Cash transfers for HIV prevention: what do young women spend it on? Mixed methods findings from HPTN 068
Cash transfers for HIV prevention: what do young women spend it on? Mixed methods findings from HPTN 068
复制标题
DOI：
10.1186/s12889-017-4513-3
复制
发表时间：
2017-07-11
影响因子：
4.5
通讯作者：
Pettifor, Audrey
中科院分区：
文献类型：
--
作者：
MacPhail, Catherine;Khoza, Nomhle;Pettifor, Audrey
背景：社会赠款已被发现对健康和福祉的影响，在多种设置。然而，谁获得补助金一直是讨论的主题，涉及如何使用这笔钱以及谁从补助金中受益。方法：使用HPTN 068试验中1214名参与干预组并完成至少一次年度访视的年轻女性的调查数据，以及38名参与者的定性访谈数据，我们检查了向以上学为条件的年轻妇女提供的现金转移的支出。结果：我们发现，支出在很大程度上是由年轻妇女自己决定和控制的，现金转移主要用于化妆品、服装和学习用品。在访谈数据中，年轻妇女讨论了现金转移对青少年身份的重要作用，特别是在脱离家庭和在同龄人网络中的地位方面。有几乎没有负面影响，从接收cashtransfer.Conclusions：我们确定，提供青少年获得现金没有报告与社会危害或负面后果。相反，花钱促进了适当的青少年发展行为。在全球都有兴趣解决青年妇女面临艾滋病毒风险的结构性驱动因素（如贫穷）之际，这些调查结果令人鼓舞。
Background: Social grants have been found to have an impact on health and wellbeing in multiple settings. Who receives the grant, however, has been the subject of discussion with regards to how the money is spent and who benefits from the grant.Methods: Using survey data from 1214 young women who were in the intervention arm and completed at least one annual visit in the HPTN 068 trial, and qualitative interview data from a subset of 38 participants, we examined spending of a cash transfer provided to young women conditioned on school attendance.Results: We found that spending was largely determined and controlled by young women themselves and that the cash transfer was predominately spent on toiletries, clothing and school supplies. In interview data, young women discussed the significant role of cash transfers for adolescent identity, specifically with regard to independence from family and status within the peer network. There were almost no negative consequences from receiving the cash transfer.Conclusions: We established that providing adolescents access to cash was not reported to be associated with social harms or negative consequences. Rather, spending of the cash facilitated appropriate adolescent developmental behaviours. The findings are encouraging at a time in which there is global interest in addressing the structural drivers of HIV risk, such as poverty, for young women.