ArticleAIDS care2011
Health of adults caring for orphaned children in an HIV-endemic community in South Africa.
Article in AIDS care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- National and regional prevalence of posttraumatic stress disorder in sub-Saharan Africa: A systematic review and meta-analysis.PLoS medicine · 2020Pooled it
- The Impact of Child Emotional and Behavioral Difficulties on Caregivers' Mental Health: Insights from Families of Children Orphaned by HIV in Southern Uganda.Global social welfare : research, policy & practice · 2026Article
- Caregiver mental, behavioral, and social health during the COVID-19 pandemic in South Africa: results from the Asenze cohort study.Social psychiatry and psychiatric epidemiology · 2026Article
- The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study.PloS one · 2024Article
- Parenting in Adversity: Effects of Older Caregivers, Biological Carers and Troubled Carers on Child Outcomes in High HIV-Affected Communities.Journal of cross-cultural gerontology · 2023Article
- Multiple aspects of energy poverty are associated with lower mental health-related quality of life: A modelling study in three peri-urban African communities.SSM. Mental health · 2022Article
- "Who am I going to stay with? Who will accept me?": family-level domains influencing HIV care engagement among disengaged adolescents in Kenya.Journal of the International AIDS Society · 2022Article
- Correlates of health-related quality of life in primary caregivers of perinatally HIV infected and HIV exposed uninfected adolescents at the Kenyan Coast.Health and quality of life outcomes · 2022Article
- Understanding older peoples' chronic disease self-management practices and challenges in the context of grandchildren caregiving: A qualitative study in rural KwaZulu-Natal, South Africa.PLOS global public health · 2022Article
- Improving health-related quality of life instrument translation into South African languages.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- Physical development and mental health in South African perinatally HIV-positive adolescents on antiretroviral therapy and their caregivers with and without household food insecurity.Southern African journal of HIV medicine · 2021Article
- The Rise and Prominence of Skip-Generation Households in Lower- and Middle-Income Countries.Population and development review · 2020Article
- Resilience and psychosocial outcomes among South African adolescents affected by HIV.AIDS (London, England) · 2019Article
- Article
- On the periphery of HIV and AIDS: Reflections on stress as experienced by caregivers in a child residential care facility in South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2017Article
- Emotional abuse of girls in Swaziland: prevalence, perpetrators, risk and protective factors and health outcomes.Journal of global health · 2017Article
- Psychosocial Challenges Associated with Caregiving in the Context of Pediatric HIV in Rural Eastern Cape.Frontiers in public health · 2017Article
- Validation of the Client Diagnostic Questionnaire to Assess Mental Health in South African Caregivers of Children.Clinical psychology & psychotherapy · 2017Article
- Article
- Resilience in perinatal HIV+ adolescents in South Africa.AIDS care · 2016Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
In South Africa, an estimated 2.5 million children have been orphaned by AIDS and other causes of adult mortality. Although there is a growing body of research on the well-being of South African orphaned children, few research studies have examined the health of adult individuals caring for children in HIV-endemic communities. The cross-sectional survey assessed prevalence of general health and functioning (based on Short-Form 36 version 2 scale), depression (based on Center for Epidemiologic Studies-Depression scale), anxiety (using Kessler-10 scale), and post-traumatic stress (using the Harvard Trauma Questionnaire) among a representative community sample of adults caring for children in Umlazi Township, an HIV-endemic community in South Africa. Of 1599 respondents, 33% (n=530) were carers of orphaned children. Results showed that, overall, carers reported poor general health and functioning and elevated levels of depression, anxiety, and post-traumatic stress. Carers of orphaned children reported significantly poorer general health and functioning and higher rates of depression and post-traumatic stress compared with carers of non-orphaned children. In multivariate analyses, orphan carer and non-orphan carer differences in general health were accounted for by age, gender, education, economic assets, and source of income, but differences in depression were independent of these cofactors. Interventions are needed to address physical and mental health of carers in general. Greater health problems among orphan carers appeared to be fully explained by socioeconomic characteristics, which offer opportunities for targeting of programs. More research is needed to understand determinants of mental health disparities among orphan carers, which were not explained by socioeconomic characteristics.
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