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Pathways to poor educational outcomes for HIV/AIDS-affected youth in South Africa

机译:南非受艾滋病毒/艾滋病影响的青年人获得不良教育成果的途径

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A recent systematic review of studies in the developing world has critically examined linkages from familial HIV/AIDS and associated factors such as poverty and child mental health to negative child educational outcomes. In line with several recommendations in the review, the current study modelled relationships between familial HIV/AIDS, poverty, child internalising problems, gender and four educational outcomes: non-enrolment at school, non-attendance, deficits in grade progression and concentration problems. Path analyses reveal no direct associations between familial HIV/AIDS and any of the educational outcomes. Instead, HIV/AIDS-orphanhood or caregiver HIV/AIDS-sickness impacted indirectly on educational outcomes via the poverty and internalising problems that they occasioned. This has implications for evidence-based policy inferences. For instance, by addressing such intervening variables generally, rather than by seeking to target families affected by HIV/AIDS, interventions could avoid exacerbating stigmatisation, while having a more direct and stronger impact on children's educational outcomes. This analytic approach also suggests that future research should seek to identify causal paths, and may include other intervening variables related to poverty (such as child housework and caring responsibilities) or to child mental health (such as stigma and abuse), that are linked to both familial HIV/AIDS and educational outcomes.
机译:最近对发展中国家的研究进行的系统综述,已严格审查了家族性HIV / AIDS和相关因素(如贫困和儿童心理健康)与不良儿童教育成果之间的联系。根据审查中的一些建议,当前的研究对家庭艾滋病毒/艾滋病,贫困,儿童内在化问题,性别与四个教育成果之间的关系进行了建模:四个方面的结果:入学率,就学率,入学率不足和集中注意力问题。路径分析显示,家族性HIV / AIDS与任何教育成果之间没有直接关联。取而代之的是,艾滋病毒/艾滋病孤儿或照料者艾滋病毒/艾滋病的病因贫困和内在化问题而间接影响了教育成果。这对基于证据的政策推断具有影响。例如,通过一般性地解决这些干预变量,而不是寻求针对受艾滋病毒/艾滋病影响的家庭,干预措施可以避免加剧污名化,同时对儿童的教育成果产生更直接和更强大的影响。这种分析方法还表明,未来的研究应寻求确定因果关系的途径,并可能包括与贫困(例如,孩子做家务和照料责任)或与儿童心理健康(例如污名和虐待)相关的其他干预变量,这些变量与家庭艾滋病毒/艾滋病和教育成果。

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