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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Predicting long-term outcomes for children affected by HIV and AIDS: Perspectives from the scientific study of children's development
AIDS, Volume 28, No. SUPPL. 3, Year 2014
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Description
The immediate and short-term consequences of adult HIV for affected children are well documented. Little research has examined the long-term implications of childhood adversity stemming from caregiver HIV infection. Through overviews provided by experts in the field, together with an iterative process of consultation and refinement, we have extracted insights from the broader field of child development of relevance to predicting the long-term consequences to children affected by HIV and AIDS. We focus on what is known about the impact of adversities similar to those experienced by HIV-Affected children, and for which there is longitudinal evidence. Cautioning that findings are not directly transferable across children or contexts, we examine findings from the study of parental death, divorce, poor parental mental health, institutionalization, undernutrition, and exposure to violence. Regardless of the type of adversity, the majority of children manifest resilience and do not experience any long-term negative consequences. However, a significant minority do and these children experience not one, but multiple problems, which frequently endure over time in the absence of support and opportunities for recovery. As a result, they are highly likely to suffer numerous and enduring impacts. These insights suggest a new strategic approach to interventions for children affected by HIV and AIDS, one that effectively combines a universal lattice of protection with intensive intervention targeted to selected children and families. © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Authors & Co-Authors
Stein, Alan L.
United Kingdom, Oxford
University of Oxford
Desmond, Chris
South Africa, Pretoria
Human Sciences Research Council of South Africa
Garbarino, James
United States, Chicago
Loyola University Chicago
van IJzendoorn, Marinus H.
Netherlands, Leiden
Universiteit Leiden
Barbarin, Oscar A.
United States, New Orleans
Tulane University
Black, Maureen M.
United States, Baltimore
University of Maryland School of Medicine
Stein, Aryeh D.
United States, Atlanta
Emory University
Hillis, Susan D.
United States, Atlanta
National Center for Injury Prevention and Control
Kalichman, Seth Charles
United States, Storrs
University of Connecticut
Mercy, James A.
United States, Atlanta
National Center for Injury Prevention and Control
Bakermans-Kranenburg, Marian J.
Netherlands, Leiden
Universiteit Leiden
Rapa, Elizabeth
United Kingdom, Oxford
University of Oxford
Saul, Janet R.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Dobrova-Krol, Natasha A.
Netherlands, Leiden
Universiteit Leiden
Richter, Linda M.
South Africa, Pretoria
Human Sciences Research Council of South Africa
Statistics
Citations: 49
Authors: 15
Affiliations: 10
Identifiers
Doi:
10.1097/QAD.0000000000000328
e-ISSN:
14735571
Research Areas
Food Security
Infectious Diseases
Maternal And Child Health
Mental Health
Study Design
Randomised Control Trial
Cohort Study