The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Social support as a protective factor for children impacted by HIV/AIDS across varying living environments in southern Africa
Open accessAbstract
The literature on the psychological well-being of children impacted by HIV/AIDS in Africa highlights increased vulnerability due to loss of parents and environmental stressors (e.g., hunger). Research shows that the lack of attachment and social support due to loss limits the grieving process in children. Access to trusting adults and social support through caregivers can be an important protective factor to allow for coping and better emotional adjustment in the future. This study examined social support systems across varying living environments to determine if social support promoted higher levels of well-being in children orphaned and made vulnerable by HIV/AIDS. The participants included 100 children from a small targeted population in southern Africa who receive varying levels of support from a private not-for-profit organization. Children's well-being was assessed through the Psycho-Social Adjustment Scale-Adolescents developed specifically for vulnerable child populations in Africa. Children were individually interviewed either on their homestead, school or hostel. Data demonstrated that children who do not share their feelings had significantly lower measures of positive well-being (M = 2.61 (0.87) vs. M = 3.10 (0.57), d = 0.60). Children with trusted adults were significantly more likely to share their feelings and had lower incidence of hunger (49.1% vs. 62.5%), suicide ideation (15.1% vs. 62.5%) and witnessing violence (69.8% vs. 87.5%). Sharing feelings with caregivers was more pronounced among children who had greater access to trusted adults and correlated with stronger attachment scores (r = .30, p < .01). An important component to decrease levels of anxiety and depression in this vulnerable population is providing access to trusted individuals. Social support interventions are discussed.
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“Evidence from previous epidemics shows that ineffective responses to the death of a parent or caregiver, even when there is a surviving parent or caregiver, can lead to deleterious psychosocial, neurocognitive, socioeconomic, and biomedical outcomes for children.31”
From Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study (2021) · cites this paper as [31]
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“The definition includes children losing one parent because they have increased risks of mental health problems, abuse, unstable housing, and household poverty.7–9”
From COVID-19–Associated Orphanhood and Caregiver Death in the United States (2021) · cites this paper as [7]
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Cited by
Hillis, S. D., Unwin, H. J. T., Chen, Y., Cluver, L., Sherr, L., Goldman, P. S., Ratmann, O., Donnelly, C. A., Bhatt, S., Villaveces, A., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01253-8 · Cited by 317
“31 Psychosocial threats for children and adolescents bereft of parents or caregivers include increased risk of post-traumatic stress disorder, depression, and suicidal attempts.”
COVID-19–Associated Orphanhood and Caregiver Death in the United States
Hillis, S. D., Blenkinsop, A., Villaveces, A., Annor, F. B., Liburd, L., Massetti, G. M., Demissie, Z., Mercy, J. A., Nelson III, C. A., Cluver, L., et al. (2021) · Pediatrics · doi:10.1542/peds.2021-053760 · Cited by 235
Magno, L., da Silva, L. A. V., Veras, M. A. D. S. M., Pereira, M. E., & Dourado, I. C. (2019) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00112718 · Cited by 134
Leite, B. O., de Medeiros, D. S., Magno, L., Bastos, F. I., Coutinho, C., de Brito, A. M., Cavalcante, M. S. D. S. P., & Dourado, I. C. (2021) · International Journal for Equity in Health · doi:10.1186/s12939-021-01541-z · Cited by 67
Successes and final challenges along the HIV care continuum with transwomen in San Francisco
Baguso, G. N., Turner, C., Santos, G., Raymond, H. F., Dawson-Rose, C. S., Lin, J., & Wilson, E. C. (2019) · Journal of the International AIDS Society · doi:10.1002/jia2.25270 · Cited by 61
Metadata
- Authors
- Barenbaum, E., & Smith, T.
- Affiliations
- Cabrini University (US)
- Corresponding author
- Smith, Tamarah
- ORCID
- Smith, Tamarah
- Venue
- AIDS Care
- Publisher
- Informa UK Limited
- Published
- 2016-05-26
- Volume
- 28
- Issue
- sup2
- Pages
- 92-99
- ISSN
- 0954-0121 (ISSN-L)
- 1360-0451
- PMC
- PMC4991218
- OpenAlex
- W2462088813
- Cited by
- 35
- References
- 30
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 10 · 2022: 4 · 2021: 7 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 1
- FWCI
- 5.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- AIDS Care (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Development › Poverty, Education, and Child Welfare
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Keywords
- social support, children affected by HIV, orphans, child well-being, psychological adjustment, attachment, trusted adults, caregiver support, suicidal ideation, witnessing violence, hunger, living environment, social support interventions, Southern Africa
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adaptation, Psychological, Adolescent, Adult, Africa, Southern, Anxiety, Child, Depression, Female, Food Supply, Humans, Male, Social Support, Stress, Psychological, HIV Infections, Caregivers, Trust, Vulnerable Populations, Child, Orphaned, Protective Factors
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