| Titre : | AIDS in the family and community : The impact on child health in Malawi. (2010) |
| Auteurs : | KIDMAN (Rachel) : USA. Tulane School of Public Health and Tropical Medicine. ; FOSTER (Geoff) : ZWE. Family Aids Caring Trusts. ; James-A HANLEY ; Jody HEYMANN ; SUBRAMANIAN (S.V.) : USA. Harvard School of Public Health. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 71, n° 5, 2010) |
| Pagination : | 966-974 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Famille ; Santé communautaire ; Enfant ; Malawi ; Virose ; Infection ; Homme ; Afrique ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 78R0xDtC. Diffusion soumise à autorisation]. Pediatric HIV infections jeopardize children's health and survival. Much less is known about how the experiences of being orphaned, living with chronically ill parents, or living in a severely affected community impact child health. Our study responds by examining which HIV/AIDS-related experiences place children at greatest risk for poor health. Data from the 2004-2005 Malawi Integrated Household Survey were analyzed using logistic multilevel modeling to examine whether HIV/AIDS-related experiences within the family and community predicted reported health status among children age 6-17 years. We found higher burdens of acute and chronic morbidity for children whose parents have an AIDS-related illness. No other AIDS-related exposure, including orphanhood and recent household deaths, demonstrated a clear relationship with health status. Children living with sick parents may be at increased risk due to the spread of infectious disease and receiving limited adult care. Community home-based care programs are best situated to identify children in these difficult circumstances and to mitigate their disadvantage. |
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