Do Savings Mediate Changes in Adolescents' Future Orientation and Health-Related Outcomes? Findings From Randomized Experiment in Uganda
Do Savings Mediate Changes in Adolescents' Future Orientation and Health-Related Outcomes? Findings From Randomized Experiment in Uganda
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DOI：
10.1016/j.jadohealth.2015.06.011
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发表时间：
2015-10-01
影响因子：
7.6
通讯作者：
Ssewamala, Fred M.
中科院分区：
文献类型：
--
作者：
Karimli, Leyla;Ssewamala, Fred M.
目的：本研究测试的命题，加强对艾滋病致孤青少年的家庭照顾的经济干预将积极影响青少年的未来方向和心理社会的结果，通过增加资产积累（在这种情况下，通过增加家庭储蓄）。方法：使用纵向数据从集群随机实验，我们跑了广义估计方程模型与强大的标准误聚类对个人的观察。为了检验家庭储蓄是否在干预对青少年未来取向和心理社会结果的影响中起中介作用，本研究分三个步骤进行分析：（1）检验干预对中介的影响;（2）检验中介对结果的影响，控制干预;（3）用Sobel-Goodman方法检验中介作用的显著性。中介效应的非对称置信区间，通过自举-以解决假设的normal distribution.Results：结果表明，参与匹配的儿童储蓄账户（CSA）计划，通过减少绝望，增强自我概念，提高青少年的信心，他们的教育计划，改善青少年的未来取向和心理社会的结果。然而，对青少年未来取向和心理社会结果的积极干预效果并没有通过储蓄传递。换句话说，在匹配的CSA计划的参与改善青少年未来的方向和心理社会的结果，无论其对报告savings.Conclusions的影响：进一步的研究是必要的，以了解如何参与经济加强干预措施，例如，那些雇用匹配的CSA，塑造青少年未来的方向和心理社会的结果：什么，如果不是储蓄，传输的治疗效果，以及如何？(C)2015年青少年健康和医学协会。All rights reserved.
Purpose: This present study tests the proposition that an economic strengthening intervention for families caring for AIDS-orphaned adolescents would positively affect adolescent future orientation and psychosocial outcomes through increased asset accumulation (in this case, by increasing family savings).Methods: Using longitudinal data from the cluster-randomized experiment, we ran generalized estimating equation models with robust standard errors clustering on individual observations. To examine whether family savings mediate the effect of the intervention on adolescents' future orientation and psychosocial outcomes, analyses were conducted in three steps: (1) testing the effect of intervention on mediator; (2) testing the effect of mediator on outcomes, controlling for the intervention; and (3) testing the significance of mediating effect using Sobel-Goodman method. Asymmetric confidence intervals for mediated effect were obtained through boot-strapping-to address the assumption of normal distribution.Results: Results indicate that participation in a matched Child Savings Account (CSA) program improved adolescents' future orientation and psychosocial outcomes by reducing hopelessness, enhancing self-concept, and improving adolescents' confidence about their educational plans. However, the positive intervention effect on adolescent future orientation and psychosocial outcomes was not transmitted through saving. In other words, participation in the matched CSA program improved adolescent future orientation and psychosocial outcomes regardless of its impact on reported savings.Conclusions: Further research is necessary to understand exactly how participation in economic strengthening interventions, for example, those that employ matched CSAs, shape adolescent future orientation and psychosocial outcomes: what, if not savings, transmits the treatment effect and how? (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.