Small individual loans and mental health: a randomized controlled trial among South African adults
2008

Small Loans and Mental Health in South Africa

Sample size: 257 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lia CH Fernald, Rita Hamad, Dean Karlan, Emily J Ozer, Jonathan Zinman

Primary Institution: University of California, Berkeley

Hypothesis

Improved access to a credit program and consequent improvements in socioeconomic status would be associated with positive impacts on mental health.

Conclusion

Access to small loans can have mixed effects on psychological stress and depressive symptoms, particularly differing by gender.

Supporting Evidence

  • 53% of applicants receiving a second look were approved for loans.
  • Men showed reduced depressive symptoms but increased perceived stress after receiving loans.
  • Women did not show significant changes in depressive symptoms or perceived stress.

Takeaway

Giving people small loans can help some feel less sad, but it can also make them feel more stressed, especially for men.

Methodology

Randomized controlled trial with 257 applicants who were previously rejected for loans, assessed 6-12 months later for mental health indicators.

Potential Biases

Potential selection bias due to the nature of the sample being marginal loan applicants.

Limitations

The study's sample may not represent all borrowers, and the mental health measures used have not been validated in South Africa.

Participant Demographics

Approximately half female, over two-thirds of African descent, less than a quarter with education beyond high school.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI, 0.04, 1.23 for perceived stress; 95% CI, 0.13, 1.43 for depressive symptoms.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-8-409

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