The Situation of Children Affected by HIV/AIDS in Southwest China: Schooling, Physical Health, and Interpersonal Relationships

Xu, Tao; Wu, Zunyou; Duan, Song; Han, Wenxiang; Rou, Keming

doi:10.1097/qai.0b013e3181c7df8b

Cited by 21 publications

(20 citation statements)

References 19 publications

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“…Kinship and family networks become even more important during sickness (Xu et al, 2010;Kyaddondo et al, 2013). This study concurred in that most of the children lived with relatives.…”

Section: The Kinship Obligation and Idealsupporting

confidence: 80%

Communication in the Context of Family Caregiving: An Exploratory Study of Ugandan Children on Antiretroviral Therapy

et al. 2015

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SummaryIt is important to consider the complexities of family dynamics when deciding when and how to communicate with HIV-infected children about their illness and treatment. Previous research has focused on providers’ and caregivers’ perspectives on whether, when and how to disclose HIV/AIDS diagnosis and treatment to HIV-infected children. From the perspective of HIV-infected children, communication does not mean just giving information about illness and treatment, but also encompasses emotional and material care. This paper places communication within the broader framework of caregiving in family situations. This exploratory study was conducted in Jinja district, Uganda, between November 2011 and December 2012. Through participant observation and in-depth interviews, communication by, and with, HIV-infected children in the context of family situations was explored from the perspectives of 29 HIV-infected children aged 8–17 years on antiretroviral therapy (ART) using content thematic analysis. Children’s communication with caregivers about their illness and treatment varied depending on whom they were living with and the nature of caregiving. Although a mother’s care was considered best, children described others who cared ‘like a mother’. For some, caregiving was distributed among several relatives and non-relatives, while others felt they had hardly anyone to care for them. Caregiving from the children’s perspective involved emotional support, expressed verbally and explicitly in messages of concern, encouragement conveyed in reminders to take medicines, attention when sick and confidential conversations about the challenges of having HIV and taking ART. Caregiving was also communicated implicitly in acts of provision of food/drinks to take with medicines, counting pills to confirm they had taken the medicines and accompanying children to treatment centres. Children’s communication about their health and medicines and the care they received was to a large extent shaped by the nature of their relatedness to their caregivers, the extent to which caregiving was dispersed among several people and who else in the household was infected with HIV and on medication.

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“…Kinship and family networks become even more important during sickness (Xu et al, 2010;Kyaddondo et al, 2013). This study concurred in that most of the children lived with relatives.…”

Section: The Kinship Obligation and Idealsupporting

confidence: 80%

Communication in the Context of Family Caregiving: An Exploratory Study of Ugandan Children on Antiretroviral Therapy

et al. 2015

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“…Other stressors more common for AO were care giver mental health problems [40,41], less communication with caregivers [42], children engaging in excessive housework [31,38,43], and sibling separation [34,44]. Two studies reported AO were more likely to experience household relocation [31,34], while two others reported no differences based on orphan status [36,45].…”

Section: Resultsmentioning

confidence: 99%

Orphanhood by AIDS-Related Causes and Child Mental Health: A Developmental Psychopathology Approach

Sharp¹

2015

J HIV AIDS

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While the number of new HIV infections has declined, the number of orphans as a result of AIDS-related deaths continues to increase. The aim of this paper was to systematically review empirical research on the mental health of children affected by HIV/AIDS in the developing world, specifically with an eye on developing a theoretical framework to guide intervention and research. Articles for review were gathered by following the Preferred Reporting Items for Systemic Reviews and Meta Analyses (PRISMA standards), reviewed and then organized and synthesized with a Developmental Psychopathology framework. Results showed that the immediate and longterm effects of AIDS orphanhood are moderated by a number of important risk and protective factors that may serve as strategic targets for intervention. Research and clinical implications are discussed.

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“…Owing to the HIV epidemic, grandparents are a major source of childcare in most African countries (Mathambo & Gibbs, 2009), which leaves most households missing the middle generation (Karimli, Ssewamala, & Ismayilova, 2012). As grandparents have lost their support mechanisms in the form of their own children, this circumstance makes their grandchildren more vulnerable because these children may also have to assist with daily housework and farm chores (Xu et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Children who are heads of households need to work to obtain living necessities and, as a result, they might miss school (de Wagt & Connolly, 2005). Several studies has further indicated that significant predictors of school outcomes included household wealth (Smiley et al, 2010;Xu, Wu, Duan, Han, & Rou, 2010), living arrangements (Smiley et al, 2010;Steinberg et al, 2002;Yanagisawa, Poudel, & Jimba, 2010), and household structure (Nyamukapa & Gregson, 2005).…”

Section: Introductionmentioning

confidence: 96%

Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland

Dlamini¹,

Chiao²

2015

AIDS Care

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Swaziland has one of the highest HIV/AIDS prevalences in the world, which has contributed to many Swazi children being left as "orphans and vulnerable children" (OVC). In 2010, there were 78,000 AIDS orphans in the country and the number is expected to increase given the current HIV prevalence. The WHO aims to close the gap in a generation and eliminate health inequality; as a result the Swazi Government began in 2005 to provide financial support to the education of OVC. Prior research has indicated that household characteristics are some of the major determinants with respect to schooling status among children. We have examined the association between household characteristics and schooling status of OVC. Schooling status may vary by gender and by age, as well as by other sociodemographic factors, in sub-Saharan African societies, and therefore we have also included a comprehensive set of appropriate variables in all of our multivariate analyses. Using existing data from the Swaziland Multiple Indicator Cluster Survey 2010, a total of 5890 children aged 7-18 years old were analyzed. The results from the multivariate logistic regressions showed that non-OVC were more likely than OVC to be in school (OR = 2.18, p < 0.001), even after taking other variables into considerations. The OVC in socioeconomically disadvantaged households, such as those with lower levels of household wealt, and those who resided in an urban area, were less likely to be in school. These findings suggest that education programs for OVC need to be household-appropriate.

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The Situation of Children Affected by HIV/AIDS in Southwest China: Schooling, Physical Health, and Interpersonal Relationships

Cited by 21 publications

References 19 publications

Communication in the Context of Family Caregiving: An Exploratory Study of Ugandan Children on Antiretroviral Therapy

Communication in the Context of Family Caregiving: An Exploratory Study of Ugandan Children on Antiretroviral Therapy

Orphanhood by AIDS-Related Causes and Child Mental Health: A Developmental Psychopathology Approach

Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland

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