slide1
Download
Skip this Video
Download Presentation
Caroline Kuo, Lucie Cluver, Marisa Casale, Tyler Lane, Lebo Sello AIDS 2012, Washington DC

Loading in 2 Seconds...

play fullscreen
1 / 19

Caroline Kuo, Lucie Cluver, Marisa Casale, Tyler Lane, Lebo Sello AIDS 2012, Washington DC - PowerPoint PPT Presentation


  • 147 Views
  • Uploaded on

Living with HIV or AIDS increases risk for poor mental health among adults caring for orphaned children in South Africa. Caroline Kuo, Lucie Cluver, Marisa Casale, Tyler Lane, Lebo Sello AIDS 2012, Washington DC. HIV and AIDS in South Africa. South Africa 310,000 AIDS deaths

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Caroline Kuo, Lucie Cluver, Marisa Casale, Tyler Lane, Lebo Sello AIDS 2012, Washington DC' - heller


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Living with HIV or AIDS increases risk for poor mental health among adults caring for orphaned children in South Africa

Caroline Kuo, Lucie Cluver, Marisa Casale, Tyler Lane, Lebo Sello

AIDS 2012, Washington DC

hiv and aids in south africa
HIV and AIDS in South Africa

South Africa

310,000 AIDS deaths

17.2% of global total

5.6 million living with HIV

16.8% of global total

1.9 million children orphaned by AIDS

13.0% of global total

Source: http://www.unaids.org/globalreport/HIV_prevalence_map.htm

http://www.unaids.org/globalreport

http://www.unaids.org/en/regionscountries/countries/southafrica/

what do we know about caregivers of aids orphaned children
What do we know about caregivers of AIDS-orphaned children?

Caregiver type: extended family, primarily women

Child placement: decisions to care influenced by children’s traits (gender, age), economic challenges

Care challenges: poverty, nutrition, children’s educational and other needs

Health:chronic illness, grief, stress, depression, anxiety, PTSD

Sources: Kuo, C. et al., 2009, 2010, 2012; Ice, G. et al., 2012; Govender, K. et al., 2012; Boon et al., 2010

young carers kwazulu natal study objectives
Young Carers KwaZulu Natal Study Objectives

Child and caregiver outcomes

i.e., mental health, chronic illness, HIV/AIDS-ill, sexual risk behaviour

Relationship between caregiver and child health outcomes

i.e., caregiver and child mental health outcomes; caregiver illness and child outcomes

Role of family factors in child risk behaviours

i.e., parenting behaviours

methods
Methods
  • Sites: Lamontville and Manguzi
  • Sampling: stratified random sampling of census size enumeration areas with door-to-door household sampling using GIS
  • Participants: N= 5238 (2600 matched child-caregiver pairs)

Children aged 10-17, Caregivers aged 18+

  • Ethical Approval: University of Oxford and KwaZulu Natal, South African Departments of Health and Education
  • Measures: CESD, Beck Anxiety Index, Verbal autopsy
who are participants

Who are Participants?

All photos used with consent

caregiver mental health
Caregiver mental health
  • Depression: 35.6% clinically significant symptoms for depression
  • Anxiety: 49.5% clinically significant symptoms for anxiety
  • Depression and/or Anxiety: 56.8%
slide12

Caregivers of children orphanedby AIDS have worse mental health

Chi square level of significance at p<0.01*, p<0.001***

among caregivers of children orphaned by aids hiv aids ill caregivers have worse mental health
Among caregivers of children orphaned by AIDS, HIV/AIDS-ill caregivers have worse mental health

Chi square level of significance at p<0.001***

familial hiv or aids increases risk for caregiver s poor mental health
Familial HIV or AIDS increases risk for caregiver’s poor mental health

Chi square level of significance at p<0.001***

relationship between familial hiv aids and caregiver mental health remains
Relationship between Familial HIV/AIDS and caregiver mental health remains

Statistically significant associations are shown in bold

stigma a risk factor for mental health of hiv aids ill caregivers of orphaned children
Stigma a risk factor for mental health of HIV/AIDS-ill caregivers of orphaned children

Statistically significant associations are shown in bold

food security a protective factor for mental health of hiv aids ill caregivers
Food security a protective factor for mental health of HIV/AIDS-ill caregivers

Statistically significant associations are shown in bold

conclusions
Conclusions
  • Caregivers of children orphaned by AIDS at high risk for psychological distress
      • This risk increases if these caregivers are living with HIV or AIDS
    • Risk and protective factors for psychological distress among HIV/AIDS-ill caregivers
      • Stigma a risk factor
      • Food security a protective factor
    • Interventions needed to address psychological distress, and may need to be paired with community interventions (to address stigma) and structural interventions (to address food insecurity)
acknowledgments
Acknowledgments

Additional generous support from:

NIMH T32 (PI: Brown)

Alcohol Research Center on HIV

CFAR Tufts/Brown/Lifespan

ad