Modeling Cash Plus Other Psychosocial and Structural Interventions to Prevent HIV among Adolescent Girls and Young Women in South Africa (HPTN 068)

Citation

Stoner, Marie C. D.; Edwards, Jessie K.; Westreich, Daniel J.; Kilburn, Kelly N.; Ahern, Jennifer; Lippman, Sheri A.; Gómez-Olivé, F. Xavier; Kahn, Kathleen; & Pettifor, Audrey E. (2021). Modeling Cash Plus Other Psychosocial and Structural Interventions to Prevent HIV among Adolescent Girls and Young Women in South Africa (HPTN 068). AIDS and Behavior, 25(Suppl. 2), 133-134. PMCID: PMC8292433

Abstract

Poverty alleviation programs can reduce HIV incidence but may have greater impacts when combined with other psychosocial interventions. We modeled the change in HIV incidence among South African adolescent girls and young women (AGYW) associated with combining a cash transfer (the South African Child Support Grant (CSG)) with other structural and behavioral interventions. We modeled observational data from the HPTN 068 study where 2328 HIV negative AGYW (13-20 years) were followed for 4 years. In a Monte Carlo simulation based on this cohort (N = 10,000), CSG receipt was not independently associated with HIV incidence. Providing the CSG combined with increasing caregiver care and reducing adolescent depression had the largest reduction in HIV incidence with the fewest number of combined interventions (RD - 3.0%; (95% CI - 5.1%, - 0.9%). Combining a monthly grant with interventions to increase caregiver care and reduce adolescent depression could substantially reduce HIV incidence above the provision of cash alone.

URL

http://dx.doi.org/10.1007/s10461-021-03158-3

Reference Type

Journal Article

Year Published

2021

Journal Title

AIDS and Behavior

Series Title

AIDS Behav. 2021 Apr 22. doi: 10.1007/s10461-021-03261-5. Online ahead of print. PMID: 33886012

Author(s)

Stoner, Marie C. D.
Edwards, Jessie K.
Westreich, Daniel J.
Kilburn, Kelly N.
Ahern, Jennifer
Lippman, Sheri A.
Gómez-Olivé, F. Xavier
Kahn, Kathleen
Pettifor, Audrey E.

Article Type

Regular

PMCID

PMC8292433

Data Set/Study

HIV Prevention Trials Network (HPTN)

Continent/Country

South Africa

Sex/Gender

Women

ORCiD

Pettifor - 0000-0002-3387-0817
Edwards, J -0000-0002-1741-335X