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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Keeping adolescent orphans in school to prevent human immunodeficiency virus infection: Evidence from a randomized controlled trial in Kenya
Journal of Adolescent Health, Volume 48, No. 5, Year 2011
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Description
Purpose We report the findings from a pilot study in western Kenya, using an experimental design to test whether comprehensive support used to keep adolescent orphans in school can reduce risk factors associated with infection with human immunodeficiency virus. Methods Adolescent orphans aged 1214 years (N = 105) in Nyanza Province were randomized to condition, after stratifying by household, gender, and baseline survey report of sexual behavior. The intervention comprised school fees, uniforms, and a "community visitor" who monitored school attendance and helped to resolve problems that would lead to absence or dropout. Data were analyzed using generalized estimating equations over two time points, controlling for gender and age. Results Compared with the control group, intervention students were less likely to drop out of school, commence sexual intercourse, or report attitudes supporting early sex. School support also increased prosocial bonding and gender equity attitudes. Conclusions After 1 year of exposure to the intervention, we found evidence suggesting that comprehensive school support can prevent school dropout, delay sexual debut, and reduce risk factors associated with infection with human immunodeficiency virus. Further research, with much larger samples, is needed to better understand factors that mediate the association between educational support and delayed sexual debut, and how gender might moderate these relationships. © 2011 Society for Adolescent Health and Medicine.
Authors & Co-Authors
Cho, Hyunsan
United States, Beltsville
Pacific Institute for Research and Evaluation
Hallfors, Denise Dion
United States, Beltsville
Pacific Institute for Research and Evaluation
Mbai, Isabella I.
Kenya, Eldoret
Moi University
Itindi, Janet
Kenya, Eldoret
Moi University
Milimo, Benson Williesham
Kenya, Eldoret
Moi University
Halpern, Carolyn Tucker
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Iritani, Bonita J.
United States, Beltsville
Pacific Institute for Research and Evaluation
Statistics
Citations: 82
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1016/j.jadohealth.2010.08.007
ISSN:
1054139X
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya