Poverty, AIDS and child health: identifying highest-risk children in South Africa

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dc.date.accessioned 2017-09-19 en
dc.date.accessioned 2020-02-19T13:32:11Z
dc.date.available 2020-02-19T13:32:11Z
dc.date.issued 2017-09-19 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/11219
dc.description.abstract Identifying children at the highest risk of negative health effects is a prerequisite to effective public health policies in Southern Africa. A central ongoing debate is whether poverty, orphanhood or parental AIDS most reliably indicates child health risks. Attempts to address this key question have been constrained by a lack of data allowing distinction of AIDS-specific parental death or morbidity from other causes of orphanhood and chronic illness. The objective of this study was to examine whether household poverty, orphanhood and parental illness (by AIDS or other causes) independently or interactively predict child health, developmental and HIV-infection risks. We interviewed 6 002 children aged 10 - 17 years in 2009 - 2011, using stratified random sampling in six urban and rural sites across three South African provinces. Outcomes were child mental health risks, educational risks and HIV-infection risks. Regression models that controlled for socio-demographic co-factors tested potential impacts and interactions of poverty, AIDS-specific and other orphanhood and parental illness status. Household poverty independently predicted child mental health and educational risks, AIDS orphanhood independently predicted mental health risks and parental AIDS illness independently predicted mental health, educational and HIV-infection risks. Interaction effects of poverty with AIDS orphanhood and parental AIDS illness were found across all outcomes. No effects, or interactions with poverty, were shown by AIDS-unrelated orphanhood or parental illness. The identification of children at highest risk requires recognition and measurement of both poverty and parental AIDS. This study shows negative impacts of poverty and AIDS-specific vulnerabilities distinct from orphanhood and adult illness more generally. Additionally, effects of interaction between family AIDS and poverty suggest that, where these co-exist, children are at highest risk of all. en
dc.format.medium Print en
dc.subject POVERTY en
dc.subject CHILDREN en
dc.subject CHILD WELL-BEING en
dc.subject HIV/AIDS en
dc.title Poverty, AIDS and child health: identifying highest-risk children in South Africa en
dc.type Journal articles - non-HSRC staff en
dc.description.version Y en
dc.ProjectNumber TAAMAA en
dc.Volume 103(12) en
dc.BudgetYear 2013/14 en
dc.ResearchGroup Service Delivery, Democracy and Governance en
dc.SourceTitle South African Medical Journal en
dc.ArchiveNumber 9959 en
dc.PageNumber 910-915 en
dc.outputnumber 8871 en
dc.bibliographictitle Cluver, L., Boyes, M., Orkin, M. & Sherr, L. (2013) Poverty, AIDS and child health: identifying highest-risk children in South Africa. South African Medical Journal. 103(12):910-915. en
dc.publicationyear 2013 en
dc.contributor.author1 Cluver, L. en
dc.contributor.author2 Boyes, M. en
dc.contributor.author3 Orkin, M. en
dc.contributor.author4 Sherr, L. en

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