title: Depression symptoms among caregivers of children in HIV-affected families in rural China.
abstract: The objectives of this study were to examine symptoms of depression among caregivers of rural AIDS orphans (i.e., children who had lost one or both of their parents to HIV/AIDS) and vulnerable children (i.e., children who were living with HIV-infected alive parents), and to explore factors associated with the presence of symptoms of depression among caregivers. Cross-sectional data were collected from 160 adult caregivers (parents, relatives, or other adults) from a rural area in China where many residents were infected with HIV through unhygienic blood collection. The sample included 120 caregivers from households caring for AIDS orphans and vulnerable children (OVC) and 40 from households without OVC. The Center for Epidemiological Studies Depression Scale (CES-D) was used to assess the symptoms of depression among the caregivers. Multiple regression analysis was performed to assess the associations of depressive symptoms with various individual and family factors among caregivers. The mean score of CES-D for the entire sample was 19.18 (17.84 for men and 20.44 for women). The univariate analysis indicated that the score of CES-D was significantly higher among caregivers with lower education, fewer household items/assets, from families with adult or pediatric HIV infection. Controlling for age, gender, and caregivers' education, multiple regression analysis revealed significant associations between symptoms of depression and reduced family socioeconomic status (SES), adult or pediatric HIV infection in family. Our results indicated an elevated level of depression symptoms among caregivers of OVC and underscored the needs for psychological support and intervention for their caregivers, especially for those with lower family SES, from families with an adult or pediatric HIV infection.
authors.affiliation: Henan University, Kaifeng, China.
authors.forename: Yunfei
authors.initials: Y
authors.lastname: Lv
authors.forename: Qun
authors.initials: Q
authors.lastname: Zhao
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.forename: Bonita
authors.initials: B
authors.lastname: Stanton
authors.forename: Xiaoyi
authors.initials: X
authors.lastname: Fang
authors.forename: Xiuyun
authors.initials: X
authors.lastname: Lin
authors.forename: Guoxiang
authors.initials: G
authors.lastname: Zhao
authors.forename: Junfeng
authors.initials: J
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D017028:Caregivers / Q000523:psychology*; D054540:Child, Orphaned; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology*; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D012307:Risk Factors; D012424:Rural Population; D012959:Socioeconomic Factors; D035862:Vulnerable Populations
references.citation: Health Care Women Int. 2001 Apr-May;22(3):263-79
references.pmid: 11814072
references.citation: Science. 2004 Jun 4;304(5676):1438-9
references.pmid: 15178781
references.citation: AIDS. 2007 Dec;21 Suppl 8:S157-61
references.pmid: 18172385
references.citation: Am J Psychiatry. 1983 Jan;140(1):41-6
references.pmid: 6847983
references.citation: Public Health Nurs. 2004 Nov-Dec;21(6):533-40
references.pmid: 15566558
references.citation: Am J Psychiatry. 1980 Sep;137(9):1081-4
references.pmid: 7425160
references.citation: AIDS Behav. 2003 Mar;7(1):41-53
references.pmid: 14534389
references.citation: AIDS Care. 2006 May;18(4):302-10
references.pmid: 16809107
references.citation: Health Care Women Int. 2003 Jul;24(6):486-501
references.pmid: 12851169
references.citation: Health Care Women Int. 1998 Jan-Feb;19(1):23-36
references.pmid: 9479092
references.citation: Soc Sci Med. 2000 Sep;51(5):759-70
references.pmid: 10975235
references.citation: J Pediatr Nurs. 1996 Dec;11(6):347-58
references.pmid: 8991335
references.citation: AIDS Care. 2007 Oct;19(9):1075-82
references.pmid: 18058390
references.citation: AIDS Care. 2009 Mar;21(3):309-14
references.pmid: 18780191
references.citation: AIDS Care. 2009 Mar;21(3):261-70
references.pmid: 19280403
references.citation: J Am Med Womens Assoc (1972). 1998 Spring;53(2):65-71, 76
references.pmid: 9595898
references.citation: AIDS Care. 2004 Jan;16(1):11-9
references.pmid: 14660140
references.citation: Health Soc Work. 2004 May;29(2):127-36
references.pmid: 15156845
references.citation: J Pediatr Psychol. 2001 Sep;26(6):353-8
references.pmid: 11490036
references.citation: J Transcult Nurs. 2007 Oct;18(4):358-65
references.pmid: 17911576
references.citation: J Natl Med Assoc. 1997 Oct;89(10):684-8
references.pmid: 9347683
references.citation: AIDS Care. 2007 Aug;19(7):901-9
references.pmid: 17712694
references.citation: AIDS Patient Care STDS. 1999 Jan;13(1):47-56
references.pmid: 11362087
references.citation: J Assoc Nurses AIDS Care. 2008 May-Jun;19(3):200-10
references.pmid: 18457761
references.citation: Ethn Dis. 2002 Summer;12(3):421-8
references.pmid: 12148715
references.citation: JAMA. 2003 Jun 18;289(23):3095-105
references.pmid: 12813115
references.citation: Sex Health. 2007 Jun;4(2):99-104
references.pmid: 17524287
references.citation: AIDS Care. 2002 Oct;14(5):619-24
references.pmid: 12419111