Parenting Mediates the Impact of Caregivers’ Distress on Children’s Well-Being in Families Affected by HIV/AIDS

Chi, Peilian; Li, Xiaoming; Tam, Cheuk Chi; Du, Hongfei; Zhao, Guoxiang; Zhao, Junfeng

doi:10.1007/s10461-015-1104-0

Cited by 30 publications

(23 citation statements)

References 35 publications

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“…Their understanding and long-term relationship with the child may be affected by recent changes and household moves. It is also well known that change is disruptive for children and the simple fact of change may create elevated parenting challenges (Chi et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

Parenting, the other oldest profession in the world – a cross-sectional study of parenting and child outcomes in South Africa and Malawi

Macedo

Cluver

Meinck

et al. 2017

Health Psychology and Behavioral Medicine

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Background Parenting quality is important in child development. In the presence of HIV poverty and life stress, parenting may be challenged and child development affected. Methods This study examines cross-sectional associations of situational factors such as poverty, mental health, HIV status, living with a biological parent, and stigma with good parenting and child outcomes (n=989; age=4–13 years) within the Child Community Care study (South Africa and Malawi). A parenting measure was created from 10 variables comprising 6 child and 4 parent ratings. These were highly correlated. Total parenting score was generated on a 10 point continuous scale, with a good parenting cut off then defined as >=8 out of a possible 10. Results Five factors were associated with good parenting. Positively associated with good parenting were being the biological parent of the child, parental mental health and dwelling in households with multiple adults. Poverty and stigma were negatively associated with good parenting. Using multiple mediation analysis, a positive direct effect of good parenting was found on child self-esteem, child behaviour and educational risks with a partial mediation via child depression and trauma. Conclusions These data highlight possible intervention points. Influences on parenting could be seen through being the biological parent, parental mental health, poverty and stigma. In these challenging environments, health, nutrition, mental health, education, and treatment to keep parents alive are all clearly identified as potential pathways to ensure child well-being.

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Section: Discussionmentioning

confidence: 99%

Parenting, the other oldest profession in the world – a cross-sectional study of parenting and child outcomes in South Africa and Malawi

Macedo

Cluver

Meinck

et al. 2017

Health Psychology and Behavioral Medicine

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“…See work by Chi and colleagues (2015) as well as Wei, Li, Harrison, Zhao, and Zhao (2016) for further description of recruitment and other outcome measures collected at baseline (e.g., caregiver-reported data, teacher-reported data). For the current study, children completed self-report questionnaires at baseline, 6-months, and 12-months that included demographic and psychosocial scales.…”

Section: Methodsmentioning

confidence: 99%

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Harrison

Fairchild

et al. 2017

Social Science & Medicine

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Background: Global literature suggests that resilience-based interventions may yield improvements in psychosocial well-being for vulnerable children, but limited data are available regarding the efficacy of such interventions among children affected by parental HIV/AIDS. Objective: To evaluate initial efficacy of a multi-level resilience-based intervention among children affected by parental HIV/AIDS in China in improving children’s psychosocial well-being and resilience-related outcomes. Method: Seven hundred-ninety children, 6 to 17 years of age, were recruited from rural China. Children were either AIDS orphans or were living with one or two parents infected with HIV/AIDS. Children and primary caregivers were randomly assigned to participate in a 4-arm trial to evaluate the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention. This resilience-based HIV intervention provides programming at three levels (child, caregiver, community). Initial survey data were collected at baseline, 6-months, and 12-months in order to examine efficacy of the child-only and child+caregiver arms in improving children’s resilience. Results: Intervention groups displayed improvements in several resilience-related outcomes at 6-and 12-month follow-ups, including self-reported coping, hopefulness, emotional regulation, and self-control. The child-only intervention arm showed some fading of intervention effects by 12-months. Conclusion: Preliminary findings suggest that the ChildCARE intervention is efficacious in promoting psychosocial well-being of children affected by parental HIV/AIDS in rural China. Targeting both children and caregivers for psychosocial intervention may be effective in improving children’s resilience. Additional evaluation and modifications, including the inclusion of booster sessions, should be considered to further strengthen the program.

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“…parenting) may allow individuals to overcome daily challenges that would otherwise seem insurmountable. Indeed, evidence from cross-sectional studies has suggested that parenting self-efficacy may serve as a protective factor against adverse parent and child outcomes in contexts of adversity, such as poverty and HIV (Chi et al, 2015;Elder, Eccles, Ardelt, & Lord, 1995;Raikes & Thompson, 2005).…”

Section: S T I C H W ö R T E Rmentioning

confidence: 99%

Parenting self‐efficacy in the context of poverty and HIV in Eastern Uganda: A qualitative study

Augustinavicius

Familiar‐Lopez

Winch

et al. 2019

Infant Mental Health Journal

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We sought to understand social representations of effective parenting and parenting self‐efficacy among female HIV‐affected caregivers in rural Eastern Uganda. We conducted in‐depth interviews (n = 21) to describe parenting experiences and caregivers’ perceptions of their own parenting abilities and to create vignettes for use in directed focus groups. We carried out open focus groups (n = 2) to gain social perspectives on parenting, and directed focus groups (n = 2) concentrated on parenting self‐efficacy. Analysis involved memoing and inductive and deductive coding of transcripts. Caregivers’ perceptions of their own parenting were grounded in parenting values such as providing children with basic needs, having well‐behaved children, and having good relationships with children. Caregivers’ perceptions were influenced by challenges, including single parenthood, living with HIV, limited family resources, and mental health problems. When facing challenges, caregivers relied on social support and faith as well as their own parenting confidence. Caregivers’ perceptions of their parenting abilities were influenced by how they felt others perceived them, their satisfaction in the parenting role, their perseverance despite challenges, and the extent to which they had a vision for their family. Our findings contextualize parenting self‐efficacy within parenting values, challenges, and social perceptions among HIV‐affected caregivers in rural Uganda.

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Parenting Mediates the Impact of Caregivers’ Distress on Children’s Well-Being in Families Affected by HIV/AIDS

Cited by 30 publications

References 35 publications

Parenting, the other oldest profession in the world – a cross-sectional study of parenting and child outcomes in South Africa and Malawi

Parenting, the other oldest profession in the world – a cross-sectional study of parenting and child outcomes in South Africa and Malawi

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Parenting self‐efficacy in the context of poverty and HIV in Eastern Uganda: A qualitative study

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