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21-12-2014 | Original Paper

Correlates and Mediators of Problem Behaviors Among Children Affected by HIV/AIDS in Rural China: A Structural Equation Modeling Analysis

Auteurs: Qun Zhao, Xiaoming Li, Chunyan Gu, Junfeng Zhao, Guoxiang Zhao

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 10/2015

Abstract

The current study examines the relationships of several psychosocial correlates and mediating factors with problem behaviors among children (6–18 years of age) affected by parental HIV/AIDS in rural China. Cross-sectional data were collected from 755 children orphaned by AIDS (“orphans”) and 466 children living with HIV-positive parents (“vulnerable children”) during 2006–2007 in central rural China. The structural equation modeling analyses revealed that HIV-related stigma had a positive direct effect on problem behaviors of vulnerable children, while HIV-related stigma and low education aspiration had direct negative effects on school adjustment among both orphans and vulnerable children. Measures of future orientation and perceived social support mediated the effect of HIV-related stigma and low education aspiration on school adjustment, which in turn was negatively associated with problem behaviors of both groups. The data also showed that school adjustment mediated the effect of low education aspiration and HIV-related stigma on problem behaviors of both orphans and vulnerable children. Future prevention intervention efforts aiming to reduce problem behaviors and improve school adjustment among these children should target multiple factors at individual, community, and societal levels such as enhancing the children’s future expectation, increasing the social support from family, school, and community, and reducing HIV-related stigma against children and families affected by HIV.

vorige artikel Non-Child-Related Family Stress, Parenting Styles, and Behavior Problems in School-Age Girls Adopted from China

volgende artikel The Relationship Between Parental Representations of Caregiving and Behavioral Problems Among Italian Adolescents

Agnew, R. (2006). General strain theory: Current status and direction. In F. T. Cullen, J. P. Wright, & K. R. Blevins (Eds.), Taking stock: The status of criminological theory (pp. 101–123). New Brunswick: Transaction.

Arnett, J. J. (2000). High hopes in a grim world: Emerging adults’ views of their futures and “generation X”. Youth & Society, 31(3), 267–286. doi:10.1177/0044118X00031003001.CrossRef

Aunola, K., Stattin, H., & Nurmi, J. (2000). Adolescents’ achievement strategies, school adjustment, and externalizing and internalizing problem behaviors. Journal of Youth and Adolescence, 29(3), 289–306. doi:10.1023/A:1005143607919.CrossRef

Bao, W. N., Haas, A., & Pi, Y. (2007). Life strain, coping, and delinquency in the People’s Republic of China an empirical test of general strain theory from a matching perspective in social support. International Journal of Offender Therapy and Comparative Criminology, 51, 9–24. doi:10.1177/0306624X13492656.CrossRefPubMed

Barker, D. H., Swenson, R. R., Brown, L. K., Stanton, B. F., Vanable, P. A., Carey, M. P., et al. (2012). Blocking the benefit of group-based HIV-prevention efforts during adolescence: The problem of HIV-related stigma. AIDS and Behavior, 16, 571–577. doi:10.1007/s10461-011-0101-1.CrossRefPubMedCentralPubMed

Bernat, D. H., Oakes, J. M., Pettingell, S. L., & Resnick, M. (2012). Risk and direct protective factors for youth violence: Results from the national longitudinal study of adolescent health. American Journal of Preventive Medicine., 43(2S1), S57–S66. doi:10.1016/j.amepre.2012.04.023.CrossRefPubMed

Bicego, G., Rutstein, S., & Johnson, K. (2003). Dimensions of the emerging orphan crisis in sub-Saharan Africa. Social Science & Medicine, 56, 1235–1247. doi:10.1016/S0277-9536(02)00125-9.CrossRef

Borowsky, I. W., Widome, R., & Resnick, M. D. (2008). Young people and violence. International Encyclopedia of Public Health, 6, 675–684.CrossRef

