The overall aim is to examine impacts of stress on the interplay among multiple addictions in adults, usingrigorous social science methods. We examine smoking, misuse of alcohol, and overeating, and buildeconometric models of how stress affects patterns of addictions using two large longitudinal datasets. Weassess multidirectional causality among stress and addictions.
Specific Aim 1 : Using a large, rich nationally representative data set of individuals, model and analyzecomplex ways that stress of different types affects smoking, drinking and overeating (BMI) separately and asa system when controlling for mediating and other factors. We will examine patterns of addiction and analyzethe interplay across addictions in response to stress.
Specific Aim 1 a: Model and estimate how stress affects each of the three addictionsseparately. These estimates provide direct information of relevance and serve as buildingblocks to modeling the system of addictions.
Specific Aim 1 b: Using multiple methods, empirically address issues of causality versuscorrelation between stress and the addictions.
Specific Aim 1 c: Building on the findings from the earlier steps, model how patterns ofaddiction and the interplay among addictions are affected by stress. We will first describe thepatterns and then estimate models.
Specific Aim 2 : Examine how relationships among stress and interplay among addictions vary by gender,age, education and race.
Specific Aim 3; By collaborating with IRC colleagues, interpret our results on patterns of addiction in light ofdifferent theories of the impact of stress on addiction and develop testable hypotheses to distinguish amongthem.
Specific Aim 4 (Exploratory); Through collaborating with IRC colleagues, empirically investigate howaddictions and stress affect heart rate variability.
Specific Aim 5 : By collaborating with components of the IRC, develop policy implications of our findingsand disseminate findings and policy implications to scientists, policy-makers, and others.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Linked Research project Grant (RL1)
Project #
1RL1AA017542-01
Application #
7466511
Study Section
Special Emphasis Panel (ZRR1-SRC (99))
Program Officer
Grandison, Lindsey
Project Start
2007-09-30
Project End
2012-06-30
Budget Start
2007-09-30
Budget End
2008-06-30
Support Year
1
Fiscal Year
2007
Total Cost
$255,323
Indirect Cost
Name
Yale University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Sindelar, Jody L; O'Malley, Stephanie S (2014) Financial versus health motivation to quit smoking: a randomized field study. Prev Med 59:1-4
Fletcher, Jason M; Sindelar, Jody L (2012) The Effects of Family Stressors on Substance Use Initiation in Adolescence. Rev Econ Househ 10:99-114
Fletcher, Jason M; Sindelar, Jody L; Yamaguchi, Shintaro (2011) Cumulative effects of job characteristics on health. Health Econ 20:553-70
Gueorguieva, Ralitza; Sindelar, Jody L; Wu, Ran et al. (2011) Differential changes in body mass index after retirement by occupation: hierarchical models. Int J Public Health 56:111-6
Deb, Partha; Gallo, William T; Ayyagari, Padmaja et al. (2011) The effect of job loss on overweight and drinking. J Health Econ 30:317-27
Ayyagari, Padmaja; Sindelar, Jody L (2010) The Impact of Job Stress on Smoking and Quitting: Evidence from the HRS. B E J Econom Anal Policy 10:
Falba, Tracy A; Sindelar, Jody L; Gallo, William T (2009) Work expectations, realizations, and depression in older workers. J Ment Health Policy Econ 12:175-86
Fletcher, Jason (2009) All in the Family: Mental Health Spillover Effects between Working Spouses. B E J Econom Anal Policy 9:1
Sindelar, Jody L (2008) Paying for performance: the power of incentives over habits. Health Econ 17:449-51