Pappin Michele, Marais Lochner, Sharp Carla, Lenka Molefi, Cloete Jan, Skinner Donald, Serekoane Motsaathebe
Centre for Development Support, University of the Free State, Third Floor, Flippie Groenewoud, Block E, IB 100, PO Box 339, Bloemfontein, 9300, South Africa,
J Community Health. 2015 Feb;40(1):92-102. doi: 10.1007/s10900-014-9903-1.
This paper investigates the relationship between socio-economic status and emotional well-being of orphans in Mangaung, South Africa. Five hundred orphans aged 7-11 years participated in the cross-sectional study between 2009 and 2012. Data was collected by trained fieldworkers, who conducted face-to-face interviews and questionnaires with the orphans, their teachers and caregivers, and the heads of the households where the orphans resided. The caregivers, children and teachers all completed the Strengths and Difficulties Questionnaire in order to measure the orphans' mental health, while heads of household provided information about socio-economic indicators. STATA version 12 was used to perform multivariate data analyses to identify socio-economic factors associated with the mental health of orphans. Food security, access to medical services and a male caregiver were factors associated with better emotional well-being of orphans, whereas other variables such as household asset index and monthly household expenditure were not linked with the orphans' mental health. Two of the three variables (food security and access to medical services) associated with better emotional well-being of orphans are also government interventions to assist orphans. Further research is needed to determine whether other government programs also impact the emotional well-being of orphans.
本文调查了南非马坎昂孤儿的社会经济地位与情绪健康之间的关系。2009年至2012年间，500名7至11岁的孤儿参与了这项横断面研究。数据由经过培训的实地工作人员收集，他们与孤儿、其教师和照顾者以及孤儿居住家庭的户主进行了面对面访谈和问卷调查。照顾者、儿童和教师都完成了优势与困难问卷，以衡量孤儿的心理健康，而户主提供了社会经济指标信息。使用STATA 12版进行多变量数据分析，以确定与孤儿心理健康相关的社会经济因素。粮食安全、获得医疗服务的机会以及男性照顾者是与孤儿更好的情绪健康相关的因素，而其他变量，如家庭资产指数和家庭每月支出，与孤儿的心理健康没有关联。与孤儿更好的情绪健康相关的三个变量中的两个（粮食安全和获得医疗服务的机会）也是政府帮助孤儿的干预措施。需要进一步研究以确定其他政府项目是否也会影响孤儿的情绪健康。
