{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T21:02:22Z","timestamp":1790283742405,"version":"4.1.0"},"reference-count":44,"publisher":"American Public Health Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p> Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. <\/jats:p><jats:p> Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions: (1) control (n\u2009=\u2009487; 16 schools), (2) Bridges (1:1 savings match rate; n\u2009=\u2009396; 16 schools), or (3) Bridges PLUS (2:1 savings match rate; n\u2009=\u2009500; 16 schools). <\/jats:p><jats:p> Results. At 24 months, compared with participants in the control condition, Bridges and Bridges PLUS participants reported higher physical health scores, lower depressive symptoms, and higher self-concept and self-efficacy. During the same period, Bridges participants reported lower sexual risk-taking intentions compared with the other 2 study conditions. At 48 months, Bridges and Bridges PLUS participants reported better self-rated health, higher savings, and lower food insecurity. During the same period, Bridges PLUS participants reported reduced hopelessness, and greater self-concept and self-efficacy. At 24 and 48 months, Bridges PLUS participants reported higher savings than Bridges participants. <\/jats:p><jats:p> Conclusions. Economic interventions targeting families raising adolescents orphaned by AIDS can contribute to long-term positive health and overall well-being of these families. <\/jats:p><jats:p> Trial Registration. ClinicalTrials.gov registration no. NCT01447615. <\/jats:p>","DOI":"10.2105\/ajph.2020.306044","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T21:01:26Z","timestamp":1611262886000},"page":"504-513","source":"Crossref","is-referenced-by-count":40,"title":["Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV\/AIDS: A 5-Year (2012\u20132017) Cluster Randomized Controlled Trial in Uganda"],"prefix":"10.2105","volume":"111","author":[{"given":"Fred M.","family":"Ssewamala","sequence":"first","affiliation":[{"name":"Fred M. Ssewamala, Rachel Brathwaite, and Sicong Sun are with Brown School and the International Center for Child Health and Development, Washington University in St Louis, St Louis, MO. Julia Shu-Huah Wang is with the University of Hong Kong, Department of Social Work and Social Administration, Hong Kong. Larissa Jennings Mayo-Wilson is with Indiana University, School of Public Health, Department of Applied Health Science, Bloomington, IN. Torsten B. Neilands is with the Division of Prevention Science,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Shu-Huah Wang","sequence":"additional","affiliation":[{"name":"Fred M. Ssewamala, Rachel Brathwaite, and Sicong Sun are with Brown School and the International Center for Child Health and Development, Washington University in St Louis, St Louis, MO. Julia Shu-Huah Wang is with the University of Hong Kong, Department of Social Work and Social Administration, Hong Kong. Larissa Jennings Mayo-Wilson is with Indiana University, School of Public Health, Department of Applied Health Science, Bloomington, IN. Torsten B. Neilands is with the Division of Prevention Science,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Brathwaite","sequence":"additional","affiliation":[{"name":"Fred M. Ssewamala, Rachel Brathwaite, and Sicong Sun are with Brown School and the International Center for Child Health and Development, Washington University in St Louis, St Louis, MO. Julia Shu-Huah Wang is with the University of Hong Kong, Department of Social Work and Social Administration, Hong Kong. Larissa Jennings Mayo-Wilson is with Indiana University, School of Public Health, Department of Applied Health Science, Bloomington, IN. Torsten B. Neilands is with the Division of Prevention Science,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sicong","family":"Sun","sequence":"additional","affiliation":[{"name":"Fred M. Ssewamala, Rachel Brathwaite, and Sicong Sun are with Brown School and the International Center for Child Health and Development, Washington University in St Louis, St Louis, MO. Julia Shu-Huah Wang is with the University of Hong Kong, Department of Social Work and Social Administration, Hong Kong. Larissa Jennings Mayo-Wilson is with Indiana University, School of Public Health, Department of Applied Health Science, Bloomington, IN. Torsten B. Neilands is with the Division of Prevention Science,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa Jennings","family":"Mayo-Wilson","sequence":"additional","affiliation":[{"name":"Fred M. 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