Persisting mental health problems among AIDS-orphaned children in South Africa
MetadataShow full item record
Background: By 2008, 12 million children in sub-Saharan Africa were orphaned by AIDS. Cross-sectional studies show psychological problems for AIDS-orphaned children, but until now no longitudinal study has explored enduring psychological effects of AIDS-orphanhood in the developing world. Methods: A 4-year longitudinal follow-up of AIDS-orphaned children with control groups of other orphans and non-orphans. 1021 children (M = 13.4 years, 50% female, 98% isiXhosa-speaking) were interviewed in 2005 and followed up in 2009 with 71% retention (49% female, M = 16.9 years), in poor urban South African settlements. Children were interviewed using sociodemographic questionnaires and well-validated standardised scales for assessing depression, anxiety, and post-traumatic stress. Data were analysed using mixed-design ANOVA and backward-stepping regression. Results: AIDS-orphaned children showed higher depression, anxiety, and post-traumatic stress disorder (PTSD) scores in both 2005 and 2009 when compared with other-orphans and non-orphans. Backward-stepping regression, controlling for baseline mental health, and sociodemographic cofactors such as age, gender, and type of bereavement, revealed that being AIDS-orphaned in 2005 was associated with depression, anxiety, and PTSD scores in 2009. This was not the case for other-orphaned or non-orphaned children. Age interacted with orphan status, such that there was a steep rise in psychological distress in the AIDS-orphaned group, but no rise with age amongst other-orphans and non-orphans. Conclusions: Negative mental health outcomes amongst AIDS-orphaned children are maintained and worsen over a 4-year period. It is important that psychosocial support programmes are sustained, and focus on youth as well as young children.
Showing items related by title, author, creator and subject.
AIDS-Orphanhood and Caregiver HIV/AIDS Sickness Status: Effects on Psychological Symptoms in South African YouthCluver, L.; Orkin, M.; Boyes, Mark; Gardner, F.; Nikelo, J. (2012)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 ...
The cost of action: large-scale, longitudinal quantitative research with AIDS-affected children in South AfricaCluver, L.; Boyes, Mark; Bustamam, A.; Casale, M.; Henderson, K.; Kuo, C.; Lane, T.; Latif, S.; Latif, N.; Mauchline, K.; Meinck, F.; Moshabela, M.; Orkin, M.; Sello, L. (2015)This chapter reflects some of the key ethical quandaries that emerged from two longitudinal South African studies of the impacts of parental HIV/AIDS on children. The first was a four-year study of 1025 AIDS-orphaned, ...
Pathways from parental AIDS to child psychological, educational and sexual risk: Developing an empirically-based interactive theoretical modelCluver, L.; Orkin, M.; Boyes, Mark; Sherr, L.; Makasi, D.; Nikelo, J. (2013)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 ...