Mental Health of Children Living in Foster Families in Rural Rwanda: The Role of HIV and the Family Environment
| Autor: | Catherine M. Kirk, Lauren C. Ng, Sylvere Mukunzi, Justin I. Bizimana, Estella Nduwimana, Theresa S. Betancourt |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Rural Population Mediation (statistics) medicine.medical_specialty Social Psychology Adolescent education HIV Infections Anxiety Irritability Article Foster Home Care 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Psychiatry Child Depression (differential diagnoses) Depressive Disorder 030505 public health Parenting Depression Public health Public Health Environmental and Occupational Health Rwanda Mental health Health psychology Infectious Diseases Mental Health Female medicine.symptom 0305 other medical science Psychology Child Orphaned Clinical psychology |
| Zdroj: | AIDS and behavior. 21(6) |
| ISSN: | 1573-3254 |
| Popis: | Fostering children is common in sub-Saharan Africa, but few studies examine these children’s mental health needs. This study investigated the impact of living in a foster family on the mental health of HIV-positive, HIV-affected and HIV-unaffected children (n = 681 aged 10–17) in rural Rwanda. Regression analyses assessed the impact of living in a foster family on mental health, parenting, and daily hardships; multiple mediation analyses assessed whether family factors mediated the association between foster status and mental health. HIV-positive children were eight times more likely to live in foster families than HIV-unaffected children. Being HIV-affected was predictive of depression and irritability symptoms after controlling for family factors. Controlling for HIV-status, foster children had more symptoms of depression, anxiety, and irritability than non-fostered children. Positive parenting fully mediated the association between foster status and mental health. Mental health and parenting interventions for foster children and HIV-affected children may improve child outcomes. |
| Databáze: | OpenAIRE |
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