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中国西南部艾滋病孤儿的主观幸福感：学校归属感、同伴支持和心理韧性的作用。

Subjective well-being among AIDS orphans in southwest China: the role of school connectedness, peer support, and resilience.

作者信息

Lai Shimin, Zhou Junmin, Xu Xiaohe, Li Shiying, Ji Yuanyi, Yang Shujuan, Tang Wanjie, Zhang Jianxin, Jiang Jianjun, Liu Qiaolan

机构信息

Department of Health Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.

Department of Medical Affairs, West China Tianfu Hospital, Sichuan University, Chengdu, China.

出版信息

BMC Psychiatry. 2022 Mar 18;22(1):197. doi: 10.1186/s12888-022-03833-2.

DOI:10.1186/s12888-022-03833-2
PMID:35303813
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8933895/
Abstract

BACKGROUND

Few studies have explored the health and development of AIDS orphans using the positive youth development (PYD) framework. Grounded in this framework, the main objective of this study is to examine how internal assets (i.e., resilience) and external assets (i.e., school connectedness, peer support) affect subjective well-being among Yi AIDS orphans in the Liangshan Yi Autonomous Prefecture, Sichuan province, China.

METHODS

A cross-sectional survey was conducted by interviewing 571 AIDS orphans and 979 non-orphans of Yi ethnic minority from 5th-10th grades. Structural equation models (SEM) were utilized to identify and estimate the direct and indirect effects of internal and external assets on subjective well-being.

RESULTS

The average score of subjective well-being was significantly lower for AIDS orphans than for in non-orphans (P < 0.05). Resilience, school connectedness, peer support (number of friends, caring friends), and self-rated physical health had significant and positive direct effects on subjective well-being. In addition, the effects of school connectedness, and peer support on subjective well-being were mediated by resilience.

CONCLUSIONS

Positive individual and school-related contextual assets can bolster subjective well-being among AIDS orphans. The design of health intervention programs for AIDS orphans should incorporate these positive development assets.

摘要

背景

很少有研究使用积极青少年发展（PYD）框架来探讨艾滋病孤儿的健康与发展。基于这一框架，本研究的主要目的是考察内在资产（即心理韧性）和外在资产（即学校联结、同伴支持）如何影响中国四川省凉山彝族自治州彝族艾滋病孤儿的主观幸福感。

方法

通过对571名艾滋病孤儿和979名来自五年级至十年级的彝族非孤儿进行访谈，开展了一项横断面调查。利用结构方程模型（SEM）来识别和估计内在资产和外在资产对主观幸福感的直接和间接影响。

结果

艾滋病孤儿的主观幸福感平均得分显著低于非孤儿（P < 0.05）。心理韧性、学校联结、同伴支持（朋友数量、关心自己的朋友）以及自评身体健康对主观幸福感有显著的正向直接影响。此外，学校联结和同伴支持对主观幸福感的影响通过心理韧性起中介作用。

结论

积极的个人和与学校相关的背景资产可以增强艾滋病孤儿的主观幸福感。为艾滋病孤儿设计的健康干预项目应纳入这些积极的发展资产。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa7/8933895/d606fdfb5f53/12888_2022_3833_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa7/8933895/d606fdfb5f53/12888_2022_3833_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaa7/8933895/d606fdfb5f53/12888_2022_3833_Fig1_HTML.jpg

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