Gendered adversity and mental health of adolescents orphaned by AIDS in a rural South African community: An exploratory study

Abstract

This study explored gender differences in adversity and mental health among South African adolescents orphaned by AIDS. Adolescents (N = 121; females = 45.5%; mean age 14.14 years, SD = 2.09) self-reported their childhood adversities and probable mental ill health on the Child Trauma and General Health Questionnaire. Results revealed that female participants orphaned by AIDS were significantly more likely to report childhood adversity at total score level as compared to male participants. However, both male and female participants reported comparable scores on subscales of childhood adversity (emotional abuse, physical abuse, sexual abuse, and physical neglect). Moreover, female participants displayed higher composite mental ill health and all its subscales except for social dysfunction. Our findings suggest that gender-sensitive programmes and policies to address the effect of childhood adversity and mental ill health among adolescents orphaned by AIDS, are urgently needed.

Keywords:

• adversities
• gender
• GHQ-28
• HIV/AIDS
• mental health problems
• orphans

Acknowledgement

The authors would like to thank the participants for their contribution to this research. Dr M Lena is appreciated for editing this work. Lastly, the authors acknowledge North-West University for partially funding this study.

ORCID

Oluyinka Ojedokun http://orcid.org/0000-0002-3497-4618