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

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_A818341F9AC8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
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
Author(s)
Zimmerman A., Avendano M., Lund C., Araya R., Diaz Y., Sanchez-Ariza J., Hessel P., Garman E., Evans-Lacko S.
ISSN
1460-2237 (Electronic)
ISSN-L
0268-1080
Publication state
Published
Issued date
06/02/2025
Peer-reviewed
Oui
Volume
40
Number
2
Pages
206-217
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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 [odds ratio (OR) = 0.96, 95% confidence intervals (CIs): 0.93, 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.
Keywords
Humans, South Africa, Colombia, Young Adult, Female, Male, Adolescent, Adult, Mental Health, Mexico, Depression, Child, Poverty, Employment, Child, Preschool, Educational Status, Infant, cash transfer programme, global mental health, low- and middle-income countries, poverty, quasi-experimental, social policy, youth mental health
Pubmed
Web of science
Open Access
Yes
Create date
04/11/2024 18:17
Last modification date
25/02/2025 8:17
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