Zhao Qun, Li Xiaoming, Fang Xiaoyi, Stanton Bonita, Zhao Guoxiang, Zhao Junfeng, Zhang Liying
Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan, USA.
J Assoc Nurses AIDS Care. 2009 Mar-Apr;20(2):122-32. doi: 10.1016/j.jana.2008.09.009.
The Chinese government's response to the increasing number of children orphaned in the HIV epidemic included setting up AIDS orphanages and supporting community-based group homes for double orphans (children who lost both parents to HIV). The impact of these strategies, compared to traditional kinship care, on children's outcomes has not been studied in China. The purpose of this study was to compare perceived life improvement and life satisfaction among double orphans in three main care arrangements (group home, AIDS orphanage, kinship care) in two rural Chinese counties. Participants included 176 children from four orphanages, 30 from eight group homes, and 90 from kinship households. Results indicated that children living in government-supported group homes were more likely to report greater life improvement and positive attitudes toward their current lives than children in orphanages and kinship care. Results suggested that perceived life improvements may have resulted from access to basic needs in extremely poor communities.
中国政府针对因艾滋病疫情而成为孤儿的儿童数量不断增加的情况，采取的应对措施包括设立艾滋病孤儿院，并为双亲孤儿（因艾滋病失去双亲的儿童）支持社区集体家庭。与传统的亲属照料相比，这些策略对儿童成长结果的影响在中国尚未得到研究。本研究的目的是比较中国两个农村县三种主要照料安排（集体家庭、艾滋病孤儿院、亲属照料）下双亲孤儿所感知到的生活改善情况和生活满意度。参与者包括来自四个孤儿院的176名儿童、来自八个集体家庭的30名儿童以及来自亲属家庭的90名儿童。结果表明，与孤儿院和亲属照料中的儿童相比，生活在政府支持的集体家庭中的儿童更有可能报告生活有更大改善，并且对当前生活持积极态度。结果表明，所感知到的生活改善可能源于在极端贫困社区中基本需求的满足。
