Pathways from parental AIDS to child psychological, educational and sexual risk: developing an empirically-based interactive theoretical model.
Identifieur interne : 000E37 ( PubMed/Checkpoint ); précédent : 000E36; suivant : 000E38Pathways from parental AIDS to child psychological, educational and sexual risk: developing an empirically-based interactive theoretical model.
Auteurs : Lucie Cluver [Royaume-Uni] ; Mark Orkin ; Mark E. Boyes ; Lorraine Sherr ; Daphne Makasi ; Joy NikeloSource :
- Social science & medicine (1982) [ 1873-5347 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Comportement sexuel (), Comportement sexuel (psychologie), Enfant, Enfant de personnes handicapées (psychologie), Enfant orphelin (psychologie), Facteurs de risque, Femelle, Humains, Modèles théoriques, Mâle, Niveau d'instruction, Prise de risque, Recherche empirique, République d'Afrique du Sud (épidémiologie), Syndrome d'immunodéficience acquise, Troubles mentaux (épidémiologie), Études transversales.
- MESH :
- psychologie : Comportement sexuel, Enfant de personnes handicapées, Enfant orphelin.
- épidémiologie : République d'Afrique du Sud, Troubles mentaux.
- Adolescent, Comportement sexuel, Enfant, Facteurs de risque, Femelle, Humains, Modèles théoriques, Mâle, Niveau d'instruction, Prise de risque, Recherche empirique, Syndrome d'immunodéficience acquise, Études transversales.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome, Adolescent, Child, Child of Impaired Parents (psychology), Child, Orphaned (psychology), Cross-Sectional Studies, Educational Status, Empirical Research, Female, Humans, Male, Mental Disorders (epidemiology), Models, Theoretical, Risk Factors, Risk-Taking, Sexual Behavior (psychology), Sexual Behavior (statistics & numerical data), South Africa (epidemiology).
- MESH :
- geographic , epidemiology : South Africa.
- epidemiology : Mental Disorders.
- psychology : Child of Impaired Parents, Child, Orphaned, Sexual Behavior.
- statistics & numerical data : Sexual Behavior.
- Acquired Immunodeficiency Syndrome, Adolescent, Child, Cross-Sectional Studies, Educational Status, Empirical Research, Female, Humans, Male, Models, Theoretical, Risk Factors, Risk-Taking.
Abstract
Increasing evidence demonstrates negative psychological, health, and developmental outcomes for children associated with parental HIV/AIDS illness and death. However, little is known about how parental AIDS leads to negative child outcomes. This study used a structural equation modelling approach to develop an empirically-based theoretical model of interactive relationships between parental or primary caregiver AIDS-illness, AIDS-orphanhood and predicted intervening factors associated with children's psychological distress, educational access and sexual health. Cross-sectional data were collected in 2009-2011, from 6002 children aged 10-17 years in three provinces of South Africa using stratified random sampling. Comparison groups included children orphaned by AIDS, orphaned by other causes and non-orphans, and children whose parents or primary caregivers were unwell with AIDS, unwell with other causes or healthy. Participants reported on psychological symptoms, educational access, and sexual health risks, as well as hypothesized sociodemographic and intervening factors. In order to build an interactive theoretical model of multiple child outcomes, multivariate regression and structural equation models were developed for each individual outcome, and then combined into an overall model. Neither AIDS-orphanhood nor parental AIDS-illness were directly associated with psychological distress, educational access, or sexual health. Instead, significant indirect effects of AIDS-orphanhood and parental AIDS-illness were obtained on all measured outcomes. Child psychological, educational and sexual health risks share a common set of intervening variables including parental disability, poverty, community violence, stigma, and child abuse that together comprise chain effects. In all models, parental AIDS-illness had stronger effects and more risk pathways than AIDS-orphanhood, especially via poverty and parental disability. AIDS-orphanhood and parental AIDS-illness impact child outcomes through multiple, interlinked pathways. The interactive model developed in this study suggests key areas of focus for interventions with AIDS-affected children.
