The impact of income support interventions on children’s long-term health trajectories: a systematic review

Publication type

Journal Article

Series Number

Authors

Publication date

November 26, 2025

Summary:

Background:

The delivery of income support interventions at an early age has positive short-term health impacts on children. However, less is known about whether those effects are sustained later in life. We addressed this question by systematically reviewing the literature on long-term (i.e., assessed after 5 + years) health impacts of income support interventions delivered in preschool age (in utero to 5 years).

Methods:

We focused only on experimental or quasi-experimental studies, without country restrictions. We retrieved studies from subject-specific databases for general, mental health, and economics, and from citation searching. All the retrieved literature was double-screened at the title, abstract, and full-text stages. We performed a data extraction of the relevant information from the eligible studies and synthesised them via a narrative synthesis approach.

Results:

Nine studies, eight quasi-experimental and one randomised control trial, were deemed eligible, all conducted in high or middle-income countries. These studies assessed several health outcomes, including overall mortality, cause-specific hospitalisation, mental health, and anthropometrics. Consistent long-term health improvements were observed from early income support interventions exposure across all the health dimensions assessed.

Conclusions:

Despite knowledge gaps, especially in low-income countries, our results suggest that implementing income support interventions during preschool age can have a prolonged positive effect across several health dimensions. Implementing such policies and strategies would prove beneficial for health, alongside their main goal of reducing childhood poverty and health inequalities.

Published in

BMC Public Health

Volume

Volume: 25:4162

DOI

https://doi.org/10.1186/s12889-025-25020-0

ISSN

14712458

Subjects

#588865

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