Center of Data and Knowledge Integration for Health.
Department of Global Health and Social Medicine, Harvard Medical School.
Am J Orthopsychiatry. 2024;94(4):477-484. doi: 10.1037/ort0000764.
There is a strong, bidirectional association between social disadvantage and poor mental health. The risk of experiencing mental health problems is particularly enhanced by factors associated with living in poverty. Thus, economic interventions may be effective in reducing the burden of mental health issues in these populations. This article explores the evidence based on one specific type of economic intervention on mental health, that is, supplementing household income through cash transfers. This narrative evidence is supplemented by an in-depth analysis of one of the world's largest national cash transfer programs, the Bolsa Família program, in Brazil. We report that evidence from multiple contexts clearly demonstrates that cash transfers are highly effective in reducing the burden of mental health issues and reducing mental health disparities. We then consider the specific mechanisms through which cash transfers influence mental health. Finally, we discuss the need for these interventions and, referring to the Brazilian case study, explore potential strategies for their implementation at scale and the implications for research and policy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
社会劣势与心理健康不良之间存在着强烈的双向关联。与贫困相关的因素特别加剧了出现心理健康问题的风险。因此,经济干预措施可能有助于减轻这些人群的心理健康问题负担。本文探讨了通过现金转移来补充家庭收入的一种特定类型的经济干预措施对心理健康的循证证据。本文通过对巴西“家庭福利”计划这一世界上最大的国家现金转移计划之一的深入分析,补充了这一叙事证据。我们报告说,来自多个背景的证据清楚地表明,现金转移在减轻心理健康问题负担和减少心理健康差距方面非常有效。然后,我们考虑了现金转移影响心理健康的具体机制。最后,我们讨论了这些干预措施的必要性,并参考巴西案例研究,探讨了在大规模实施这些干预措施的潜在策略及其对研究和政策的影响。(心理学信息数据库记录(c)2024 APA,保留所有权利)。