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 |
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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. |
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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.</description><identifier>ISSN: 0032-4728</identifier><identifier>EISSN: 1477-4747</identifier><identifier>DOI: 10.1080/00324720701524292</identifier><identifier>PMID: 17979006</identifier><identifier>CODEN: POSTA4</identifier><language>eng</language><publisher>England: Taylor & Francis Group</publisher><subject>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</subject><ispartof>Population studies, 2007-11, Vol.61 (3), p.327-336</ispartof><rights>Copyright Population Investigation Committee 2007</rights><rights>Copyright 2007 Population Investigation Committee</rights><rights>Copyright Population Investigation Committee, London School of Economics and Political Science Nov 2007</rights><rights>2007 Victoria Hosegood, Sian Floyd, Milly Marston, Caterina Hill, Nuala McGrath, Raphael Isingo, Amelia Crampin and Basia Zaba 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c737t-49d238363b95fd044353f9b31f2e6fbc414923cdbbff0546cfa8cdd998bcf21c3</citedby><cites>FETCH-LOGICAL-c737t-49d238363b95fd044353f9b31f2e6fbc414923cdbbff0546cfa8cdd998bcf21c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27643432$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27643432$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27901,27902,33751,33752,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17979006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hosegood, Victoria</creatorcontrib><creatorcontrib>Floyd, Sian</creatorcontrib><creatorcontrib>Marston, Milly</creatorcontrib><creatorcontrib>Hill, Caterina</creatorcontrib><creatorcontrib>McGrath, Nuala</creatorcontrib><creatorcontrib>Isingo, Raphael</creatorcontrib><creatorcontrib>Crampin, Amelia</creatorcontrib><creatorcontrib>Zaba, Basia</creatorcontrib><title>The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa</title><title>Population studies</title><addtitle>Popul Stud (Camb)</addtitle><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.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Africa</subject><subject>AIDS</subject><subject>Child</subject><subject>Child Welfare</subject><subject>Child, Orphaned</subject><subject>Children</subject><subject>Children & youth</subject><subject>Demography</subject><subject>Epidemics</subject><subject>Family</subject><subject>Family Characteristics</subject><subject>Family structure</subject><subject>Fathers</subject><subject>Female</subject><subject>Health</subject><subject>Health Surveys</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - mortality</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Incidence</subject><subject>Living arrangements</subject><subject>Living conditions</subject><subject>Longitudinal studies</subject><subject>Malawi</subject><subject>Malawi - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Mothers</subject><subject>Orphans</subject><subject>Parents</subject><subject>Predation</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Research Note</subject><subject>Residence Characteristics</subject><subject>Risk Factors</subject><subject>Social organization</subject><subject>South Africa</subject><subject>South Africa - epidemiology</subject><subject>sub-Saharan Africa</subject><subject>Tanzania</subject><subject>Tanzania - epidemiology</subject><issn>0032-4728</issn><issn>1477-4747</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkl1rFDEYhQdR7Fr9AV4owQuvupqvSSYgQilqCxUvXL0NmUyykyWbbJOZre2vN-ss9aPgXiVwnnOS9-VU1XME3yDYwLcQEkw5hhyiGlMs8INqhijnc8opf1jNdnq54-aoepLzCkIoas4fV0eICy4gZLPqdtEbYKw1esggWtC7ZQ_OL76DTTJb5U3QBsQAYtr0KvQxdkCFDni3dWEJVEoqLM3ahMmse-e7ZAJwAXxWXl27E7BQ4VYFp05-Gb_GcejBqU1Oq6fVI6t8Ns_253H17eOHxdn5_PLLp4uz08u55oQPcyo6TBrCSCtq20FKSU2saAmy2DDbaoqowER3bWstrCnTVjW664RoWm0x0uS4ej_lbsZ2bTpdfpuUl5vk1irdyKic_FsJrpfLuJUYIwaZKAGv9wEpXo0mD3Ltsjbeq2DimCVrKG8w4odBVNIYrg-ChHGOa3oYxLBpGMKsgK_-AVdxTKHstYxRk4ZRRgqEJkinmHMy9m4JCMpdo-S9RhXPyz-399uxr1ABXkzAKg8x3emYM0oo2QW8m3QXbExrdR2T7-SgbnxMtvRHuzLv_97nB-33XHL4MZCfdKD1ZQ</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>Hosegood, Victoria</creator><creator>Floyd, Sian</creator><creator>Marston, Milly</creator><creator>Hill, Caterina</creator><creator>McGrath, Nuala</creator><creator>Isingo, Raphael</creator><creator>Crampin, Amelia</creator><creator>Zaba, Basia</creator><general>Taylor & Francis Group</general><general>Routledge Journals</general><general>Population Investigation Committee, London School of Economics and Political Science</general><general>Routledge Taylor & Francis Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>WZK</scope><scope>7ST</scope><scope>7U6</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20071101</creationdate><title>The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa</title><author>Hosegood, Victoria ; Floyd, Sian ; Marston, Milly ; Hill, Caterina ; McGrath, Nuala ; Isingo, Raphael ; Crampin, Amelia ; Zaba, Basia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c737t-49d238363b95fd044353f9b31f2e6fbc414923cdbbff0546cfa8cdd998bcf21c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acquired Immune Deficiency Syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Africa</topic><topic>AIDS</topic><topic>Child</topic><topic>Child Welfare</topic><topic>Child, Orphaned</topic><topic>Children</topic><topic>Children & youth</topic><topic>Demography</topic><topic>Epidemics</topic><topic>Family</topic><topic>Family Characteristics</topic><topic>Family structure</topic><topic>Fathers</topic><topic>Female</topic><topic>Health</topic><topic>Health Surveys</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - mortality</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Incidence</topic><topic>Living arrangements</topic><topic>Living conditions</topic><topic>Longitudinal studies</topic><topic>Malawi</topic><topic>Malawi - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Mothers</topic><topic>Orphans</topic><topic>Parents</topic><topic>Predation</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Research Note</topic><topic>Residence Characteristics</topic><topic>Risk Factors</topic><topic>Social organization</topic><topic>South Africa</topic><topic>South Africa - epidemiology</topic><topic>sub-Saharan Africa</topic><topic>Tanzania</topic><topic>Tanzania - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hosegood, Victoria</creatorcontrib><creatorcontrib>Floyd, Sian</creatorcontrib><creatorcontrib>Marston, Milly</creatorcontrib><creatorcontrib>Hill, Caterina</creatorcontrib><creatorcontrib>McGrath, Nuala</creatorcontrib><creatorcontrib>Isingo, Raphael</creatorcontrib><creatorcontrib>Crampin, Amelia</creatorcontrib><creatorcontrib>Zaba, Basia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Environment Abstracts</collection><collection>Sustainability Science Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Population studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hosegood, Victoria</au><au>Floyd, Sian</au><au>Marston, Milly</au><au>Hill, Caterina</au><au>McGrath, Nuala</au><au>Isingo, Raphael</au><au>Crampin, Amelia</au><au>Zaba, Basia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa</atitle><jtitle>Population studies</jtitle><addtitle>Popul Stud (Camb)</addtitle><date>2007-11-01</date><risdate>2007</risdate><volume>61</volume><issue>3</issue><spage>327</spage><epage>336</epage><pages>327-336</pages><issn>0032-4728</issn><eissn>1477-4747</eissn><coden>POSTA4</coden><abstract>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.</abstract><cop>England</cop><pub>Taylor & Francis Group</pub><pmid>17979006</pmid><doi>10.1080/00324720701524292</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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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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