Vicent Ssentumbwe, Francis Matovu, Phionah Namatovu, Claire Najjuuko, Samuel Kizito, Josephine Nabayinda, Portia Nartey, Flavia Namuwonge, Proscovia Nabunya, Chenyang Lu, Massy Mutumba, Fred M Ssewamala
{"title":"Using Machine Learning to Predict Depression among Adolescents Living with HIV in Uganda.","authors":"Vicent Ssentumbwe, Francis Matovu, Phionah Namatovu, Claire Najjuuko, Samuel Kizito, Josephine Nabayinda, Portia Nartey, Flavia Namuwonge, Proscovia Nabunya, Chenyang Lu, Massy Mutumba, Fred M Ssewamala","doi":"10.1007/s40609-026-00456-3","DOIUrl":"10.1007/s40609-026-00456-3","url":null,"abstract":"<p><strong>Background: </strong>Adolescents living with HIV (ALWHIV) face a high prevalence of depression. In Uganda, limited access to mental health services exacerbates depression, necessitating innovative solutions for early detection and intervention. Machine learning (ML) provides a promising approach for identifying adolescents at risk of depression to facilitate early intervention. This study aims to use machine learning to predict depression among ALWHIV in Uganda.</p><p><strong>Methods: </strong>This study analyzed cross-sectional data from 833 ALWHIV aged 10-17 years in Southern Uganda. Depression was assessed using the Children's Depression Inventory (CDI) -short version. Seven ML models, including Random Forest, Logistic Regression, Gradient Boosting, decision tree, XGBoost, Least Absolute Shrinkage and Selection Operator (LASSO), and Support Vector Machine, were evaluated using stratified 10-fold cross-validation. Model performance metrics included Area under receiver operating characteristic curve (AUROC), Area under precision-recall curve (AUPRC), accuracy, sensitivity, specificity, and F1-score. SHapley Additive exPlanations (SHAP) analysis was used to interpret feature importance.</p><p><strong>Results: </strong>The median age was 13 years, and the majority of the participants were females (55.5%). The prevalence of depression was 30.97%. The Random Forest model achieved the highest performance (AUROC = 0.79, AUPRC = 0.66). Key predictors of depression included hopelessness, HIV stigma, shame, self-esteem, teacher support, and caregiver support. SHAP analysis highlighted psychosocial challenges as primary predictors of depression, emphasizing the need for psychosocial-based interventions.</p><p><strong>Conclusion: </strong>Our study results demonstrated good performance of ML in predicting depression among ALWHIV. However, we acknowledge that the absence of external validation limits the generalizability of these findings. Future research should seek to validate these models in independent cohorts of ALWHIV to confirm their robustness and applicability across different settings.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melody Rachel Konadu Frempong, Vicent Ssentumbwe, Josephine Nabayinda, Flavia Namuwonge, Samuel Kizito, Proscovia Nabunya, Fred Ssewamala
{"title":"The Impact of Child Emotional and Behavioral Difficulties on Caregivers' Mental Health: Insights from Families of Children Orphaned by HIV in Southern Uganda.","authors":"Melody Rachel Konadu Frempong, Vicent Ssentumbwe, Josephine Nabayinda, Flavia Namuwonge, Samuel Kizito, Proscovia Nabunya, Fred Ssewamala","doi":"10.1007/s40609-026-00453-6","DOIUrl":"10.1007/s40609-026-00453-6","url":null,"abstract":"<p><strong>Background: </strong>In Uganda, children orphaned by HIV are at a high risk of emotional and behavioral difficulties (EBDs). This elevated risk of EBDs has implication on caregivers' mental health given that caregiving is an involving responsibility that can affect mental, physical health and overall well-being. While the existence of child EBDs and its impact on caregivers' mental health is well documented in high-income countries, few studies in Sub-Saharan Africa have examined the impact of child emotional and behavioral difficulties on caregiver mental health among families of children orphaned by HIV. This study aims to examine the relationship between child difficulties and caregiver mental health in Southern Uganda.</p><p><strong>Methods: </strong>Utilizing baseline data from the Suubi-Maka study (<i>N</i> = 346 dyads), a two-arm cluster-randomized controlled trial, the current study examines the relationship between children's EBDs and caregiver mental health. Child EBDs were measured using the Child Strengths and Difficulties scale as reported by caregivers. Caregiver mental health was measured by the Brief Symptom Inventory. Mixed effect linear regression model was used to examine the relationship between child difficulties and caregiver mental health. Control variables were caregiver age, gender, household size, family size, social support, family cohesion, family assets, and substance use (alcohol and cigarettes).