Economic Empowerment, HIV Risk Behavior, and Mental Health Among School-Going Adolescent Girls in Uganda: Longitudinal Cluster-Randomized Controlled Trial, 2017‒2022.
Objectives. To investigate the long-term (12- and 24-month) impact of an economic empowerment intervention on HIV risk behaviors and mental health among school-going adolescent girls in Uganda. Methods. A total of 1260 girls aged 14 to 17 years were randomized at the school level to (1) standard hea...
| Publicado en: | American Journal of Public Health Vol. 113; no. 3; pp. 306 - 316 |
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| Autores principales: | , , |
| Formato: | Artículo |
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American Public Health Association
Mar2023
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| 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=161906663&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 161906663 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: Mar2023 vid: 113 iid: 3 pid: 44 pub: American Public Health Association artinfo: ui: 161906663 10.2105/ajph.2022.307169 ppf: 306 ppct: 10 formats: tig: atl: Economic Empowerment, HIV Risk Behavior, and Mental Health Among School-Going Adolescent Girls in Uganda: Longitudinal Cluster-Randomized Controlled Trial, 2017‒2022. aug: au: Ssewamala, Fred M. Brathwaite, Rachel Neilands, Torsten B. su: Uganda Risk-taking behavior Economic impact Self-perception Mental health Women Case-control method Self-efficacy Randomized controlled trials Sex education Psychology of high school students Mental depression Despair Teenagers' conduct of life Adolescence HIV infection risk factors Cluster sampling Health outcome assessment Risk assessment Pre-tests & post-tests Comparative studies Descriptive statistics Statistical sampling Longitudinal method sug: subj: Risk-taking behavior Economic impact Self-perception Mental health Women Case-control method Self-efficacy Randomized controlled trials Sex education Psychology of high school students Mental depression Despair Teenagers' conduct of life Adolescence Uganda Offices of Mental Health Practitioners (except Physicians) Marketing Research and Public Opinion Polling HIV infection risk factors Cluster sampling Health outcome assessment Risk assessment Pre-tests & post-tests Comparative studies Descriptive statistics Statistical sampling Longitudinal method ab: Objectives. To investigate the long-term (12- and 24-month) impact of an economic empowerment intervention on HIV risk behaviors and mental health among school-going adolescent girls in Uganda. Methods. A total of 1260 girls aged 14 to 17 years were randomized at the school level to (1) standard health and sex education (controls; n = 408 students; n = 16 schools), (2) 1-to-1 matched savings youth development account (YDA; n = 471 students; n = 16 schools), or (3) combination intervention (YDA and multiple family group [YDA+MFG]; n = 15 schools; n = 381 students). Mixed-effects models were fitted. Results. YDA and YDA+MFG girls had significantly lower depressive symptoms and better self-concept than controls at 24 months. Only YDA+MFG girls had significantly lower hopelessness levels than controls. There were no significant study group differences at 12 and 24 months for sexual risk-taking behavior and attitudes. There was no significant difference between YDA and YDA+MFG groups for all outcomes. Conclusions. Providing YDA and MFG can positively improve adolescent girls' mental health, but our analyses showed no significant differences across groups on sexual risk-taking behaviors. Future studies may consider replicating these interventions and analyses in older populations, including those transitioning into young adults. Trial Registration. ClinicalTrials.gov Identifier: NCT03307226. (Am J Public Health. 2023;113(3):306–315. https://doi.org/10.2105/10.2105/AJPH.2022.307169) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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