Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda

American Journal of Public Health

Volumn 100, Issue 3, 2010, Pages 483-488

  Ssewamala, Fred M ^a   Han, Chang Keun ^b   Neilands, Torsten B ^c   Ismayilova, Leyla ^a   Sperber, Elizabeth ^a  

^a Och Spine at New York Presbyterian Hospitals   (United States)

^b NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ANALYSIS OF VARIANCE; ARTICLE; ATTITUDE TO HEALTH; BEHAVIOR; CHI SQUARE DISTRIBUTION; CHILD BEHAVIOR; CHILD PSYCHOLOGY; CLINICAL TRIAL; CLUSTER ANALYSIS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ECONOMICS; EDUCATION; FACTORIAL ANALYSIS; FEMALE; FOLLOW UP; HEALTH; HIGH RISK BEHAVIOR; HUMAN; MALE; MULTICENTER STUDY; ORPHANED CHILD; POVERTY; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; SEX DIFFERENCE; SEXUAL BEHAVIOR; STATISTICS; UGANDA;

ADOLESCENT; ADOLESCENT BEHAVIOR; ADOLESCENT PSYCHOLOGY; ANALYSIS OF VARIANCE; ATTITUDE TO HEALTH; CHI-SQUARE DISTRIBUTION; CHILD, ORPHANED; CLUSTER ANALYSIS; FACTOR ANALYSIS, STATISTICAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; INTENTION; MALE; POVERTY; QUESTIONNAIRES; RISK-TAKING; RURAL HEALTH; SEX FACTORS; SEXUAL BEHAVIOR; UGANDA;

EID: 77149149992     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2008.158840     Document Type: Article

References (56)

