Skip to main content

Advertisement

Log in

Perceived Social Support and Psychosocial Distress Among Children Affected by AIDS in China

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

The psychosocial wellbeing of the children affected by Acquired Immune Deficiency Syndrome (AIDS) receives growing international attention. However, limited data in this area are available in China, which hosts an estimate of 100,000 AIDS-orphaned children. The study aims to examine the relationship between perceived social support (PSS) and psychosocial wellbeing among children affected by AIDS. A cross-sectional survey was administered to 1,625 children (aged 6–18 years) in Henan Province, an area with a large number of HIV cases due to unhygienic commercial blood/plasma collection. Our sample included 296 double orphans (i.e., children who lost both parents to AIDS), 459 single orphans (children who lost one parent to AIDS), 466 vulnerable children (children living with HIV-infected parents) and 404 comparison children (children who did not experience HIV-related illness and death in family). Data suggest that vulnerable children reported the lowest level of PSS compared to AIDS orphans and comparison children. Level of PSS was significantly and positively associated with psychosocial wellbeing even after controlling for potential confounders. The study underscores the importance of providing social support and mental health services for children affected by AIDS in China.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Agence France Presse. (2004). China agrees to 1st official orphanage for AIDS children. Retrieved March 17, 2005, from http://www.aegis.com/NEWS/AFP/2004/AF040661.html.

  • Allgower, A., Wardle, J., & Steptoe, A. (2001). Depressive symptoms, social support, and personal health behaviors in young men and women. Health Psychology, 20, 223–227. doi:10.1037/0278-6133.20.3.223.

    Article  CAS  PubMed  Google Scholar 

  • Asher, S. R., Hymel, S., & Renshaw, P. D. (1984). Loneliness in children. Child Development, 55, 1456–1464. doi:10.2307/1130015.

    Article  Google Scholar 

  • Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance, and mortality: a 9 year follows up of Almeda county residents. American Journal of Epidemiology, 109, 186–204.

    CAS  PubMed  Google Scholar 

  • Bryan, A., Rocheleau, C. A., Robbins, R. N., & Hutchison, K. E. (2005). Condom use among high-risk adolescents: Testing the influence of alcohol use on the relationship of cognitive correlates of behavior. Health Psychology, 24, 133–142. doi:10.1037/0278-6133.24.2.133.

    Article  PubMed  Google Scholar 

  • Callaghan, P., & Morrissey, J. (1993). Social support and health: A review. Journal of Advanced Nursing, 18, 203–210. doi:10.1046/j.1365-2648.1993.18020203.x.

    Article  CAS  PubMed  Google Scholar 

  • Canty-Mitchell, J., & Zimet, G. D. (2000). Psychometric properties of the multidimensional scale of perceived social support in urban adolescents. American Journal of Community Psychology, 28, 391–400. doi:10.1023/A:1005109522457.

    Article  CAS  PubMed  Google Scholar 

  • China Ministry of Health (CMOH) & World Health Organization (WHO). (2007). A joint assessment of HIV/AIDS prevention, treatment and care in China. Beijing: State Council AIDS Committee Office. Available from http://www.chinaids.org.cn/n435777/n443716/appendix/Joint_Assessment_EN.pdf.

  • Cicchetti, D., & Curtis, W. J. (2007). Multilevel perspectives on pathways to resilient functioning. Development and Psychopathology, 19, 627–629. doi:10.1017/S0954579407000314.

    Article  PubMed  Google Scholar 

  • Cluver, L., & Gardner, F. (2007). The mental health of children orphaned by AIDS: A review of international and southern African research. Journal of Child and Adolescent Mental Health, 19, 1–17.

    Google Scholar 

  • Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38, 300–314.

    CAS  PubMed  Google Scholar 

  • Decker, C. L. (2007). Social support and adolescent cancer survivors: A review of the literature. Psycho-Oncology, 16, 1–11. doi:10.1002/pon.1073.

    Article  PubMed  Google Scholar 

  • Durkheim, E. (1951). Suicide. New York, NY: Free Press.

    Google Scholar 

  • Fang, X., Li, X., Stanton, B., Hong, Y., Zhang, L., Zhao, G., et al. (2009). Parental HIV/AIDS and psychosocial adjustment among rural Chinese children. Journal of Pediatric Psychology (in press).

  • Fendrich, M., Weissman, M. M., & Warner, V. (1990). Screening for depressive disorder in children and adolescents: Validating the center for epidemiologic studies depression scale for children. American Journal of Epidemiology, 131, 538–551.

    CAS  PubMed  Google Scholar 

  • Fettes, D. L. (2003). Foster youth: Exploring the self-esteem of kids on the margin. Paper presented at the annual meeting of the American Sociological Association, Atlanta Hilton Hotel, Atlanta, GA, August 16, 2003. Retrieved January 07, 2009, from http://www.allacademic.com/meta/p106527_index.html.

  • Greenwood, D. C., Muir, K. R., Packham, C. J., & Madeley, R. J. (1996). Coronary heart disease: A review of the role of psychosocial stress and social support. Journal of Public Health Medicine, 18, 221–231.

