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AIDS in the family and community: The impact on child health in Malawi

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  • Kidman, Rachel
  • Hanley, James A.
  • Subramanian, S.V.
  • Foster, Geoff
  • Heymann, Jody

Abstract

Pediatric HIV infections jeopardize children's health and survival. Much less is known about how the experiences of being orphaned, living with chronically ill parents, or living in a severely affected community impact child health. Our study responds by examining which HIV/AIDS-related experiences place children at greatest risk for poor health. Data from the 2004-2005 Malawi Integrated Household Survey were analyzed using logistic multilevel modeling to examine whether HIV/AIDS-related experiences within the family and community predicted reported health status among children age 6-17 years. We found higher burdens of acute and chronic morbidity for children whose parents have an AIDS-related illness. No other AIDS-related exposure, including orphanhood and recent household deaths, demonstrated a clear relationship with health status. Children living with sick parents may be at increased risk due to the spread of infectious disease and receiving limited adult care. Community home-based care programs are best situated to identify children in these difficult circumstances and to mitigate their disadvantage.

Suggested Citation

  • Kidman, Rachel & Hanley, James A. & Subramanian, S.V. & Foster, Geoff & Heymann, Jody, 2010. "AIDS in the family and community: The impact on child health in Malawi," Social Science & Medicine, Elsevier, vol. 71(5), pages 966-974, September.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:5:p:966-974
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    References listed on IDEAS

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