Publication:
Mental Health among Adolescents and Young Adults in Latin America and the Caribbean: Indirect Costs of Mental Health Illness and the Economic Impact of Mitigation Policies

Loading...
Thumbnail Image
Files in English
English PDF (2.31 MB)
338 downloads
English Text (140.69 KB)
6 downloads
Published
2025-07-09
ISSN
Date
2025-07-09
Editor(s)
Abstract
This document analyzes the indirect costs of mental health for adolescents and young adults in Latin America and the Caribbean (LAC) region and its potential impact in lowering human capital in the region. It uses a broad definition of mental health conditions (MHC), classified into four components: neurological disorders (ND), mental health disorders (MHD), substance use disorders (SUD), and self-harm and suicide (SHS). The study documents the relevance and rapid increase of the prevalence of mental health conditions in the world and particularly in the region. From 1990 to 2019, mental health conditions have greatly increased their share of the global burden of disease, especially in low- and middle-income countries. In 2019, mental health conditions (including neurological disorders) accounted for losses of 3,618 disability-adjusted life years (DALYs) per 100,000 population in the LAC region. Mental health conditions among adolescents and young adults account for a significant loss of gross domestic product (GDP) in LAC countries. Considering just the number of people aged 15 to 24 in the labor force, these losses are estimated at 0.34 percent of GDP in 2019, equivalent to nearly US$38 billion in nominal terms or US$78 billion when measured in GDP at purchasing power parity. The paper highlighted the need to improve data collection (especially on epidemiology, service delivery, direct and indirect costs, and best practice outcomes) associated with MHC in the region to obtain better estimates. This will be key to strengthening the capacity of governments to monitor and evaluate the implementation of mental health programs, as well as tracking their impact, and to ensure effective and responsive outcomes for young people's needs.
Link to Data Set
Citation
Gordillo-Tobar, Amparo; Medici, Andre Cezar; Calvo, Nashira. 2025. Mental Health among Adolescents and Young Adults in Latin America and the Caribbean: Indirect Costs of Mental Health Illness and the Economic Impact of Mitigation Policies. © World Bank. http://hdl.handle.net/10986/43435 License: CC BY-NC 3.0 IGO.
Digital Object Identifier
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Integrating the Response to NCDS and Mental Health in the Context of Building Resilient Health Systems in Africa
    (Washington, DC: World Bank, 2024-04-03) Akala, Francisca Ayodeji; Gordillo-Tobar, Amparo; Kovacevic, Rialda; Medici, Andre; Nugent, Rachel
    From June 6 to 8, 2023, the Ministry of Health of Rwanda organized an event entitled “Integrating the Response to Noncommunicable Diseases (NCDs) and Mental Health (MH) in the Context of Building Resilient Health Systems in Africa” followed by a technical workshop, with the participation of representatives from the governments of Eswatini, Ethiopia, Ghana, Kenya, Lesotho, Rwanda, Uganda, and Zimbabwe. The event and the workshop were prepared by the World Bank Group (WBG), with support from the World Health Organization (WHO) and with collaboration from United Nations Children’s Fund (UNICEF), the African Centres for Disease Control and Prevention (Africa CDC), and other multilateral agencies and nonprofit organizations. The workshop was under funding provided by the Access Accelerated (AA) Trust Fund. The full program of the event is included at the end of this summary report.The rate of noncommunicable diseases (NCDs) in the African Region increased by 67 percent between 1990 and 2017. In 2019 NCDs were responsible for 37 percent of African deaths, and by the year 2030, they will be the main cause of the burden of disease in the Region. The incidence of mental health (MH) challenges increased by 13 percent in the Region since 2017. In addition, Africa is experiencing high rates of suicide and alcohol abuse, especially among young people. Yet, the average per capita expenditure on MH provision in African countries is US$0.46, with only 1.6 health professionals per 100,000 population working in this field. Primary health care and community-based services are essential strategies to support health systems and to avoid the consequences of early mortality and the social and economic losses brought on by the increased incidence of NCDs and MH. The challenges imposed by NCDs require a stronger collaboration among African countries to see how policies developed in different countries could be adaptative to other regional needs and contexts. Countries participating in the workshop shared some achievements and discussed the challenges ahead for the integration of the provision of mental health services and NCDs care at the first level of care.
