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首页> 外文期刊>AIDS care. >Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment
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Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment

机译：以储蓄为主导的经济赋权对乌干达农村孤儿青少年艾滋病毒预防措施的影响：Suubi-Maka随机实验的结果

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Improving economic resources of impoverished youth may alter intentions to engage in sexual risk behaviors by motivating positive future planning to avoid HIV risk and by altering economic contexts contributing to HIV risk. Yet, few studies have examined the effect of economic-strengthening on economic and sexual behaviors of orphaned youth, despite high poverty and high HIV infection in this population. Hierarchal longitudinal regressions were used to examine the effect of a savings-led economic empowerment intervention, the Suubi-Maka Project, on changes in orphaned adolescents' cash savings and attitudes toward savings and HIV-preventive practices over time. We randomized 346 Ugandan adolescents, aged 10-17 years, to either the control group receiving usual orphan care plus mentoring (n = 167) or the intervention group receiving usual orphan care plus mentoring, financial education, and matched savings accounts (n = 179). Assessments were conducted at baseline, 12, and 24 months. Results indicated that intervention adolescents significantly increased their cash savings over time (b = $US12.32, +/- 1.12, p < .001) compared to adolescents in the control group. At 24 months post-baseline, 92% of intervention adolescents had accumulated savings compared to 43% in the control group (p < .001). The largest changes in savings goals were the proportion of intervention adolescents valuing saving for money to buy a home (Delta(T)(1-T0) = +14.9, p < .001), pursue vocational training (Delta(T)(1-T0) = +8.8, p < .01), and start a business ((T1-T0) = +6.7, p < .01). Intervention adolescents also had a significant relative increase over time in HIV-preventive attitudinal scores (b = +0.19, +/- 0.09, p < .05), most commonly toward perceived risk of HIV (95.8%, n = 159), sexual abstinence or postponement (91.6%, n = 152), and consistent condom use (93.4%, n = 144). In addition, intervention adolescents had 2.017 significantly greater odds of a maximum HIV-prevention score (OR = 2.017, 95%CI: 1.43-2.84). To minimize HIV risk throughout the adolescent and young adult periods, long-term strategies are needed to integrate youth economic development, including savings and income generation, with age-appropriate combination prevention interventions.
机译：改善贫困青年的经济资源可能会通过激发积极的未来计划来避免艾滋病毒风险，并改变造成艾滋病毒风险的经济环境，从而改变从事性风险行为的意图。然而，很少有人研究了加强经济活动对孤儿的经济和性行为的影响，尽管该人口中存在着高贫困和高艾滋病毒感染率。纵向分层回归用于检验储蓄主导的经济赋权干预措施Suubi-Maka项目对孤儿现金储蓄的变化以及随着时间的推移对储蓄和预防艾滋病的态度的影响。我们将346名10-17岁的乌干达青少年随机分为接受常规孤儿护理加指导的对照组（n = 167）或接受常规孤儿护理加指导，财务教育和匹配的储蓄账户的干预组（n = 179） ）。在基线，第12和24个月进行评估。结果表明，与对照组相比，干预青少年随着时间的推移显着增加了现金储蓄（b = $ 12.32，+ /-1.12，p <.001）。基线后24个月，有92％的干预青少年积累了储蓄，而对照组为43％（p <.001）。储蓄目标的最大变化是，青少年愿意以节省的钱来购房（Delta（T）（1-T0）= +14.9，p <.001），接受职业培训（Delta（T）（1） -T0）= +8.8，p <.01），并开始业务（（T1-T0）= +6.7，p <.01）。随着时间的流逝，干预青少年的艾滋病毒预防态度得分也有明显的相对增加（b = +0.19，+ /-0.09，p <.05），最常见的是对性爱的感知风险（95.8％，n = 159），性禁欲或推迟（91.6％，n = 152），并坚持使用避孕套（93.4％，n = 144）。此外，干预青少年的最大艾滋病预防得分几率显着更高（OR = 2.017，95％CI：1.43-2.84）。为了使整个青春期和青年期的艾滋病毒风险降至最低，需要采取长期战略，以使青年经济发展（包括储蓄和创收）与适合年龄的联合预防干预措施相结合。

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