1. UNICEF. The State of the World's Children 2008. New York, NY: UNICEF; 2008.
2. Thurman TR, Brown L, Richter L, Maharaj P, Magnani R. Sexual risk behavior among South African adolescents: is orphan status a factor? AIDS Behav. 2006;10(6):627-635.
3. Gregson S, Nyamukapa CA, Garnett GP, et al. HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe. AIDS Care. 2005;17(7):785-794.
4. Ugandan Ministry of Health. ORC Macro. Uganda HIV/AIDS Sero-behavioural Survey 2004-2005. Calverton, MD: Ugandan Ministry of Health and ORC Macro; 2006.
5. UNAIDS. Report on the Global AIDS Epidemic. Geneva, Switzerland: UNAIDS; 2006.
6. Howard B, Matinhure N, McCurdy SA, Johnson CA. Psychosocial disadvantage: preparation, grieving, remembrance and recovery for orphans in eastern Zimbabwe. Afr J AIDS Res. 2006;51:71-83.
7. Case A, Paxson C, Ableidinger J. Orphans in Africa: parental death, poverty and school enrollment. Demography. 2004;41(3):483-508.
8. Atwine B, Cantor-Graae E, Bajunirwe F. Psychological distress among AIDS orphans in rural Uganda. Soc Sci Med. 2005;61(3):555-564.
9. Cluver L, Gardner F. The psychological well-being of children orphaned by AIDS in Cape Town, South Africa. Ann Gen Psychiatry. 2006;5:8-17.
10. Makame V, Ani C, Grantham-McGregor S. Psychological well-being of orphans in Dar El Salaam, Tanzania. Acta Paediatr. 2002;91(4):459-465.
11. Nyamukapa CA, Gregson S, Lopman B, et al. HIV-associated orphanhood and children's psychosocial distress: theoretical framework tested with data from Zimbabwe. Am J Public Health. 2008;98(1):133-141.
12. Sherraden M. Stakeholding: notes in a theory of welfare based on assets. Soc Serv Rev. 1990;64(4):580-601.
13. Sherraden M. Assets and the Poor: A New American Welfare Policy. Armonk, NY: M. E. Sharpe, Inc; 1991.
14. Horton R, Das P. Putting prevention at the forefront of HIV/AIDS. Lancet. 2008;372(9637):421-422.
15. Kim JC, Watts CH, Hargreaves JR, et al. Understanding the impact of a microfinance-based intervention on women's empowerment and the reduction of intimate partner violence in South Africa. Am J Public Health. 2007;97(10):1794-1802.
16. Matshalaga NR, Powell G. Mass orphanhood in the Era of HIV/AIDS. BMJ. 2002;324(7331): 185-186.
17. Pronyk PM, Hargreaves JR, Morduch J. Micro-finance programs and better health: prospects for Sub-Saharan Africa. JAMA. 2007;298(16):1925-1927.
18. United Nations. World Youth Report, 2007: Young People's Transition to Adulthood: Progress and Challenges. New York, NY: United Nations; 2007.
19. United Nations. Africa and the Millennium Development Goals: An Update. New York, NY: United Nations Department of Public Information; 2007.
20. UNICEF. Children and AIDS: Second Stock-Taking Report. Geneva, NY: UNICEF; 2008.
21. Fergus S, Zimmerman MA. Adolescent resilience: a framework for understanding healthy development in the face of risk. Annu Rev Public Health. 2005;26:399-419.
22. Walsh F. Family resilience: a framework for clinical practice. Fam Process. 2003;421(1):1-18.
23. Schreiner M, Sherraden M. Can the Poor Save? Saving and Asset Building in Individual Development Accounts. New Brunswick, NJ: Transaction Publishers; 2007.
24. Ary DV, Duncan TE, Duncan SC, Hops H. Adolescent problem behavior: the influence of parents and peers. Behav Res Ther. 1999;37(3):217-230.
25. Center for Substance Abuse Prevention. The National Cross-Site Evaluation of High Risk Youth Programs: Final Report. Rockville, MD: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration; 2000.
26. Kumpfer KL, Turner CW. The social ecology model of adolescent substance abuse: implications for prevention. Int J Addict. 1990;25(4A):435-463.
27. Brestan EV, Eyberg SM. Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. J Clin Child Psychol. 1998;27(2):180-189.
28. Kazdin AE. Adolescent mental health: prevention and treatment programs. Am Psychol. 1993;48(2):127-140.
29. Kazdin AE. Conduct Disorders in Childhood and Adolescence. 2nd ed. Thousand Oaks, CA: Sage; 1995.
30. Kumpfer KL, Alvarado R. Family-strengthening approaches for the prevention of youth problem behaviors. Am Psychol. 2003;58(6-7):457-465.
31. Liddle HA, Santisteban DA, Levant RF, Bray JH. Family Psychology: Science-Based Interventions. Washington, DC: American Psychological Association; 2002.
32. Lochman JE. Parent and family skills training in targeted prevention programs for at-risk youth. J Prim Prev. 2000;21(2):253-266.
33. Taylor TK, Biglan A. Behavioral family interventions for improving child-rearing: a review for clinicians and policy makers. Clin Child Fam Psychol Rev. 1998; 1(1):41-60.
34. Webster-Stratton C, Taylor T. Nipping early risk factors in the bud: preventing substance abuse, delinquency, and violence in adolescence through interventions targeted at young children 0-8 years. Prev Sci. 2001;2(3):165-192.
35. Shetty AK, Powell G. Children orphaned by AIDS: a global perspective. Semin Pediatr Infect Dis. 2003;14 (1):25-31.
36. United Nations Programme on HIV/AIDS [UNAIDS], United Nations Children's Fund [UNICEF], and United States Agency for International Development [USAID]. Children on the Brink. New York, NY: United Nations Children's Fund; 2004.
37. Serwadda D, Mugerwa RD, Sewankambo NK, et al. Slim disease: a new disease in Uganda and its association with HTLV-III infection. Lancet. 1985;326(8460): 849-852.
38. Bhana A, Petersen I, Mason A, Mahintsho Z, Bell C, McKay M. Children and youth at risk: Adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa. Afr J AIDS Res. 2004;3:33-41.
39. Levy SR, Lampman C, Handle A, Flay BR, Weeks K. Young adolescent attitudes towards sex and substance abuse: implications for AIDS prevention. AIDS Educ Prev. 1993;5(4):340-351.
40. Ssewamala FM, Alicea S, Bannon W, Ismayilova L. A novel economic intervention to reduce HIV risks among school-going AIDS-orphaned children in rural Uganda. J Adolesc Health. 2008;42(1):102-104.
41. Mensch BS, Hewett PC, Gregory R, Helleringer S. Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi: An Evaluation of the Effect of Interview Mode on Reporting. New York, NY: Population Council; 2008. Working Paper No. 8.
42. Mensch BS, Hewett PC, Erulkar AS. The reporting of sensitive behavior by adolescents: a methodological experiment in Kenya. Demography. 2003;40(2):247-268.
43. Uganda Bureau of Statistics (UBOS) and Macro International Inc. Uganda Demographic and Health Survey 2006. Calverton, MD: UBOS and Macro International Inc; 2007.
44. Raj A. Identification of social cognitive variables as predictors of safer sex behavior and intent in heterosexual college students. J Sex Marital Ther. 1996;22(4): 247-258.
45. White KM, Terry DJ, Hogg MA. Safer sex behavior: the role of attitudes, norms, and control factors. J Appl Soc Psychol. 1994;24(24):2164-2192.
46. Gillmore MR, Archibald ME, Morrison DM, et al. Teen sexual behavior: applicability of the theory of reasoned action. J Marriage Fam. 2002;64(4):885-897.
47. Slonim-Nevo V, Auslander WF, Munro JF, Ozawa MN. Knowledge and attitudes related to AIDS among African-American women: results of an exploratory study. Ethn Dis. 1994;4(1):68-76.
48. Slonim-Nevo V, Auslander WF, Ozawa MN. Educational options and AIDS-related behaviors among troubled adolescents. J Pediatr Psychol. 1995;20(1):41-60.
49. Central Intelligence Agency. The World Fact Book. Available at: https://www.cia.gov/library/publications/ the-world-factbook/geos/ug.html. Accessed August 2, 2008.
50. Ssewamala FM, Ismayilova L. Integrating children savings accounts in the care and support of orphaned adolescents in rural Uganda. Soc Serv Rev. 2009;83(3):453-472.
51. Di Noia J, Schinke SP. HIV risk-related attitudes, interpersonal influences, and intentions among at-risk urban, early adolescent girls. Am J Health Behav. 2008;32(5):497-507.
52. Waldfogel J. What Children Need. Cambridge, MA: Harvard University Press; 2006.
53. Jaccard J, Blanton H, Dodge T. Peer influences on risk behavior: an analysis of the effects of a close friend. Dev Psychol. 2005;41(1):135-147.
54. Tolan PH, Hanish LD, McKay MM, Dickey MH. Evaluating process in child and family interventions: aggression prevention as an example. J Fam Psychol. 2002;16(2):220-236.
55. Fitzmaurice GM, Laird NM, Ware JH. Applied Longitudinal Analysis. Hoboken, NJ: John Wiley and Sons; 2004.
56. Mancl LA, DeRouen TA. A covariance estimator for GEE with improved small-sample properties. Biometrics. 2001;57(1):126-134.