把钱交给穷人永远不够:与边缘化相关的减少回报的影响
Shervin Assari1,2,3,4, Hossein Zare5,6
1Department of Internal Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States.
概括
无条件现金转移对贫困的影响有限,原因是与边缘化相关的回报减少 (MDR). 解决儿童贫困和系统性歧视等根本原因对于持久改善福祉至关重要.
科学领域:
- 健康的社会经济决定因素
- 贫困与公共政策
- 健康差异 在健康上的差异
背景情况:
- 最近的研究表明,无条件的现金转移并不能显著改善贫困人口的健康或经济状况.
- 与边缘化相关的减少回报 (MDRs) 理论为这些观察到的结果提供了解释.
- 长期的贫困和边缘化减少了新资源的实用性,限制了它们的影响.
研究的目的:
- 审查有关现金转移对贫困人口有效性的文献.
- 应用MDR理论来解释现金转移对边缘化群体的影响较弱.
- 为可持续的减贫和福祉改善提出多方面的方法.
主要方法:
- 关于现金转账和贫困的研究的文献综述.
- 与边缘化相关的减少回报 (MDRs) 理论的应用.
- 分析现有关于社会经济变化和福祉的经验证据.
主要成果:
- 仅靠现金转移,对贫困人口的健康和经济状况的改善不足.
- 边缘化显著减少了成年期社会经济地位 (SES) 的好处.
- 结构性障碍和系统性歧视抵消了财政资源的积极影响.
结论:
- 仅仅提供现金还不足以克服终身贫困和边缘化的影响.
- 有效的解决方案需要早期儿童预防贫困,以及减少边缘化的干预措施.
- 为了实现可持续的福祉改善,需要一项全面的多部门战略,解决根本原因.
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