</p><p><strong>Results: </strong>The mean age of the caregivers was 45.78 years. Results showed a significant positive association between child EBDs and caregiver mental health problems. High levels of child difficulties were associated with poorer caregiver mental health functioning (β = <i>0.85</i>, 95% CI = <i>0.64, 1.06, p</i> < <i>0.001</i>). Additionally, being a male caregiver (β = 10.18, 95% CI = <i>5.65, 14.72, p</i> < <i>0.001</i>), and alcohol use (β = <i>5.22</i>, 95% CI = 2.03, 8.41, <i>p</i> = 0.001) were associated with poorer caregiver mental health. Notably, there was also a significant negative association between family cohesion and caregivers' mental health problems (β=-<i>0.57</i>., 95% CI = -<i>1.05</i>, -<i>0.09</i>, <i>p</i> = -0.019).</p><p><strong>Conclusion and implication: </strong>The results emphasize the complex interplay of child difficulties, family cohesion, gender, and their influence on caregivers' mental health, posing a significant implication for global health. The findings suggest caregiving may not be exclusively undertaken by women, highlighting the importance of considering the mental health needs of male caregivers in the development of policies and support services. Future research is needed to explore the longitudinal pathways of this relationship: whether improving child EBDs can improve caregiver mental health or vice versa. The result further indicates the need to build innovative and multifaceted interventions to address caregiver mental health challenges in SSA.</","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13042597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fithi Andom, Ozge Sensoy Bahar, Phionah Namatovu, Mary M McKay, Kimberly Hoagwood, Fred M Ssewamala
{"title":"Head Teachers' Perspectives on the Acceptability of an Evidence-Based Mental Health Intervention in Ugandan Schools.","authors":"Fithi Andom, Ozge Sensoy Bahar, Phionah Namatovu, Mary M McKay, Kimberly Hoagwood, Fred M Ssewamala","doi":"10.1007/s40609-025-00420-7","DOIUrl":"10.1007/s40609-025-00420-7","url":null,"abstract":"<p><p>Emotional and behavioral difficulties affect up to 41% of adolescents in sub-Saharan Africa, yet few mental health services are accessible to this population. This service gap is especially concerning given that adolescents aged 10-19 comprise approximately 23% of the region's population. While schools are often the primary access point for psychosocial support, there is limited evidence on the effective implementation of school-based interventions in low-income countries. This study presents a qualitative analysis of the acceptability of the evidence-based multiple family group (MFG) intervention in schools, focusing on the implementation experiences of school head teachers in Uganda. As part of the SMART Africa-Uganda randomized clinical trial, eight head teachers were selected using stratified purposive sampling and interviewed about their experiences hosting the intervention. Interviews explored staff perceptions, implementation facilitators and barriers, and sustainability considerations. Thematic analysis combined a priori and inductive coding approaches. Findings revealed both individual and organizational-level factors influencing implementation. Head teachers viewed the MFG intervention as highly acceptable, citing its relevance to students and broader school communities. Reported benefits included improved student behavior, enhanced caregiver-child communication, and stronger teacher-student relationships. The intervention was seen to foster greater caregiver-school collaboration, contributing to a more supportive school climate. Key facilitators included the structured intervention format, trained facilitators, and logistical supports (e.g., lunch and school fee coverage) that reduced participation barriers. Head teachers played a critical role in adapting school schedules, aligning the intervention with school priorities, and promoting staff buy-in. Despite limited resources, many head teachers expressed strong commitment to sustaining the program by embedding it into existing school activities. Macro-level considerations such as policy integration, sustainable funding, and parental engagement were also identified as essential to long-term scalability. These findings contribute to the limited but growing evidence base on school-based mental health implementation in sub-Saharan Africa and support policy-oriented approaches to integrating mental health services into education systems in low- and middle-income countries.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Global Social WelfarePub Date : 2025-09-01Epub Date: 2024-10-18DOI: 10.1007/s40609-024-00361-7
