Perceived social support and psychosocial distress among children affected by AIDS in china.

Perceived social support and psychosocial distress among children affected by AIDS in china.
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DOI:
10.1007/s10597-009-9201-z
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发表时间:
2010-03
影响因子:
2.7
通讯作者:
Zhang L
Zhang L
中科院分区:
医学4区
文献类型:
--
作者:
Hong Y;Li X;Fang X;Zhao G;Lin X;Zhang J;Zhao J;Zhang L

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受后天免疫机能丧失综合症(艾滋病)影响的儿童的社会心理健康日益受到国际关注。然而,中国在这方面的数据有限,估计有100 000名艾滋病孤儿。本研究旨在探讨受艾滋病影响的儿童感知社会支持(PSS)和心理社会健康之间的关系。对河南省因商业采血浆不卫生而导致HIV感染病例较多的1,625名6-18岁儿童进行了横断面调查。我们的样本包括296个双孤儿(即,这些儿童包括459名父母都死于艾滋病的儿童、459名单亲孤儿(父母一方死于艾滋病的儿童)、466名易受感染儿童(与感染艾滋病毒的父母生活在一起的儿童)和404名对照儿童(未经历与艾滋病毒有关的疾病和家庭死亡的儿童)。数据表明,弱势儿童报告的PSS水平最低的艾滋病孤儿和比较儿童相比。即使在控制了潜在的混杂因素后,PSS水平也与心理社会健康显著正相关。该研究强调了为中国受艾滋病影响的儿童提供社会支持和心理健康服务的重要性。
The psychosocial wellbeing of the children affected by Acquired Immune Deficiency Syndrome (AIDS) receives growing international attention. However, limited data in this area are available in China, which hosts an estimate of 100,000 AIDS-orphaned children. The study aims to examine the relationship between perceived social support (PSS) and psychosocial wellbeing among children affected by AIDS. A cross-sectional survey was administered to 1,625 children (aged 6–18 years) in Henan Province, an area with a large number of HIV cases due to unhygienic commercial blood/plasma collection. Our sample included 296 double orphans (i.e., children who lost both parents to AIDS), 459 single orphans (children who lost one parent to AIDS), 466 vulnerable children (children living with HIV-infected parents) and 404 comparison children (children who did not experience HIV-related illness and death in family). Data suggest that vulnerable children reported the lowest level of PSS compared to AIDS orphans and comparison children. Level of PSS was significantly and positively associated with psychosocial wellbeing even after controlling for potential confounders. The study underscores the importance of providing social support and mental health services for children affected by AIDS in China.
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