Positive parenting for positive parents: HIV/AIDS, poverty, caregiver depression, child behavior, and parenting in South Africa
Positive parenting for positive parents: HIV/AIDS, poverty, caregiver depression, child behavior, and parenting in South Africa
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DOI：
10.1080/09540121.2013.825368
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发表时间：
2014-03-04
影响因子：
1.7
通讯作者：
Casale, Marisa
中科院分区：
文献类型：
--
作者：
Lachman, Jamie M.;Cluver, Lucie D.;Casale, Marisa
在发展中国家，受艾滋病毒/艾滋病影响的家庭比未受影响的家庭面临更高的心理社会问题风险。积极的父母行为可以缓冲儿童艾滋病和照顾者艾滋病对儿童福祉的负面影响。虽然有大量的文献关于西方人群的养育行为的预测因素，但没有足够的证据表明艾滋病毒/艾滋病是低收入和中等收入国家养育不良的风险因素。本文通过比较南非夸祖鲁-纳塔尔的一项横断面调查（27.7%患有艾滋病的照顾者; 7.4%患有艾滋病的儿童）中受艾滋病毒/艾滋病影响和未受影响的父母-儿童二人组（n=2477），探讨了艾滋病毒/艾滋病与积极育儿之间的关系。多重中介分析测试了一个生态模型，贫困，照顾者抑郁，感知社会支持，儿童行为问题作为艾滋病毒/艾滋病与积极养育的关联的潜在中介。结果表明，家庭艾滋病毒/艾滋病的协会减少积极的养育是一致的调解贫困，照顾者抑郁症，儿童行为问题。在更广泛的生态框架内通过改善儿童行为问题和照顾者抑郁症来促进积极育儿的育儿干预措施，可以缓冲受艾滋病毒/艾滋病和贫困影响的家庭中儿童身心健康状况不佳的风险。
Families affected by HIV/AIDS in the developing world experience higher risks of psychosocial problems than nonaffected families. Positive parenting behavior may buffer against the negative impact of child AIDS-orphanhood and caregiver AIDS-sickness on child well-being. Although there is substantial literature regarding the predictors of parenting behavior in Western populations, there is insufficient evidence on HIV/AIDS as a risk factor for poor parenting in low- and middle-income countries. This paper examines the relationship between HIV/AIDS and positive parenting by comparing HIV/AIDS-affected and nonaffected caregiver-child dyads (n=2477) from a cross-sectional survey in KwaZulu-Natal, South Africa (27.7% AIDS-ill caregivers; 7.4% child AIDS-orphanhood). Multiple mediation analyses tested an ecological model with poverty, caregiver depression, perceived social support, and child behavior problems as potential mediators of the association of HIV/AIDS with positive parenting. Results indicate that familial HIV/AIDS's association to reduced positive parenting was consistent with mediation by poverty, caregiver depression, and child behavior problems. Parenting interventions that situate positive parenting within a wider ecological framework by improving child behavior problems and caregiver depression may buffer against risks for poor child mental and physical health outcomes in families affected by HIV/AIDS and poverty.