Fred M. Ssewamala, Rachel Brathwaite, and Sicong Sun are with Brown School and the International Center for Child Health and Development, Washington University in St Louis, St Louis, MO. Julia Shu-Huah Wang is with the University of Hong Kong, Department of Social Work and Social Administration, Hong Kong. Larissa Jennings Mayo-Wilson is with Indiana University, School of Public Health, Department of Applied Health Science, Bloomington, IN. Torsten B. Neilands is with the Division of Prevention Science, University of California, San Francisco. Jeanne Brooks-Gunn is with Teachers College and Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
Am J Public Health. 2021 Mar;111(3):504-513. doi: 10.2105/AJPH.2020.306044. Epub 2021 Jan 21.
To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions: (1) control (n = 487; 16 schools), (2) Bridges (1:1 savings match rate; n = 396; 16 schools), or (3) Bridges PLUS (2:1 savings match rate; n = 500; 16 schools). At 24 months, compared with participants in the control condition, Bridges and Bridges PLUS participants reported higher physical health scores, lower depressive symptoms, and higher self-concept and self-efficacy. During the same period, Bridges participants reported lower sexual risk-taking intentions compared with the other 2 study conditions. At 48 months, Bridges and Bridges PLUS participants reported better self-rated health, higher savings, and lower food insecurity. During the same period, Bridges PLUS participants reported reduced hopelessness, and greater self-concept and self-efficacy. At 24 and 48 months, Bridges PLUS participants reported higher savings than Bridges participants. Economic interventions targeting families raising adolescents orphaned by AIDS can contribute to long-term positive health and overall well-being of these families. ClinicalTrials.gov registration no. NCT01447615.
调查家庭经济干预对乌干达艾滋病致孤青少年身心健康和性健康的长期影响。乌干达 48 所小学的 5 年级和 6 年级学生在学校层面（整群随机化）随机分配至 3 种条件之一：（1）对照组（n = 487；16 所学校），（2）桥梁（1:1 储蓄匹配率；n = 396；16 所学校），或（3）桥梁 PLUS（2:1 储蓄匹配率；n = 500；16 所学校）。24 个月时，与对照组参与者相比，桥梁组和桥梁 PLUS 组参与者的身体健康评分更高，抑郁症状更低，自我概念和自我效能感更高。同期，桥梁组参与者的性风险行为意向低于其他 2 个研究条件。48 个月时，桥梁组和桥梁 PLUS 组参与者自我报告的健康状况更好，储蓄更多，食物不安全感更低。同期，桥梁 PLUS 组参与者的绝望感更低，自我概念和自我效能感更高。24 个月和 48 个月时，桥梁 PLUS 组参与者的储蓄高于桥梁组。针对抚养艾滋病致孤青少年的家庭的经济干预措施，可促进这些家庭的长期健康和整体幸福感。临床试验注册编号：NCT01447615。
