Utilizing a family-based economic strengthening intervention to improve mental health wellbeing among female adolescent orphans in Uganda
Utilizing a family-based economic strengthening intervention to improve mental health wellbeing among female adolescent orphans in Uganda
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DOI：
10.1186/s13034-019-0273-4
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发表时间：
2019-03-11
影响因子：
5.6
通讯作者：
Namatovu, Phionah
中科院分区：
文献类型：
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作者：
Kivumbi, Apollo;Byansi, William;Namatovu, Phionah
背景据估计，世界上近 20% 的青少年已经经历过或正在经历心理健康问题。青少年心理健康障碍的发生与多种因素有关，包括贫困、虐待儿童和暴力，特别是在青春期女孩中。本文探讨了参与基于家庭的经济强化干预对乌干达农村地区受艾滋病毒/艾滋病影响的女性青少年孤儿心理健康的影响。方法本研究使用的数据来自“通往未来的桥梁研究”（2011-2016），这是一项旨在改善孤儿健康状况的经济赋权干预措施。青少年被随机分配到接受孤儿青少年护理服务标准的对照条件组；或两种治疗条件之一接受加强的护理标准以及经济赋权干预措施，包括儿童发展账户、辅导计划以及财务管理和微型企业发展研讨会。数据在基线、干预开始后 12 个月和 24 个月收集。进行多线性回归分析，以检验经济赋权干预措施对女性参与者心理健康功能随时间的影响。心理健康功能通过以下方式衡量：(1) 儿童抑郁量表； (2)贝克绝望量表； (3) 田纳西州自我概念量表。结果分析结果显示，与对照组相比，接受干预的女性参与者的心理健康功能随着时间的推移有所改善。具体来说，与控制条件下的参与者相比，接受干预的参与者报告抑郁症状从基线到 12 个月随访有所减少（b=-1.262，95% CI -2.476，-0.047），并且在基线和 24 个月随访之间额外减少 0.645 分（b=-1.907，95% CI -3.192，-0.622）。与对照组参与者相比，接受干预的参与者报告称，从基线到 24 个月随访，他们的自我概念有显着改善 (b=3.503 (95% CI 1.469, 5.538)。 结论 以同伴指导和/或经济强化的形式赋予年轻女孩权力，似乎可以显着改善低收入环境中受艾滋病毒和艾滋病影响的青春期女孩的整体心理健康功能。
BackgroundIt is estimated that almost 20% of the world's adolescents have experienced or are experiencing a mental health problem. Several factors have been associated with the onset of adolescent mental health disorders, including poverty, child abuse and violence, particularly among adolescent girls. This paper examines the effect of participating in a family-based economic strengthening intervention on the mental health well-being of female adolescent orphans impacted by HIV/AIDS in rural Uganda.MethodsData utilized in this study was from the Bridges to the Future Study (2011-2016), an economic empowerment intervention aimed at improving health outcomes of orphaned children. Adolescents were randomly assigned to either the control condition receiving bolstered standard of care services for orphaned adolescents; or one of two treatment conditions receiving bolstered standard of care as well as an economic empowerment intervention comprising of a child development account, a mentorship program and workshops on financial management and microenterprise development. Data was collected at baseline, 12- and 24-months post intervention initiation. Multilinear regression analyses were conducted to examine the impact of an economic empowerment intervention on mental health functioning of female participants over time. Mental health functioning was measured by: (1) the Child Depression Inventory; (2) Beck Hopelessness Scale; and (3) Tennessee Self Concept Scale.ResultsAnalysis results show an improvement in mental health functioning over time among female participants receiving the intervention compared to their control counterparts. Specifically, compared to participants in the control condition, participants receiving the intervention reported a reduction in depressive symptoms from baseline to 12-months follow-up (b=-1.262, 95% CI -2.476, -0.047), and an additional 0.645-point reduction between baseline and 24-months follow-up (b=-1.907, 95% CI -3.192, -0.622). Participants receiving the intervention reported significant improvement in their reported self-concept from baseline to 24months follow-up (b=3.503 (95% CI 1.469, 5.538) compared to participants in the control condition.ConclusionsEmpowerment of young girls, either in the form of peer mentorship and/or economic strengthening seems to significantly improve the overall mental health functioning of adolescent girls impacted by HIV and AIDS in low-income settings.