Raymond Atwebembere, Noeline Nakasujja, James Mugisha, Fred Ssewamala, Mary Mckay
{"title":"Loneliness, Social Isolation, and Suicidal Ideation and Attempt Among Adolescents Living with HIV: A Cross-Sectional Study in Masaka, Uganda.","authors":"Raymond Atwebembere, Noeline Nakasujja, James Mugisha, Fred Ssewamala, Mary Mckay","doi":"10.1007/s40609-024-00361-7","DOIUrl":"10.1007/s40609-024-00361-7","url":null,"abstract":"<p><p>One in six people are aged 10-19 years. Adolescence is a unique and formative time. Physical, emotional, and social changes, including exposure to poverty, abuse, or violence, can make adolescents vulnerable to mental health problems. Protecting adolescents from adversity, promoting socio-emotional learning and psychological well-being, and ensuring access to mental healthcare are critical for their health and well-being during adolescence and adulthood. Globally, it is estimated that 1 in 7 (14%) 10-19 year-olds experience mental health conditions (1), yet these remain largely unrecognized and untreated. Adolescents with mental health conditions are particularly vulnerable to social exclusion, discrimination, stigma (affecting readiness to seek help), educational difficulties, risk-taking behaviors, physical ill-health, and human rights violations.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"12 ","pages":"259-265"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12533749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Menstrual Leave in India: Is It Progressive or Regressive?","authors":"Rinju, Udaya S. Mishra","doi":"10.1007/s40609-024-00356-4","DOIUrl":"https://doi.org/10.1007/s40609-024-00356-4","url":null,"abstract":"<p>In a culturally conservative India, menstruation continues to be a subject of taboo. Such a taboo remains uniform across the rural and urban space alike despite all forms of modernization. Among other factors, menstruation-related health issues often discourage female workforce participation. It is also a cause for discrimination at work, and women being discriminated for this natural biological experience. In order to achieve an equal and inclusive workplace, paid menstrual leave is an important policy measure to encourage a conversation around menstrual health and also to incentivize women to join the workforce. However, some oppose the policy based on arguments that it will lessen economic efficiency or afford women special treatment. This note will examine the literature and arguments surrounding paid menstrual leave, and make a case for why it will increase economic efficiency and lead to a more equal society. The paper will pose recommendations for the implementation of menstrual leave policies, and its justification towards facilitating a gender egalitarian environment.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"21 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142265700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social Capital’s Importance in Determining Life Satisfaction in Later Life: A Cross-sectional Study Based on Indian Demography","authors":"Manoj Dakua, Ranjan Karmakar, Papai Barman","doi":"10.1007/s40609-024-00357-3","DOIUrl":"https://doi.org/10.1007/s40609-024-00357-3","url":null,"abstract":"<p>The global population is in the ageing process. Older adults in India comprise 8.60% of the total population, and this proportion is anticipated to increase to 19.50% by 2050. This ageing process impacts health, well-being, and life satisfaction, contributing to healthy ageing. This study examines the importance of social capital in determining life satisfaction in later life. The LASI 2017–18 dataset was used, and the study employed exploratory factor analysis (EFA) and principal component analysis (PCA) to identify the most suitable variables for measuring social capital. The results showed that older adults had a mean of 0.24 friend networks, 0.94 social participation, and 0.19 reciprocity. The odds of life satisfaction increase by 1.20 times (AOR 1.20, CI 1.13–1.28, <i>P</i> ≤ 0.001) when the mean number of friends network increases by one unit. The odds of life satisfaction increased by 1.48 times (AOR 1.48, CI 1.30–1.68, <i>P</i> ≤ 0.001) when one unit increased mean social and civic participation among 60 + older adults. Social capital, such as friend networks and involvement in social activities, boosted older adults’ life satisfaction. These findings can help shape future policies for older adults to increase their life satisfaction.