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=67

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