综合干预对少女迁移意愿和缺课的初步影响：来自加纳北部一项试点集群随机临床试验的结果

IF 1.7 2区社会学 Q1 FAMILY STUDIES

Children and Youth Services Review Pub Date : 2025-02-28 DOI:10.1016/j.childyouth.2025.108205

Ozge Sensoy Bahar , William Byansi , Abdallah Ibrahim , Alice Boateng , Kingsley Kumbelim , Portia B. Nartey , Fredwill Amissah , Proscovia Nabunya , Fred M. Ssewamala , Mary M. McKay

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引用次数: 0

摘要

撒哈拉以南非洲的贫困，加上家庭背景是一个促成因素，往往导致无人陪伴的农村儿童向城市迁移，童工发生率高（24%），导致脆弱性和风险加剧。在这项研究中，我们考察了结合家庭经济赋权和家庭强化干预的组合干预对加纳青春期女孩迁移意愿（主要结果）和缺学（次要结果）的初步影响。方法对参与ANZANSI （Dagbani -研究地区的当地语言）试点研究（2019-2022年）的青春期女孩（n = 97）的纵向数据进行分析。青春期女孩及其照顾者在学校水平上随机分为两种研究条件：加强常规护理和ANZANSI联合干预，为期9个月。在干预开始后的基线、9个月和15个月收集数据。我们使用混合效应逻辑和线性回归模型来检验干预对缺学和迁移意愿的影响。研究发现，干预开始后15个月，ANZANSI组的迁移倾向明显低于对照组（b = -0.61, 95% ci: - 1.18, - 0.04, p = 0.04）。干预对缺勤无显著影响。然而，结果趋向于假设的方向，表明干预似乎随着时间的推移降低了高等学校缺勤的可能性，表现为时间的显著影响(χ2 [2] = 6.49, p <；干预组0.04)。结论：这些结果趋势支持进行更大规模的试验来检验ANZANSI干预的有效性。

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Preliminary impact of a combination intervention on intention to migrate and school absence among adolescent girls: Results from a pilot cluster-randomized clinical trial in Northern Ghana

Background

Poverty in sub-Saharan Africa, together with family context as a contributing factor, often results in unaccompanied rural–urban child migration and high incidence of child labor (24%), leading to heightened vulnerability and risk. In this study, we examined the preliminary impact of a combination intervention that combined family economic empowerment and family strengthening interventions on intention to migrate (primary outcome) and school absence (secondary outcome) among adolescent girls in Ghana.

Methods

Longitudinal data from adolescent girls (n = 97) participating in the ANZANSI (resilience in Dagbani −the local language in the study area) pilot study (2019–2022) were analyzed. Adolescent girls and their caregivers were randomized at the school level to two study conditions: bolstered usual care and the ANZANSI combination intervention delivered over 9 months. Data were collected at baseline, 9 months and 15 months post-intervention initiation. We used mixed-effects logistic and linear regression models to examine the impact of the intervention on absence from school and intention to migrate.

Findings

At 15 months post-intervention initiation, the ANZANSI group had significantly lower intention to migrate compared to the control group (b = -0.61, 95 % CIs: −1.18, −0.04, p = 0.04). The intervention had no significant impact on school absence. However, the results are trending in the hypothesized direction, indicating that the intervention appears to reduce the likelihood of higher school absences over time, marked by the significant effect of time (χ² [2] = 6.49, p < 0.04) for the intervention group.

Conclusion

These outcome trends support the rationale for a larger trial to test the efficacy of the ANZANSI intervention.

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来源期刊

Children and Youth Services Review Multiple-

CiteScore

6.30

自引率

6.10%

发文量

303

期刊介绍： Children and Youth Services Review is an interdisciplinary forum for critical scholarship regarding service programs for children and youth. The journal will publish full-length articles, current research and policy notes, and book reviews.