ArticleAIDS care2016
The power of siblings and caregivers: under-explored types of social support among children affected by HIV and AIDS.
Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Factors Associated with the Quality-of-Life of Young Unpaid Carers: A Systematic Review of the Evidence from 2003 to 2019.International journal of environmental research and public health · 2023Pooled it
- Social relationships, mental health, and stigma: A qualitative study of social networks and HIV disclosure in Western Kenya.PLOS global public health · 2026Article
- Not one but two: cross-sectional associations among repeat pregnancy, maternal mental health and child cognitive outcomes among adolescent and young mothers in South Africa.BMJ global health · 2025Article
- "I can't fail. And my son can't fail.": Caregiver perspectives on supporting youth to self-manage their HIV in Ndola, Zambia.PLOS global public health · 2025Article
- Impacts of the COVID-19 pandemic on HIV care and treatment services among adolescents attending a tertiary hospital in Dar es Salaam, Tanzania: a qualitative study.BMJ public health · 2024Article
- 'Journal of health psychology · 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
- A situational analysis of child and adolescent mental health services and systems in the Western Cape Province of South Africa.Child and adolescent psychiatry and mental health · 2022Article
- HPA-axis activity and the moderating effect of self-esteem in the context of intimate partner violence in Cameroon.European journal of psychotraumatology · 2021Article
- Caregivers' Experiences with Caring for a Child Living with HIV/AIDS: A Qualitative Study in Northern Ghana.Global pediatric health · 2021Article
- Sibling loss and fertility desires in the high-mortality context of Peru.Population studies · 2020Article
- A qualitative study on teachers' perceptions of their learners' mental health problems in a disadvantaged community in South Africa.Curationis · 2019Article
- Challenges to HIV treatment adherence amongst adolescents in a low socio-economic setting in Cape Town.Southern African journal of HIV medicine · 2019Article
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Children affected by HIV and AIDS have significantly higher rates of mental health problems than unaffected children. There is a need for research to examine how social support functions as a source of resiliency for children in high HIV-prevalence settings such as South Africa. The purpose of this research was to explore how family social support relates to depression, anxiety, and post-traumatic stress (PTS). Using the ecological model as a frame, data were drawn from a 2011 cross-sectional study of 1380 children classified as either orphaned by AIDS and/or living with an AIDS sick family member. The children were from high-poverty, high HIV-prevalent rural and urban communities in South Africa. Social support was analyzed in depth by examining the source (e.g. caregiver, sibling) and the type (e.g. emotional, instrumental, quality). These variables were entered into multiple regression analyses to estimate the most parsimonious regression models to show the relationships between social support and depression, anxiety, and PTS symptoms among the children. Siblings emerged as the most consistent source of social support on mental health. Overall caregiver and sibling support explained 13% variance in depression, 12% in anxiety, and 11% in PTS. Emotional support was the most frequent type of social support associated with mental health in all regression models, with higher levels of quality and instrumental support having the strongest relation to positive mental health outcomes. Although instrumental and quality support from siblings were related to positive mental health, unexpectedly, the higher the level of emotional support received from a sibling resulted in the child reporting more symptoms of depression, anxiety, and PTS. The opposite was true for emotional support provided via caregivers, higher levels of this support was related to lower levels of all mental health symptoms. Sex was significant in all regressions, indicating the presence of moderation.
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