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September 12, 2025American Journal of Public Health0 citations

Hardship and Hope: The Relationship Between Unconditional Prenatal and Infant Cash Transfers, Economic Stability, and Maternal Mental Health and Well-Being

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MHMona Hanna‐AttishaHSH. Luke ShaeferEFEric D. Finegood

Key Points

  • Mothers exposed to cash transfers showed a 4.2% reduction in eviction risk.
  • There was a 14% reduction in screening positive for postpartum depression among participants.
  • Economic stability improved alongside maternal mental health, indicating a direct link.
  • The community-wide cash transfer program serves as a model for addressing perinatal poverty.

Abstract

Objectives. To examine the impact of Rx Kids—a community-wide and unconditional prenatal and infant cash transfer program in Flint, Michigan—on economic stability, maternal mental health, and well-being. Methods. Using a difference-in-differences framework, we compared outcomes for surveyed Flint mothers who gave birth before and after Rx Kids implementation to those outside the city. Results. Relative to comparisons, mothers exposed to Rx Kids saw improvements in hardship, mental health, and well-being—notably, a 4.2-percentage-point reduction in the risk of eviction ( P < .05) and a 14.0-percentage-point reduction in screening positive for postpartum depression ( P < .05). Program exposure was associated with increased trust in institutions and feeling loved, hopeful, respected, and valued. Conclusions. Rx Kids, the United States’ first, to our knowledge, community-wide prenatal and infant cash transfer program, is associated with improved economic stability, mental health, and well-being. Rx Kids’ place-based scale provides a replicable model for efficiently addressing perinatal poverty and improving health. ( Am J Public Health. Published online ahead of print September 11, 2025:e1–e10. https://doi.org/10.2105/AJPH.2025.308244 )

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Cite This Study

Hanna‐Attisha et al. (2025) studied this question.

synapsesocial.com/papers/68d44a3031b076d99fa5336dhttps://doi.org/10.2105/ajph.2025.308244
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