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Prevalence and risk factors for child mental disorders in a population-based cohort of HIV-exposed and unexposed African children aged 7-11 years

Rochat, T J; Houle, Brian; Stein, Alan; Pearson, Rebecca M; Bland, R. M.

Description

Despite being home to a large population of vulnerable children there is a dearth of population-based evidence on childhood mental disorders in sub-Saharan Africa. Parent and child mental health are rarely measured concurrently, despite potential for confounding with other risk factors, including parental HIV. Using the parent-report Child Behaviour Checklist (CBCL) we assessed children’s mental health in a population-based cohort of 1536 HIV-negative children (31% HIV-exposed, 18%...[Show more]

dc.contributor.authorRochat, T J
dc.contributor.authorHoule, Brian
dc.contributor.authorStein, Alan
dc.contributor.authorPearson, Rebecca M
dc.contributor.authorBland, R. M.
dc.date.accessioned2019-04-08T12:29:46Z
dc.identifier.issn1018-8827
dc.identifier.urihttp://hdl.handle.net/1885/159356
dc.description.abstractDespite being home to a large population of vulnerable children there is a dearth of population-based evidence on childhood mental disorders in sub-Saharan Africa. Parent and child mental health are rarely measured concurrently, despite potential for confounding with other risk factors, including parental HIV. Using the parent-report Child Behaviour Checklist (CBCL) we assessed children’s mental health in a population-based cohort of 1536 HIV-negative children (31% HIV-exposed, 18% HIV-affected, 51% HIV-unexposed) aged 7–11 years. CBCL was scored using CBCL Rating-to-Score software. A binary indicator was determined using the clinical threshold ≥ 65. We modelled mental disorders using logistic regression, including covariates associated with the mother, child, household, and parenting. Structural equation modelling techniques also derived continuous latent variables representing the underlying mental health and parent-relationship constructs. Prevalence of conduct disorders (11.8%) was high, regardless of HIV exposure, while HIV-affected children had increased odds of affective disorders. Maternal depression increased odds of externalising disorders; maternal anxiety was associated with affective and anxiety disorders. Mother–child relationship dysfunction increased odds of all disorders, including: affective [aOR = 5.1 (2.6–9.9)]; oppositional [aOR = 7.9 (4.0–15.5)]; conduct [aOR = 4.3 (2.6–7.2)] disorders. Food insecurity and male gender increased odds of somatic disorders; breastfeeding halved odds of conduct disorders. In the latent model, associations were substantially stronger for the mother–child relationship and externalising disorders (Oppositional 0.464 p < 0.001; Conduct 0.474 p = <0.001). Conduct disorders were high for all children regardless of HIV exposure. The mother–child relationship was strongly related to all child disorders, suggesting potential for concurrent interventions targeting child behaviours and the parent–child or mother–child relationship.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherDr Dietrich Steinkopff Verlag
dc.sourceEuropean Child and Adolescent Psychiatry
dc.titlePrevalence and risk factors for child mental disorders in a population-based cohort of HIV-exposed and unexposed African children aged 7-11 years
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume27
dc.date.issued2018
local.identifier.absfor170106 - Health, Clinical and Counselling Psychology
local.identifier.absfor160301 - Family and Household Studies
local.identifier.ariespublicationa383154xPUB9774
local.type.statusPublished Version
local.contributor.affiliationRochat, T J, Africa Health Research Institute, Durban, South Africa
local.contributor.affiliationHoule, Brian, College of Arts and Social Sciences, ANU
local.contributor.affiliationStein, Alan, University of the Witwatersrand
local.contributor.affiliationPearson, Rebecca M, University of Bristol
local.contributor.affiliationBland, R. M., University of Glasgow
local.description.embargo2039-12-31
local.bibliographicCitation.issue12
local.identifier.doi10.1007/s00787-018-1146-8
local.identifier.absseo920507 - Women's Health
local.identifier.absseo920501 - Child Health
local.identifier.absseo920506 - Rural Health
dc.date.updated2019-03-12T07:22:14Z
local.identifier.scopusID2-s2.0-85045733369
dc.provenanceJournal: European Child and Adolescent Psychiatry (ISSN: 1018-8827, ESSN: 1435-165X) RoMEO: This is a RoMEO green journal Paid OA: A paid open access option is available for this journal. Author's Pre-print: green tick author can archive pre-print (ie pre-refereeing) Author's Post-print: green tick author can archive post-print (ie final draft post-refereeing) Publisher's Version/PDF: cross author cannot archive publisher's version/PDF
CollectionsANU Research Publications

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