National Institute of Medical Research, P.O Box 1462, Mwanza, Tanzania.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27516, USA.
AIDS Behav. 2020 Nov;24(11):3024-3032. doi: 10.1007/s10461-020-02850-0.
Although cash transfers (CT) are hypothesized to reduce AGYW's HIV risk, little is known about the mechanisms through which CT empower AGYW. We explored the impact of a CT intervention on AGYW's sexual decision-making in order to describe the pathways through which the cash may influence risk behavior. The study employed qualitative methods involving: 20 longitudinal in-depth interviews (IDIs), 40 cross-sectional IDIs, 20 narrative IDIs, and two focus group discussions with AGYW ages 15-23 participating in a CT intervention. AGYW's conceptualized empowerment as: "independence", "hope and aspiration". Potential pathways through which CT empowered AGYW were: economic, hope and aspiration for a better future, and access to knowledge. As a result of this empowerment, AGYW reported reductions in transactional sex, experiences of intimate partner violence, and risky-sexual behaviour. A sense of responsibility developed through economic empowerment, enhanced participants' self-esteem and confidence in decision-making leading to changes in AGYW's sexual risk behaviors.
虽然现金转移（CT）被假设可以降低 AGYW 的 HIV 风险，但对于 CT 如何赋予 AGYW 权力的机制知之甚少。我们探讨了 CT 干预对 AGYW 性决策的影响，以便描述现金可能影响风险行为的途径。该研究采用了定性方法，包括：20 次纵向深入访谈（IDI）、40 次横断面 IDI、20 次叙述 IDI 和两次焦点小组讨论，参与者为年龄在 15-23 岁之间参加 CT 干预的 AGYW。AGYW 将赋权概念化为：“独立”、“希望和渴望”。CT 赋予 AGYW 权力的潜在途径有：经济、对更美好未来的希望和渴望、以及获取知识。由于这种赋权，AGYW 报告称减少了性交易、亲密伴侣暴力经历和危险性行为。通过经济赋权产生的责任感，增强了参与者的自尊心和决策信心，导致 AGYW 的性风险行为发生变化。
