Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda.
Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda.
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DOI：
10.1136/jech-2012-201601
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发表时间：
2013-03
影响因子：
6.3
通讯作者：
Wang JS
中科院分区：
文献类型：
--
作者：
Han CK;Ssewamala FM;Wang JS
我们研究了一种创新的家庭经济赋权干预措施是否能解决乌干达受艾滋病毒/艾滋病严重影响的社区中受艾滋病影响的儿童的心理健康功能。一项由两个研究组组成的随机对照试验（RCT）：治疗条件（n=179）和对照条件（n=118）被用来研究家庭经济赋权干预对儿童绝望和抑郁水平的影响。干预措施包括匹配的儿童储蓄账户，财务管理讲习班和辅导。在基线和干预后12个月收集数据。使用多变量分析与几个社会经济控制，我们发现，儿童在治疗条件（接受干预）报告显着改善他们的心理健康功能。具体而言，干预措施降低了绝望和抑郁水平。另一方面，在控制条件下（未接受干预）的儿童报告在这两项措施上没有变化。研究结果表明，生活在受艾滋病毒/艾滋病影响的社区的心理健康状况不佳的儿童可能会受益于创新的家庭经济赋权干预措施。作为心理健康功能的衡量标准，绝望和抑郁对儿童的心理社会和发展都有长期的负面影响。这些发现对旨在长期照顾和支持生活在资源贫乏、受艾滋病影响社区的儿童的公共卫生计划具有影响。
We examine whether an innovative family economic empowerment intervention addresses mental health functioning of AIDS-affected children in communities heavily impacted by HIV/AIDS in Uganda. A cluster randomized controlled trial (RCT) consisting of two study arms: a treatment condition (n=179) and a control condition (n=118) was used to examine the impact of the family economic empowerment intervention on children’s levels of hopelessness and depression. The intervention comprised of matched children savings accounts, financial management workshops, and mentorship. Data were collected at baseline and 12 months post-intervention. Using multivariate analysis with several socio-economic controls, we find that children in the treatment condition (receiving the intervention) report significant improvement in their mental health functioning. Specifically, the intervention reduces hopelessness and depression levels. On the other hand, children in the control condition (not receiving the intervention) report no changes on both measures. The findings indicate that children with poor mental health functioning living in communities affected by HIV/AIDS may benefit from innovative family economic empowerment interventions. As measures of mental health functioning, both hopelessness and depression have long-term negative psychosocial and developmental impacts on children. These findings have implications for public health programs intended for long-term care and support of children living in resource poor, AIDS-impacted communities.
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影响因子：
1.7
作者：
Nyamukapa CA;Gregson S;Wambe M;Mushore P;Lopman B;Mupambireyi Z;Nhongo K;Jukes MC
通讯作者：
Jukes MC
影响因子：
2
作者：
SHERRADEN, M
通讯作者：
SHERRADEN, M
影响因子：
3.8
作者：
Bolland, JM
通讯作者：
Bolland, JM
影响因子：
7.6
作者：
Ssewamala, Fred M.;Neilands, Torsten B.;Ismayilova, Leyla
通讯作者：
Ismayilova, Leyla
影响因子：
3.2
作者：
Perez-Smith, A;Spirito, A;Boergers, J
通讯作者：
Boergers, J