艾滋病致孤儿童的同胞分离抚养方式与健康危险行为  

Sibling separation and health risk behaviors of children orphaned by acquired immune deficiency syndrome

作　　者：李静一[1] 赵国祥[1] 单欢欢[1] 赵俊峰[1] 李晓铭[1,2] 

机构地区：[1]河南大学教育科学学院心理系 [2]Carman and Ann Adams Department of Pediatrics Prevention Research Center,Wayne State University School of Medicine,Detroit,MI 48201,USA

出　　处：《中国心理卫生杂志》2013年第7期534-538,共5页Chinese Mental Health Journal

基　　金：美国国立卫生研究院资助项目(NIH Grant 5R01MH076488-03)

摘　　要：目的:探讨艾滋病致孤儿童的同胞分离抚养方式与其健康危险行为的关系。方法:选取6～17岁有同胞的艾滋病致孤儿童(父母双亡)155人参与本研究,根据是否经历同胞分离抚养,把他们分为同胞分离组(n=96)和无同胞分离组(n=59);根据不同的抚养方式把他们分为艾滋病致孤儿童福利院组(n=97)、家庭式抚养所组(n=8)与家族抚养组(n=50)。采用健康危险行为量表进行测评。结果:经历同胞分离抚养的艾滋病致孤儿童的"饮酒"[(1.6±0.7)vs.(1.4±0.5)]、"打人"[(1.5±0.8)vs.(1.3±0.6)]和"破坏公共财产"[(1.1±0.5)vs.(1.0±0.0)]得分高于无同胞分离抚养组(均P<0.05)。艾滋病致孤儿童福利院抚养组的"打人"得分高于家庭式抚养所和家族抚养组[(1.6±0.8)vs.(1.2±0.4),(1.2±0.4);P<0.05]。多元协方差分析结果显示,经历同胞分离抚养的艾滋病致孤儿童的"饮酒"和"想要或扬言要伤害他人的行为"[(1.2±0.5)vs.(1.1±0.2)]的得分高于无同胞分离抚养者(均P<0.05)。结论:经历同胞分离抚养的艾滋病致孤儿童可能比没经历同胞分离抚养的艾滋病致孤儿童表现出更多的健康危险行为。Objective： To explore the relationship between sibling separation and health risk behaviors in children orphaned by acquired immune deficiency syndrome （AIDS）. Methods： Totally 155 children aged 6 - 17 years who lost both of their parents to AIDS and with at least one sibling were selected. Among them, 96 double orphans were separated from their siblings and 59 double orphans were not separated from their siblings; 97 double orphans were placed in orphanage, 8 double orphans were placed in group home and 50 double orphans were placed in kinship care at the time of this study. They were assessed with the Health Risk Behaviors Scale. Results： The children separated from their siblings got higher scores in ＂alcohol use＂ [（1.6 ±0. 7） vs. （ 1.4±0. 5）], ＂beating up someone＂ [（1.5 ±0.8） vs. （1.3 ±0.6）] and ＂public property destruction＂ [（1.1 ±0.5） vs. （1.0 ±0.0）] than those who did not experienced silbling separation （Ps 〈 0.05）. The children living in the orphanage got significantly higher scores than the children living in the group home and adopted bY relatives on ＂beating up someone＂ [ （ 1.6 ± 0. 8） vs. （ 1.2 ± 0.4）, （ 1.2 ±0.4） ; Ps 〈 0. 05]. Multivariate analysis showed that after controlling for age, care arrangement, number of household replacement, trusting relationship with the current caregivers and perceived quality of current living condition, sibling separation was associated with higher scores in ＂alcohol use＂ and ＂threatening to hurt someone＂ [（1.2 ±0.5） vs. （ 1.1 ± 0.2 ）, P 〈0.05]. Conclusion： It suggests that children orphaned by AIDS separated from their siblings may suffer from more health risk behaviors than those who have symbiosis with their siblings.

关 键 词：艾滋病致孤儿童 同胞分离 健康危险行为 横断面研究 

分 类 号：B844.1[哲学宗教—发展与教育心理学]