    CAS  PubMed  Google Scholar 

  • Haber, M. G., Cohen, J. L., Lucas, T., & Baltes, B. B. (2007). The relationship between self-reported received and perceived social support: A meta-analytic review. American Journal of Community Psychology, 39, 133–144. doi:10.1007/s10464-007-9100-9.

    Article  PubMed  Google Scholar 

  • Hightower, A. D. (1987). The child rating scale: The development of a socioemotional self-rating scale for elementary school children. School Psychology Review, 16, 239–255.

    Google Scholar 

  • Ji, G., Li, L., Lin, C., & Sun, S. (2007). The impact of HIV/AIDS on families and children—a study in China. AIDS (London, England), 21, S157–S161. doi:10.1097/01.aids.0000304712.87164.42.

    Google Scholar 

  • Kim, J. (2006). Parental divorce, social support, and adult health. Paper presented at the annual meeting of the American Sociological Association, Montreal, Quebec, Canada, August 11, 2006. Retrieved December 11, 2008, from http://www.allacademic.com/meta/p102986_index.html.

  • Lee, S., Detels, R., Rotheram-Borus, M. J., & Duan, N. (2007). The effect of social support on mental and behavioral outcomes among adolescents with parents with HIV/AIDS. AJPH, 97, 1820–1826. doi:10.2105/AJPH.2005.084871.

    Article  Google Scholar 

  • Li, X., Naar-King, S., Barnett, D., Stanton, B., Fang, X., & Thurston, C. (2008). A developmental psychopathology framework of the psychosocial needs of children orphaned by HIV/AIDS. The Journal of the Association of Nurses in AIDS Care, 19, 147–157. doi:10.1016/j.jana.2007.08.004.

    Article  CAS  PubMed  Google Scholar 

  • Lusting, J. L., Wolchik, S. A., & Braver, S. L. (1992). Social support in chumships and adjustment in children of divorce. American Journal of Community Psychology, 20(3), 393–399. doi:10.1007/BF00937916.

    Article  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Shumaker, S. A., & Brownell, A. (1984). Toward a theory of social support: Closing conceptual gaps. The Journal of Social Issues, 40, 11–36.

    Article  Google Scholar 

  • Tietjen, A. (1994). Supportive interactions in cultural context. In F. Nestmann & K. Hurrelmann (Eds.), Social networks and social support in childhood and adolescence (pp. 395–407). Berlin: Walter de Gruyter.

    Google Scholar 

  • Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29, 377–387. doi:10.1007/s10865-006-9056-5.

    Article  PubMed  Google Scholar 

  • UNICEF. (2004). Children on the Brink 2004: A joint report of new orphan estimates and a framework for action. New York: UNICEF.

    Google Scholar 

  • Vaux, A. (1985). Social support: Theory, research, and intervention. New York, NY: Praeger.

    Google Scholar 

  • Wang, X. (1993). Rating scales for mental health (Chinese Journal of Mental Health Supplement). Beijing: Chinese Association of Mental Health.

    Google Scholar 

  • Wellman, B., & Wortley, S. (1989). Brothers’ keepers: Situating kinship relations in broader networks of social support. Sociological Perspectives, 32, 273–306.

    Google Scholar 

  • Wellman, B., & Wortley, S. (1990). Different strokes from different folks: Community ties and social support. American Journal of Sociology, 96, 558–588. doi:10.1086/229572.

    Article  Google Scholar 

  • Whitkaer, D. J., Miller, K. S., & Clark, L. F. (2000). Reconceptualizing adolescent sexual behavior: Beyond did they or didn’t they? Family Planning Perspectives, 32(3), 111–117. doi:10.2307/2648159.

    Article  Google Scholar 

  • Wolchik, S. A., Ruehlman, L. S., Braver, S. L., & Sandler, I. N. (1989). Social support of children of divorce: Direct and stress buffering effects. American Journal of Community Psychology, 17(4), 485–501. doi:10.1007/BF00931174.

    Article  CAS  PubMed  Google Scholar 

  • Woodgate, R. L. (1999). Social support in children with cancer: A review of the literature. Journal of Pediatric Oncology Nursing, 16, 201–213.

    CAS  PubMed  Google Scholar 

  • Zhao, G., Li, X., Fang, X., Zhao, J., Yang, H., & Stanton, B. (2007). Care arrangement, grief, and psychological problems among children orphaned by AIDS in China. AIDS Care, 19, 1075–1082. doi:10.1080/09540120701335220.

    Article  CAS  PubMed  Google Scholar 

  • Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41. doi:10.1207/s15327752jpa5201_2.

    Article  Google Scholar 

  • Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 55, 610–617. doi:10.1207/s15327752jpa5503&4_17.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was sponsored by the National Institute of Mental Health and National Institute of Nursing Research (R01MH76488). The content is solely responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health and National Institute of Nursing Research. The authors wish to thank other members of the investigation team including Douglas Barnett, Ph.D., Yunfei Lv, Ph.D., Kathryn Meert, M.D., Sylvie Naar-King, Ph.D., and Bonita Stanton, M.D.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yan Hong.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hong, Y., Li, X., Fang, X. et al. Perceived Social Support and Psychosocial Distress Among Children Affected by AIDS in China. Community Ment Health J 46, 33–43 (2010). https://doi.org/10.1007/s10597-009-9201-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-009-9201-z

Keywords

Navigation