Averett 2012.
Methods | Controlled before‐and‐after study; triple differences with state and individual fixed‐effect method; 1992‐1998 | |
Participants | 3365 participants of 2 waves of the National Longitudinal Survey of Youth 1979 cohort (1992, 1998); working‐age adults (27 to 41 years in 1992); women; African‐American (1404 participants) and European‐American (1961 participants); US | |
Interventions | Increase in value of the Earned Income Tax Credit in 1996 | |
Outcomes | Primary outcomes: tobacco use Secondary outcomes: change in employment |
|
Notes | Intervention context: permanent in‐work tax credit intervention for families introduced in 1975; means‐tested to low‐income groups (phase out starts at 17% to 42% of average income from wages (depending on family type); Immervoll 2009); amongst the most generous in‐work tax credit interventions internationally (up to 7% of an average income from wages for families with 1 dependent child; up to 11% of an average income from wages for families with 2 dependent children; Immervoll 2009); distributed nearly USD 62 billion to over 27 million individuals in 2011; had a high (approximately 80%) up‐take and low (less than 1%) administration costs; follow‐up for intervention to outcome measure was 2 years (1996‐1998). Equity impact estimated for the following PROGRESS variables: level of education |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Unclear risk | Unclear whether random sampling strategy employed; nationally representative sample achieved |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Survey participants not allocated to the intervention by the researchers; secondary analysis of survey data collected for a different purpose than estimating the impact of in‐work tax credit for families on health in adults (that is, blinding of participants and personnel neither feasible nor necessary) |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Survey participants not allocated to the intervention by the researchers; secondary analysis of survey data collected for a different purpose than estimating the impact of in‐work tax credit for families on health in adults (that is, blinding of outcome assessors neither feasible nor necessary); high risk from misclassification bias of the exposure due to crude exposure assessment |
Incomplete outcome data (attrition bias) All outcomes | High risk | Survey response rate at wave one not reported; observations with missing information on key variables excluded from the analysis (complete case analysis); high risk of bias from attrition (59.9%) |
Selective reporting (reporting bias) | Low risk | Significant and non‐significant effects reported |
Other bias | High risk | The treatment and control groups differed in health measures and characteristics at baseline; key confounders reported and controlled for robustly (except employment status); adjustment for income (a potential mediator of the in‐work tax credit‐health relationship) could have biased the results towards the null; reverse causation not controlled for |