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"24 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142192193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Qualitative Investigation of the Relationships Between Foster Care Stakeholders and Research","authors":"Saralyn Ruff, Deanna Linville, Quanice Hawkins","doi":"10.1007/s40609-024-00349-3","DOIUrl":"https://doi.org/10.1007/s40609-024-00349-3","url":null,"abstract":"<p>Research on foster care from the perspective of key stakeholders with lived and professional experience is necessary to inform programs, policy and practice. Numerous barriers exist to accessing these populations and ensuring inclusion and representation in research. This study interviewed twenty-two stakeholders with lived and/or professional experience in foster care to gain their recommendations on how to understand and conduct research on foster care and specifically and how to (a) increase stakeholders’ participation in research and (b) capture a broader representation of those impacted. Findings offer observations of who does and does not participate in research and how this may affect public perception, as well as direct recommendations for future research.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"215 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142192196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is Maternal Health Care Utilization Necessary for Child Health Outcomes in Tanzania? An Instrumental Variable Approach","authors":"Augustino Tile, Fred Alfred Rwechumgura","doi":"10.1007/s40609-024-00352-8","DOIUrl":"https://doi.org/10.1007/s40609-024-00352-8","url":null,"abstract":"<p>Enhanced mother's health leads to an improved child's health, if timely and proper healthcare is not delivered, the health of mothers and born children is at risk. Tanzania is making great efforts to address maternal and child health to meet the fourth (4) and fifth (5) Millennium Development Goals. Up to date few studies on maternal health have been conducted in Tanzania but they paid less attention to the effects of maternal health care utilization on child health outcomes. As a result, it is not well known how Tanzanian mother's healthcare consumption affects the health of their newborn children. This study aimed to examine factors influencing maternal healthcare care utilization and its impact on child health outcomes in Tanzania. Using Tanzania Demographic Health Survey data of 2022, the study employed a double hurdle model and two-stage least square model to analyze the determinants and extents of maternal healthcare utilization and the effects of maternal healthcare utilization on child health outcomes. The analysis revealed that socioeconomic factors, such as residence, household size, employment, and education, play pivotal roles in shaping both the decision to seek care and the extent of service utilization. Additionally, in the analysis of the effects of maternal health care utilization on influencing child health outcomes in Tanzania, maternal health emerges as a dominant force, with better maternal health strongly linked to higher birth weights, positive association between the number of children and birth weight, as well as the influence of place of residence, suggests that socio-economic circumstances play a crucial role in maternal and child health outcome. These findings emphasize the need for employing comprehensive approaches to improve maternal health care and child health in Tanzania, addressing not only healthcare access and utilization but also broader socio-economic determinants.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"15 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142192216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Global Social WelfarePub Date : 2024-09-01Epub Date: 2022-07-18DOI: 10.1007/s40609-022-00227-w
Nhial T Tutlam, Jen Jen Chang, William Byansi, Louise H Flick, Fred M Ssewamala, Theresa S Betancourt
{"title":"War-Affected South Sudanese in Settings of Preflight, Flight, and Resettlement: a Systematic Review and Meta-analysis of Trauma-Associated Mental Disorders.","authors":"Nhial T Tutlam, Jen Jen Chang, William Byansi, Louise H Flick, Fred M Ssewamala, Theresa S Betancourt","doi":"10.1007/s40609-022-00227-w","DOIUrl":"10.1007/s40609-022-00227-w","url":null,"abstract":"<p><strong>Background: </strong>South Sudanese have experienced prolonged exposure to conflict and displacement regionally and globally, with studies in different settings yielding vastly inconsistent rates of trauma-associated mental disorders. This systematic review and meta-analysis aimed to synthesize the methodological approach and quality, trauma exposure, risk and protective factors, and aggregate available data on the prevalence of trauma-associated mental disorders among South Sudanese in different settings to gain better understanding of the impact of war trauma in this population.