论文部分内容阅读
目的调研中国艾滋病致孤儿童生长发育、营养水平与心理健康状况,为政策制定提供依据。方法按性别、年龄1∶1匹配,调查96对艾滋病致孤儿童与非孤儿的身心健康水平,并进行差异比较。结果孤儿组BMIz评分与肩胛下皮褶厚度显著低于非孤儿(P<0.01),消瘦明显。孤儿组自尊量表(SES)总分更低,而抑郁问卷(BDI)总分更高(P<0.05)。男性孤儿身心健康弱势明显,女性组间未见显著性差异。结论中国艾滋病致孤儿童的身心健康脆弱性显著,需探索可持续性更强的孤儿抚养策略,并进行以心理支持为核心的综合健康干预,而且对男性孤儿应给予更多关注。
Objective To investigate the growth and development, nutritional status and mental health status of orphaned children with AIDS in China and provide evidence for policy making. Methods According to sex and age 1: 1, the physical and mental health of 96 orphans and non-orphans with AIDS were investigated and compared. Results The BMIz scores and the subscapular skinfolds in orphans were significantly lower than those in non-orphans (P <0.01). The total scores of orphans’ self-esteem scale (SES) was lower than that of the depression questionnaire (BDI) (P <0.05). Male orphans physical and mental health significantly disadvantaged, no significant differences between female groups. Conclusions The orphans and children with AIDS in China are vulnerable to physical and mental health. It is necessary to explore more sustainable orphan support strategies and conduct comprehensive health interventions with psychological support as their core. More attention should be paid to male orphans.