AIDS-Orphanhood and Caregiver HIV/AIDS Sickness Status: Effects on Psychological Symptoms in South African Youth : Families, Culture, and Health Outcome
Identifieur interne : 001485 ( Main/Exploration ); précédent : 001484; suivant : 001486AIDS-Orphanhood and Caregiver HIV/AIDS Sickness Status: Effects on Psychological Symptoms in South African Youth : Families, Culture, and Health Outcome
Auteurs : Lucie D. Cluver [États-Unis] ; Mark Orkin [États-Unis] ; Mark E. Boyes [États-Unis] ; Frances Gardner [États-Unis] ; Joy Nikelo [États-Unis]Source :
- Journal of pediatric psychology [ 0146-8693 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Afrique du Sud.
- topic : Santé mentale.
English descriptors
- KwdEn :
Abstract
Objective Research has established that AIDS-orphaned youth are at high risk of internalizing psychological distress. However, little is known about youth living with caregivers who are unwell with AIDS or youth simultaneously affected by AIDS-orphanhood and caregiver AIDS sickness. Methods 1025 South African youth were interviewed in 2005 and followed up in 2009 (71% retention). Participants completed standardized measures of anxiety, depression, and posttraumatic stress. Comparison groups were youth who were AIDS-orphaned, other-orphaned, and nonorphaned, and those whose caregivers were sick with AIDS, sick with another disease, or healthy. Results Longitudinal analyses showed that both AIDS-orphanhood and caregiver AIDS sickness predicted increased depression, anxiety, and posttraumatic stress symptoms over a 4-year period, independently of sociodemographic cofactors and of each other. Caregiver sickness or death by non-AIDS causes, and having a healthy or living caregiver, did not predict youth symptomatology. Youths simultaneously affected by caregiver AIDS sickness and AIDS-orphanhood showed cumulative negative effects. Conclusions Findings suggest that policy and interventions, currently focused on orphanhood, should include youth whose caregivers are unwell with AIDS.
Affiliations:
- États-Unis
- Angleterre, Gauteng, Oxfordshire
- Johannesbourg, Oxford
- Université d'Oxford, Université du Witwatersrand
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Cluver</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Centre for Evidence-Based Intervention, Department of Social Policy and Intervention, University of Oxford</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Psychiatry and Mental Health, University of Cape Town</s1><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Psychiatry and Mental Health, University of Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Orkin, Mark" sort="Orkin, Mark" uniqKey="Orkin M" first="Mark" last="Orkin">Mark Orkin</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>School of Public and Development Management, University of the Witwatersrand</s1><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author><author><name sortKey="Boyes, Mark E" sort="Boyes, Mark E" uniqKey="Boyes M" first="Mark E." last="Boyes">Mark E. 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However, little is known about youth living with caregivers who are unwell with AIDS or youth simultaneously affected by AIDS-orphanhood and caregiver AIDS sickness. Methods 1025 South African youth were interviewed in 2005 and followed up in 2009 (71% retention). Participants completed standardized measures of anxiety, depression, and posttraumatic stress. Comparison groups were youth who were AIDS-orphaned, other-orphaned, and nonorphaned, and those whose caregivers were sick with AIDS, sick with another disease, or healthy. Results Longitudinal analyses showed that both AIDS-orphanhood and caregiver AIDS sickness predicted increased depression, anxiety, and posttraumatic stress symptoms over a 4-year period, independently of sociodemographic cofactors and of each other. Caregiver sickness or death by non-AIDS causes, and having a healthy or living caregiver, did not predict youth symptomatology. Youths simultaneously affected by caregiver AIDS sickness and AIDS-orphanhood showed cumulative negative effects. Conclusions Findings suggest that policy and interventions, currently focused on orphanhood, should include youth whose caregivers are unwell with AIDS.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Angleterre</li><li>Gauteng</li><li>Oxfordshire</li></region><settlement><li>Johannesbourg</li><li>Oxford</li></settlement><orgName><li>Université d'Oxford</li><li>Université du Witwatersrand</li></orgName></list><tree><country name="États-Unis"><region name="Angleterre"><name sortKey="Cluver, Lucie D" sort="Cluver, Lucie D" uniqKey="Cluver L" first="Lucie D." last="Cluver">Lucie D. Cluver</name></region><name sortKey="Boyes, Mark E" sort="Boyes, Mark E" uniqKey="Boyes M" first="Mark E." last="Boyes">Mark E. Boyes</name><name sortKey="Cluver, Lucie D" sort="Cluver, Lucie D" uniqKey="Cluver L" first="Lucie D." last="Cluver">Lucie D. Cluver</name><name sortKey="Gardner, Frances" sort="Gardner, Frances" uniqKey="Gardner F" first="Frances" last="Gardner">Frances Gardner</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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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