Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Feb;35(2):198-204.
doi: 10.1080/09540121.2022.2104795. Epub 2022 Aug 15.

Hope and mental health problems among orphans and vulnerable children in South Africa

Affiliations

Hope and mental health problems among orphans and vulnerable children in South Africa

Madeleine Allman et al. AIDS Care. 2023 Feb.

Abstract

ABSTRACTThere are over three million orphaned and vulnerable children (OVC) currently living in South Africa. OVC are at high risk for a number of negative outcomes, including poor mental health. Hope has been associated with well-being among youth, including youth in South Africa. However, the relationships between hope and mental health in high-adversity populations such as OVC has not been adequately described. The present study sought to address this research gap by evaluating the relationship between hope and mental health, controlling for gender, age, and orphan status, among OVC. This study includes 8- to 12-year-old OVC (N = 61) in Manguang, Free State, South Africa. Hope was assessed using the Children's Hope Scale (CHS) and mental health outcomes were assessed using the Strengths and Difficulties Questionnaire (SDQ). Hope was significantly, inversely associated with mental health outcomes after controlling for other variables in linear regression analysis. In contrast to previous research, this study found that increased hope scores were associated with adverse mental health outcomes among OVC in South Africa. Hope may be contextualized differently in this population due to resource scarcity and high rates of adversity including HIV-AIDS related stigma and poverty.

Keywords: HIV/AIDS; hope; mental health outcomes; orphans and vulnerable children.

PubMed Disclaimer

Conflict of interest statement

Disclosure statement

No potential conflict of interest was reported by the author(s).

References

    1. Abler L, Hill L, Maman S, DeVellis R, Twine R, Kahn K, MacPhail C, & Pettifor A (2017). Hope matters: Developing and validating a measure of future expectations among young women in a high HIV prevalence setting in rural South Africa (HPTN 068). AIDS and Behavior, 21 (7), 2156–2166. 10.1007/s10461-016-1523-6 - DOI - PMC - PubMed
    1. Adamson M, & Roby J (2011). Parental loss and hope among orphaned children in South Africa: A pilot study [article]. Vulnerable Children & Youth Studies, 6(1), 28–38. 10.1080/17450128.2010.532575 - DOI
    1. Antonovsky A (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11(1), 11–18. 10.1093/heapro/11.1.11 - DOI
    1. Betancourt TS, Meyers-Ohki SE, Charrow A, & Hansen N (2013). Annual research review: Mental health and resilience in HIV/AIDS-affected children–a review of the literature and recommendations for future research. Journal of Child Psychology and Psychiatry, 54(4), 423–444. 10.1111/j.1469-7610.2012.02613.x - DOI - PMC - PubMed
    1. Bickman L, Athay M, Riemer M, Lambert E, Kelley S, Breda C, & Vides de Andrade A (2010). Manual of the peabody treatment progress battery. Vanderbilt University. - PMC - PubMed

Publication types