IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i9p1435-1443.html
   My bibliography  Save this article

Risk and protective factors for depression symptoms among children affected by HIV/AIDS in rural China: A structural equation modeling analysis

Author

Listed:
  • Wang, Bo
  • Li, Xiaoming
  • Barnett, Douglas
  • Zhao, Guoxiang
  • Zhao, Junfeng
  • Stanton, Bonita

Abstract

Previous research has revealed a negative impact of orphanhood and HIV-related stigma on the psychological well-being of children affected by HIV/AIDS. Little is known about psychological protective factors that can mitigate the effect of orphanhood and HIV-related stigma on psychological well-being. This research examines the relationships among several risk and protective factors for depression symptoms using structural equation modeling. Cross-sectional data were collected from 755 AIDS orphans and 466 children of HIV-positive parents aged 6–18 years in 2006–2007 in rural central China. Participants reported their experiences of traumatic events, perceived HIV-related stigma, perceived social support, future orientation, trusting relationships with current caregivers, and depression symptoms. We found that the experience of traumatic events and HIV-related stigma had a direct contributory effect on depression among children affected by HIV/AIDS. Trusting relationships together with future orientation and perceived social support mediated the effects of traumatic events and HIV-related stigma on depression. The final model demonstrated a dynamic interplay among future orientation, perceived social support and trusting relationships. Trusting relationships was the most proximate protective factor for depression. Perceived social support and future orientation were positively related to trusting relationships. We conclude that perceived social support, trusting relationships, and future orientation offer multiple levels of protection that can mitigate the effect of traumatic events and HIV-related stigma on depression. Trusting relationships with caregivers provides the most immediate source of psychological support. Future prevention interventions seeking to improve psychological well-being among children affected by HIV/AIDS should attend to these factors.

