Effects of a Large-Scale Unconditional Cash Transfer Program on Mental Health Outcomes of Young People in Kenya.
Effects of a Large-Scale Unconditional Cash Transfer Program on Mental Health Outcomes of Young People in Kenya.
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DOI：
10.1016/j.jadohealth.2015.09.023
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发表时间：
2016-02
期刊：
影响因子：
--
通讯作者：
Handa S
中科院分区：
文献类型：
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作者：
Kilburn K;Thirumurthy H;Halpern CT;Pettifor A;Handa S
这项研究调查了肯尼亚无条件现金转移计划对年轻人心理健康结果的因果影响。在肯尼亚孤儿和弱势儿童现金转移计划(CT-OVC)的第一阶段，肯尼亚选定的地点被随机分配接受无条件现金转移。在干预地点，低收入家庭和有OVC的家庭从2007年开始每月收到20美元的现金转账。2011年，在项目开始四年后，从干预和控制地点的家庭(N=1960)收集了关于15-24岁青年心理社会状况的数据。主要结果变量是使用10个问题的流行病学研究中心抑郁量表(CES-D10)来衡量抑郁症状的指标。次要结果包括希望和身体健康措施。根据个人和家庭特征调整的Logistic回归模型被用来确定现金转移计划的效果。在生活在接受现金转移的家庭中的年轻人中，现金转移将抑郁症状的几率降低了24%。按性别和年龄进行的进一步分析显示，这些影响只对年轻男性有显著影响，在20-24岁的男性和孤儿中影响更大。这项研究提供的证据表明，针对贫困的无条件现金转移计划可以改善低收入国家年轻人的心理健康。
This study investigates the causal effect of Kenya's unconditional cash transfer program on mental health outcomes of young people. Selected Locations in Kenya were randomly assigned to receive unconditional cash transfers in the first phase of Kenya's Cash Transfer Program for Orphans and Vulnerable Children (CT-OVC). In intervention Locations, low-income households and those with OVCs began receiving monthly cash transfers of $20 in 2007. In 2011, four years after program onset, data were collected on the psychosocial status for youth aged 15-24 from households in intervention and control Locations (N=1960). The primary outcome variable was an indicator of depressive symptoms using the 10-question Center for Epidemiologic Studies Depression Scale (CES-D10). Secondary outcomes include Hope and physical health measures. Logistic regression models that adjusted for individual and household characteristics were used to determine the effect of the cash transfer program. The cash transfer reduced the odds of depressive symptoms by 24 percent among young persons living in households that received cash transfers. Further analysis by gender and age revealed that the effects were only significant for young men and were larger among men aged 20-24 and orphans. This study provides evidence that poverty targeted unconditional cash transfer programs, can improve the mental health of young people in low-income countries.