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Gender and the Effects of an Economic Empowerment Program on Attitudes Toward Sexual Risk-Taking Among AIDS-Orphaned Adolescent Youth in Uganda

Fred M. Ssewamala, Ph.D.aCorresponding Author Informationemail address, Leyla Ismayilova, Ph.D.a, Mary McKay, Ph.D.b, Elizabeth Sperber, B.A.a, William Bannon Jr., Ph.D.b, Stacey Alicea, M.P.H.b

Received 29 December 2008; accepted 31 August 2009. published online 16 October 2009.
Corrected Proof

Abstract 

Purpose

This article examines gender differences in attitudes toward sexual risk–taking behaviors of acquired immune deficiency syndrome (AIDS)–orphaned youth participating in a randomized control trial testing an economic empowerment intervention in rural Uganda.

Methods

Adolescents (average age 13.7 years) who had lost one or both parents to AIDS from 15 comparable schools were randomly assigned to either an experimental (n=135) or a control condition (n=142). Adolescents in the experimental condition, in addition to usual care, also received support and incentives to save money toward secondary education.

Results

Findings indicate that although adolescent boys and girls within the experimental condition saved comparable amounts, the intervention appears to have benefited girls, in regard to the attitudes toward sexual risk–taking behavior, in a different way and to a lesser extent than boys.

Conclusions

Future research should investigate the possibility that adolescent girls might be able to develop equally large improvements in protective attitudes toward sexual risk taking through additional components that address gendered social norms.

a Columbia University, New York, New York

b Mount Sinai School of Medicine, New York, New York

Corresponding Author InformationAddress correspondence to: Fred M. Ssewamala, Ph.D., Columbia University, 1255 Amsterdam Avenue, New York, NY 10025.

 The SUUBI-project was funded by a grant from the National Institute of Health (R21 MH076475-01).

PII: S1054-139X(09)00339-5

doi:10.1016/j.jadohealth.2009.08.010