Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda.

Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda.
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DOI:
10.2105/ajph.2008.158840
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发表时间:
2010-03
影响因子:
12.7
通讯作者:
Sperber E
Sperber E
中科院分区:
医学2区
文献类型:
--
作者:
Ssewamala FM;Han CK;Neilands TB;Ismayilova L;Sperber E

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研究经济资产对乌干达农村地区在校的艾滋病孤儿青少年的性冒险意向的影响。来自15所可比学校的艾滋病孤儿青少年被随机分配到对照组(n=133)或治疗组(n=127)。治疗参与者接受儿童储蓄账户、研讨会和导师的指导。这一经济干预是对向治疗组和对照组提供的针对在校孤儿青少年的传统照料和支助服务(咨询和学习用品)的补充。在基线和干预后10个月,将治疗条件下的青少年与对照条件下的青少年进行比较。在控制了社会人口因素、儿童与照顾者/父母的交流和同伴压力之后,经济干预组的青少年报告说,与控制条件下的青少年相比,他们的性冒险意向显著减少。调查结果表明,在贫困和疾病(包括艾滋病毒/艾滋病)肆虐的乌干达,获得经济资产在影响青少年的性风险意愿方面发挥着重要作用。这些发现对照顾和支持孤儿青少年有影响,特别是在饱受贫困和性传播疾病蹂躏的贫穷非洲国家。
To examine the effect of economic assets on sexual risk taking intentions among school-going AIDS-orphaned adolescents in rural Uganda. AIDS-Orphaned adolescents from fifteen comparable schools were randomly assigned to control (n=133) or treatment (n=127) conditions. Treatment participants received child savings accounts, workshops, and mentorship. This economic intervention was in addition to the traditional care and support services for school-going orphaned adolescents (counseling and school supplies) provided to both treatment and control groups. Adolescents in the treatment condition were compared to adolescents in the control condition at baseline and at 10-month post-intervention. Controlling for socio-demographic factors, child-caregiver/parental communication and peer pressure, adolescents in the economic intervention group reported a significant reduction in sexual risk taking intentions compared to adolescents in the control condition. The findings indicate that in Uganda, a country devastated by poverty and disease (including HIV/AIDS), having access to economic assets plays an important role in influencing adolescents' sexual risk taking intentions. These findings have implications for care and support of orphaned adolescents, especially in poor African countries devastated by poverty and sexually transmitted diseases.