Risk and protective factors for psychological well-being of children orphaned by AIDS in Cape Town: a qualitative study of children and caregivers' perspectives

Risk and protective factors for psychological well-being of children orphaned by AIDS in Cape Town: a qualitative study of children and caregivers' perspectives
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DOI:
10.1080/09540120600986578
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发表时间:
2007-03-01
影响因子:
1.7
通讯作者:
Gardner, F.
Gardner, F.
中科院分区:
医学4区
文献类型:
--
作者:
Cluver, L.;Gardner, F.

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到2020年,估计有230万南非儿童将因艾滋病毒/艾滋病而成为孤儿(南非精算学会,2005年),但人们对影响他们情绪和行为健康的风险和保护因素知之甚少。这项定性研究探讨了受影响家庭的观点。孤儿(n = 60),孤儿的照顾者(n = 42)和社会护理专业人员(n = 20)完成了半结构化访谈和焦点小组。参与者是从学校、收容所和福利机构招募的。多个来源的调查结果表明,在一系列方面存在潜在的风险和保护因素,包括丧亲之痛、家庭功能、社会支持、贫困、受教育机会和感觉到的耻辱。许多因素反映了关于儿童经历类似压力因素的国际文献(例如与艾滋病毒/艾滋病无关的丧亲)。然而,这项研究也确定了可能是这一群体特有的因素,特别是耻辱、虐待和同伴因素。目前的研究正在定量测试这些确定的因素和心理结果之间的关联。
By 2020, an estimated 2.3 million South African children will be orphaned by HIV/AIDS (Actuarial Society of South Africa, 2005), but little is known about risk and protective factors for their emotional and behavioural well-being. This qualitative study explores perspectives of affected families. Orphaned children (n = 60), caregivers of orphaned children (n = 42) and social care professionals (n = 20) completed semi-structured interviews and focus groups. Participants were recruited from schools, shelters and welfare services. Findings from multiple sources indicate potential risk and protective factors in a range of dimensions, including bereavement, family functioning, social support, poverty, access to education and perceived stigma. Many factors reflected international literature on children experiencing similar stressors (e.g. non HIV/AIDS-related bereavement). However, this study also identified factors which may be specific to this group, notably stigma, abuse and peer factors. Current research is quantitatively testing associations between these identified factors and psychological outcomes.