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: 8024498
• 负责人: Caroline Chia Kuo
• 金额: $ 0.19万
• 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 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8024498
• 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; Consensus; Cross-Sectional Studies; Data; Development; Economics; Employee Strikes; Environment; Epidemic; Extended Family; Face; Family; Fostering; Goals; Health; Health Services; International; Interview; Investigation; Literature; Multivariate Analysis; Orphan; Outcome; Parents; Patterns of Care; Perception; Personal Satisfaction; Phase; Pilot Projects; Policies; Public Health; Research; Resources; Rural; Rural Community; Social support; Societies; Source; South Africa; Surveys; Testing; UNICEF; USAID; Variant; Work; base; caregiving; design; economic implication; evidence base; experience; family structure; global health; grandparent; informant; instrument; interdisciplinary approach; mortality; pressure; psychosocial; public health relevance; reproductive; response; social; theories

DESCRIPTION (provided by applicant): This research assesses the psychosocial and hearth outcomes of those caring for children orphaned by AIDS 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 qualitative pilot study (which constituted the applicant's Master's thesis) 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 psychosocial wellbeing and health of those caring for 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 pilot findings, the applicant will: (1) conduct a cross-sectional survey of caregivers in KZN and analyze survey data to determine the association between care arrangements and the psychosocial wellbeing and health of caregivers, using a psychometrically valid and culturally sensitive instrument (Phase I); (2) based on survey findings, conduct qualitative indepth interviews (Phase II) of the care experience in diverse communities in KZN; (3) interpret findings with attention to the South African context and use conclusions to extend existing theoretical frameworks on family structures and child care for orphans; and (4) disseminate findings to local, national, and international organizations relevant to AIDS orphan care. 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' health and well-being. PUBLIC HEALTH RELEVANCE: 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（由申请人提供）：这项研究评估了南非夸祖鲁纳塔尔（KZN）艾滋病孤儿的心理社会和家庭结果。这一地区的特点是育龄和工作年龄的成年人死亡率高，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的定性试点研究（这构成了申请人的硕士论文），探讨了艾滋病孤儿在KZN照顾者的经验。这项博士研究的总体目标是评估和描述那些照顾艾滋病孤儿的人的心理社会福祉和健康的差异，作为一个功能的背景和安排，比较，例如，家庭与非家庭安排在农村与城市环境。根据试点结果，申请人将：（1）对KZN的护理人员进行横断面调查，并分析调查数据，以确定护理安排与护理人员的心理社会福祉和健康之间的关联，使用心理测量有效和文化敏感的工具（第一阶段）;（2）根据调查结果，进行质性深入访问（第二阶段）在KZN不同社区的护理经验;（三）解释调查结果，注意南非的情况，并利用结论来扩展现有的理论框架，对家庭结构和儿童保育孤儿;以及（4）向地方、国家和国际组织传播与艾滋病孤儿护理相关的研究结果。这种多方法的方法将填补空白的文献，突出基层的角度照顾艾滋病孤儿。支持照顾者（和儿童）的有效和可持续的办法要求超越关于照顾模式的基本上是传闻的证据，而要更深入地了解这一流行病对提供照顾者的影响。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健康和福利作出的安排的后果知之甚少。 公共卫生相关性：利用多学科方法，这项研究解决了紧迫的全球健康问题，并将继续与公共卫生有关，因为艾滋病造成的孤儿人数继续增加。