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Study title: Examining the dynamics between young people’s mental health, poverty and life chances in six low- and middle-income countries: protocol for the CHANCES-6 study

Journal: Social Psychiatry and Psychiatric Epidemiology

Annette Bauer

1

, Ricardo Araya Baltra

2

, Mauricio Avendano Pabon

3,4

, Yadira Díaz

5

, Emily Garman

6

, Philipp Hessel

5

, Crick Lund

2,6

, Paulo Malvasi

7

, Alicia Matijasevich

8

, David McDaid

1

, A-La Park

1

, Cristiane Silvestre de Paula

9

, Annie Zimmerman

2

, Sara Evans-Lacko

1

Affiliations of the authors

1 London School of Economics and Political Science, Care Policy and Evaluation Centre, Department of Health Policy, London, United Kingdom 2 King's College London, Health Service & Population Research, Institute of Psychiatry, Psychology and Neuroscience, King’s Global Health Institute, London, United Kingdom

3 King’s College London, Global Health & Social Medicine, London, United Kingdom

4 Harvard School of Public Health, Department of Social and Behavioural Sciences, Boston, United States 5 Universidad de Los Andes, Escuela de Gobierno Alberto Lleras Camargo, Bogotá, Colombia

6 University of Cape Town, Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, Cape Town, South Africa

7 Universidade de São Paulo, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Department of Public Health, São Paulo, Brazil 8 Universidade de São Paulo, Faculdade de Medicina FMUSP, Departamento de Medicina Preventiva, São Paulo, Brazil

9 Universidade Presbiteriana Mackenzie, Programa de Pós-graduação em Distúrbios do Desenvolvimento, São Paulo, Brazil

Email of corresponding author: s.evans-lacko@lse.ac.uk

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Online resource 2: Table with example of data harmonisation for selected mental health and poverty indicators for Colombia, Mexico and South Africa

COLOMBIA MEXICO SOUTH AFRICA

Mental health indicators Mental health

problems

Strengths and Difficulties Questionnaire (SDQ);

Including: sleep; good attention span; restless or overactive; sadness; unhappy; tearful;

worried; fearful or scared; one good friend

21 questions about mental health

Including appetite; sleep; sadness; fearful;

feeling pessimistic, that things go wrong;

difficulty focusing/ reduced productivity; lost interest in things; lonely

Centre for Epidemiological Studies Depression Scale (CES-D) cut off 12

Including: sleep; trouble focusing; depressed;

fearful; problems to get going; feeling everything is an effort; lonely

Life satisfaction Feelings regarding 11 aspects of life; degree of satisfaction on 1 to 4 scale

3 questions about whether life improved in past year and expectations for future 3 years (for community and country)

Current life satisfaction (‘How do you feel about your life as a whole right now?’) on a scale 1 to 10

Poverty indicators

Household education Educational achievement

 Average educational level for people aged 15 or older living in household Literacy

 Percentage of people living in a household who are aged 15 or older and know how to read and write Household

employment

 Percentage of household members of working age who are not in long-term unemployment (more than 12 months)

 Percentage of household members of working age who are employed and affiliated with a pension fund Children’ schooling

and work

 Percentage of children between the ages of 6 and 16 in the household that attend school

 Percentage of children and youths (7–17 years old) within the household that are not suffering from school lag (according to the national norm)

 Percentage of children between 5 and 17 years in household not working Household

deprivation

Access to public utilities

 Urban households: no connection to public water systems; rural households: water used for the preparation of food obtained from wells, rainwater, spring sources, water tanks, water carriers or other sources

 Urban households: no public sewer system; rural households: toilet without a sewer connection, latrine or no sewage system Housing conditions

 Urban household: exterior walls built of untreated wood, boards, planks, vegetation (e.g. guadua), zinc, cloth, cardboard, waste material or no exterior walls; rural household: exterior walls built of vegetation (e.g. guadua) zinc, cloth, cardboard, waste materials or no exterior walls

 Number of people sleeping per room, excluding kitchen, bathroom and garage

Health insurance Percentage of household members over aged 5 or older who are insured by national security and health system

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