Atkins Kaitlyn, MacPhail Catherine, Maman Suzanne, Khoza Nomhle, Twine Rhian, Gomez-Olive F Xavier, Pettifor Audrey, Kahn Kathleen
Department of Health Behavior, University of North Carolina, Chapel Hill, NC, USA.
Social and Behavioral Interventions Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Cult Health Sex. 2022 Aug;24(8):1077-1091. doi: 10.1080/13691058.2021.1919315. Epub 2021 May 5.
Young women in South Africa face elevated risk of HIV infection compared to male peers. Cash transfers may mitigate their risk for HIV; however, there is limited understanding of mechanisms of impact. We explored hope as one potential mechanism. Longitudinal qualitative analysis was used to explore how cash transfer recipients in the HPTN 068 study conceptualised hope and how the intervention influenced their hope over time. We found the intervention increased confidence, alleviated financial stressors and instilled in young women the belief that a better life, defined as being educated, independent and supportive to family, was attainable. Findings support hope as a critical outcome of cash transfer and other economic strengthening interventions.
与男性同龄人相比，南非年轻女性面临着更高的艾滋病毒感染风险。现金转移支付可能会降低她们感染艾滋病毒的风险；然而，对于其影响机制的了解却很有限。我们探讨了希望作为一种潜在机制的情况。采用纵向定性分析方法，探究了HPTN 068研究中的现金转移支付受助者如何理解希望，以及该干预措施如何随着时间的推移影响她们的希望。我们发现，该干预措施增强了信心，减轻了经济压力，并向年轻女性灌输了一种信念，即接受教育、独立并能支持家庭所定义的美好生活是可以实现的。研究结果支持了希望是现金转移支付及其他经济强化干预措施的一项关键成果这一观点。
