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The isolated impacts of alcohol policies on birth outcomes

Award Number: F31AA028988
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 01/01/2021
PERIOD OF PERFORMANCE END DATE: 12/31/2023

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The isolated impacts of alcohol policies on birth outcomes - Project Summary Identifying policies to reduce fetal exposure to alcohol during pregnancy is a high public health priority. More than 85% of US states have pregnancy-specific alcohol and/or drug policies in place as a deterrent. Half of US states have policies in place that define alcohol and/or drug use during pregnancy as Child Abuse/Neglect. These policies have been shown to have unintended adverse health effects—including increased preterm birth and low birthweight—and decreased prenatal care utilization. However, the extent to which these effects are due to alcohol policies alone vs the combination of both alcohol and drug policies together, is unclear. One reason for this uncertainty is that most states have either enacted both alcohol and drug policies at the same time, or neither policy. We propose to estimate the isolated effects on birth outcomes of the Child Abuse/Neglect alcohol policy alone vs the combined effect of alcohol and drug policies together. Only one state (Arizona) has enacted both alcohol and drug Child Abuse/Neglect policies in different years. This variation provides a unique opportunity to differentiate the effects of alcohol vs alcohol plus drug Child Abuse/Neglect policies on birth outcomes and prenatal care utilization (Aim 1) and assess whether the alcohol-only vs alcohol plus drug policies have differential effects on Black compared to White women (Aim 2). Analyses will use high-quality birth certificate data routinely collected by the Center for Disease Control and Prevention National Center for Health Statistics and rigorous contemporary causal inference methods, including a difference-in-difference approach and a synthetic control method. The proposed study will provide evidence of potential unintended effects of Child Abuse/Neglect alcohol policies on birth outcomes and inform ongoing debates about the passing of pregnancy-specific alcohol and drug policies around the country. Knowledge gained from this proposal will advance the NIAAA's mission to understand “how public policy may serve as a tool for improving public health and welfare through its effects on behaviors and outcomes pertaining to alcohol and other drugs”. The proposed training, guided by an exemplary mentorship team, will enhance the applicant's methodological skills, research competency, and content expertise needed for her career as a future independent academic researcher focused on how alcohol policies influence the health of women, newborns, and children and strategies to mitigate adverse effects of alcohol use on population health and health inequalities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$21,023 )
2025	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	000	3	10/23/2024	NON-COMPETING CONTINUATION	-$21,023
														Subtotal = -$21,023

Issue Date FY: 2023 ( Subtotal = $43,079 )
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	001	3	4/6/2023	NON-COMPETING CONTINUATION	$11,385
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	3	2/14/2023	NON-COMPETING CONTINUATION	$31,694
														Subtotal = $43,079

Issue Date FY: 2022 ( Subtotal = $42,137 )
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	2	1/7/2022	NON-COMPETING CONTINUATION	$41,421
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	001	2	5/26/2022	NON-COMPETING CONTINUATION	$716
														Subtotal = $42,137

Issue Date FY: 2020 ( Subtotal = $40,905 )
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	1	8/13/2020	NEW	$40,905
														Subtotal = $40,905

Grand Total All Awards = $105,098

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The isolated impacts of alcohol policies on birth outcomes

Award Number: F31AA028988

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 01/01/2021

PERIOD OF PERFORMANCE END DATE: 12/31/2023

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