DOI: 10.1016/j.socscimed.2013.03.028
PubMed: 23631794
Affiliations:
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However, little is known about how parental AIDS leads to negative child outcomes. This study used a structural equation modelling approach to develop an empirically-based theoretical model of interactive relationships between parental or primary caregiver AIDS-illness, AIDS-orphanhood and predicted intervening factors associated with children's psychological distress, educational access and sexual health. Cross-sectional data were collected in 2009-2011, from 6002 children aged 10-17 years in three provinces of South Africa using stratified random sampling. Comparison groups included children orphaned by AIDS, orphaned by other causes and non-orphans, and children whose parents or primary caregivers were unwell with AIDS, unwell with other causes or healthy. Participants reported on psychological symptoms, educational access, and sexual health risks, as well as hypothesized sociodemographic and intervening factors. In order to build an interactive theoretical model of multiple child outcomes, multivariate regression and structural equation models were developed for each individual outcome, and then combined into an overall model. Neither AIDS-orphanhood nor parental AIDS-illness were directly associated with psychological distress, educational access, or sexual health. Instead, significant indirect effects of AIDS-orphanhood and parental AIDS-illness were obtained on all measured outcomes. Child psychological, educational and sexual health risks share a common set of intervening variables including parental disability, poverty, community violence, stigma, and child abuse that together comprise chain effects. In all models, parental AIDS-illness had stronger effects and more risk pathways than AIDS-orphanhood, especially via poverty and parental disability. AIDS-orphanhood and parental AIDS-illness impact child outcomes through multiple, interlinked pathways. The interactive model developed in this study suggests key areas of focus for interventions with AIDS-affected children.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23631794</PMID><DateCreated><Year>2013</Year><Month>05</Month><Day>01</Day></DateCreated><DateCompleted><Year>2013</Year><Month>07</Month><Day>22</Day></DateCompleted><DateRevised><Year>2013</Year><Month>05</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5347</ISSN><JournalIssue CitedMedium="Internet"><Volume>87</Volume><PubDate><Year>2013</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Social science & medicine (1982)</Title><ISOAbbreviation>Soc Sci Med</ISOAbbreviation></Journal><ArticleTitle>Pathways from parental AIDS to child psychological, educational and sexual risk: developing an empirically-based interactive theoretical model.</ArticleTitle><Pagination><MedlinePgn>185-93</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.socscimed.2013.03.028</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0277-9536(13)00197-4</ELocationID><Abstract><AbstractText>Increasing evidence demonstrates negative psychological, health, and developmental outcomes for children associated with parental HIV/AIDS illness and death. However, little is known about how parental AIDS leads to negative child outcomes. This study used a structural equation modelling approach to develop an empirically-based theoretical model of interactive relationships between parental or primary caregiver AIDS-illness, AIDS-orphanhood and predicted intervening factors associated with children's psychological distress, educational access and sexual health. Cross-sectional data were collected in 2009-2011, from 6002 children aged 10-17 years in three provinces of South Africa using stratified random sampling. Comparison groups included children orphaned by AIDS, orphaned by other causes and non-orphans, and children whose parents or primary caregivers were unwell with AIDS, unwell with other causes or healthy. Participants reported on psychological symptoms, educational access, and sexual health risks, as well as hypothesized sociodemographic and intervening factors. In order to build an interactive theoretical model of multiple child outcomes, multivariate regression and structural equation models were developed for each individual outcome, and then combined into an overall model. Neither AIDS-orphanhood nor parental AIDS-illness were directly associated with psychological distress, educational access, or sexual health. Instead, significant indirect effects of AIDS-orphanhood and parental AIDS-illness were obtained on all measured outcomes. Child psychological, educational and sexual health risks share a common set of intervening variables including parental disability, poverty, community violence, stigma, and child abuse that together comprise chain effects. In all models, parental AIDS-illness had stronger effects and more risk pathways than AIDS-orphanhood, especially via poverty and parental disability. AIDS-orphanhood and parental AIDS-illness impact child outcomes through multiple, interlinked pathways. The interactive model developed in this study suggests key areas of focus for interventions with AIDS-affected children.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cluver</LastName><ForeName>Lucie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Centre for Evidence-Based Intervention, Department of Social Policy and Intervention, University of Oxford, UK. lucie.cluver@spi.ox.ac.uk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Orkin</LastName><ForeName>Mark</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Boyes</LastName><ForeName>Mark E</ForeName><Initials>ME</Initials></Author><Author ValidYN="Y"><LastName>Sherr</LastName><ForeName>Lorraine</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Makasi</LastName><ForeName>Daphne</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Nikelo</LastName><ForeName>Joy</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Soc Sci Med</MedlineTA><NlmUniqueID>8303205</NlmUniqueID><ISSNLinking>0277-9536</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000163" MajorTopicYN="Y">Acquired Immunodeficiency Syndrome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016241" MajorTopicYN="N">Child of Impaired Parents</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D054540" MajorTopicYN="N">Child, Orphaned</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004522" MajorTopicYN="N">Educational Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036262" MajorTopicYN="N">Empirical Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008962" MajorTopicYN="Y">Models, Theoretical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012309" MajorTopicYN="Y">Risk-Taking</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012725" MajorTopicYN="N">Sexual Behavior</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>08</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>12</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>03</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>5</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>5</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>7</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23631794</ArticleId><ArticleId IdType="pii">S0277-9536(13)00197-4</ArticleId><ArticleId IdType="doi">10.1016/j.socscimed.2013.03.028</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Oxfordshire</li></region><settlement><li>Oxford</li></settlement><orgName><li>Université d'Oxford</li></orgName></list><tree><noCountry><name sortKey="Boyes, Mark E" sort="Boyes, Mark E" uniqKey="Boyes M" first="Mark E" last="Boyes">Mark E. Boyes</name><name sortKey="Makasi, Daphne" sort="Makasi, Daphne" uniqKey="Makasi D" first="Daphne" last="Makasi">Daphne Makasi</name><name sortKey="Nikelo, Joy" sort="Nikelo, Joy" uniqKey="Nikelo J" first="Joy" last="Nikelo">Joy Nikelo</name><name sortKey="Orkin, Mark" sort="Orkin, Mark" uniqKey="Orkin M" first="Mark" last="Orkin">Mark Orkin</name><name sortKey="Sherr, Lorraine" sort="Sherr, Lorraine" uniqKey="Sherr L" first="Lorraine" last="Sherr">Lorraine Sherr</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Cluver, Lucie" sort="Cluver, Lucie" uniqKey="Cluver L" first="Lucie" last="Cluver">Lucie Cluver</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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