Botvin, G. J., & Griffi, K. W. (2014). Toward the development of preventive interventions to reduce HRSB, HIV/AIDS, and multiple problem behaviors. Prevention Science, 15(Suppl 1), S81–S83. doi:10.1007/s11121-014-0461-7.CrossRefPubMed

Boxer, P., Goldstein, S. E., DeLorenzo, T., Savoy, S., & Mercadoa, I. (2011). Educational aspiration-expectation discrepancies: Relation to socioeconomic and academic risk-related factors. Journal of Adolescence, 34, 609–617. doi:10.1016/j.adolescence.2010.10.002.CrossRefPubMed

Bryan, A., Rocheleau, C. A., Robbins, R. N., & Hutchinson, K. E. (2005). Condom use among high-risk adolescents: Testing the influence of alcohol use on the relationship of cognitive correlates of behavior. Health Psychology, 24, 133–142. doi:10.1037/0278-6133.24.2.133.CrossRefPubMedCentralPubMed

Buhs, E. S. (2005). Peer rejection, negative peer treatment, and school adjustment: Self-concept and classroom engagement as mediating processes. Journal of School Psychology, 43, 407–424. doi:10.1016/j.jsp.2005.09.001.CrossRef

Canty-Mitchell, J., & Zimet, G. D. (2000). Psychometric properties of the multidimensional scale of perceived social support in urban adolescents. American Journal of Community Psychology, 28, 391–400. doi:10.1023/A:1005109522457.CrossRefPubMed

Cluver, L., Operario, D., Lane, T., & Kganakga, M. (2012). “I can’t go to school and leave her in so much pain” : Educational shortfalls among adolescent ‘young carers’ in the South African AIDS epidemic. Journal of Adolescent Research, 27, 581–605. doi:10.1177/0743558411417868.CrossRef

Crean, H. F. (2004). Social support, conflict, major life stressors, and adaptive coping strategies in Latino middle school students: An integrative model. Journal of Adolescent Research, 19, 657–676. doi:10.1177/0743558403260018.CrossRef

Earls, F., Raviola, G. J., & Carlson, M. (2008). Promoting child and adolescent mental health in the context of the HIV/AIDS pandemic with a focus on sub-Saharan Africa. Journal of Child Psychology and Psychiatry, 49, 295–312. doi:10.1111/j.1469-7610.2007.01864.x.CrossRefPubMed

Fang, X., Li, X., Stanton, B., Hong, Y., Zhang, L., Zhao, G., et al. (2009). Parental HIV/AIDS and psychosocial adjustment among rural Chinese children. Journal of Pediatric Psychology, 34, 1053–1062. doi:10.1093/jpepsy/jsp006.CrossRefPubMedCentralPubMed

Ghazarian, S. R., & Roche, K. M. (2010). Social support and low-income, urban mothers: Longitudinal associations with adolescent delinquency. Journal of Youth and Adolescence, 39, 1097–1108. doi:10.1007/s10964-010-9544-3.CrossRefPubMed

Granot, D., & Mayseles, O. (2001). Attachment security and adjustment to school in middle childhood. International Journal of Behavioral Development, 25, 530. doi:10.1080/01650250042000366.CrossRef

Guo, Y., Li, X., & Sherr, L. (2012). The impact of HIV/AIDS on children’s educational outcome: A critical review of global literature. AIDS Care, 24, 993–1012. doi:10.1080/09540121.2012.668170.CrossRefPubMed

Hatcher, L. (Ed.). (2005). A step-by-step approach to using the SAS system for factor analysis and structural equation modeling (p. 141e198). Cary, NC: SAS Institute Inc.

He, Z., & Ji, C. (2007). Nutritional status, psychological well-being and the quality of life of Children orphaned by AIDS in rural Henan Province, China. Tropical Medicine & International Health, 12, 1180–1190. doi:10.1111/j.1365-3156.2007.01900.x.CrossRef

Hightower, A. D., Cowen, E. L., Spinell, A. P., Lotyczewski, B. S., Guare, J. C., Rohrbeck, C. A., & Brown, L. P. (1987). The Child Rating Scale: The development of a socioemotional self-rating scale for elementary school children. School Psychology Review, 16, 239–255.

