Brown School of Social Work, Washington University in St. Louis.
New York University Silver School of Social Work.
J Community Psychol. 2019 Apr;47(3):579-593. doi: 10.1002/jcop.22139. Epub 2018 Nov 5.
In this study, we examined the nonkin support networks of orphaned adolescents participating in a family-based economic-strengthening intervention in HIV-impacted communities in Uganda. We analyzed data from a cluster randomized experimental study for orphaned adolescents aged 11-17 years. Participants were randomly assigned to either the control condition, which received bolstered standard of care (BSOC) services, or the treatment condition, which received BSOC services plus an economic-strengthening intervention. We conducted binary logistic regression analyses to examine the effect of the intervention on participants' nonkin support networks. Results indicated that the existing social support networks for orphaned adolescents are small, limited, and usually comprised individuals with similar socioeconomic situations and challenges. Because orphaned adolescents are socially isolated and the threshold for nonkin supportive services is very low, the BSOC services provided to the control condition appeared to be instrumental in their survival and well-being. Availability of personal savings was associated with higher odds of identifying at least one supportive nonkin tie. The extended family system is still the primary and major source of social support to orphaned children in HIV-affected communities. In the absence of public safety nets, building social assets, over and above offering economic opportunities to extended families supporting orphaned children, is critical.
在这项研究中，我们考察了在乌干达受艾滋病毒影响社区中参加以家庭为基础的经济增强干预的孤儿青少年的非亲属支持网络。我们分析了一项针对 11-17 岁孤儿青少年的群组随机实验研究的数据。参与者被随机分配到对照组（接受强化标准护理服务）或治疗组（接受强化标准护理服务加经济增强干预）。我们进行了二元逻辑回归分析，以检验干预对参与者非亲属支持网络的影响。结果表明，孤儿青少年现有的社会支持网络规模小、有限，通常由具有相似社会经济状况和挑战的个人组成。由于孤儿青少年在社会上被孤立，而且非亲属支持服务的门槛非常低，因此为对照组提供的强化标准护理服务似乎对他们的生存和福祉起到了重要作用。个人储蓄的可用性与确定至少有一个支持性的非亲属关系的可能性较高有关。大家庭系统仍然是受艾滋病毒影响社区中孤儿儿童的主要和主要社会支持来源。在缺乏公共安全网的情况下，除了为支持孤儿儿童的大家庭提供经济机会之外，建立社会资产至关重要。
