ABSTRACT

Children affected by HIV or AIDS (CABA) are vulnerable to social consequences such as neglect, stigma, and exclusion, leading to poor child well-being. We assessed the well-being of CABA and the factors associated with it. Our sample included 288 CABA, aged 10–18 years, from four divisions of Bangladesh – Dhaka, Chittagong, Sylhet, and Khulna. The mean age of the children was 12.93 (±2.36) years. Among the children, 58% were boys, 78% were from rural areas, and 48.6% were receiving some form of HIV-sensitive social protection services from different non-governmental organizations. Around 91% of the children were continuing their education, 93% were vaccinated according to the national immunization schedule, and 13% were infected with HIV. We found that child well-being was not significantly associated with HIV-sensitive social protection services (OR: 0.88, 95% CI: 0.40–1.95), but with family wealth (OR: 5.23, 95% CI: 1.88–14.51). Therefore, we argue for HIV-sensitive social protection services that consider the economic well-being of the families of the CABA along with other well-being aspects.

摘要

受艾滋病毒或艾滋病 (CABA) 影响的儿童容易受到忽视、污名和排斥等社会后果的影响，从而导致儿童福利不佳。我们评估了 CABA 的健康状况以及与之相关的因素。我们的样本包括来自孟加拉国四个部门——达卡、吉大港、锡尔赫特和库尔纳的 288 名 CABA，年龄在 10-18 岁之间。儿童的平均年龄为 12.93 (±2.36) 岁。在这些儿童中，58% 是男孩，78% 来自农村地区，48.6% 正在接受来自不同非政府组织的某种形式的对艾滋病毒敏感的社会保护服务。大约 91% 的儿童继续接受教育，93% 的儿童根据国家免疫计划接种了疫苗，13% 的儿童感染了 HIV。我们发现儿童幸福感与 HIV 敏感的社会保护服务（OR：0.88，95% CI：0.40–1.95）没有显着相关性，但与家庭财富（OR：5.23，95% CI：1.88–14.51）相关。因此，我们主张考虑到 CABA 家庭的经济福祉以及其他福祉方面的 HIV 敏感社会保护服务。