The long-term effects of cash transfer programmes on young adults' mental health: A quasi-experimental study of Colombia, Mexico and South Africa.

Journal: Health policy and planning

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Affiliated Institutions:  King's College London, Health Service & Population Research Department, Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, de Crespigny Park, London, United Kingdom. King's College London, Global Health & Social Medicine, Aldwych, London, United Kingdom. Universidad de Los Andes, Escuela de Gobierno Alberto Lleras Camargo, Carrera ° N° -, Bloque AU, piso , Bogotá, Colombia. Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Sawkins Rd, Rondebosch, Cape Town, South Africa. Department of Health Policy, London School of Economics and Political Science, Care Policy and Evaluation Centre, Houghton Street, London, United Kingdom.

Abstract summary 

Poverty is associated with poorer mental health in early adulthood. Cash transfers (CTs) have been shown to improve child health and education outcomes, but it is unclear whether these effects may translate into better mental health outcomes as children reach young adulthood. Using a quasi-experimental approach that exploits variation across countries in the timing of national CT programme introduction, we examine whether longer exposure to CTs during childhood (0-17 years) reduces depressive symptoms in early adulthood (18-30 years). Based on harmonized data from Colombia, Mexico and South Africa (N= 14 431) we applied logistic regression models with country- and birth-cohort fixed effects to estimate the impact of cumulative years of CT exposure on mental health, educational attainment and employment outcomes. Our findings indicate that each additional year of CT exposure during childhood is associated with a 4% reduction in the odds of serious depressive symptoms in early adulthood (OR = 0.96, 95% CIs: 0.93 to 0.98). We find no consistent effect of years of exposure on completion of secondary school (OR = 1.01, 95% CIs: 0.99, 1.03), and a negative effect on the probability of employment in early adulthood (OR = 0.90, 95% CIs: 0.88, 0.91). These results suggest that longer exposure to CTs may contribute to modest but meaningful reductions in population level depressive symptoms during early adulthood.

Authors & Co-authors:  Zimmerman Annie A Avendano Mauricio M Lund Crick C Araya Ricardo R Diaz Yadira Y Ariza Juliana Sanchez JS Hessel Philipp P Garman Emily E Evans-Lacko Sara S

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : czae102
SSN : 1460-2237
Study Population
Male,Female
Mesh Terms
Other Terms
Poverty;cash transfer programme;global mental health;low-and middle income countries;quasi-experimental;social policy;youth mental health
Study Design
Quasi Experimental Study
Study Approach
Country of Study
South Africa
Publication Country
England