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

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dc.contributor.authorDelva W.
dc.contributor.authorVercoutere A.
dc.contributor.authorLoua C.
dc.contributor.authorLamah J.
dc.contributor.authorVansteelandt S.
dc.contributor.authorDe Koker P.
dc.contributor.authorClaeys P.
dc.contributor.authorTemmerman M.
dc.contributor.authorAnnemans L.
dc.date.accessioned2011-05-15T15:58:48Z
dc.date.available2011-05-15T15:58:48Z
dc.date.issued2009
dc.description.abstractOver 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'Zérékoré and the villages around N'Zéré koré, 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.
dc.description.versionArticle
dc.identifier.citationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.identifier.citation21
dc.identifier.citation12
dc.identifier.issn9540121
dc.identifier.other10.1080/09540120902887235
dc.identifier.urihttp://hdl.handle.net/10019.1/10857
dc.subjectacquired immune deficiency syndrome
dc.subjectadult
dc.subjectarticle
dc.subjectcause of death
dc.subjectchild
dc.subjectchild care
dc.subjectcontrolled study
dc.subjectfemale
dc.subjectGuinea
dc.subjecthealth survey
dc.subjecthuman
dc.subjecthunger
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectorphaned child
dc.subjectpriority journal
dc.subjectpsychological well being
dc.subjectschool child
dc.subjectsocioeconomics
dc.subjectAcquired Immunodeficiency Syndrome
dc.subjectAdolescent
dc.subjectAnalysis of Variance
dc.subjectChild
dc.subjectChild, Orphaned
dc.subjectCross-Sectional Studies
dc.subjectCrowding
dc.subjectFemale
dc.subjectGuinea
dc.subjectHumans
dc.subjectHunger
dc.subjectMale
dc.subjectMental Health
dc.subjectSocioeconomic Factors
dc.subjectVulnerable Populations
dc.titlePsychological well-being and socio-economic hardship among AIDS orphans and other vulnerable children in Guinea
dc.typeArticle
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