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Economic Empowerment, HIV Risk Behavior, and Mental Health Among School-Going Adolescent Girls in Uganda: Longitudinal Cluster-Randomized Controlled Trial, 2017‒2022.
- Source :
- American Journal of Public Health; Mar2023, Vol. 113 Issue 3, p306-315, 10p
- Publication Year :
- 2023
-
Abstract
- 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) [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infection risk factors
RISK-taking behavior
CLUSTER sampling
ECONOMIC impact
SELF-perception
MENTAL health
WOMEN
HEALTH outcome assessment
CASE-control method
SELF-efficacy
RISK assessment
RANDOMIZED controlled trials
PRE-tests & post-tests
COMPARATIVE studies
SEX education
PSYCHOLOGY of high school students
DESCRIPTIVE statistics
MENTAL depression
DESPAIR
TEENAGERS' conduct of life
STATISTICAL sampling
LONGITUDINAL method
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 113
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 161906663
- Full Text :
- https://doi.org/10.2105/ajph.2022.307169