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Psychological well-being and socio-economic hardship among AIDS orphans and other vulnerable children in Guinea

Wim Delva UGent, AN VERCOUTERE UGent, Catherine Loua, Jonas Lamah, Stijn Vansteelandt UGent, Petra De Koker UGent, Patricia Claeys, Marleen Temmerman UGent and Lieven Annemans UGent (2009) AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV. 21(12). p.1490-1498
abstract
Over the past decade, the effects of AIDS-related parental death on children's socio-economic, educational and psychological well-being have become apparent. Most studies, however, have compared the plight of so-called AIDS orphans with non-orphaned children only. Consequently, such study designs are unable to establish if the AIDS-related cause of death of the parents confers effects additional to those of parent-bereavement. We therefore conducted a cross-sectional survey to assess the psychological well-being and socio-economic hardship among 140 non-orphaned children, 133 children orphaned by causes other than AIDS (O) and 124 children orphaned by AIDS (O-A) in Conakry, N'Zerekore and the villages around N'Zerekore, Guinea. Multi-way analysis of variance and multiple (ordinal) logistic regression models were applied to measure the association between the orphan status and psychological well-being, school attendance, economic activities, frequency of going to bed hungry and sleeping commodity. After adjustment for confounding factors, the psychological well-being score (PWS) was significantly lower among AIDS-orphaned children than among O (P<0.001). Additionally, AIDS-orphaned children were more likely to be engaged in economic activities (adjusted odds ratio (AOR) = 3.04; 95% CI: 1.45-6.36) and to go to bed hungry on a daily basis (AOR = 2.73; 95% CI: 1.24-6.02) than other orphans. The differences in school attendance and the proportion of children with a bed or couch to sleep between AIDS-orphaned children and O were not statistically significant. This situation calls for sustainable and holistic approaches to ensure the psychological and socio-economic stability of AIDS orphans and other vulnerable children.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
Aids Care-Psychol. Socio-Med. Asp. Aids-Hiv
volume
21
issue
12
pages
1490 - 1498
Web of Science type
Article
Web of Science id
000273008700002
JCR category
SOCIAL SCIENCES, BIOMEDICAL
JCR impact factor
1.684 (2009)
JCR rank
7/32 (2009)
JCR quartile
1 (2009)
ISSN
0954-0121
language
English
UGent publication?
yes
classification
A1
id
817007
handle
http://hdl.handle.net/1854/LU-817007
date created
2009-12-31 10:48:02
date last changed
2015-06-17 11:19:47
@article{817007,
  abstract     = {Over the past decade, the effects of AIDS-related parental death on children's socio-economic, educational and psychological well-being have become apparent. Most studies, however, have compared the plight of so-called AIDS orphans with non-orphaned children only. Consequently, such study designs are unable to establish if the AIDS-related cause of death of the parents confers effects additional to those of parent-bereavement. We therefore conducted a cross-sectional survey to assess the psychological well-being and socio-economic hardship among 140 non-orphaned children, 133 children orphaned by causes other than AIDS (O) and 124 children orphaned by AIDS (O-A) in Conakry, N'Zerekore and the villages around N'Zerekore, Guinea. Multi-way analysis of variance and multiple (ordinal) logistic regression models were applied to measure the association between the orphan status and psychological well-being, school attendance, economic activities, frequency of going to bed hungry and sleeping commodity. After adjustment for confounding factors, the psychological well-being score (PWS) was significantly lower among AIDS-orphaned children than among O (P{\textlangle}0.001). Additionally, AIDS-orphaned children were more likely to be engaged in economic activities (adjusted odds ratio (AOR) = 3.04; 95\% CI: 1.45-6.36) and to go to bed hungry on a daily basis (AOR = 2.73; 95\% CI: 1.24-6.02) than other orphans. The differences in school attendance and the proportion of children with a bed or couch to sleep between AIDS-orphaned children and O were not statistically significant. This situation calls for sustainable and holistic approaches to ensure the psychological and socio-economic stability of AIDS orphans and other vulnerable children.},
  author       = {Delva, Wim and VERCOUTERE, AN and Loua, Catherine and Lamah, Jonas and Vansteelandt, Stijn and De Koker, Petra and Claeys, Patricia and Temmerman, Marleen and Annemans, Lieven},
  issn         = {0954-0121},
  journal      = {AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV},
  language     = {eng},
  number       = {12},
  pages        = {1490--1498},
  title        = {Psychological well-being and socio-economic hardship among AIDS orphans and other vulnerable children in Guinea},
  volume       = {21},
  year         = {2009},
}

Chicago
Delva, Wim, AN VERCOUTERE, Catherine Loua, Jonas Lamah, Stijn Vansteelandt, Petra De Koker, Patricia Claeys, Marleen Temmerman, and Lieven Annemans. 2009. “Psychological Well-being and Socio-economic Hardship Among AIDS Orphans and Other Vulnerable Children in Guinea.” Aids Care-psychological and Socio-medical Aspects of Aids/hiv 21 (12): 1490–1498.
APA
Delva, W., VERCOUTERE, A., Loua, C., Lamah, J., Vansteelandt, S., De Koker, P., Claeys, P., et al. (2009). Psychological well-being and socio-economic hardship among AIDS orphans and other vulnerable children in Guinea. AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 21(12), 1490–1498.
Vancouver
1.
Delva W, VERCOUTERE A, Loua C, Lamah J, Vansteelandt S, De Koker P, et al. Psychological well-being and socio-economic hardship among AIDS orphans and other vulnerable children in Guinea. AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV. 2009;21(12):1490–8.
MLA
Delva, Wim, AN VERCOUTERE, Catherine Loua, et al. “Psychological Well-being and Socio-economic Hardship Among AIDS Orphans and Other Vulnerable Children in Guinea.” AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV 21.12 (2009): 1490–1498. Print.