Associations of Sustainable Development Goals Accelerators With Adolescents' Well-Being According to Head-of-Household's Disability Status-A Cross-Sectional Study From Zambia.

Journal: International journal of public health

Volume: 67

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Institute of Global Health, University of Geneva, Geneva, Switzerland. Institute for Medical Information Processing, Biometry, and Epidemiology, Medical Faculty, Ludwig-Maximilians-University Munich, Munich, Germany. Centre for Social Science Research, University of Cape Town, Cape Town, South Africa. Social Work and Sociology, University of Zambia, Lusaka, Zambia. Disability Inclusion Project Luapula, International Labour Organisation, Lusaka, Zambia. Palm Associates Limited, Lusaka, Zambia. Centre for Evidence-Based Intervention, Department of Social Policy and Intervention, University of Oxford, Oxford, United Kingdom.

Abstract summary 

We examined associations between accelerators (interventions impacting ≥2 SDG targets) and SDG-aligned well-being indicators among adolescents 16-24 years old in Zambia. We surveyed adults from 1,800 randomly sampled households receiving social cash transfers. We examined associations between accelerators (social cash transfers, life-long learning, mobile phone access) and seven well-being indicators among adolescents using multivariate logistic regressions. The sample comprised 1,725 adolescents, 881 (51.1%) girls. Mobile phone access was associated with no poverty (adjusted Odds Ratio [aOR] 2.08, < 0.001), informal cash transfers (aOR 1.82, = 0.004), and seeking mental health support (aOR 1.61, = 0.020). Social cash transfers were associated with no disability-related health restrictions (aOR 2.56, = 0.004) and lesser odds of seeking mental health support (aOR 0.53, = 0.029). Life-long learning was associated with informal cash transfers (aOR 3.49, < 0.001) and lower school enrollment (aOR 0.70, = 0.004). Adolescents with disabled head-of-household reported worse poverty, good health but less suicidal ideation. Social cash transfers, life-long learning, and mobile phone access were positively associated with well-being indicators. Adolescents living with disabled head-of-household benefited less. Governments should implement policies to correct disability-related inequalities.

Authors & Co-authors:  Chipanta David D Estill Janne J Stöckl Heidi H Hertzog Lucas L Toska Elona E Chanda Patrick P Mwanza Jason J Kaila Kelly K Matome Chisangu C Tembo Gelson G Keiser Olivia O Cluver Lucie L

Study Outcome 

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Statistics
Citations :  Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The Age of Adolescence. Lancet Child Adolesc Health (2018) 2(3):223–8. 10.1016/s2352-4642(18)30022-1
Authors :  12
Identifiers
Doi : 1604341
SSN : 1661-8564
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
accelerators;good health;inequalities;informal cash transfers;no poverty;social cash transfers;social protection;sustainable development goals
Study Design
Study Approach
Country of Study
Zambia
Publication Country
Switzerland