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118.CrossRef

Jessor, R., Turbin, M. S., Costa, F. M., Dong, Q., Zhang, H., & Wang, C. (2003). Adolescent problem behavior in China and the United States: A cross-national study of psychosocial protective factors. Journal of Research on Adolescence, 13, 329–360. doi:10.1111/1532-7795.1303004.CrossRef

Kumpfer, K. L., & Turner, C. W. (1990). The social ecology model of adolescent substance abuse: Implications for prevention. Substance Use and Misuse, 25, 435–463. doi:10.3109/10826089009105124.CrossRef

Lee, S. J., Detels, R., Rotheram-Borus, J. M., & Duan, N. (2007). The effect of social support on mental and behavioral outcomes among adolescents with parents with HIV/AIDS. American Journal of Public Health, 97, 1820–1826. doi:10.2105/AJPH.2005.084871.CrossRefPubMedCentralPubMed

Li, X., Barnett, D., Fang, X., Lin, X., Zhao, G., Zhao, J., et al. (2009). Lifetime incidences of traumatic events and mental health among children affected by HIV/AIDS in rural China. Journal of Clinical Child & Adolescent Psychology, 38, 731–744. doi:10.1080/15374410903103601.CrossRef

Li, L., Liang, L. J., Lin, C., Wu, Z., Rotheram-Borus, M. J., & the NIMH Collaborative HIV/STD Prevention Trial Group. (2010). HIV prevention intervention to reduce HIV-related stigma: Evidence from China. AIDS, 24, 115–122. doi:10.1097/QAD.0b013e3283313e83.CrossRefPubMedCentralPubMed

Lin, X., Zhao, G., Li, X., Stanton, B., Zhang, L., Hong, Y., et al. (2010). Perceived HIV stigma among children in a high HIV-prevalence area in central China: Beyond the parental HIV-related illness and death. AIDS Care, 15, 1–11. doi:10.1080/09540120903253999.

Lösel, F., & Farrington, D. P. (2012). Direct protective and buffering protective factors in the development of youth violence. American Journal of Preventive Medicine, 43(2S1), S8–S23. doi:10.1016/j.amepre.2012.04.029.CrossRefPubMed

MacNeil, G., Stewart, J. C., & Kaufman, A. V. (2000). Social support as a potential moderator of adolescent delinquent behaviors. Child and Adolescent Social Work Journal, 17, 361–379. doi:10.1023/A:1007555014397.CrossRef

Mangoma, J., Chimbari, C., & Dhlomo, E. (2008). An enumeration of orphans and analysis of the problems and wishes of orphans: The case of Kariba, Zimbabwe. Journal of Social Aspects of HIV/AIDS Research Alliance, 5, 120–128.CrossRefPubMed

McConnell, D., Breitkreuz, R., & Savage, A. (2011). From financial hardship to child difficulties: Main and moderating effects of perceived social support. Child: Care Health and Development, 37, 679–691. doi:10.1111/j.1365-2214.2010.01185.x.

Monasch, R., & Boerma, J. (2004). Orphanhood and childcare patterns in sub-Saharan Africa: An analysis of national surveys from 40 countries. AIDS, 18(Suppl. 2), S55–S65.CrossRefPubMed

Murphy, D. A., Austin, E. L., & Greenwell, L. (2007). Correlates of HIV-related stigma among HIV-positive mothers and their uninfected adolescent children. Women and Health, 44(3), 19–42. doi:10.1300/J013v44n03_02.CrossRef

Murphy, D. A., Marelichb, W. D., Armisteadc, L., Herbecka, D. M., & Paynea, D. L. (2010). Anxiety/stress among mothers living with HIV: Effects on parenting skills and child outcomes. AIDS Care, 22(12), 144–145. doi:10.1080/09540121.2010.487085.CrossRef

Office of Juvenile Justice and Delinquency Prevention. (1995). Guide for implementing a comprehensive strategy for serious, violent, and chronic juvenile offenders. Washington, DC: U.S. Department of Justice.

