The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa

Using longitudinal data from three demographic surveillance systems (DSS) and a retrospective cohort study, we estimate levels and trends in the prevalence and incidence of orphanhood in South Africa, Tanzania, and Malawi in the period 1988-2004. The prevalence of maternal, paternal, and double orph...

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Veröffentlicht in:Population studies 2007-11, Vol.61 (3), p.327-336
Hauptverfasser: Hosegood, Victoria, Floyd, Sian, Marston, Milly, Hill, Caterina, McGrath, Nuala, Isingo, Raphael, Crampin, Amelia, Zaba, Basia
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container_end_page 336
container_issue 3
container_start_page 327
container_title Population studies
container_volume 61
creator Hosegood, Victoria
Floyd, Sian
Marston, Milly
Hill, Caterina
McGrath, Nuala
Isingo, Raphael
Crampin, Amelia
Zaba, Basia
description Using longitudinal data from three demographic surveillance systems (DSS) and a retrospective cohort study, we estimate levels and trends in the prevalence and incidence of orphanhood in South Africa, Tanzania, and Malawi in the period 1988-2004. The prevalence of maternal, paternal, and double orphans rose in all three populations. In South Africa-where the HIV epidemic started later, has been very severe, and has not yet stabilized-the incidence of orphanhood among children is double that of the other populations. The living arrangements of children vary considerably between the populations, particularly in relation to fathers. Patterns of marriage, migration, and adult mortality influence the living and care arrangements of orphans and non-orphans. DSS data provide new insights into the impact of adult mortality on children, challenging several widely held assumptions. For example, we find no evidence that the prevalence of child-headed households is significant or has increased in the three study areas.
doi_str_mv 10.1080/00324720701524292
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subjects Acquired Immune Deficiency Syndrome
Adolescent
Adult
Africa
AIDS
Child
Child Welfare
Child, Orphaned
Children
Children & youth
Demography
Epidemics
Family
Family Characteristics
Family structure
Fathers
Female
Health
Health Surveys
HIV
HIV Infections - epidemiology
HIV Infections - mortality
Human immunodeficiency virus
Humans
Incidence
Living arrangements
Living conditions
Longitudinal studies
Malawi
Malawi - epidemiology
Male
Middle Aged
Mortality
Mothers
Orphans
Parents
Predation
Prevalence
Prospective Studies
Research Note
Residence Characteristics
Risk Factors
Social organization
South Africa
South Africa - epidemiology
sub-Saharan Africa
Tanzania
Tanzania - epidemiology
title The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa
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