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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
- Source :
- Am J Public Health
- Publication Year :
- 2021
- Publisher :
- American Public Health Association, 2021.
-
Abstract
- 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.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Adolescent Health
Disease cluster
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Acquired immunodeficiency syndrome (AIDS)
law
Humans
Medicine
Uganda
030212 general & internal medicine
Students
Poverty
Reproductive health
Acquired Immunodeficiency Syndrome
030505 public health
business.industry
Public Health, Environmental and Occupational Health
medicine.disease
Socioeconomic Factors
Opinions, Ideas, & Practice
Family medicine
Economic interventionism
Female
Family Relations
Child, Orphaned
0305 other medical science
business
Program Evaluation
Health functioning
Subjects
Details
- ISSN :
- 15410048 and 00900036
- Volume :
- 111
- Database :
- OpenAIRE
- Journal :
- American Journal of Public Health
- Accession number :
- edsair.doi.dedup.....9690024e3fcf993fe97a5378f66e0cc6