Family Composition and Stability for Orphans: A Longitudinal Study of Well-Being in 5 Low- and Middle-Income Countries.
Family Composition and Stability for Orphans: A Longitudinal Study of Well-Being in 5 Low- and Middle-Income Countries.
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DOI：
10.3389/ijph.2021.1604057
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发表时间：
2021
影响因子：
4.6
通讯作者：
Pence BW
中科院分区：
文献类型：
--
作者：
Gray CL;Whetten K;Daniels JL;Hudgens MG;Pettifor AE;Hobbie AM;Thielman NM;Dubie ME;Itemba D;Madan I;Vann V;Wasonga AI;Manongi R;Ostermann J;Whetten RA;Pence BW
Objectives: Many orphaned children in low- and middle-income countries live with family. Yet, their household composition and its stability are not well-characterized, nor is impact of stability on longer-term outcomes. Methods: We used the longitudinal, multi-country Positive Outcomes for Orphans cohort to describe adult family living with orphans. Stability was measured by changes in presence of six familial relations over time, and related to three outcomes: 1) incident abuse, 2) cognitive functioning, 3) emotional difficulties. Associations were estimated using generalized linear models fit with generalized estimating equations. For abuse, Poisson regression estimated risk ratios. For continuous scores of cognitive functioning and emotional difficulties, linear models estimated mean differences (MDs) with 95% confidence intervals. Results: Among 1,359 orphans, 53–61% reported living with their mother each year; 7–13% with father; nearly 60% reported ≥1 change in composition over follow-up. Compared to 0 changes, difficulties increased with 1 change [MD: 0.23 (−0.33, 0.79)], 2 changes [MD: 0.57 (0.00, 1.16)] and ≥3 changes [MD: 0.73 (0.18, 1.29)]. No associations were found with abuse or cognitive functioning. Conclusion: Orphan well-being may be improved through supports stabilizing household composition or targeting emotional resilience.
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影响因子：
4.4
作者：
O'Donnell, Karen;Murphy, Robert;Whetten, Kathryn
通讯作者：
Whetten, Kathryn
影响因子：
1.7
作者：
Nyamukapa CA;Gregson S;Wambe M;Mushore P;Lopman B;Mupambireyi Z;Nhongo K;Jukes MC
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4
作者：
Kreppner, Jana M.;Rutter, Michael;Sonuga-Barke, Edmund J. S.
通讯作者：
Sonuga-Barke, Edmund J. S.
DOI：
10.1007/s11524-010-9491-z
发表时间：
2011-06-01
影响因子：
6.6
作者：
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通讯作者：
Zulu, Eliya M.
影响因子：
3.6
作者：
Milan, S;Pinderhughes, EE
通讯作者：
Pinderhughes, EE