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首页> 外文期刊>AIDS care. >Stigma, marginalization and psychosocial well-being of orphans in Rwanda: exploring the mediation role of social support
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Stigma, marginalization and psychosocial well-being of orphans in Rwanda: exploring the mediation role of social support

机译：卢旺达孤儿的污名化，边缘化和社会心理福祉：探索社会支持的调解作用

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摘要

Stigma and marginalization are one of the major challenges orphans face in their daily lives, particularly in developing countries, but little is known about their impacts on mental health. This study examines how orphan-related characteristics, stigma and marginalization are associated with psychosocial well-being. It further analyses the role of social support in mediating between stigma and marginalization and mental health, indicated by emotional well-being and mental distress. The participants in this study were 430 Rwandan orphans who were 10-25 years of age, and of whom 179 were females and 251 were males. Results showed that high levels of stigma and marginalization were associated with a lower level of emotional well-being and higher levels of mental distress. A mediation analysis indicated that low level of social support due to stigma and marginalization contributed significantly to low level of emotional well-being. Once stigma, marginalization and social support were fully accounted for, AIDS orphans exhibited higher levels of mental distress than those who were orphaned by genocide or other causes. Future interventions designed to reduce stigma and marginalization for orphans and actions that facilitate social support can significantly improve emotional well-being and reduce mental distress among orphans.
机译：污名化和边缘化是孤儿在日常生活中（尤其是在发展中国家）面临的主要挑战之一，但对他们对心理健康的影响知之甚少。这项研究探讨了与孤儿相关的特征，污名和边缘化与心理社会幸福感如何相关。它进一步分析了社会支持在调解耻辱感，边缘化和心理健康之间的作用，其表现为情感幸福感和精神困扰。这项研究的参与者是10至25岁的430名卢旺达孤儿，其中女性179名，男性251名。结果显示，较高的污名和边缘化与较低的情绪幸福感和较高的精神困扰有关。一项调解分析表明，由于污名和边缘化而导致的社会支持水平低下，导致情绪健康水平低下。一旦充分考虑了污名化，边缘化和社会支持，与孤儿种族灭绝或其他原因相比，艾滋病孤儿表现出更高的心理困扰。旨在减少对孤儿的污名化和边缘化的未来干预措施，以及有助于社会支持的行动，可以显着改善孤儿的情感幸福感并减少精神困扰。

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