Discrepancies between UN models and DHS survey estimates of maternal orphan prevalence: insights from analyses of survey data from Zimbabwe
Identifieur interne : 006184 ( Main/Exploration ); précédent : 006183; suivant : 006185Discrepancies between UN models and DHS survey estimates of maternal orphan prevalence: insights from analyses of survey data from Zimbabwe
Auteurs : L. Robertson [Royaume-Uni] ; S. Gregson [Royaume-Uni, Zimbabwe] ; C. Madanhire [Zimbabwe] ; N. Walker [États-Unis] ; P. Mushati [Zimbabwe] ; G. Garnett [Royaume-Uni] ; C. Nyamukapa [Zimbabwe]Source :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2008-08.
Descripteurs français
English descriptors
- KwdEn :
- Adoption effect, Adult deaths, Adult mortality, Agricultural estates, Biomedical research, Birth certificate, Birth certificates, Cohort, Commercial centres, Correction factor, Correction factors, Data analysis, Deceased fathers, Deceased mothers, Direct estimates, Double orphans, Eastern zimbabwe, Estimate adult mortality, First round, Health survey, Health surveys, Household census reports, Household surveys, Inconsistency, Individual questionnaire, Informant interviews, International population conference, Macro, Manicaland, Manicaland censuses, Manicaland cohort study, Manicaland data, Manicaland study, Manicaland survey, Maternal, Maternal orphanhood, Maternal orphans, Maternal survival, Mathematical models, Nations population division, Natural children, Natural parents, Older children, Open cohort study, Orphan, Orphan data, Orphan estimates, Orphan numbers, Orphan status, Orphanhood, Orphanhood data, Parental, Parental survival, Parental survival data, Parental survival questions, Parental survival status, Paternal, Paternal orphanhood, Paternal orphans, Paternal survival, Paternal survival status, Popul stud, Possible reasons, Prevalence, Prospective household census, Qualitative findings, Rural areas, Same situation, Spectrum estimates, Successive rounds, Survey data, Survival status, Systematic bias, Timaeus, Time points, Transm, Unaids, World population prospects, Younger children, Zimbabwe.
- Teeft :
- Adoption effect, Adult deaths, Adult mortality, Agricultural estates, Biomedical research, Birth certificate, Birth certificates, Cohort, Commercial centres, Correction factor, Correction factors, Data analysis, Deceased fathers, Deceased mothers, Direct estimates, Double orphans, Eastern zimbabwe, Estimate adult mortality, First round, Health survey, Health surveys, Household census reports, Household surveys, Inconsistency, Individual questionnaire, Informant interviews, International population conference, Macro, Manicaland, Manicaland censuses, Manicaland cohort study, Manicaland data, Manicaland study, Manicaland survey, Maternal, Maternal orphanhood, Maternal orphans, Maternal survival, Mathematical models, Nations population division, Natural children, Natural parents, Older children, Open cohort study, Orphan, Orphan data, Orphan estimates, Orphan numbers, Orphan status, Orphanhood, Orphanhood data, Parental, Parental survival, Parental survival data, Parental survival questions, Parental survival status, Paternal, Paternal orphanhood, Paternal orphans, Paternal survival, Paternal survival status, Popul stud, Possible reasons, Prevalence, Prospective household census, Qualitative findings, Rural areas, Same situation, Spectrum estimates, Successive rounds, Survey data, Survival status, Systematic bias, Timaeus, Time points, Transm, Unaids, World population prospects, Younger children, Zimbabwe.
Abstract
Objectives: Model-based estimates of maternal (but not paternal) orphanhood are higher than those based on data from demographic and health surveys (DHS). We investigate the consistency of reporting of parental survival status in data from Manicaland, Zimbabwe. Methods: We compared estimates of paternal and maternal orphan prevalence in three rounds of a prospective household census in Manicaland (1998–2005) with estimates from DHS surveys and UNAIDS model projections. We investigated the consistency of reporting of parental survival status across the three rounds and compared estimates of adult mortality from the orphan data with direct estimates from concurrent follow-up of a general population cohort. Qualitative data were collected on possible reasons for misreporting. Results: Paternal and maternal orphan prevalence is increasing in Zimbabwe. Mothers reported as deceased in round 1 of the Manicaland survey were more likely than fathers to be reported as alive in rounds 2 or 3 (33.3% vs 13.4%). This pattern was most apparent among younger children. The qualitative findings suggest that foster parents sometimes claim adopted children as their natural children. Conclusions: These results are consistent with misreporting of foster parents as natural parents. This appears to be particularly common among foster mothers and could partly explain the discrepancy between mathematical model and DHS estimates of maternal orphanhood.
