title: Vocational training with HIV prevention for Ugandan youth.
abstract: In a pilot study, young people in slums in Kampala, Uganda received an HIV prevention program (Street Smart) and were randomized to receive vocational training immediately (Immediate) or four months later (Delayed). Youth were monitored at recruitment, 4 months (85% retention), and 24 months (74% retention). Employment increased dramatically: Only 48% had ever been employed at recruitment, 86% were employed from months 21 to 24 post recruitment. Over two years, decreases were recorded in the number of sexual partners, mental health symptoms, delinquent acts, and drug use; condom use increased. Providing employment in low income countries, in conjunction with HIV prevention, may provide sustained support to young people to prevent HIV acquisition.
authors.affiliation: Semel Institute of Neuroscience and Human Behavior, Center for Community Health, University of California, 10920 Wilshire Boulevard, Suite 350, Los Angeles, CA 90024-6521, USA. MRotheram@mednet.ucla.edu
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Rotheram-Borus
authors.forename: Marguerita
authors.initials: M
authors.lastname: Lightfoot
authors.forename: Rogers
authors.initials: R
authors.lastname: Kasirye
authors.forename: Katherine
authors.initials: K
authors.lastname: Desmond
mesh_terms: D000293:Adolescent; D044383:Black People / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D010865:Pilot Projects; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology; D014454:Uganda / Q000453:epidemiology; D014829:Vocational Education / Q000379:methods; D055815:Young Adult