@article{ref1,
title="The impact of public assistance on child mental health in Japan: results from A-CHILD study",
journal="Journal of public health policy",
year="2020",
author="Koyama, Yuna and Fujiwara, Takeo and Isumi, Aya and Doi, Satomi and Ochi, Manami",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Public assistance is one option for providing a safety net to protect the health of children, but assistance may also generate feelings of shame that impact self-esteem. This study aims to elucidate the impact of public assistance on child mental health. We used cross-sectional data on 6920 first graders from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study. We found children living in relative poverty had more behavioral problems, low resilience, and were likely to refuse to go to school. After propensity-score matching among low-income households, the likelihood of children refusing to go to school was larger in the families receiving assistance as compared to non-recipients (OR 4.00, 95% CI 0.85-18.84) although there were no significant differences between recipients and non-recipients in low-income households. Our study produced insufficient evidence to indicate that social assistance is associated with child mental health, resilience, or school refusal.<p /> <p>Language: en</p>",
language="en",
issn="0197-5897",
doi="10.1057/s41271-020-00254-x",
url="http://dx.doi.org/10.1057/s41271-020-00254-x"
}