Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/56395 |
Resumo: | National Institute Of Mental Health of the National Institutes of Health. Wellcome Trust. |
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Machado, Daiane BorgesWilliamson, ElizabethPescarini, Julia M.Alves, Flavia J. O.Araujo, Luís F. S. Castro deIchihara, Maria YuryRodrigues, Laura C.Araya, RicardoPatel, VikramBarreto, Maurício L.2023-01-09T14:36:20Z2023-01-09T14:36:20Z2022MACHADO, Daiane Borges et al. Relationship between the Bolsa Familia national cash transfer programme and suicide incidence in Brazil: A quasi-experimental study. PLOS Medicine, v. 19, n. 5, p. 1-17, 2022.1549-1676https://www.arca.fiocruz.br/handle/icict/5639510.1371/journal.pmed.1004000National Institute Of Mental Health of the National Institutes of Health. Wellcome Trust.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA Brasil / Department of Global Health and Social Medicine. Harvard Medical School. Boston, Massachusetts, United States of America.Department of Medical Statistics and Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, United Kingdom.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA Brasil / Department of Medical Statistics and Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, United Kingdom.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Department of Psychiatry. The University of Melbourne. Austin Health. Heidelberg, Victoria, Australia.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Department of Medical Statistics and Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, United Kingdom.Centre for Global Mental Health. Institute of Psychiatry. Psychology & Neuroscience. King’s College, London, United Kingdom.Department of Global Health and Social Medicine. Harvard Medical School. Boston, Massachusetts, United States of America / Department of Global Health and Population. Chan School of Public Health. Harvard, United States of America.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Background: Socioeconomic factors have been consistently associated with suicide, and economic recessions are linked to rising suicide rates. However, evidence on the impact of socioeconomic interventions to reduce suicide rates is limited. This study investigates the association of the world’s largest conditional cash transfer programme with suicide rates in a cohort of half of the Brazilian population. Methods and findings: We used data from the 100 Million Brazilian Cohort, covering a 12-year period (2004 to 2015). It comprises socioeconomic and demographic information on 114,008,317 individuals, linked to the “Bolsa Família” programme (BFP) payroll database, and nationwide death registration data. BFP was implemented by the Brazilian government in 2004. We estimated the association of BFP using inverse probability of treatment weighting, estimating the weights for BFP beneficiaries (weight = 1) and nonbeneficiaries by the inverse probability of receiving treatment (weight = E(ps)/(1-E(ps))). We used an average treatment effect on the treated (ATT) estimator and fitted Poisson models to estimate the incidence rate ratios (IRRs) for suicide associated with BFP experience. At the cohort baseline, BFP beneficiaries were younger (median age 27.4 versus 35.4), had higher unemployment rates (56% versus 32%), a lower level of education, resided in rural areas, and experienced worse household conditions. There were 36,742 suicide cases among the 76,532,158 individuals aged 10 years, or older, followed for 489,500,000 person-years at risk. Suicide rates among beneficiaries and nonbeneficiaries were 5.4 (95% CI = 5.32, 5.47, p < 0.001) and 10.7 (95% CI = 10.51, 10.87, p < 0.001) per 100,000 individuals, respectively. BFP beneficiaries had a lower suicide rate than nonbeneficiaries (IRR = 0.44, 95% CI = 0.42, 0.45, p < 0.001). This association was stronger among women (IRR = 0.36, 95% CI = 0.33, 0.38, p < 0.001), and individuals aged between 25 and 59 (IRR = 0.41, 95% CI = 0.40, 0.43, p < 0.001). Study limitations include a lack of control for previous mental disorders and access to means of suicide, and the possible under-registration of suicide cases due to stigma. Conclusions: We observed that BFP was associated with lower suicide rates, with similar results in all sensitivity analyses. These findings should help to inform policymakers and health authorities to better design suicide prevention strategies. Targeting social determinants using cash transfer programmes could be important in limiting suicide, which is predicted to rise with the economic recession, consequent to the Coronavirus Disease 2019 (COVID-19) pandemic.engPublic Library of ScienceAspectos socioeconômicos da saúdeSuicídioBolsa famíliaBrasilSocioeconomic aspects of healthSuicideBolsa FamíliaBrazilFatores SocioeconômicosSuicídioBrasilRelationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/56395/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALMachado, D. B. Relationship between.pdfMachado, D. B. Relationship between.pdfapplication/pdf717060https://www.arca.fiocruz.br/bitstream/icict/56395/2/Machado%2c%20D.%20B.%20Relationship%20between.pdfd24daecd7a590d4940e07c2f9c6eea9bMD52icict/563952023-03-15 14:32:50.354oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:32:50Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.en_US.fl_str_mv |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| title |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| spellingShingle |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study Machado, Daiane Borges Aspectos socioeconômicos da saúde Suicídio Bolsa família Brasil Socioeconomic aspects of health Suicide Bolsa Família Brazil Fatores Socioeconômicos Suicídio Brasil |
| title_short |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| title_full |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| title_fullStr |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| title_full_unstemmed |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| title_sort |
Relationship between the bolsa famılia national cash transfer programme and suicide incidence in Brazil: a quasi-experimental study |
| author |
Machado, Daiane Borges |
| author_facet |
Machado, Daiane Borges Williamson, Elizabeth Pescarini, Julia M. Alves, Flavia J. O. Araujo, Luís F. S. Castro de Ichihara, Maria Yury Rodrigues, Laura C. Araya, Ricardo Patel, Vikram Barreto, Maurício L. |
| author_role |
author |
| author2 |
Williamson, Elizabeth Pescarini, Julia M. Alves, Flavia J. O. Araujo, Luís F. S. Castro de Ichihara, Maria Yury Rodrigues, Laura C. Araya, Ricardo Patel, Vikram Barreto, Maurício L. |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Machado, Daiane Borges Williamson, Elizabeth Pescarini, Julia M. Alves, Flavia J. O. Araujo, Luís F. S. Castro de Ichihara, Maria Yury Rodrigues, Laura C. Araya, Ricardo Patel, Vikram Barreto, Maurício L. |
| dc.subject.other.en_US.fl_str_mv |
Aspectos socioeconômicos da saúde Suicídio Bolsa família Brasil |
| topic |
Aspectos socioeconômicos da saúde Suicídio Bolsa família Brasil Socioeconomic aspects of health Suicide Bolsa Família Brazil Fatores Socioeconômicos Suicídio Brasil |
| dc.subject.en.en_US.fl_str_mv |
Socioeconomic aspects of health Suicide Bolsa Família Brazil |
| dc.subject.decs.en_US.fl_str_mv |
Fatores Socioeconômicos Suicídio Brasil |
| description |
National Institute Of Mental Health of the National Institutes of Health. Wellcome Trust. |
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2022 |
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2022 |
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2023-01-09T14:36:20Z |
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2023-01-09T14:36:20Z |
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MACHADO, Daiane Borges et al. Relationship between the Bolsa Familia national cash transfer programme and suicide incidence in Brazil: A quasi-experimental study. PLOS Medicine, v. 19, n. 5, p. 1-17, 2022. |
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https://www.arca.fiocruz.br/handle/icict/56395 |
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1549-1676 |
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10.1371/journal.pmed.1004000 |
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MACHADO, Daiane Borges et al. Relationship between the Bolsa Familia national cash transfer programme and suicide incidence in Brazil: A quasi-experimental study. PLOS Medicine, v. 19, n. 5, p. 1-17, 2022. 1549-1676 10.1371/journal.pmed.1004000 |
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