  • Publication
    Adolescent Sexual and Reproductive Health and Rights in Nicaragua : An Analysis Using a Sexual and Reproductive Health Framework and Human Rights
    (2014-11) Gordillo-Tobar, Amparo; Beneitez, Geraldine; Ortega, Juana; Waters, William; Bravo, Emig
    In an effort to integrate operational and analytical work on adolescents and youth sexual and reproductive health (SRH) and Human Rights in Nicaragua, the World Bank, in coordination with the Nicaraguan Ministry of Health, the Pan American Health Organization (PAHO), and the United Nations Population Fund (UNFPA) conducted the study titled: sexual and reproductive health among youth in Latin America: adding a human rights perspective. The study was conducted within the umbrella of the ongoing Family Community Health World Bank project. To gain a better understanding of the SRH and Human Rights in the country, the study, funded by the Nordic Development Trust Fund (NTF), reviewed the national legal framework and the school curricula; consulted focus groups for adolescents from representative samples in four geographic regions; and integrated the results of the study into a national multi-sectoral strategy on adolescents sexual and reproductive health and rights (SRHR). The strategy will inform the Bank s operational plans and agreements for the next five years.
  • Publication
    Young People
    (World Bank, Washington, DC, 2019-11) Gordillo-Tobar, Amparo; Calvo, Nashira; Quinaln-Davidson, Meaghen
    Adolescence and youth are periods of opportunities but also of increasing vulnerability defined by social and political factors. Early marriages and risky behaviors are strongly associated with inequalities of income, education, gender, and ethnicity, all of which can increase young people's susceptibility to poor health and well-being throughout their lifecycle. Adolescent health is more important than ever, given that the world contains the largest cohort in history of young people aged between 10 and 24 years old. The challenges affecting the livelihood of young people are reflected in their burden of disease (BoD). A better understanding of the BoD for this generation of adolescents and youths can help to reveal what measures health systems should be taking to curb behavior related to health risks, for example, eating patterns, physical activity and weight, sexual behavior, the use of psychoactive substances, and transport-related injuries.
  • Publication
    Outlining the Scope for Public Sector Involvement in Mental Health
    (World Bank, Washington, DC, 2002-08) Beeharry, Girindre; Whiteford, Harvey; Chambers, David; Baingana, Florence
    The paper documents the large and increasingly important contribution made by mental disorders to the global burden of disease. Disease burden does not provide sufficient justification for public intervention (understood as financing, provision, mandates, regulation or information) in the field of mental health. While there exists cost-effective interventions for some mental health disorders, the existence of such interventions, on their own, does not provide a sufficient basis for public intervention. The popular burden of disease and cost-effectiveness arguments therefore provide a weak foundation upon which to build a case for public intervention - and, a fortiori, for World Bank support to such intervention - in the field of mental health. This paper applies an algorithm for decision-making borrowed from Musgrove (1999) that orders the main criteria for public intervention to the field of mental health. The locus for reform efforts in the field is defined by the gap between the existing and the desirable features of mental health financing and provision.
  • Publication
    Youth in the Maldives : Shaping a New Future for Young Women and Men through Engagement and Empowerment
    (Washington, DC, 2014-10-03) World Bank
    This report responds to the growing concern over issues facing Maldivian youth today, and specifically, to a request made by the Ministry of Youth and Sports to examine the status of youth in the Maldives. Such concerns are certainly warranted, particularly in light of a regional youth bulge which is taking place in South Asia, as well as an observed increase in at risk behavior such as youth drug use and membership in gangs. While a number of studies have sought to examine youth issues in the Maldives, a comprehensive and holistic assessment is lacking. This report was aimed at helping to fill this knowledge gap. This report examines issues affecting young people in the Maldives as they transition from adolescence to adulthood, and based on this analysis and a review of international good practice, recommends a number of actions for the Government s consideration. The analysis focused on youth experiences as they pertain to: health, education, labor, family structure, gangs and violence, and civic engagement and participation. A youth development framework, based on public health literature and adapted to the Maldives, serves as the organizing structure of the report. The report draws on original data collection and analysis, as well as an extensive review of existing literature. With regard to data collection, the study involved field-based research including a household survey and in-depth interviews, and focus-group discussions with youth and stakeholders in the Maldives.

