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Journal of Pediatric Psychology Advance Access originally published online on February 10, 2009
Journal of Pediatric Psychology 2009 34(10):1053-1062; doi:10.1093/jpepsy/jsp006
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Parental HIV/AIDS and Psychosocial Adjustment among Rural Chinese Children

Xiaoyi Fang, PhD1, Xiaoming Li, PhD2, Bonita Stanton, MD2, Yan Hong, PhD3, Liying Zhang, PhD2, Guoxiang Zhao, PhD4, Junfeng Zhao, PhD4, Xiuyun Lin, PhD1 and Danhua Lin, PhD1

1Institute of Developmental Psychology, Beijing Normal University, 2Carman and Ann Adams Department of Pediatrics Prevention Research Center, Wayne State University School of Medicine, 3Department of Social and Behavioral Health, Texas A&M Health Science Center, and 4Department of Psychology, Henan University

All correspondence concerning this article should be addressed to Xiaoming Li, PhD, The Carman and Ann Adams Department of Pediatrics Prevention Research Center, Wayne State University School of Medicine, 4201 St. Antoine Street, UHC 6-D, Detroit, MI 48201, USA. E-mail: xiaoli{at}med.wayne.edu


  Abstract

Objective To assess the relationship between parental HIV/AIDS and psychosocial adjustment of children in rural central China. Methods Participants included 296 double AIDS orphans (children who had lost both their parents to AIDS), 459 single orphans (children who had lost one parent to AIDS), 466 vulnerable children who lived with HIV-infected parents, and 404 comparison children who did not experience HIV/AIDS-related illness and death in their families. The measures included depressive symptoms, loneliness, self-esteem, future expectations, hopefulness about the future, and perceived control over the future. Results AIDS orphans and vulnerable children consistently demonstrated poorer psychosocial adjustment than comparison children in the same community. The level of psychosocial adjustment was similar between single orphans and double orphans, but differed by care arrangement among double orphans. Conclusion The findings underscore the urgency and importance of culturally and developmentally appropriate intervention efforts targeting psychosocial problems among children affected by AIDS and call for more exploration of risk and resilience factors, both individual and contextual, affecting the psychosocial wellbeing of these children.

Key words: care arrangement; China; HIV/AIDS; orphans; psychosocial adjustment; vulnerable children.

Received July 2, 2008; revision received January 12, 2009; accepted January 13, 2009


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