title: Social ecological factors associated with future orientation of children affected by parental HIV infection and AIDS.
abstract: From a social ecological perspective, this study examined the effects of stigma (societal level), trusting relationships with current caregivers (familial level), and self-esteem (individual level) on future orientation of children affected by HIV infection and AIDS. Comparing self-report data from 1221 children affected by parental HIV infection and AIDS and 404 unaffected children, affected children reported greater stigma and lower future orientation, trusting relationships, and self-esteem. Based on structural equation modeling, stigma experiences, trusting relationships, and self-esteem had direct effects on future orientation, with self-esteem and trusting relationships partially mediating the effect of stigma experiences on children's future orientation. Implications are discussed.
authors.affiliation: Beijing Normal University, China.
authors.forename: Xiuyun
authors.initials: X
authors.lastname: Lin
authors.affiliation: Beijing Normal University, China Tianjin Normal University, China fangxy@bnu.edu.cn.
authors.forename: Xiaoyi
authors.initials: X
authors.lastname: Fang
authors.affiliation: University of Macau, China.
authors.forename: Peilian
authors.initials: P
authors.lastname: Chi
authors.affiliation: Brigham Young University, USA.
authors.forename: Melissa Allen
authors.initials: MA
authors.lastname: Heath
authors.affiliation: Wayne State University School of Medicine, USA.
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.affiliation: New York University, USA.
authors.forename: Wenrui
authors.initials: W
authors.lastname: Chen
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology; D000293:Adolescent; D017028:Caregivers; D016022:Case-Control Studies; D002648:Child; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009042:Motivation; D010287:Parent-Child Relations; D010290:Parents; D055500:Resilience, Psychological; D012649:Self Concept; D057566:Self Report; D057545:Social Stigma; D035502:Trust
keywords: children affected by HIV infection and AIDS; future orientation; self-esteem; stigma experiences; trusting relationships