Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda.
Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda.
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DOI：
10.1016/j.jadohealth.2011.06.008
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发表时间：
2012-03
影响因子：
7.6
通讯作者：
Karimli, Leyla
中科院分区：
文献类型：
--
作者：
Ismayilova, Leyla;Ssewamala, Fred M.;Karimli, Leyla
关键词：
先前的研究表明，以家庭为基础的经济赋权干预措施Suubi对减少乌干达孤儿青少年中批准性风险的态度的影响。为了了解变化的机制，本文探讨了Suubi干预对家庭支持变量的影响，以及它们在介导青少年对性冒险的态度变化中的作用。Suubi研究采用了三波分组随机实验设计，包括来自乌干达Rakai 15所小学的283名孤儿青少年。首先，使用混合效应模型，研究测试干预对家庭支持变量的影响。第二，使用中介分析，本研究探讨性冒险态度的变化是否是由家庭支持的变化介导的。与对照组的青少年相比，在第2波，治疗组的青少年报告了更高水平的感知支持，更愿意与照顾者谈论他们的问题，并且与照顾者谈论性风险行为时感觉更舒服。中介分析表明，在第二波中，来自照顾者的感知支持的改善占第三波中青少年对性冒险态度减少的16.8%（z =-2.21，p<.05）。一个以家庭为基础的经济赋权干预措施Suubi可能有可能增加家庭对孤儿青少年的支持。在乌干达，旨在加强现有的社交网络和改善与幸存家庭成员的联系的干预措施，对于预防孤儿青少年的性冒险可能至关重要，因为乌干达的特点是资源不足。
Prior studies demonstrated that the effect of family-based economic empowerment intervention Suubi on reducing attitudes approving sexual risk taking among orphaned adolescents in Uganda. To understand mechanisms of change, the paper examines the effect of Suubi intervention on family support variables and their role in mediating the change in adolescents' attitudes toward sexual risk-taking. The Suubi study utilized a cluster randomized experimental design with three waves and included 283 orphaned adolescents from 15 primary schools in Rakai, Uganda. First, using mixed effects models, the study tests for the effect of intervention on family support variables. Second, using mediation analysis, the study examines whether the change in sexual risk-taking attitudes was mediated by the change in family support. Compared to adolescents from the control group, at wave 2, adolescents in the treatment group reported higher levels of perceived support from caregivers, were more willing to talk to caregivers about their problems, and felt more comfortable talking about sexual risk behaviors with their caregivers. Mediation analysis demonstrated that the improvement in perceived support from caregivers at wave 2 accounted for 16.8% of the reduction in adolescents' attitudes toward sexual risk-taking at wave 3 (z = -2.21, p<.05). A family-based economic empowerment intervention Suubi may have the potential to increase family support to orphaned adolescents. Interventions aimed at strengthening existing social networks and improving connectedness with surviving family members may be critical in preventing sexual risk-taking among orphaned adolescents in Uganda, which is characterized by low resources.
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