This project will assess the medium-term impact of a large-scale national anti-poverty program on disease and health risk of mature adults (age 45+) and young adults (age 20-26). We build on a longitudinal randomized control trial designed to evaluate the impact of an unconditional cash transfer program in a low-income setting. A fourth wave of data on the study population will include new measures of immune response, disease risk, and cognitive capacity. Combing these measures with information from previous waves, including the pre- intervention period, will allow us to map out the biological, behavioral and economic pathways through which a cash transfer program influences health at two points in the life-cycle. Specifically, we will exploit the exogenous change in income evoked by random assignment to early-entry treatment condition to estimate the causal effect of income poverty on immune function, and the role of stress in mediating this relationship. We will also estimate the causal effect of the cash transfer on a range of indicators of disease risk. Half the young adults in our sample were exposed to the cash transfer during their critical adolescence years, allowing us to estimate the impact of the cash on their disease risk. By providing estimates for both mature and younger adults, we can observe whether the hypothesized relationship vary across the life-course. The proposal addresses the National Institute of Ageing's Goal B to `better understand the effects of personal, interpersonal, and societal factors on ageing, including mechanisms through which these factors exert their effects.' Within Goal B, the proposal responds to objective B1: `Illuminate the pathways by which social, psychological, economic, and behavioral factors affect health in middle-aged and older adults.'
This project will examine the effects of a large-scale poverty reduction program on health risk among older and younger adults in rural Malawi. It extends a longitudinal randomized control trial of a national cash transfer program and integrates new measures of infection, diseases and cognitive capacity to identify the biological and behavioral pathways through which poverty affects health and mortality risk. Results will contribute to knowledge on the structural, biological and behavioral pathways that affect healthy well-being at two points in the life-cycle, with implications for public policies designed to address the multi-faceted consequences of poverty.
