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首页> 外文期刊>AIDS care. >Health of adults caring for orphaned children in an HIV-endemic community in South Africa.
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Health of adults caring for orphaned children in an HIV-endemic community in South Africa.

机译：南非一个艾滋病毒流行社区中照顾孤儿的成年人的健康状况。

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In South Africa, an estimated 2.5 million children have been orphaned by AIDS and other causes of adult mortality. Although there is a growing body of research on the well-being of South African orphaned children, few research studies have examined the health of adult individuals caring for children in HIV-endemic communities. The cross-sectional survey assessed prevalence of general health and functioning (based on Short-Form 36 version 2 scale), depression (based on Center for Epidemiologic Studies-Depression scale), anxiety (using Kessler-10 scale), and post-traumatic stress (using the Harvard Trauma Questionnaire) among a representative community sample of adults caring for children in Umlazi Township, an HIV-endemic community in South Africa. Of 1599 respondents, 33% (n=530) were carers of orphaned children. Results showed that, overall, carers reported poor general health and functioning and elevated levels of depression, anxiety, and post-traumatic stress. Carers of orphaned children reported significantly poorer general health and functioning and higher rates of depression and post-traumatic stress compared with carers of non-orphaned children. In multivariate analyses, orphan carer and non-orphan carer differences in general health were accounted for by age, gender, education, economic assets, and source of income, but differences in depression were independent of these cofactors. Interventions are needed to address physical and mental health of carers in general. Greater health problems among orphan carers appeared to be fully explained by socioeconomic characteristics, which offer opportunities for targeting of programs. More research is needed to understand determinants of mental health disparities among orphan carers, which were not explained by socioeconomic characteristics.
机译：在南非，估计有250万儿童因艾滋病和其他成年死亡率而成为孤儿。尽管有关南非孤儿幸福的研究越来越多，但很少有研究研究过艾滋病毒流行社区中照顾儿童的成年人的健康状况。横断面调查评估了总体健康和功能的患病率（基于简短表格36第2版量表），抑郁症（基于流行病学研究中心的抑郁量表），焦虑症（使用Kessler-10量表）和创伤后患病率南非艾滋病毒流行社区乌姆拉齐镇（Umlazi Township）有代表性的成年人照看儿童的社区样本（使用哈佛创伤问卷）。在1599名受访者中，有33％（n = 530）是孤儿的照顾者。结果表明，总体而言，护理人员报告其总体健康状况和功能不佳，抑郁，焦虑和创伤后应激水平升高。与非孤儿的照护者相比，孤儿的照护者报告说其总体健康和功能明显较差，抑郁和创伤后压力的发生率更高。在多变量分析中，按年龄，性别，教育程度，经济资产和收入来源来说明孤儿照顾者和非孤儿照顾者在总体健康方面的差异，但抑郁症的差异与这些辅助因素无关。一般而言，需要采取干预措施来解决护理人员的身心健康问题。孤儿护理人员中更大的健康问题似乎可以通过社会经济特征得到充分解释，这为计划的目标提供了机会。需要更多的研究来了解孤儿护理人员中心理健康差异的决定因素，社会经济特征并未对此做出解释。

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