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现金转移和课后项目:特拉华州威尔明顿对有暴力风险的年轻男性的随机对照试验。

Cash Transfers and After-School Programs: A Randomized Controlled Trial for Young Men at Risk of Violence Exposure in Wilmington, Delaware.

机构信息

Urban Institute, Washington, DC, USA.

School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Urban Health. 2024 Jun;101(3):595-619. doi: 10.1007/s11524-024-00838-y. Epub 2024 Apr 18.

Abstract

We conducted a randomized controlled trial to determine whether an after-school program paired with a cash transfer (a conditional cash transfer) or a cash transfer alone (an unconditional cash transfer) can help improve health and economic outcomes for young men between the ages of 14 and 17 whose parents have low incomes and who live in neighborhoods with high crime rates. We find that receiving the cash transfer alone was associated with an increase in healthy behaviors (one of our primary outcome composite measures) and that the cash transfer paired with after-school programming was associated with an improvement in the financial health of participants (one of our secondary outcome composite measures). We find no differences in spending on alcohol, marijuana, cigarettes, or other drugs between either the treatment group and the control group. Neither the cash transfer alone nor the programming plus cash transfer had statistically significant effects on our other primary composite measures (physical and mental health or school attendance and disciplinary actions), or our other secondary composite measures (criminal justice engagement or social supports) but in most cases, confidence intervals were too large to rule out meaningful effects. Results suggest that cash transfers hold promise to improve the health of youth without any indication of any adverse effects.

摘要

我们开展了一项随机对照试验,以确定一项课外项目与现金转移(有条件现金转移)相结合,或者仅进行现金转移(无条件现金转移),是否可以帮助改善收入低且居住在犯罪率高的社区的 14 至 17 岁青年男子的健康和经济状况。我们发现,仅接受现金转移与健康行为的增加有关(我们的主要综合衡量标准之一),而课外项目与现金转移相结合与参与者的财务健康状况的改善有关(我们的次要综合衡量标准之一)。我们没有发现接受治疗的人和对照组在酒精、大麻、香烟或其他毒品的消费方面有任何差异。无论是单独的现金转移还是方案加现金转移,都没有对我们的其他主要综合衡量标准(身心健康或出勤和纪律处分)或我们的其他次要综合衡量标准(刑事司法参与或社会支持)产生统计学上的显著影响,但在大多数情况下,置信区间太大,无法排除有意义的影响。结果表明,现金转移有望改善青年的健康,而没有任何不良影响的迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/706d/11190111/7dbeb0ecfe63/11524_2024_838_Fig1_HTML.jpg

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