过去 12 个月每 10000 名白人学生中经历身体打架的人数减少 118 人显著相关(95%CI:-184,-52),而黑人学生(减少 75 人;95%CI:-176,26)和西班牙裔/拉丁裔学生(减少 14 人;95%CI:-93,65)的减少则无统计学意义。州 EITC 慷慨程度与学校暴力行为的衡量标准没有显著关联。增加经济安全和提供财政资源的经济政策可能会减轻青少年暴力的负担;进一步关注这些政策对特定人群亚组的不同影响是有必要的。