ArticleInternational journal of epidemiology2022
Impact of Brazil's Bolsa Família Programme on cardiovascular and all-cause mortality: a natural experiment study using the 100 Million Brazilian Cohort.
Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Racial inequities in cervical cancer mortality and the role of the Bolsa Família conditional cash transfer programme: results from the 100 Million Brazilian Cohort.Lancet regional health. Americas · 2026Article
- Long-term association of a conditional cash transfer programme and maternal mortality in Ecuador: An ecological longitudinal study, 2010-2023.SSM - population health · 2026Article
- Cross-Sector Policies for Achieving Equitable Obesity Prevention and Food Security: A Review of Real-World Actions.Current obesity reports · 2026Review
- Article
- Burden of disease and life expectancy decomposition in Brazil and its federated units, 1990-2023: an analysis based on the global burden of disease study 2023.Lancet regional health. Americas · 2026Article
- Conditional cash transfer and mortality among interpersonal violence victims: A cohort study.PLoS medicine · 2026Article
- Cash Transfers and Psychiatric Hospitalization for At-Risk Populations in Brazil.JAMA network open · 2026Article
- Noncommunicable chronic diseases and health challenges in 2050.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Health effects of the Brazilian Conditional Cash Transfer programme over 20 years and projections to 2030: a retrospective analysis and modelling study.The Lancet. Public health · 2025Article
- Do social protection programmes affect the burden of breast and cervical cancer? A systematic review.Health policy OPEN · 2024Review
- Epidemiology of cardiometabolic health in Latin America and strategies to address disparities.Nature reviews. Cardiology · 2024Review
- Conditional cash transfers and mortality in people hospitalised with psychiatric disorders: A cohort study of the Brazilian Bolsa Família Programme.PLoS medicine · 2024Article
- The effect of conditional cash transfers on tuberculosis incidence and mortality is determined by ethnoracial and socioeconomic factors: a cohort study of 54 million individuals in Brazil.Research square · 2024Article
- Income Segregation, Conditional Cash Transfers, and Breast Cancer Mortality Among Women in Brazil.JAMA network open · 2024Article
- The Impact of the Older Person's Grant Expansion on Hypertension Among Older Men in Rural South Africa: Findings From the HAALSI Cohort.Innovation in aging · 2024Article
- Economic interventions for the prevention of mental health problems: The role of cash transfers.The American journal of orthopsychiatry · 2024Article
- Association of Conditional Cash Transfers With Maternal Mortality Using the 100 Million Brazilian Cohort.JAMA network open · 2023Article
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15 authors.
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Abstract
backgroundCardiovascular disease (CVD) has a disproportionate effect on mortality among the poorest people. We assessed the impact on CVD and all-cause mortality of the world's largest conditional cash transfer, Brazil's Bolsa Família Programme (BFP).
methodsWe linked administrative data from the 100 Million Brazilian Cohort with BFP receipt and national mortality data. We followed individuals who applied for BFP between 1 January 2011 and 31 December 2015, until 31 December 2015. We used marginal structural models to estimate the effect of BFP on all-age and premature (30-69 years) CVD and all-cause mortality. We conducted stratified analyses by levels of material deprivation and access to healthcare. We checked the robustness of our findings by restricting the analysis to municipalities with better mortality data and by using alternative statistical methods.
resultsWe studied 17 981 582 individuals, of whom 4 855 324 were aged 30-69 years. Three-quarters (76.2%) received BFP, with a mean follow-up post-award of 2.6 years. We detected 106 807 deaths by all causes, of which 60 893 were premature; and 23 389 CVD deaths, of which 15 292 were premature. BFP was associated with reductions in premature all-cause mortality [hazard ratio (HR) = 0.96, 95% CI = 0.94-0.98], premature CVD (HR = 0.96, 95% CI = 0.92-1.00) and all-age CVD (HR = 0.96, 95% CI = 0.93-1.00) but not all-age all-cause mortality (HR = 1.00, 95% CI = 0.98-1.02). In stratified and robustness analyses, BFP was consistently associated with mortality reductions for individuals living in the two most deprived quintiles.
conclusionsBFP appears to have a small to null effect on premature CVD and all-cause mortality in the short term; the long-term impact remains unknown.
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