Document Detail


Care arrangements of AIDS orphans and their relationship with children's psychosocial well-being in rural China.
MedLine Citation:
PMID:  20587602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is an estimated 100,000 children orphaned by AIDS in China, but data on the care arrangement of these orphans are limited. In this study, we examine the relationship between AIDS orphans' care arrangement and their psychosocial well-being among a sample of AIDS orphans in rural China. A total of 296 children who lost both parents to AIDS participated in the study, including 176 in orphanages, 90 in kinship care and 30 in community-based group homes. All participants completed a cross-sectional survey assessing their traumatic symptoms, physical health and schooling. Data reveal that the AIDS orphans in group homes reported the best outcomes in three domains of psychosocial well-being, followed by those in the orphanages and then the kinship care. The differences in psychosocial well-being among the three groups of children persist after controlling for key demographic characteristics. The findings suggest that the appropriate care arrangement for AIDS orphans should be evaluated within the specific social and cultural context where the orphans live. In resource-poor regions or areas stricken hardest by the AIDS epidemic, kinship care may not sufficiently serve the needs of AIDS orphans. Community-based care models, with appropriate government and community support preserving the family style and low child-to-caregiver ratio may constitute an effective and sustainable care model for the best interest of the AIDS orphans in developing countries.
Authors:
Yan Hong; Xiaoming Li; Xiaoyi Fang; Guoxiang Zhao; Junfeng Zhao; Qun Zhao; Xiuyun Lin; Liying Zhang; Bonita Stanton
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-06-29
Journal Detail:
Title:  Health policy and planning     Volume:  26     ISSN:  1460-2237     ISO Abbreviation:  Health Policy Plan     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-18     Completed Date:  2011-06-28     Revised Date:  2012-03-01    
Medline Journal Info:
Nlm Unique ID:  8610614     Medline TA:  Health Policy Plan     Country:  England    
Other Details:
Languages:  eng     Pagination:  115-23     Citation Subset:  H    
Affiliation:
Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843, USA. yhong@srph.tamhsc.edu
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / epidemiology*,  psychology*
Child
Child Welfare*
Child, Orphaned / psychology*,  statistics & numerical data*
China / epidemiology
Cross-Sectional Studies
Female
Foster Home Care
Group Homes
Humans
Longitudinal Studies
Male
Orphanages
Quality of Life
Questionnaires
Rural Population / statistics & numerical data*
Vulnerable Populations / psychology*,  statistics & numerical data*
Grant Support
ID/Acronym/Agency:
R01MH76488/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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