Users also downloaded

Showing related downloaded files

  • Publication
    Digital Progress and Trends Report 2023
    (Washington, DC: World Bank, 2024-03-05) World Bank
    Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.
  • Publication
    Business Ready 2024
    (Washington, DC: World Bank, 2024-10-03) World Bank
    Business Ready (B-READY) is a new World Bank Group corporate flagship report that evaluates the business and investment climate worldwide. It replaces and improves upon the Doing Business project. B-READY provides a comprehensive data set and description of the factors that strengthen the private sector, not only by advancing the interests of individual firms but also by elevating the interests of workers, consumers, potential new enterprises, and the natural environment. This 2024 report introduces a new analytical framework that benchmarks economies based on three pillars: Regulatory Framework, Public Services, and Operational Efficiency. The analysis centers on 10 topics essential for private sector development that correspond to various stages of the life cycle of a firm. The report also offers insights into three cross-cutting themes that are relevant for modern economies: digital adoption, environmental sustainability, and gender. B-READY draws on a robust data collection process that includes specially tailored expert questionnaires and firm-level surveys. The 2024 report, which covers 50 economies, serves as the first in a series that will expand in geographical coverage and refine its methodology over time, supporting reform advocacy, policy guidance, and further analysis and research.
  • Publication
    Global Economic Prospects, January 2025
    (Washington, DC: World Bank, 2025-01-16) World Bank
    Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.
  • Publication
    Global Economic Prospects, June 2025
    (Washington, DC: World Bank, 2025-06-10) World Bank
    The global economy is facing another substantial headwind, emanating largely from an increase in trade tensions and heightened global policy uncertainty. For emerging market and developing economies (EMDEs), the ability to boost job creation and reduce extreme poverty has declined. Key downside risks include a further escalation of trade barriers and continued policy uncertainty. These challenges are exacerbated by subdued foreign direct investment into EMDEs. Global cooperation is needed to restore a more stable international trade environment and scale up support for vulnerable countries grappling with conflict, debt burdens, and climate change. Domestic policy action is also critical to contain inflation risks and strengthen fiscal resilience. To accelerate job creation and long-term growth, structural reforms must focus on raising institutional quality, attracting private investment, and strengthening human capital and labor markets. Countries in fragile and conflict situations face daunting development challenges that will require tailored domestic policy reforms and well-coordinated multilateral support.
  • Publication
    The Container Port Performance Index 2023
    (Washington, DC: World Bank, 2024-07-18) World Bank
    The Container Port Performance Index (CPPI) measures the time container ships spend in port, making it an important point of reference for stakeholders in the global economy. These stakeholders include port authorities and operators, national governments, supranational organizations, development agencies, and other public and private players in trade and logistics. The index highlights where vessel time in container ports could be improved. Streamlining these processes would benefit all parties involved, including shipping lines, national governments, and consumers. This fourth edition of the CPPI relies on data from 405 container ports with at least 24 container ship port calls in the calendar year 2023. As in earlier editions of the CPPI, the ranking employs two different methodological approaches: an administrative (technical) approach and a statistical approach (using matrix factorization). Combining these two approaches ensures that the overall ranking of container ports reflects actual port performance as closely as possible while also being statistically robust. The CPPI methodology assesses the sequential steps of a container ship port call. ‘Total port hours’ refers to the total time elapsed from the moment a ship arrives at the port until the vessel leaves the berth after completing its cargo operations. The CPPI uses time as an indicator because time is very important to shipping lines, ports, and the entire logistics chain. However, time, as captured by the CPPI, is not the only way to measure port efficiency, so it does not tell the entire story of a port’s performance. Factors that can influence the time vessels spend in ports can be location-specific and under the port’s control (endogenous) or external and beyond the control of the port (exogenous). The CPPI measures time spent in container ports, strictly based on quantitative data only, which do not reveal the underlying factors or root causes of extended port times. A detailed port-specific diagnostic would be required to assess the contribution of underlying factors to the time a vessel spends in port. A very low ranking or a significant change in ranking may warrant special attention, for which the World Bank generally recommends a detailed diagnostic.