Skip to main content
. 2013 Aug 6;2013(8):CD009963. doi: 10.1002/14651858.CD009963.pub2

Gomis‐Porqueras 2011.

Methods Interrupted time series study; difference‐in‐differences with state fixed‐effect method; 1982‐2004
Participants 111,301 participants of 22 surveys of the National Health Interview Survey (1982‐2004); working‐age adults (20 to 64 years); women; high school or less (59,756 participants) and some college education (51,545 participants); US
Interventions Increase in value of the Earned Income Tax Credit in 1996
Outcomes Primary outcomes: overweight/obesity (8 years after implementation of intervention, 1996‐2004)
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: none
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 Unclear risk Survey response rates not reported; observations with missing information on key variables excluded from the analysis (complete case analysis)
Selective reporting (reporting bias) Low risk Significant and non‐significant effects reported
Other bias High risk The intervention was unlikely to alter data collection. The point of analysis was the point of intervention. The study adjusted for trends over time in the health outcome between women eligible for a large increase in EITC in 1996 (women with 2 or more dependent children) and women not eligible for the increase in EITC (women with 1 dependent child) within the group of potentially EITC‐eligible women (low‐education mothers); however, it did not adjust for underlying, differential trends between the treatment and control groups, meaning that the study had a high risk of bias from unmeasured or unadjusted confounding. Reverse causation not controlled for