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dc.contributor.authorCluver, L.
dc.contributor.authorOrkin, M.
dc.contributor.authorBoyes, Mark
dc.contributor.authorGardner, F.
dc.contributor.authorNikelo, J.
dc.date.accessioned2017-01-30T12:42:42Z
dc.date.available2017-01-30T12:42:42Z
dc.date.created2014-07-02T20:00:25Z
dc.date.issued2012
dc.identifier.citationCluver, L. and Orkin, M. and Boyes, M. and Gardner, F. and Nikelo, J. 2012. AIDS-Orphanhood and Caregiver HIV/AIDS Sickness Status: Effects on Psychological Symptoms in South African Youth. Journal of Pediatric Psychology. 37 (8): pp. 857-867.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/24406
dc.identifier.doi10.1093/jpepsy/jss004
dc.description.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.

dc.publisherOxford University Press
dc.subjectHIV/AIDS
dc.subjectcaregiver
dc.subjectmental health
dc.subjectyouth
dc.subjectSouth Africa
dc.titleAIDS-Orphanhood and Caregiver HIV/AIDS Sickness Status: Effects on Psychological Symptoms in South African Youth
dc.typeJournal Article
dcterms.source.volume37
dcterms.source.number8
dcterms.source.startPage857
dcterms.source.endPage867
dcterms.source.issn0146-8693
dcterms.source.titleJournal of Pediatric Psychology
curtin.department
curtin.accessStatusOpen access via publisher


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