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Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: Findings from a randomized clinical trial in rural Uganda

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  • Ssewamala, Fred M.
  • Han, Chang-Keun
  • Neilands, Torsten B.

Abstract

This study evaluated an economic empowerment intervention designed to promote life options, health and mental health functioning among AIDS-orphaned adolescents in rural Uganda. The study used an experimental design in which adolescents (NÂ =Â 267) were randomly assigned to receive an economic empowerment intervention or usual care for orphaned children. The study measured mental health functioning using 20 items of the Tennessee Self-Concept Scale (TSCS: 2)--a standardized measure for self-esteem--and measured overall health using a self-rated health measure. Data obtained at 10-month follow-up revealed significant positive effects of the economic empowerment intervention on adolescents' self-rated health and mental health functioning. Additionally, health and mental health functioning were found to be positively associated with each other. The findings have implications for public policy and health programming for AIDS-orphaned adolescents.

Suggested Citation

  • Ssewamala, Fred M. & Han, Chang-Keun & Neilands, Torsten B., 2009. "Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: Findings from a randomized clinical trial in rural Uganda," Social Science & Medicine, Elsevier, vol. 69(2), pages 191-198, July.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:2:p:191-198
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    2. Powell-Jackson, Timothy & Pereira, Shreya K. & Dutt, Varun & Tougher, Sarah & Haldar, Kaveri & Kumar, Paresh, 2016. "Cash transfers, maternal depression and emotional well-being: Quasi-experimental evidence from India’s Janani Suraksha Yojana programme," Social Science & Medicine, Elsevier, vol. 162(C), pages 210-218.
    3. Yang, Dean & Allen, James & Mahumane, Arlete & Riddell, James & Yu, Hang, 2023. "Knowledge, stigma, and HIV testing: An analysis of a widespread HIV/AIDS program," Journal of Development Economics, Elsevier, vol. 160(C).
    4. Jaewon Lee, 2021. "Maternal Economic Well-Being and Mental Health among Young Adult Children: Race/Ethnicity," IJERPH, MDPI, vol. 18(11), pages 1-11, May.
    5. Darejan Dvalishvili & Fred. M. Ssewamala & Proscovia Nabunya & Ozge Sensoy Bahar & Samuel Kizito & Flavia Namuwonge & Phionah Namatovu, 2022. "Impact of Family-Based Economic Empowerment Intervention, Suubi+Adherence (2012–2018) on Multidimensional Poverty for Adolescents Living with HIV (ALWHIV) in Uganda," IJERPH, MDPI, vol. 19(21), pages 1-17, November.
    6. Sarah Baird & Jacobus de Hoop & Berk Özler, 2013. "Income Shocks and Adolescent Mental Health," Journal of Human Resources, University of Wisconsin Press, vol. 48(2), pages 370-403.
    7. Manisha Shah & Sarah Baird & Jennifer Seager & Benjamin Avuwadah & Joan Hamory & Shwetlena Sabarwal & Amita Vyas, 2024. "Improving Mental Health of Adolescent Girls in Low- and Middle-Income Countries: Causal Evidence from Life Skills Programming," Journal of Human Resources, University of Wisconsin Press, vol. 59(S), pages 317-364.
    8. Kumar, Tanu, 2021. "The housing quality, income, and human capital effects of subsidized homes in urban India," Journal of Development Economics, Elsevier, vol. 153(C).
    9. Steinert, Janina Isabel & Cluver, Lucie Dale & Meinck, Franziska & Doubt, Jenny & Vollmer, Sebastian, 2018. "Household economic strengthening through financial and psychosocial programming: Evidence from a field experiment in South Africa," Journal of Development Economics, Elsevier, vol. 134(C), pages 443-466.
    10. Karimli, Leyla & Ssewamala, Fred M. & Neilands, Torsten B. & Wells, Christine R. & Bermudez, Laura Gauer, 2019. "Poverty, economic strengthening, and mental health among AIDS orphaned children in Uganda: Mediation model in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 228(C), pages 17-24.
    11. Jonathan de Quidt & Johannes Haushofer, 2016. "Depression for Economists," NBER Working Papers 22973, National Bureau of Economic Research, Inc.
    12. Song-Iee Hong & Chang-Keun Han, 2014. "Asset Impacts on Life Satisfaction in an Asset-Rich Country: Focusing on Older Adults in Singapore," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 118(1), pages 125-140, August.
    13. Ismayilova, Leyla & Ssewamala, Fred & Huseynli, Aytakin, 2014. "Reforming child institutional care in the Post-Soviet bloc: The potential role of family-based empowerment strategies," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 136-148.
    14. Nabunya, Proscovia & Ssewamala, Fred M. & Ilic, Vilma, 2014. "Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda," Children and Youth Services Review, Elsevier, vol. 44(C), pages 417-421.
    15. Audrey Pereira & UNICEF Office of Research - Innocenti, 2016. "Cash Transfers Improve the Mental Health and Well-being of Youth: Evidence from the Kenyan Cash Transfer for Orphans and Vulnerable Children," Papers inores801, Innocenti Research Briefs.
    16. Katz, Benjamin & Chaffin, Josh & Alon, Inbal & Ager, Alastair, 2014. "Livelihoods, economic strengthening, child protection and well-being in Western Uganda," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 149-156.
    17. Shiyou Wu & Mimi V. Chapman & Meihua Zhu & Xiafei Wang, 2020. "Household Assets, the Role of Government Assistance, and Depression Among Low-Income Families in Shanghai," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(2), pages 571-584, June.
    18. Cavazos-Rehg, Patricia & Byansi, William & Doroshenko, Christine & Neilands, Torsten B. & Anako, Nnenna & Sensoy Bahar, Ozge & Kasson, Erin & Nabunya, Proscovia & Mellins, Claude A. & Ssewamala, Fred , 2021. "Evaluating potential mediators for the impact of a family-based economic intervention (Suubi+Adherence) on the mental health of adolescents living with HIV in Uganda," Social Science & Medicine, Elsevier, vol. 280(C).
    19. Nabunya, Proscovia & Ssewamala, Fred M. & Ilic, Vilma, 2014. "Reprint of “Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda”," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 182-186.
    20. Umberto Filotto & Caterina Lucarelli & Francesca Traclò, 2015. "A Demand-Driven Approach to Financial Education: The WEB Encyclopaedia of Financial Scholars in Italy," Journal of Financial Management, Markets and Institutions, Società editrice il Mulino, issue 1, pages 101-120, June.
    21. Sylvia Shangani & Don Operario & Becky Genberg & Kipruto Kirwa & Miriam Midoun & Lukoye Atwoli & David Ayuku & Omar Galárraga & Paula Braitstein, 2017. "Unconditional government cash transfers in support of orphaned and vulnerable adolescents in western Kenya: Is there an association with psychological wellbeing?," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-15, May.
    22. Michael Goodman & Sarah Seidel & Reegan Kaberia & Philip Keiser, 2015. "How can we improve healthcare access and general self-rated health among orphans and vulnerable children? Findings from a Kenyan cross-sectional study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(5), pages 589-597, July.

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