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Conditional cash transfers and mortality in people hospitalised with psychiatric disorders: A cohort study of the Brazilian Bolsa Família Programme

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Listed:
  • Camila Bonfim
  • Flávia Alves
  • Érika Fialho
  • John A Naslund
  • Maurício L Barreto
  • Vikram Patel
  • Daiane Borges Machado

Abstract

Background: Psychiatric patients experience lower life expectancy compared to the general population. Conditional cash transfer programmes (CCTPs) have shown promise in reducing mortality rates, but their impact on psychiatric patients has been unclear. This study tests the association between being a Brazilian Bolsa Família Programme (BFP) recipient and the risk of mortality among people previously hospitalised with any psychiatric disorders. Methods and findings: This cohort study utilised Brazilian administrative datasets, linking social and health system data from the 100 Million Brazilian Cohort, a population-representative study. We followed individuals who applied for BFP following a single hospitalisation with a psychiatric disorder between 2008 and 2015. The outcome was mortality and specific causes, defined according to International Classification of Diseases 10th Revision (ICD-10). Cox proportional hazards models estimated the hazard ratio (HR) for overall mortality and competing risks models estimated the HR for specific causes of death, both associated with being a BFP recipient, adjusted for confounders, and weighted with a propensity score. We included 69,901 psychiatric patients aged between 10 and 120, with the majority being male (60.5%), and 26,556 (37.99%) received BFP following hospitalisation. BFP was associated with reduced overall mortality (HR 0.93, 95% CI 0.87,0.98, p 0.018) and mortality due to natural causes (HR 0.89, 95% CI 0.83, 0.96, p

Suggested Citation

  • Camila Bonfim & Flávia Alves & Érika Fialho & John A Naslund & Maurício L Barreto & Vikram Patel & Daiane Borges Machado, 2024. "Conditional cash transfers and mortality in people hospitalised with psychiatric disorders: A cohort study of the Brazilian Bolsa Família Programme," PLOS Medicine, Public Library of Science, vol. 21(12), pages 1-20, December.
    • Handle: RePEc:plo:pmed00:1004486
    DOI: 10.1371/journal.pmed.1004486
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    References listed on IDEAS

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    3. Sylvia Shangani & Don Operario & Becky Genberg & Kipruto Kirwa & Miriam Midoun & Lukoye Atwoli & David Ayuku & Omar Galárraga & Paula Braitstein, 2017. "Unconditional government cash transfers in support of orphaned and vulnerable adolescents in western Kenya: Is there an association with psychological wellbeing?," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-15, May.
    4. Aaron Richterman & Christophe Millien & Elizabeth F. Bair & Gregory Jerome & Jean Christophe Dimitri Suffrin & Jere R. Behrman & Harsha Thirumurthy, 2023. "The effects of cash transfers on adult and child mortality in low- and middle-income countries," Nature, Nature, vol. 618(7965), pages 575-582, June.
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