Parental HIV/AIDS and Psychosocial Adjustment among Rural Chinese Children

Fang, Xiaoyi; Li, Xiaoming; Stanton, Bonita; Hong, Yan; Zhang, Liying; Zhao, Guoxiang; Zhao, Junfeng; Lin, Xiuyun; Lin, Danhua

doi:10.1093/jpepsy/jsp006

Cited by 66 publications

(73 citation statements)

References 14 publications

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“…37 Psychosocial problems of these children call for exploration of risk and resilience factors. 20 Communication about the illness or death of loved ones is an important step for recovery from grief. 38 Open communication with others can provide affected children opportunities of receiving emotional support and coping strategies, therefore, their needs and problems could be heard and addressed appropriately.…”

Section: Discussionmentioning

confidence: 99%

“…Henan, is an agricultural province in central China with a population of 96.7 million. 20 It was estimated that at least 100,000 AIDS orphans lived in China by the end of 2004, and many of identified AIDS orphans live in rural Henan. 21 It is important to understand the situation of these children and their families in rural area, who have not yet attracted as much attention as the ones in China's developed areas.…”

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confidence: 99%

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Secondary Disclosure of Parental HIV Status Among Children Affected by AIDS in Henan, China

Qiao

Zhao

et al. 2012

AIDS Patient Care and STDs

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For children affected by AIDS, one psychological challenge is whether or how to disclose their parents' HIV status to others (secondary disclosure). The current study, utilizing data from 962 rural children affected by AIDS in central China, examines children's perceptions regarding secondary disclosure (intention of disclosure, openness, and negative feelings) and their association with children's demographic and psychosocial factors. The findings indicated that a high proportion of children preferred not to disclose parental HIV status to others, would not like to tell the truth to others in the situations of having to talk about parental HIV, and also had strong negative feelings about the disclosure. The study findings confirmed that keeping secrecy of parental HIV infection was associated with higher level of negative psychological outcomes (e.g., depression, loneliness, perceived stigma, and enacted stigma), and children's age was strongly associated with both their perceptions of secondary disclosure and psychological measures.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Secondary Disclosure of Parental HIV Status Among Children Affected by AIDS in Henan, China

Qiao

Zhao

et al. 2012

AIDS Patient Care and STDs

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“…We anticipated that the SACAA score would be positively associated with other measures of HIV stigma and psychopathology symptoms (e.g., depression, loneliness) and negatively associated with psychosocial well-being (e.g., self-esteem, positive future orientation, hopefulness, perceived control over the future). Because previous research [31] suggested a strong association of psychosocial adjustment with children's orphanhood status, sex, age and their family SES, the bivariate associations between SACAA and psychosocial adjustment were further verified using General Linear Model (GLM) analysis controlling for orphanhood status, sex, age, and family SES. To use SACAA score as a between-subjects factor in GLM, a categorical score of SACAA was created by dividing the participants into three groups based on children's scores on the SACAA (i.e., approximately bottom 25%, middle 50%, and top 25%).…”

Section: Discussionmentioning

confidence: 99%

“…Age eligibility was verified through local community leaders, school records, or caregivers. Both the recruitment process and consenting procedure for the current study have been described in detail elsewhere [31]. Briefly, the orphanage sample was recruited from four governmentfunded orphanages (n = 176) and eight community-based small group homes (n = 30).…”

Section: Participants and Samplingmentioning

confidence: 99%

Stigma Against Children Affected by AIDS (SACAA): Psychometric Evaluation of a Brief Measurement Scale

Zhao

Fang

et al. 2009

AIDS Behav

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The current study was designed to develop and evaluate a brief scale measuring perceived public stigma against children affected by HIV/AIDS. The participants include 755 children who have lost one or both parents to HIV/AIDS (AIDS orphans), 466 children facing the potential of losing their parents to HIV/AIDS (vulnerable children), and 404 comparison children who did not have HIV-related illness or death in their families. The data in this study demonstrated that the SACAA scale provides a psychometrically sound measure of perceived stigma against children affected by AIDS in China. The SACAA scale is a reliable measure for children of both genders, at different developmental stages, and for both children affected by HIV/AIDS and comparison children. Known-group validation and correlation analysis demonstrate excellent construct validity of this brief SACAA scale. The SACAA score was positively associated with psychopathological symptoms and negatively associated with psychosocial well-being among participating children.

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“…Delva and colleagues also confirmed the sparse social network of friends and low social support from the family for AIDS orphans in Guinea [5]. Social support is located within local cultural and social contexts, and is often impacted by education, church activities, extended family and community members [21,[32][33][34]. Children who receive adequate support from family, peers and others adapt well psychosocially while those who do not become depressed, lonely and withdrawn [35].…”

Section: Introductionmentioning

confidence: 99%