Document Detail


Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda.
MedLine Citation:
PMID:  23410851     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The authors examine whether an innovative family economic empowerment intervention addresses mental health functioning of AIDS-affected children in communities heavily impacted by HIV/AIDS in Uganda.
METHODS: A cluster randomised controlled trial consisting of two study arms, a treatment condition (n=179) and a control condition (n=118), was used to examine the impact of the family economic empowerment intervention on children's levels of hopelessness and depression. The intervention comprised matched children savings accounts, financial management workshops and mentorship. Data were collected at baseline and 12 months post-intervention.
RESULTS: Using multivariate analysis with several socioeconomic controls, the authors find that children in the treatment condition (receiving the intervention) report significant improvement in their mental health functioning. Specifically, the intervention reduces hopelessness and depression levels. On the other hand, children in the control condition (not receiving the intervention) report no changes on both measures.
CONCLUSIONS: The findings indicate that children with poor mental health functioning living in communities affected by HIV/AIDS may benefit from innovative family economic empowerment interventions. As measures of mental health functioning, both hopelessness and depression have long-term negative psychosocial and developmental impacts on children. These findings have implications for public health programmes intended for long-term care and support of children living in resource poor AIDS-impacted communities.
Authors:
Chang-Keun Han; Fred M Ssewamala; Julia Shu-Huah Wang
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  67     ISSN:  1470-2738     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-15     Completed Date:  2014-04-15     Revised Date:  2014-06-17    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  225-30     Citation Subset:  IM    
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT01180114
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / diagnosis,  epidemiology*,  therapy
Adolescent
Child
Child, Orphaned / psychology*,  statistics & numerical data
Cluster Analysis
Depressive Disorder / diagnosis,  epidemiology*,  therapy
Family Relations*
Female
Hope
Humans
Male
Personality Inventory
Power (Psychology)*
Psychometrics
Regression Analysis
Resilience, Psychological*
Schools / statistics & numerical data
Social Class*
Socioeconomic Factors
Uganda / epidemiology
Grant Support
ID/Acronym/Agency:
R25 HD045810/HD/NICHD NIH HHS; R34 MH081763/MH/NIMH NIH HHS; RMH081763A//PHS HHS
Comments/Corrections

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