Inverse association of natural mentoring relationship with distress mental health in children orphaned by AIDS

Onuoha, Francis N.; Munakata, Tsunetsugu
January 2010
BMC Psychiatry;2010, Vol. 10, Special section p1
Academic Journal
Background: The magnitude of the AIDS-orphaned children crisis in sub-Saharan Africa has so overstretched the resource of most families that the collapse of fostering in the sub-region seems imminent (UNICEF, 2003), fueling the need for a complementary/alternative care. This paper examines the probability of the natural mentoring care to ameliorate distress mental health in children orphaned by AIDS. Methods: 952 children, mean age about 14 years, from local community schools and child-care centers in Kampala (Uganda) and Mafikeng/Klerksdorp (South Africa) towns participated in the study. The design has AIDS-orphaned group (n = 373) and two control groups: Other-causes orphaned (n = 287) and non-orphaned (n = 290) children. We use measures of child abuse, depression, social discrimination, anxiety, parental/foster care, self-esteem, and social support to estimate mental health. Natural mentoring care is measured with the Ragins and McFarlin (1990) Mentor Role Instrument as adapted. Results: AIDS-orphaned children having a natural mentor showed significant decreased distress mental health factors. Similar evidence was not observed in the control groups. Also being in a natural mentoring relationship inversely related to distress mental health factors in the AIDS-orphaned group, in particular. AIDS-orphaned children who scored high mentoring relationship showed significant lowest distress mental health factors that did those who scored moderate and low mentoring relationship. Conclusions: Natural mentoring care seems more beneficial to ameliorate distress mental health in AIDS-orphaned children (many of whom are double-orphans, having no biological parents) than in children in the control groups.


Related Articles

  • Introduction to Special Section: Advancing Research on the Intersection of Families, Culture, and Health Outcomes. McQuaid, Elizabeth L.; Barakat, Lamia P. // Journal of Pediatric Psychology;Sep2012, Vol. 37 Issue 8, p827 

    An introduction is presented in which the editor discusses various reports within the issue on topics including the immigration status, acculturation and weight gain among Canadian youth, effects of living with parents with HIV, and evidence-based treatments for culturally diverse people.

  • The Growth of AIDS Orphans and Policy Solutions. Meier, Eileen // Pediatric Nursing;Jan/Feb2003, Vol. 29 Issue 1, p75 

    Focuses on the problem associated with the global epidemic of AIDS and the growth of AIDS orphans in several countries. Projections on the statistics of AIDS orphan by 2010; Population of AIDS orphan in Asia; Medical, social and economic effects for children whose parents have AIDS or have died...

  • Orphaned by AIDS: The children left behind. Berke, Alexandra // New York Amsterdam News;01/27/2000, Vol. 91 Issue 4, p18 

    Interviews children of parents who died of AIDS in the United States. Children's involvement with World AIDS Day; Role of the families in the recovery of orphaned children; Communities' support of AIDS patients and their families.

  • Commentary: Pediatric Psychology Research Informing Policy for AIDS-Affected Youth in Africa. Houck, Christopher D.; Hadley, Wendy // Journal of Pediatric Psychology;Sep2012, Vol. 37 Issue 8, p879 

    The article comments on two papers about the effect of HIV/AIDS on African children and adolescents. Topics discussed include challenges of orphans and children in dangerous living situations, the psychological impact on children having a parent sick with AIDS, and whether orphans have a greater...

  • IF PLAANTN BEN KNOW SEH 'IM NEK GWINE BRUK, 'IM NEBBA WOULDA SHOOT. Stone, Rosemarie // No Stone Unturned;2007, p78 

    A personal narrative is presented which explores the author's experience of dealing with the deteriorating health of her husband and his death due to AIDS, as well as taking her children to Baxter's Mountain in Jamaica.

  • Orphans of AIDS. Robinson, Simon // Time;12/13/1999, Vol. 154 Issue 24, p60 

    Focuses on children in Africa whose parents died of AIDS. Inquiries as to what the children need most in their lives; Statistics on AIDS orphans released by the Joint United Nations Program on HIV/AIDS; The bleak future which the orphans face.

  • HIV-Affected Children and Adolescents: What School Social Workers Should Know. Gilbert, Dorie J. // Children & Schools;Jul2001, Vol. 23 Issue 3, p135 

    Provides information on a study which provided an overview of issues that are facing HIV-affected children and adolescents. Findings on HIV-affected children and adolescents; Information on the stigma and disclosure issues of AIDS; Relevance of the findings to school social workers.

  • POINT/COUNTER. Cotton, Mark; Beckerman, Karen P. // Infectious Diseases in Children;May2010, Vol. 23 Issue 5, p11 

    The authors comments on using nevirapine to prevent transmission of HIV from mother to child.

  • We Don't Have AIDS, But We Suffer, Too. McKay, Kerrel // Newsweek;11/28/2005, Vol. 146 Issue 22, p14 

    This article looks at the struggles of the author as a Jamaican child caring for her father who was dying of AIDS. When she was nine, her mother informed her about her father's illness. Since her father lived alone, his care fell to her. She couldn't tell anyone for fear of ridicule. As her...


Other Topics