</p><p><strong>Methods: </strong>Guided by the new (2020) Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, we conducted a systematic review and meta-analysis of all studies published from 1981 to 2021. The main inclusion criteria were as follows: studies published in English, present prevalence rates on anxiety, depression, and/or posttraumatic stress disorder (PTSD), and number of traumatic events, and have a sample size of 30 or more. We calculated pooled prevalence, 95% confidence intervals, and <i>I</i> <sup>2</sup> statistic to test heterogeneity between studies in MedCalc statistical software.</p><p><strong>Results: </strong>We reviewed a total of nine reports from eight unique studies with total of 6138 participants. All studies were cross-sectional in design with six designated as low quality and two as moderate quality. South Sudanese experienced on average nine war-related traumatic events. Consequently, the overall pooled rates of trauma-associated mental disorders are high: anxiety = 25.2% (95% CI: 14.0, 38.5); depression = 24.2% (8.4, 45.0); and PTSD = 34.0% (29.0, 39.1). Overall prevalence of PTSD was 40% in both preflight and flight settings; however, aggregate rate of just 14% was recorded in resettlement settings. Risk factors include female gender, advanced age, severity, and recency of traumatic events, and cultural adjustment difficulties. Protective factors include urban residency, social support, religion, higher annual household income, household possessions, and history of migration.</p><p><strong>Conclusions: </strong>This systematic review and meta-analysis reveals that prolonged exposure to war trauma has negatively impacted the psychological wellbeing of South Sudanese in refugee camps and those still in their homeland. However, the prevalence appears to be lower among those resettled in developed countries.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":" ","pages":"193-210"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43587322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vicent Ssentumbwe, Florence Namuli, Samuel Kizito, Flavia Namuwonge, Phionah Namatovu, Proscovia Nabunya, Josephine Nabayinda, Joshua Kiyingi, Rachel Brathwaite, Natasha Magorokosho, Ozge Sensoy Bahar, Fred M. Ssewamala
{"title":"COVID-19-Related Experiences and the Psychological Wellbeing of Adolescent Girls in Uganda: A Cross-sectional Study","authors":"Vicent Ssentumbwe, Florence Namuli, Samuel Kizito, Flavia Namuwonge, Phionah Namatovu, Proscovia Nabunya, Josephine Nabayinda, Joshua Kiyingi, Rachel Brathwaite, Natasha Magorokosho, Ozge Sensoy Bahar, Fred M. Ssewamala","doi":"10.1007/s40609-024-00350-w","DOIUrl":"https://doi.org/10.1007/s40609-024-00350-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>This study examined the association between COVID-19-related experiences and the psychological wellbeing of school-going adolescent girls in Uganda.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We utilized cross-sectional data collected from 1165 adolescent girls (14–17 years), participating in a longitudinal randomized clinical trial (2017–2022). Due to social distancing and mitigation measures, data were collected using telephone interviewer-administered surveys. We fitted hierarchical regression models to assess the association between COVID-19-related experiences (such as resource changes and disruptions, and access to medical care), and two aspects of psychological wellbeing (emotional and cognitive wellbeing).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Resource changes and disruptions due to the pandemic were negatively associated with adolescents’ emotional (<i>β</i> = − 0.68, 95% CI = − 0.83, − 0.53, <i>p</i> < 0.001) and cognitive aspects of psychological wellbeing (<i>β</i> = − 0.38, 95% CI = − 0.47, − 0.29, <i>p</i> < 0.001). On the other hand, adhering to COVID-19 rules was positively associated with cognitive wellbeing (<i>β</i> = 2.18, 95% CI = 0.93, 3.44, <i>p</i> = 0.001).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The pandemic significantly impacted adolescents’ psychological wellbeing. Our study findings contribute to the limited literature focused on the impact of COVID-19 on the psychological wellbeing of adolescent girls. Findings support efforts to address the psychological needs of adolescent girls, specifically, interventions to alleviate the negative effects of the pandemic.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"21 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142192194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}