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

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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.

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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.
@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},
}

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