Behavior and psychological functioning of young children of HIV-positive mothers in South Africa

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dc.contributor.author Sipsma, Heather
dc.contributor.author Eloff, Irma F.
dc.contributor.author Makin, J.D. (Jennifer Dianne)
dc.contributor.author Finestone, Michelle
dc.contributor.author Ebersohn, L. (Liesel)
dc.contributor.author Visser, M.J. (Maretha Johanna)
dc.contributor.author Sikkema, Kathleen J.
dc.contributor.author Boeving Allen, Charmayne A.
dc.contributor.author Ferreira, Ronel
dc.contributor.author Forsyth, Brian William Cameron
dc.date.accessioned 2014-08-28T10:37:36Z
dc.date.available 2014-08-28T10:37:36Z
dc.date.issued 2013
dc.description.abstract Adults with HIV are living longer due to earlier diagnosis and increased access to antiretroviral medications. Therefore, fewer young children are being orphaned and instead, are being cared for by parents who know they are HIV positive, although they may be asymptomatic. Presently, it is unclear whether the psychological functioning of these young children is likely to be affected or, alternatively, whether it is only when a mother is ill, that children suffer adverse effects. We, thus, aimed to compare the behavior and psychological functioning of young children (aged 6 10 years) of HIV-positive and HIV-negative mothers. We also aimed to examine the association between HIV status disclosure and child outcomes. This study uses cross-sectional data from the baseline assessment of a randomized controlled trial conducted in Tshwane, South Africa. Participants (n 509) and their children were recruited from area health clinics. Among the 395 mothers with HIV, 42% reported symptoms of HIV disease. Multivariate linear regression models suggested that after adjusting for sociodemographic characteristics, children of HIV-positive mothers had significantly greater externalizing behaviors than children of HIV-negative mothers. Importantly, children whose mothers were symptomatic had greater internalizing and externalizing behaviors compared with children of HIV-negative mothers, but this was not true for children of asymptomatic mothers. Additionally, among children of HIV-positive mothers, those who had been told their mothers were sick compared with children who had been told nothing had less internalizing and externalizing behaviors and improved daily living skills. This study, therefore, provides evidence that maternal HIV disease can affect the behaviors of young children in South Africa but, importantly, only when the mothers are symptomatic from their disease. Furthermore, results suggest that disclosure of maternal illness but not HIV status was associated with improved behavior and psychological functioning among young children. en_US
dc.description.librarian hb2014 en_US
dc.description.sponsorship National Institute of Mental Health (Grant 5R01HD057834) en_US
dc.description.uri http://www.tandfonline.com/loi/caic20 en_US
dc.identifier.citation Heather Sipsma, Irma Eloff, Jennifer Makin, Michelle Finestone, Liesel Ebersohn, Maretha J. Visser,Kathleen J. Sikkema, Charmayne A. Boeving Allen, Ronél Ferreira & Brian Forsyth (2013) Behavior and psychological functioning of young children of HIV-positive mothers in South Africa, AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 25:6, 721-725, DOI:10.1080/09540121.2013.779627. en_US
dc.identifier.issn 0954-0121 (print)
dc.identifier.issn 1360-0451 (online)
dc.identifier.other 10.1080/09540121.2013.779627
dc.identifier.uri http://hdl.handle.net/2263/41824
dc.language.iso en en_US
dc.publisher Routledge en_US
dc.rights © 2013 Taylor and Francis. This is an electronic version of an article published in AIDS Care, vol. 25, no. 6, pp. 721-725, 2013. doi : 10.1080/09540121.2013.779627. AIDS Care is available online at : http://www.tandfonline.com/loi/caic20. en_US
dc.subject Maternal HIV en_US
dc.subject Child behavior en_US
dc.subject Psychological en_US
dc.subject Disclosure en_US
dc.subject Human immunodeficiency virus (HIV) en_US
dc.subject South Africa (SA) en_US
dc.title Behavior and psychological functioning of young children of HIV-positive mothers in South Africa en_US
dc.type Postprint Article en_US


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