Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV/AIDS: A 5-Year (2012–2017) Cluster Randomized Controlled Trial in Uganda.
Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization...
| Publicado en: | American Journal of Public Health Vol. 111; no. 3; pp. 504 - 514 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Mar2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=148624513&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148624513 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Mar2021 vid: 111 iid: 3 pid: 44 pub: American Public Health Association artinfo: ui: 148624513 10.2105/AJPH.2020.306044 ppf: 504 ppct: 10 formats: tig: atl: Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV/AIDS: A 5-Year (2012–2017) Cluster Randomized Controlled Trial in Uganda. aug: au: Ssewamala, Fred M. Shu-Huah Wang, Julia Brathwaite, Rachel Sun, Sicong Mayo-Wilson, Larissa Jennings Neilands, Torsten B. Brooks-Gunn, Jeanne su: Uganda AIDS Child welfare Families Health status indicators Sexual health Mental health Orphanages Orphans School children Self-efficacy Self-perception Adolescent health Socioeconomic factors Randomized controlled trials Endowments HIV infections Statistical sampling sug: subj: AIDS Child welfare Families Health status indicators Sexual health Mental health Orphanages Orphans School children Self-efficacy Self-perception Adolescent health Socioeconomic factors Randomized controlled trials Uganda Grantmaking Foundations Offices of Mental Health Practitioners (except Physicians) Other Residential Care Facilities All other residential care facilities Marketing Research and Public Opinion Polling Endowments HIV infections Statistical sampling ab: Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions: (1) control (n = 487; 16 schools), (2) Bridges (1:1 savings match rate; n = 396; 16 schools), or (3) Bridges PLUS (2:1 savings match rate; n = 500; 16 schools). Results. At 24 months, compared with participants in the control condition, Bridges and Bridges PLUS participants reported higher physical health scores, lower depressive symptoms, and higher self-concept and self-efficacy. During the same period, Bridges participants reported lower sexual risk-taking intentions compared with the other 2 study conditions. At 48 months, Bridges and Bridges PLUS participants reported better self-rated health, higher savings, and lower food insecurity. During the same period, Bridges PLUS participants reported reduced hopelessness, and greater self-concept and self-efficacy. At 24 and 48 months, Bridges PLUS participants reported higher savings than Bridges participants. Conclusions. Economic interventions targeting families raising adolescents orphaned by AIDS can contribute to long-term positive health and overall well-being of these families. Trial Registration. ClinicalTrials.gov registration no. NCT01447615. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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