Psychosocial Wellbeing and Health of Caregivers of AIDS Orphans in KwaZulu Natal

夸祖鲁纳塔尔省艾滋病孤儿照顾者的社会心理健康和健康

• 批准号: 7675086
• 负责人: Caroline Chia Kuo
• 金额: $ 1.95万
• 依托单位: UNIVERSITY OF OXFORD
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-04 至 2013-07-03
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7675086
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adult; Affect; African; Age; Area; Attention; Caregivers; Caring; Cessation of life; Child; Child Care; Communities; Conceptions; Condition; Consensus; Cross-Sectional Studies; Data; Depth; Development; Economics; Empirical Research; Employee Strikes; Environment; Epidemic; Extended Family; Face; Family; Fostering; Goals; Health; Health Services; International; Interview; Investigation; Light; Literature; Multivariate Analysis; Numbers; Orphan; Outcome; Parents; Patterns of Care; Perception; Personal Satisfaction; Phase; Pilot Projects; Placement; Policies; Public Health; Rate; Research; Resources; Rural; Rural Community; Social support; Societies; Source; South Africa; Surveys; Testing; UNICEF; USAID; Variant; Work; base; caregiving; design; experience; family structure; grandparent; interdisciplinary approach; mortality; pressure; psychosocial; reproductive; response; social; theories

DESCRIPTION (provided by applicant): This research assesses the social and economic impacts of the AIDS orphan crisis on the caregiving unit in KwaZulu Natal (KZN), South Africa. This area is characterized by high mortality among adults of reproductive and working age, with large numbers of children orphaned by HIV/AIDS. The proposed research will build upon the applicant's preliminary qualitative work (Phase I) that explored the experiences among caregivers of AIDS orphans in KZN. The overarching aim of this doctoral research is to assess and characterize differences in the care experience of AIDS orphans as a function of the context and arrangements of caregiving, comparing, for example, family versus non-family arrangements in rural versus urban environments. Based on Phase I findings, the applicant will: (1) develop a reliable and culturally appropriate survey instrument salient to the care experience in urban and rural communities in KZN (Phase Ha); (2) conduct a cross-sectional survey of caregivers in KZN and analyze survey data (Phase lib); (3) based on survey findings, conduct qualitative indepth interviews (Phase III) of the care experience in diverse communities in KZN; (4) analyze and interpret findings in light of the South African public health, development, and political context; and, (5) extend and contribute to theories of family and caregiving in the context of health and development crises. This multimethod approach will fill gaps in the literature by highlighting ground-level perspectives of care for children orphaned by AIDS. Effective and sustainable approaches to supporting caregivers (and children) require moving beyond largely anecdotal evidence on patterns of care and towards a deeper understanding of the epidemic's impact on those providing care. Currently, little is known about the experiences of those caring for AIDS orphans and the consequences of caregiving arrangements for orphans' hearth and well-being. Utilizing a multidisciplinary approach, this research addresses urgent global health concerns and will continue to be of relevance to public health as the number of children orphaned by AIDS continues to grow.

描述(申请人提供)：这项研究评估了艾滋病孤儿危机对南非夸祖鲁纳塔尔(KZN)照看单位的社会和经济影响。这一地区的特点是处于生育和工作年龄的成年人死亡率很高，有大量儿童因艾滋病毒/艾滋病成为孤儿。拟议的研究将建立在申请人初步定性工作(第一阶段)的基础上，该工作探索了KZN艾滋病孤儿照顾者的经验。这项博士研究的主要目的是评估和描述艾滋病孤儿护理经历的差异，作为照料的背景和安排的功能，例如，比较农村和城市环境中的家庭和非家庭安排。在第一阶段调查结果的基础上，申请者将：(1)开发一个突出KZN城乡社区护理经验的可靠和适合文化的调查工具(Ha阶段)；(2)对KZN的照顾者进行横断面调查并分析调查数据(第二阶段)；(3)根据调查结果，对KZN不同社区的护理经验进行定性的深入访谈(第三阶段)；(4)结合南非公共卫生、发展和政治背景分析和解释调查结果；以及，(5)在健康和发展危机的背景下扩展和促进家庭和照料理论。这一多方法办法将通过突出照顾艾滋病致孤儿童的基层观点来填补文献中的空白。支持照料者(和儿童)的有效和可持续的方法需要超越主要是关于照料模式的轶事证据，而是更深入地了解这一流行病对提供照料的人的影响。目前，人们对那些照顾艾滋病孤儿的人的经历以及为孤儿的壁炉和福祉作出照顾安排的后果知之甚少。利用多学科方法，这项研究解决了紧迫的全球卫生问题，并将继续与公共卫生相关，因为因艾滋病而成为孤儿的儿童数量继续增加。