Conditional cash transfers and adolescent mental health in Brazil: Evidence from the 2004 Pelotas Birth Cohort.

Journal: Journal of global health

Volume: 11

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Programa de Pós-graduação em Distúrbios do Desenvolvimento. Universidade Presbiteriana Mackenzie, São Paulo, Brazil. Postgraduate Program in Pediatrics and Child Health, School of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil. Postgraduate Program in Health and Behavior, Universidade Católica de Pelotas, Pelotas, Rio Grande do Sul, Brazil. Faculty of Psychology, Federal University of Pelotas, Pelotas, Brazil. Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London. Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London, UK. Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Escuela de Gobierno Alberto Lleras Camargo, Universidad de Los Andes, Bogotá, Colombia. Department of Global Health & Social Medicine, King's College London, London, UK. Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.

Abstract summary 

Young people living in poverty are at higher risk of mental disorders, but whether interventions aimed to reduce poverty have lasting effects on mental health has not been well established. We examined whether exposure to Brazil's conditional cash transfers programme (CCT), (BFP), during childhood reduces the risk of mental health problems in early adolescence.We used data from 2063 participants in the 2004 Pelotas Birth Cohort study. Propensity score matching (PSM) estimated the association between BFP participation at age 6 and externalising problems (Strengths and Difficulties Questionnaire - SDQ and violent behaviour) and socio-emotional competencies (Development and Well-Being Assessment questionnaire, and the Nowick-Strickland Internal-External Scale) at age 11.PSM results suggest that programme participation at age of six was not significantly associated with externalising problems ( = 0.433), prosocial behaviour ( = 0.654), violent behaviour ( = 0.342), social aptitudes ( = 0.281), positive attributes ( = 0.439), or locus of control ( = 0.148) at the age of 11 years.Participation in BFP during childhood was not associated with improved or worsened mental health in early adolescence. While we cannot fully discard that findings may be due to adverse selection, results suggest that CCTs alone may not be sufficient to improve mental health outcomes and would be prudent to assess whether mental health interventions as an addition to CCTs may be helpful.

Authors & Co-authors:  Ziebold Carolina C Paula Cristiane Silvestre CS Santos Iná S IS Barros Fernando C FC Munhoz Tiago N TN Lund Crick C McDaid David D Araya Ricardo R Bauer Annette A Garman Emily E Park A-La AL Zimmerman Annie A Hessel Philipp P Avendaño Mauricio M Evans-Lacko Sara S Matijasevich Alicia A

Study Outcome 

Source Link: Visit source

Statistics
Citations :  United Nations. Ending Poverty. Available: https://www.un.org/en/sections/issues-depth/poverty/index.html. Accessed: 31 July 2020.
Authors :  16
Identifiers
Doi : 04066
SSN : 2047-2986
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cohort Study,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Scotland