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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Orphan status, HIV risk behavior, and mental health among adolescents in rural Kenya
Journal of Pediatric Psychology, Volume 37, No. 8, Year 2012
Notification
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Description
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. © 2011 The Author.
Authors & Co-Authors
Puffer, Eve S.
United States, Durham
Duke University
United States, Durham
Duke University School of Medicine
Drabkin, Anya S.
Unknown Affiliation
Stashko, Allison L.
United States, Durham
Duke University
Broverman, Sherryl A.
United States, Durham
Duke University
Ogwang-Odhiambo, Rose A.
Kenya, Njoro
Egerton University
Sikkema, Kathleen J.
United States, Durham
Duke University
Statistics
Citations: 64
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1093/jpepsy/jss077
ISSN:
01468693
e-ISSN:
1465735X
Research Areas
Infectious Diseases
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Kenya