Url:
- https://api.istex.fr/document/0DF660EC83504DA59018E482AA52DA97F9CEFBDE/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569835
DOI: 10.1136/sti.2008.029926
Affiliations:
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Robertson</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infectious Disease Epidemiology, Imperial College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Gregson, S" sort="Gregson, S" uniqKey="Gregson S" first="S" last="Gregson">S. Gregson</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infectious Disease Epidemiology, Imperial College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Biomedical Research and Training Institute, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author><author><name sortKey="Madanhire, C" sort="Madanhire, C" uniqKey="Madanhire C" first="C" last="Madanhire">C. Madanhire</name><affiliation wicri:level="1"><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Biomedical Research and Training Institute, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author><author><name sortKey="Walker, N" sort="Walker, N" uniqKey="Walker N" first="N" last="Walker">N. Walker</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Mushati, P" sort="Mushati, P" uniqKey="Mushati P" first="P" last="Mushati">P. 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Nyamukapa</name><affiliation wicri:level="1"><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Biomedical Research and Training Institute, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Sexually Transmitted Infections</title><title level="j" type="abbrev">Sex Transm Infect</title><idno type="ISSN">1368-4973</idno><idno type="eISSN">1472-3263</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2008-08">2008-08</date><biblScope unit="volume">84</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="57">i57</biblScope></imprint><idno type="ISSN">1368-4973</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1368-4973</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adoption effect</term><term>Adult deaths</term><term>Adult mortality</term><term>Agricultural estates</term><term>Biomedical research</term><term>Birth certificate</term><term>Birth certificates</term><term>Cohort</term><term>Commercial centres</term><term>Correction factor</term><term>Correction factors</term><term>Data analysis</term><term>Deceased fathers</term><term>Deceased mothers</term><term>Direct estimates</term><term>Double orphans</term><term>Eastern zimbabwe</term><term>Estimate adult mortality</term><term>First round</term><term>Health survey</term><term>Health surveys</term><term>Household census reports</term><term>Household surveys</term><term>Inconsistency</term><term>Individual questionnaire</term><term>Informant interviews</term><term>International population conference</term><term>Macro</term><term>Manicaland</term><term>Manicaland censuses</term><term>Manicaland cohort study</term><term>Manicaland data</term><term>Manicaland study</term><term>Manicaland survey</term><term>Maternal</term><term>Maternal orphanhood</term><term>Maternal orphans</term><term>Maternal survival</term><term>Mathematical models</term><term>Nations population division</term><term>Natural children</term><term>Natural parents</term><term>Older children</term><term>Open cohort study</term><term>Orphan</term><term>Orphan data</term><term>Orphan estimates</term><term>Orphan numbers</term><term>Orphan status</term><term>Orphanhood</term><term>Orphanhood data</term><term>Parental</term><term>Parental survival</term><term>Parental survival data</term><term>Parental survival questions</term><term>Parental survival status</term><term>Paternal</term><term>Paternal orphanhood</term><term>Paternal orphans</term><term>Paternal survival</term><term>Paternal survival status</term><term>Popul stud</term><term>Possible reasons</term><term>Prevalence</term><term>Prospective household census</term><term>Qualitative findings</term><term>Rural areas</term><term>Same situation</term><term>Spectrum estimates</term><term>Successive rounds</term><term>Survey data</term><term>Survival status</term><term>Systematic bias</term><term>Timaeus</term><term>Time points</term><term>Transm</term><term>Unaids</term><term>World population prospects</term><term>Younger children</term><term>Zimbabwe</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adoption effect</term><term>Adult deaths</term><term>Adult mortality</term><term>Agricultural estates</term><term>Biomedical research</term><term>Birth certificate</term><term>Birth certificates</term><term>Cohort</term><term>Commercial centres</term><term>Correction factor</term><term>Correction factors</term><term>Data analysis</term><term>Deceased fathers</term><term>Deceased mothers</term><term>Direct