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Title

Orphan Status, HIV Risk Behavior, and Mental Health Among Adolescents in Rural Kenya

Authors

ES Puffer, AS Drabkin, AL Stashko, et al.

Network Affiliation

Other

Organization

 

Journal Name

 

Publication Date

6/1/2012

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/22728899

Link to full-text

 

PMID

 

Abstract

Abstract

OBJECTIVE:

To examine orphan status, mental health, social support, and HIV risk among adolescents in rural Kenya.

METHODS:

Randomly selected adolescents aged 10-18 years completed surveys assessing sexual activity, sex-related beliefs and self-efficacy, mental health, social support, caregiver-child communication, time since parental death, and economic resources. Analysis of covariance and regression analyses compared orphans and nonorphans; orphan status was tested as a moderator between well-being and HIV risk.

RESULTS:

Orphans reported poorer mental health, less social support, and fewer material resources. They did not differ from nonorphans on HIV risk indicators. Longer time since parental death was associated with poorer outcomes. In moderator analyses, emotional problems and poorer caregiver-youth communication were more strongly associated with lower sex-related self-efficacy for orphans.

CONCLUSIONS:

Orphans are at higher risk for psychosocial problems. These problems may affect orphans' self-efficacy for safer sex practices more than nonorphans. Decreased HIV risk could be one benefit of psychosocial interventions for orphans.

Keywords

 

Topic

Adolescents/Youth; Behavior; Psychometric measurement

Attachments

Created at 7/3/2012 11:30 AM by Davis, Gregory P
Last modified at 7/3/2012 11:30 AM by Davis, Gregory P