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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. (Online ahead of print). 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.

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

Article Type

Regular

Year Published

Online ahead of print

Journal Title

AIDS and Behavior

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.

Data Set/Study

HPTN 068

Continent/Country

South Africa