International Center for Child Health and Development, Brown School, Washington University in St. Louis, St. Louis, MO, 63130, USA.
Division of Prevention Science, University of California, San Francisco, San Francisco, CA, 94143, USA.
AIDS Behav. 2023 Mar;27(3):1013-1023. doi: 10.1007/s10461-022-03838-8. Epub 2022 Sep 1.
We examined the impact of a family-based economic strengthening intervention on school dropout and repeating a class among ALWHIV in Uganda. In this cluster-randomized trial (2012-2018) conducted in 39 clinics, we recruited adolescents aged 10-16 years living with HIV. We included data from 613 adolescents. We plotted a Kaplan Meier survival curve and fitted Cox proportional hazards models to test the effect of the economic strengthening intervention on school dropout. The incidence of school dropout was 13.0% and 9.6% in the control and intervention groups, respectively. Also, economic empowerment reduced the risk of school dropout, aHR = 0.68 (95% CI 0.52-0.88), p-value 0.004. In other words, participants in the intervention group had 32% reduced hazards of dropping out of school. Also, increasing age aHR = 1.54 (95% CI 1.42-1.66), p-value < 0.001 and double orphanhood aHR = 0.67 (95% CI 0.47-0.96) p-value 0.030 increased the risks for dropping out of school. The intervention was not efficacious in reducing the rates of repeating a class. The intervention offered the ALWHIV an opportunity to live a productive adult life. More research is required on these kinds of interventions intended to keep ALWHIV and those impacted by HIV in school.
我们考察了家庭经济强化干预对乌干达 ALWHIV 辍学和留级的影响。在这项 2012 年至 2018 年在 39 个诊所进行的集群随机试验中，我们招募了感染艾滋病毒的 10-16 岁青少年。我们纳入了 613 名青少年的数据。我们绘制了 Kaplan-Meier 生存曲线，并拟合 Cox 比例风险模型来检验经济强化干预对辍学的影响。对照组和干预组的辍学发生率分别为 13.0%和 9.6%。此外，经济赋权降低了辍学的风险，aHR=0.68（95%CI 0.52-0.88），p 值 0.004。换句话说，干预组的参与者辍学的风险降低了 32%。此外，年龄增长 aHR=1.54（95%CI 1.42-1.66），p 值<0.001，以及双重孤儿身份 aHR=0.67（95%CI 0.47-0.96），p 值 0.030 增加了辍学的风险。该干预措施在降低留级率方面没有效果。该干预为 ALWHIV 提供了过富有成效的成年生活的机会。需要对这些旨在让 ALWHIV 和受 HIV 影响的人留在学校的干预措施进行更多研究。
