Keeping Adolescent Orphans in School to Prevent Human Immunodeficiency Virus Infection: Evidence From a Randomized Controlled Trial in Kenya
Keeping Adolescent Orphans in School to Prevent Human Immunodeficiency Virus Infection: Evidence From a Randomized Controlled Trial in Kenya
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DOI：
10.1016/j.jadohealth.2010.08.007
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发表时间：
2011-05-01
影响因子：
7.6
通讯作者：
Iritani, Bonita J.
中科院分区：
文献类型：
--
作者：
Cho, Hyunsan;Hallfors, Denise D.;Iritani, Bonita J.
目的：我们报告了在肯尼亚西部进行的一项试点研究的结果，该研究采用一种实验设计来测试用于使青少年孤儿留在学校的综合支持是否可以减少与人类免疫缺陷病毒感染相关的风险因素。方法：尼扬扎省12-14岁的青少年孤儿（N = 105）在按家庭、性别、和性行为基线调查报告。干预措施包括学费、校服和一名“社区视察员”，后者负责监测学校出勤情况，并帮助解决可能导致缺课或辍学的问题。数据进行了分析，使用广义估计方程在两个时间点，控制性别和年龄。结果：与对照组相比，干预学生不太可能辍学，开始性交，或报告的态度支持早期性行为。学校的支持也增加了亲社会的债券和性别平等的attitudes.Conclusions：1年后，暴露于干预，我们发现的证据表明，全面的学校支持，可以防止辍学，延迟性初次亮相，并减少与人类免疫缺陷病毒感染的危险因素。需要进一步的研究，更大的样本，以更好地了解调解教育支持和延迟性初次之间的关联的因素，以及性别如何调节这些关系。(C)2011年青少年健康和医学协会。All rights reserved.
Purpose: We report the findings from a pilot study in western Kenya, using an experimental design to test whether comprehensive support used to keep adolescent orphans in school can reduce risk factors associated with infection with human immunodeficiency virus.Methods: Adolescent orphans aged 12-14 years (N = 105) in Nyanza Province were randomized to condition, after stratifying by household, gender, and baseline survey report of sexual behavior. The intervention comprised school fees, uniforms, and a "community visitor" who monitored school attendance and helped to resolve problems that would lead to absence or dropout. Data were analyzed using generalized estimating equations over two time points, controlling for gender and age.Results: Compared with the control group, intervention students were less likely to drop out of school, commence sexual intercourse, or report attitudes supporting early sex. School support also increased prosocial bonding and gender equity attitudes.Conclusions: After 1 year of exposure to the intervention, we found evidence suggesting that comprehensive school support can prevent school dropout, delay sexual debut, and reduce risk factors associated with infection with human immunodeficiency virus. Further research, with much larger samples, is needed to better understand factors that mediate the association between educational support and delayed sexual debut, and how gender might moderate these relationships. (C) 2011 Society for Adolescent Health and Medicine. All rights reserved.