Robbins, R. N., & Bryan, A. (2004). Relationships between future orientation, impulsive sensation seeking, and risk behavior among adjudicated adolescents. Journal of Adolescent Research, 19, 428–445. doi:10.1177/0743558403258860.CrossRefPubMedCentralPubMed

Ssewamala, F., Alicea, S., Bannon, W., & Ismayilova, L. (2008). A novel economic intervention to reduce HIV risks among school-going AIDS-orphaned children in rural Uganda. Journal of Adolescent Health, 42, 102–104. doi:10.1016/j.jadohealth.2007.08.011.CrossRefPubMedCentralPubMed

Stangl, A. L., Lloyd, J. K., Brady, L. M., Holland, C. E., & Baral, S. (2013). A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: How far have we come? Journal of the International AIDS Society. doi:10.7448/IAS.16.3.18734.

Stoddard, S. A., Zimmerman, M. A., & Bauermeister, J. A. (2011). Thinking about the future as a way to succeed in the present: A longitudinal study of future orientation and violent behaviors among African American youth. American Journal of Community Psychology, 48, 238–246. doi:10.1007/s10464-010-9383-0.CrossRefPubMedCentralPubMed

Surkan, P. J., Mukherjee, J. S., Williams, D. R., Eustache, E., Louis, E., Jean-Paul, T., et al. (2010). Perceived discrimination and stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in central Haiti. AIDS Care, 22, 803–815. doi:10.1080/09540120903443392.CrossRefPubMedCentralPubMed

Tadesse, A. W., Tsehay, Y. B., Belaineh, B. G., & Alemu, Y. B. (2012). Behavioral and emotional problems among children aged 6–14 years on highly active antiretroviral therapy in Addis Ababa: A cross-sectional study. AIDS Care, 24(11), 1359–1367. doi:10.1080/09540121.2011.650677.CrossRefPubMed

Tu, X., Lv, Y., Li, X., Fang, X., Zhao, G., Lin, X., et al. (2009). School performance and school behaviour of children affected by acquired immune deficiency syndrome (AIDS) in China. Vulnerable Children and Youth Studies: An International Interdisciplinary Journal for Research, Policy and Care, 4, 199–209. doi:10.1080/17450120902814420.CrossRef

UNAIDS, UNICEF, & USAID. (2004). Children on the Brink, a joint report of new orphan estimates and a framework for action. New York: UNAIDS, UNICEF, and USAID.

UNICEF. (2009). Children and AIDS: Second stocktaking report. Geneva: UNAIDS, UNICEF, WHO.

Walsh, S. D., Harel-Fisch, Y., & Fogel-Grinvald, H. (2010). Parents, teachers and peer relations as predictors of risk behaviors and mental well-being among immigrant and Israeli born adolescents. Social Science & Medicine, 70, 976–984. doi:10.1016/j.socscimed.2009.12.010.CrossRef

Whitaker, D. J., Miller, K. S., & Clark, L. F. (2000). Reconceptualizing adolescent sexual behavior: beyond did they or didn’t they? Family Planning Perspectives, 32, 111–117. http://www.jstor.org/stable/2648159.

Wolitski, R. J., Pals, S. L., Kidder, D. P., Courtenay, C., & Holtgrave, D. R. (2009). The effects of HIV stigma on health, disclosure of HIV status, and risk behavior of homeless and unstably housed persons living with HIV. AIDS and Behavior, 13, 1222–1232. doi:10.1007/s10461-008-9455-4.CrossRefPubMed

Titel: Correlates and Mediators of Problem Behaviors Among Children Affected by HIV/AIDS in Rural China: A Structural Equation Modeling Analysis
Auteurs: Qun Zhao
Xiaoming Li
Chunyan Gu
Junfeng Zhao
Guoxiang Zhao
Publicatiedatum: 21-12-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 10/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-014-0093-3

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