Amsterdam 2015
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| Abstract #2025 - Kids in focus: Children and HIV | ||||
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Session: 7.7: Kids in focus: Children and HIV (Parallel) on Wednesday @ 11.30-13.00 in C001 Chaired by Naume Kupe, Ashraf Grimwood Authors: Presenting Author: Ms Yiyun Chen - University of Connecticut, United States |
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| Additional Authors: | ||||
| Aim: Being orphaned or made vulnerable by HIV/AIDS is an internally traumatic experience for children, who may also encounter a great level of HIV-related stigma. Little is known about the link between HIV stigmatization and potential post-traumatic growth among children affected by HIV/AIDS (CABHA). The present longitudinal study examined how HIV-related stigma may affect post-traumatic growth over time in CABHA, and if this relationship may be explained differently by positive and negative coping strategies. | ||||
| Method / Issue: A sample of 654 children orphaned by HIV, aged 6-17 years completed three surveys with a 3-month interval between each one. Longitudinal path models were constructed to determine whether and how positive and negative coping strategies at Time 2 functioned as mediators between perceived stigma at Time 1 and post-traumatic growth at Time 3. | ||||
| Results / Comments: Results showed that perceived stigma predicted lower usage of positive coping, which in turn predicted higher level of post-traumatic growth (total indirect effect=-0.044, 95%CI: [-0.067, -0.021], p<0.001, total effect explained: 34.38%). Perceived stigma also predicted higher reliance on negative coping which in turn predicted lower level of post-traumatic growth (total indirect effect=-0.017, 95%CI: [-0.032,-0.001], total effect explained: 13.28%). The mediation through negative coping, however, was much weaker than that through positive coping. When the paths of the two mediators were examined simultaneously, a statistically significant result for positive coping strategies was obtained (indirect effect = -0.041, 95 % CI: [-0.064, -0.019], total effect explained: 32.03%), and a non-significant result was obtained for negative coping strategies (indirect effect = -0.008, 95 % CI: [-0.022, 0.007], total effect explained: 6.25%). | ||||
| Discussion: Taken together, the relationship between perceived stigma and posttraumatic growth was significantly mediated by the two types of coping strategies in a different manner. The results suggest that CABA who perceived higher level of HIV-related stigma accrued less post-traumatic growth over time, but this relationship might be mitigated through an increased use of positive coping, or a decreased use of negative coping, or both. | ||||
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