Boon Hermien, James Shegs, Ruiter Robert A C, van den Borne Bart, Williams Eka, Reddy Priscilla
Health Promotion Research and Development Unit, Medical Research Council, Cape Town, South Africa.
AIDS Care. 2010 Apr;22(4):399-408. doi: 10.1080/09540120903202921.
In South Africa, older people have become the primary caregivers of children and grandchildren infected or affected by HIV and AIDS. This study explores the determinants of the perceived ability to care for children and grandchildren in the domains of providing nursing care, communicating with (grand) children, generating income and to relax. Structured one-on-one interviews were conducted among 409 isiXhosa speaking older people in two sites in the Eastern Cape Province of South Africa. Results showed that perceived ability among older people to provide nursing care was primarily dependent on the level of knowledge on accessing grants and personal norm towards providing care. Perceived ability to communicate effectively with children and grandchildren was most strongly predicted by a positive attitude towards communication and perceived ability to provide income was influenced by a more negative attitude towards people living with HIV or AIDS. Perceived ability to relax was dependent on more negative attitudes towards communication, lower perceived responsibility to provide income and a higher perceived behaviour control over providing nursing care. The findings of this study add relevant information to understanding the psychosocial context in which older people provide HIV and AIDS related care and support the development of targeted programmes to assist older people in their role as caregiver.
在南非，老年人已成为受艾滋病毒和艾滋病感染或影响的子女及孙子女的主要照料者。本研究探讨了在提供护理、与（外）孙子女沟通、创收和放松等方面，老年人自认为具备的照料子女及孙子女能力的决定因素。研究人员对南非东开普省两个地区409名讲科萨语的老年人进行了一对一的结构化访谈。结果显示，老年人自认为的提供护理的能力主要取决于获取补助金的知识水平以及提供护理的个人规范。与子女及孙子女有效沟通的自认为能力，最有力的预测因素是对沟通的积极态度；而创收的自认为能力则受到对艾滋病毒感染者或艾滋病患者更为负面态度的影响。放松的自认为能力取决于对沟通更为负面的态度、较低的创收责任感以及对提供护理有更高的行为控制感。本研究结果为理解老年人提供与艾滋病毒和艾滋病相关护理的社会心理背景增添了相关信息，并支持制定有针对性的方案，以协助老年人履行照料者的职责。
