The impact of cash transfers on mental health in children and young people in low-income and middle-income countries: a systematic review and meta-analysis

The impact of cash transfers on mental health in children and young people in low-income and middle-income countries: a systematic review and meta-analysis

Forfattere
Zimmerman, A. Garman, E. Avendano-Pabon, M. Araya, R. Evans-Lacko, S. McDaid, D. Park, A. L. Hessel, P. Diaz, Y. Matijasevich, A. Ziebold, C. Bauer, A. Paula, C. S. Lund, C.
Årstall
2021
Tidsskrift
BMJ Global Health
Volum
6
Sider
04
INTRODUCTION: Although cash transfer programmes are not explicitly designed to improve mental health, by reducing poverty and improving the life chances of children and young people, they may also improve their mental health. This systematic review and meta-analysis assessed the evidence on the effectiveness of cash transfers to improve the mental health of children and young people in low-income and middle-income countries. METHODS: We searched Pubmed, EBSCOhost, Scientific Electronic Library Online, ISI Web of Science and Social Sciences Citation Index and grey literature (from January 2000 to July 2020) for studies which quantitatively assessed the impact of cash transfers on mental health in young people (aged 0-24 years), using a design that incorporated a control group. We extracted Cohen's d effects size and used a random-effects model for the meta-analysis on studies that measured depressive symptoms, I<sup>2</sup> statistic and assessment of study quality. RESULTS: We identified 12 116 articles for screening, of which 12 were included in the systematic review (covering 13 interventions) and seven in the meta-analysis assessing impact on depressive symptoms specifically. There was high heterogeneity (I<sup>2</sup>=95.2) and a high risk of bias (0.38, 95% CIs: -5.08 to 5.85; p=0.86) across studies. Eleven interventions (85%) showed a significant positive impact of cash transfers on at least one mental health outcome in children and young people. However, no study found a positive effect on all mental health outcomes examined, and the meta-analysis showed no impact of cash transfers on depressive symptoms (0.02, 95% CIs: -0.19 to 0.23; p=0.85). CONCLUSION: Cash transfers may have positive effects on some mental health outcomes for young people, with no negative effects identified. However, there is high heterogeneity across studies, with some interventions showing no effects. Our review highlights how the effect of cash transfers may vary by social and economic context, culture, design, conditionality and mental health outcome.

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Tiltaksnivå

Tidlig innsats

Behandling og hjelpetiltak

Tema

Psykiske vansker og lidelser

Atferdsproblemer

Utagerende/utfordrende atferd (uro, bråk)

Følelsesmessige problemer

Depresjon og nedstemthet (inkl. både vansker og lidelse)

Angstproblematikk

Angst og engstelighet (inkl. både vansker og lidelse)

Traumatiske belastninger/stress (PTSD)

Spiseforstyrrelser

Andre problemer

Psykose

Utvikling og livsmestring

Sosiale ferdigheter (inkl. vennerelasjoner)

Selvfølelse og selvtillit

Utenforskap/marginalisering

Fattigdom

Rus og spilling

Illegale rusmidler

Avhengighetsdiagnose

Tiltak

Psykososiale hjelpetiltak

Økonomisk/praktisk hjelp

Aldersgruppe

Uklar aldersgruppe

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