Child-street migration among HIV-affected families in Kenya

a mediation analysis from cross-sectional data

Michael Goodman, Miriam S. Mutambudzi, Stanley Gitari, Philip Keiser, Sarah E. Seidel

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Within Kenya, an estimated quarter of a million children live on the streets, and 1.8 million children are orphaned. In this study, we analyze how HIV contributes to the phenomenon of child-street migration. We interviewed a random community sample of caregiving women (n = 1974) in Meru County, Kenya, using a structured questionnaire in summer 2015. Items included reported HIV prevalence of respondent and her partner, social support, overall health, school enrollment of biologically related children and whether the respondent has a child currently living on the streets. Controlling for alcohol use, education, wealth, age and household size, we found a positive-graded association between the number of partners living with HIV and the probability that a child lives on the street. There was little difference in the odds of a child living on the street between maternally affected and paternally affected households. Lower maternal social support, overall health and school enrollment of biologically related children mediated 14% of the association between HIV-affected households and reporting child-street migration. Street-migration of children is strongly associated with household HIV, but the small percentage of mediated effect presents a greater need to focus on interactions between household and community factors in the context of HIV. Programs and policies responding to these findings will involve targeting parents and children in HIV-affected households, and coordinate care between clinical providers, social service providers and schools.

Original languageEnglish (US)
Pages (from-to)168-175
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume28
DOIs
StatePublished - May 26 2016

Fingerprint

Homeless Youth
Kenya
mediation
Cross-Sectional Studies
HIV
migration
Social Support
school enrollment
Students
Orphaned Children
social support
Health
Social Work
household size
Parents
Alcohols
Mothers
caregiving
Education
health

Keywords

  • HIV
  • Kenya
  • social support
  • street migration
  • Street-involved children

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Child-street migration among HIV-affected families in Kenya : a mediation analysis from cross-sectional data. / Goodman, Michael; Mutambudzi, Miriam S.; Gitari, Stanley; Keiser, Philip; Seidel, Sarah E.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 28, 26.05.2016, p. 168-175.

Research output: Contribution to journalArticle

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