AUTHOR=Chipanta David , Estill Janne , Stöckl Heidi , Hertzog Lucas , Toska Elona , Chanda Patrick , Mwanza Jason , Kaila Kelly , Matome Chisangu , Tembo Gelson , Keiser Olivia , Cluver Lucie 

TITLE=Associations of Sustainable Development Goals Accelerators With Adolescents’ Well-Being According to Head-of-Household’s Disability Status–A Cross-Sectional Study From Zambia

JOURNAL=International Journal of Public Health

VOLUME=Volume 67 - 2022

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604341

DOI=10.3389/ijph.2022.1604341

ISSN=1661-8564

ABSTRACT=Objective: 
Examined associations between accelerators (interventions impacting ≥2 SDG targets) and well-being indicators among adolescents 16-24 years old in Zambia.
Methods:
Surveyed adults 16 years+ from 1,800 randomly sampled households receiving social cash transfers. Using multivariate logistic regressions, examined associations between accelerators (social cash transfers, life-long learning, mobile phone access and seven SDG-aligned well-being indicators among adolescents. 
Results:
Sample comprised 1,725 adolescents, 881(51.1%) girls. Mobile phone access was associated with no poverty (adjusted Odds Ratio [aOR] 2.08, p<0.001), informal cash transfers (aOR 1.82, p=0.004), seeking mental health support (aOR 1.61, p=0.020). Social cash transfers were associated with no disability-related health restrictions (aOR 2.56, p=0.004) and lesser odds of seeking mental health support (aOR 0.53, p=0.029). Life-long learning was associated with informal cash transfers (aOR 3.49, p<0.001) and lower school enrollment (aOR 0.70, p=0.004). Adolescents with disabled head-of-household reported worse poverty, good health, but less suicidal ideation.
Conclusions:
Social cash transfers, life-long learning, and mobile phone access accelerators were positively associated with SDG aligned well-being indicators. Adolescents living with disabled head-of-household benefited less. Policies should be adapted to correct disability-related inequalities.