estimates</term><term>Double orphans</term><term>Eastern zimbabwe</term><term>Estimate adult mortality</term><term>First round</term><term>Health survey</term><term>Health surveys</term><term>Household census reports</term><term>Household surveys</term><term>Inconsistency</term><term>Individual questionnaire</term><term>Informant interviews</term><term>International population conference</term><term>Macro</term><term>Manicaland</term><term>Manicaland censuses</term><term>Manicaland cohort study</term><term>Manicaland data</term><term>Manicaland study</term><term>Manicaland survey</term><term>Maternal</term><term>Maternal orphanhood</term><term>Maternal orphans</term><term>Maternal survival</term><term>Mathematical models</term><term>Nations population division</term><term>Natural children</term><term>Natural parents</term><term>Older children</term><term>Open cohort study</term><term>Orphan</term><term>Orphan data</term><term>Orphan estimates</term><term>Orphan numbers</term><term>Orphan status</term><term>Orphanhood</term><term>Orphanhood data</term><term>Parental</term><term>Parental survival</term><term>Parental survival data</term><term>Parental survival questions</term><term>Parental survival status</term><term>Paternal</term><term>Paternal orphanhood</term><term>Paternal orphans</term><term>Paternal survival</term><term>Paternal survival status</term><term>Popul stud</term><term>Possible reasons</term><term>Prevalence</term><term>Prospective household census</term><term>Qualitative findings</term><term>Rural areas</term><term>Same situation</term><term>Spectrum estimates</term><term>Successive rounds</term><term>Survey data</term><term>Survival status</term><term>Systematic bias</term><term>Timaeus</term><term>Time points</term><term>Transm</term><term>Unaids</term><term>World population prospects</term><term>Younger children</term><term>Zimbabwe</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Zimbabwe</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Orphelin</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objectives: Model-based estimates of maternal (but not paternal) orphanhood are higher than those based on data from demographic and health surveys (DHS). We investigate the consistency of reporting of parental survival status in data from Manicaland, Zimbabwe. Methods: We compared estimates of paternal and maternal orphan prevalence in three rounds of a prospective household census in Manicaland (1998–2005) with estimates from DHS surveys and UNAIDS model projections. We investigated the consistency of reporting of parental survival status across the three rounds and compared estimates of adult mortality from the orphan data with direct estimates from concurrent follow-up of a general population cohort. Qualitative data were collected on possible reasons for misreporting. Results: Paternal and maternal orphan prevalence is increasing in Zimbabwe. Mothers reported as deceased in round 1 of the Manicaland survey were more likely than fathers to be reported as alive in rounds 2 or 3 (33.3% vs 13.4%). This pattern was most apparent among younger children. The qualitative findings suggest that foster parents sometimes claim adopted children as their natural children. Conclusions: These results are consistent with misreporting of foster parents as natural parents. This appears to be particularly common among foster mothers and could partly explain the discrepancy between mathematical model and DHS estimates of maternal orphanhood.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Zimbabwe</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Maryland</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Robertson, L" sort="Robertson, L" uniqKey="Robertson L" first="L" last="Robertson">L. Robertson</name></region><name sortKey="Garnett, G" sort="Garnett, G" uniqKey="Garnett G" first="G" last="Garnett">G. Garnett</name><name sortKey="Gregson, S" sort="Gregson, S" uniqKey="Gregson S" first="S" last="Gregson">S. Gregson</name></country><country name="Zimbabwe"><noRegion><name sortKey="Gregson, S" sort="Gregson, S" uniqKey="Gregson S" first="S" last="Gregson">S. Gregson</name></noRegion><name sortKey="Madanhire, C" sort="Madanhire, C" uniqKey="Madanhire C" first="C" last="Madanhire">C. Madanhire</name><name sortKey="Mushati, P" sort="Mushati, P" uniqKey="Mushati P" first="P" last="Mushati">P. Mushati</name><name sortKey="Nyamukapa, C" sort="Nyamukapa, C" uniqKey="Nyamukapa C" first="C" last="Nyamukapa">C. Nyamukapa</name></country><country name="États-Unis"><region name="Maryland"><name sortKey="Walker, N" sort="Walker, N" uniqKey="Walker N" first="N" last="Walker">N. Walker</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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