Suggested Citation

  • Wang, Bo & Li, Xiaoming & Barnett, Douglas & Zhao, Guoxiang & Zhao, Junfeng & Stanton, Bonita, 2012. "Risk and protective factors for depression symptoms among children affected by HIV/AIDS in rural China: A structural equation modeling analysis," Social Science & Medicine, Elsevier, vol. 74(9), pages 1435-1443.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:9:p:1435-1443
    DOI: 10.1016/j.socscimed.2012.01.007
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612001128
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2012.01.007?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Atwine, Benjamin & Cantor-Graae, Elizabeth & Bajunirwe, Francis, 2005. "Psychological distress among AIDS orphans in rural Uganda," Social Science & Medicine, Elsevier, vol. 61(3), pages 555-564, August.
    2. Lee, S.-J. & Detels, R. & Rotheram-Borus, M.J. & Duan, N., 2007. "The effect of social support on mental and behavioral outcomes among adolescents with parents with HIV/AIDS," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1820-1826.
    3. Castro, A. & Farmer, P., 2005. "Understanding and addressing AIDS-related stigma: From anthropological theory to clinical practice in Haiti," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 53-59.
    4. Kaggwa, Esther B. & Hindin, Michelle J., 2010. "The psychological effect of orphanhood in a matured HIV epidemic: An analysis of young people in Mukono, Uganda," Social Science & Medicine, Elsevier, vol. 70(7), pages 1002-1010, April.
    5. Nyambedha, Erick Otieno & Wandibba, Simiyu & Aagaard-Hansen, Jens, 2003. "Changing patterns of orphan care due to the HIV epidemic in western Kenya," Social Science & Medicine, Elsevier, vol. 57(2), pages 301-311, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cluver, Lucie & Orkin, Mark & Boyes, Mark E. & Sherr, Lorraine & Makasi, Daphne & Nikelo, Joy, 2013. "Pathways from parental AIDS to child psychological, educational and sexual risk: Developing an empirically-based interactive theoretical model," Social Science & Medicine, Elsevier, vol. 87(C), pages 185-193.
    2. Butcher, Fredrick & Galanek, Joseph D. & Kretschmar, Jeff M. & Flannery, Daniel J., 2015. "The impact of neighborhood disorganization on neighborhood exposure to violence, trauma symptoms, and social relationships among at-risk youth," Social Science & Medicine, Elsevier, vol. 146(C), pages 300-306.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yanagisawa, Satoko & Poudel, Krishna C. & Jimba, Masamine, 2010. "Sibling caregiving among children orphaned by AIDS: Synthesis of recent studies for policy implications," Health Policy, Elsevier, vol. 98(2-3), pages 121-130, December.
    2. Beegle, Kathleen & Filmer, Deon & Stokes, Andrew & Tiererova, Lucia, 2010. "Orphanhood and the Living Arrangements of Children in Sub-Saharan Africa," World Development, Elsevier, vol. 38(12), pages 1727-1746, December.
    3. Rachel Goldberg & Susan Short, 2012. "“The Luggage that isn’t Theirs is Too Heavy…”: Understandings of Orphan Disadvantage in Lesotho," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(1), pages 67-83, February.
    4. Titeca, Kristof & Omwa, Samuel Samson, 2011. "Community-based initiatives in response to the OVC crisis in North Central Uganda," IOB Discussion Papers 2011.04, Universiteit Antwerpen, Institute of Development Policy (IOB).
    5. Perry, Elizabeth W. & Culbreth, Rachel & Swahn, Monica & Kasirye, Rogers & Self-Brown, Shannon, 2020. "Psychological distress among orphaned youth and youth reporting sexual exploitation in Kampala, Uganda," Children and Youth Services Review, Elsevier, vol. 119(C).
    6. Kumakech, Edward & Cantor-Graae, Elizabeth & Maling, Samuel & Bajunirwe, Francis, 2009. "Peer-group support intervention improves the psychosocial well-being of AIDS orphans: Cluster randomized trial," Social Science & Medicine, Elsevier, vol. 68(6), pages 1038-1043, March.
    7. Thurman, Tonya Renee & Snider, Leslie A. & Boris, Neil W. & Kalisa, Edward & Nyirazinyoye, Laetitia & Brown, Lisanne, 2008. "Barriers to the community support of orphans and vulnerable youth in Rwanda," Social Science & Medicine, Elsevier, vol. 66(7), pages 1557-1567, April.
    8. Karimli, Leyla & Ssewamala, Fred M. & Neilands, Torsten B. & Wells, Christine R. & Bermudez, Laura Gauer, 2019. "Poverty, economic strengthening, and mental health among AIDS orphaned children in Uganda: Mediation model in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 228(C), pages 17-24.
    9. David Canning, 2006. "The Economics of HIV/AIDS in Low-Income Countries: The Case for Prevention," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 121-142, Summer.
    10. Debajyoti Biswas & Sanjukta Chatterjee & Parvin Sultana, 2021. "Stigma and fear during COVID-19: essentializing religion in an Indian context," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-10, December.
    11. Qi Zhao & Hui He & Huang Gu & Junfeng Zhao & Peilian Chi & Xiaoming Li, 2021. "Facial Expression Processing of Children Orphaned by Parental HIV/AIDS: A Cross-Sectional ERP Study with Rapid Serial Visual Presentation," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    12. Yang, Lawrence H. & Chen, Fang-pei & Sia, Kathleen Janel & Lam, Jonathan & Lam, Katherine & Ngo, Hong & Lee, Sing & Kleinman, Arthur & Good, Byron, 2014. "“What matters most:” A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma," Social Science & Medicine, Elsevier, vol. 103(C), pages 84-93.
    13. Rachel Goldberg, 2013. "Family Instability and Early Initiation of Sexual Activity in Western Kenya," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 725-750, April.
    14. Keetie Roelen & Caroline Ackley & Paul Boyce & Nicolas Farina & Santiago Ripoll, 2020. "COVID-19 in LMICs: The Need to Place Stigma Front and Centre to Its Response," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 32(5), pages 1592-1612, December.
    15. Lori Hunter & John Reid-Hresko & Thomas Dickinson, 2011. "Environmental Change, Risky Sexual Behavior, and the HIV/AIDS Pandemic: Linkages Through Livelihoods in Rural Haiti," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 30(5), pages 729-750, October.
    16. N/A, 2011. "Mental health consequences of non-communicable and communicable health conditions in adolescents," International Journal of Social Psychiatry, , vol. 57(1_suppl), pages 79-85, March.
    17. Aramide Kazeem & Leif Jensen, 2017. "Orphan status, school attendance, and relationship to household head in Nigeria," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(22), pages 659-690.
    18. Lorraine van Blerk & Nicola Ansell, 2007. "Alternative care giving in the context of Aids in southern Africa: complex strategies for care," Journal of International Development, John Wiley & Sons, Ltd., vol. 19(7), pages 865-884.
    19. Abadía-Barrero, César Ernesto & Castro, Arachu, 2006. "Experiences of stigma and access to HAART in children and adolescents living with HIV/AIDS in Brazil," Social Science & Medicine, Elsevier, vol. 62(5), pages 1219-1228, March.
    20. Roche, Steven, 2020. "Conceptualising children’s life histories and reasons for entry into residential care in the Philippines: Social contexts, instabilities and safeguarding," Children and Youth Services Review, Elsevier, vol. 110(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:74:y:2012:i:9:p:1435-1443. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.