The impact of household type on adolescent women’s well-being in Kenya

Anne M Dannerbeck
School of Social Work, Missouri University, United States of America

Andrew Muriuki
School of Social Work, Missouri University, United States of America

PP: 179 - 193

Abstract

 

Because the HIV/AIDS crisis in Kenya is causing the death and disablement of so many prime- aged adults, households are increasingly being headed by adolescents and the elderly.

The purpose of this paper is to examine the health status of one of the most vulnerable groups in Kenyan society - adolescent women - and to explore how the type of household head impacts on their health status. Using data from the 2003 Kenya Demographic and Health Survey (KDHS), an indicator of illness signs was used as the dependent variable for health status. Significant differences were found in the health status of adolescent women in households headed by adolescents, prime-aged adults, and the elderly.

Even when controlling for demographic factors, residing in an adolescent headed household increased the odds that an adolescent woman would have recently experienced some signs of illness. Other factors which also increased the odds of illness were being married and being in the older age group (20-24). Wealth barely had any impact on illness. Service providers need to pay special attention to the needs of adolescents in non-adult headed households.

Keywords

sociology, HIV/AIDS, health status, Kenya, adolescent women, household type


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References

 

 

Akukwe C (1999) HIV/AIDS in African children: A major calamity that deserves urgent global action, Journal of HIV/AIDS Prevention and Education for Adolescents and Children 3(3): 5-24.

Ankrah EM (1993) The Impact of HIV/AIDS on the Family and Other Significant Relationships: The African Clan Revisited, AIDS Care 5(1): 5-22.

Aptekar L (1997) Street children in Nairobi, Kenya: Gender differences and mental health, Journal of Psychology in Africa; South of the Sahara, the Caribbean, and Afro-Latin America 2: 34-53.

Arnett JJ (2004) Adolescence and Emerging Adulthood: A Cultural Approach Revised 2nd edn Prentice Hall, N.J.

Atwinea B, Cantor-Graaea E and Bajunirwe F (2005) Psychological distress among AIDS orphans in rural Uganda, Social Science and Medicine 61(3): 555-564.

Bogenschneider K (1996) An ecological risk/protective theory for building prevention programs, policies, and community capacity to support youth, Family Relations 45(2): 127-138.

Bronfenbrenner U (1977) Toward an experimental ecology of human development, American Psychologist 32: 513-531.

Central Bureau of Statistics (CBS), Kenyon Ministry of Health (MOH), and ORC Macro, O. (2004a) Kenya Demographic and Health Survey 2003: Key Findings, Calverton, Maryland, USA: CBS, MOH and ORC Macro.

Central Bureau of Statistics (CBS), K., Ministry of Health (MOH), and ORC Macro (2004b) Kenya Demographic and Health Survey 2003, Calverton, Maryland, USA: CBS, MOH and ORC Macro.

Chatterjee P, Bailey D and Aronoff N (2001) Adolescence and old age in twelve communities, Journal of Sociology and Social Welfare 28(4): 21-159.

Chatterji M, Murray N, Dougherty L, Alkenbrack S, Winfrey B, Amon,J, Ventimiglia T and Mukaneza A (2004) ‘Examining the impact of orphanhood on sexual initiation among adolescents ages 10-19 in Rwanda and Zambia' paper presented at The XV International AIDS Conference Bangkok, Thailand.

Clark S (2004) Early marriage and HIV risks in Sub-Saharan Africa, Studies in Family Planning 35(3): 149-160.

Coughlan FJ, Coughlan NS and Jameson CP (1996) Where knowledge and attitude separate: Adolescent HIV/AIDS knowledge survey as information for social work training, Maatskaplike Werk/Social Work 32(3): 255-261.

Cree VE, Kay H, Tisdall EKM and Wallace J (2004) Social support and children affected by parental HIV, European Journal of Social Work 7(2): 195-209.

Cross C (2001) Sinking deeper down: HIV/AIDS as an economic shock to rural households, Society in Transition 32(1): 133-147.

Daniel B, Wassell S and Gilligan R (2000) Child Development for Child Care and Protection Workers, Jessica Kingsley Publishers, London.

Dannerbeck A (1982) Current Farming Conditions in Digre and Neodogo, IN: Purdue University, West Lafayette IN.

Deininger K, Garcia M and Subbarao K (2003) AIDS-induced orphanhood as a systemic shock: Magnitude, impact, and program interventions in Africa, World Development 31(7): 1201-1220.

Earls F and Carlson M (2001) The social ecology of well-being, Annual Review of Public Health 22(1): 143-166.

Filmer D and Pritchett L (1999) Estimating wealth effects without expenditure data - or tears: An application to educational enrolments in states of India, Policy Research Working Paper No 1994, World Bank, Washington DC.

Foster G (2000) The capacity of the extended family safety net for orphans in Africa, Psychology, Health and Medicine 5(1): 55.

Geda A, Jong ND, Mwabu G and Kimenyi MS (2001) Determinants of poverty in Kenya: A household level analysis: Towards an in-depth understanding of poverty in Kenya, Institute of Social Studies (ISS), The Hague, Netherlands.

Glynn JR, Carael M, Auvert B, Kahindo M, Chege J, Musonda R, Kaona F and Buve A (2001) Why do young women have a much higher prevalence of HIV than young men? A study in Kisumu, Kenya and Ndola, Zambia, Aids 15(supplement 4): S51-S60.

Govender K and Moodley K (2004) Maternal support and adolescent self-esteem: A comparative study of urban children living in formal and informal housing, Journal of Children and Poverty 10(1): 37-52.

Gregson S, Nyamukapa C, Garnett G, Wambe M, Lewis J, Mason P, Chandiwana S and Anderson R (2005) HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe, AIDS Care 17(7): 785-794.

Guillemin F, Bombardier C and Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines, Journal of Clinical Epidemiology 46(12): 1417-1432.

Hofler M, Pfister H, Lieb R and Wittchen H-U (2005) The use of weights to account for non-response and drop-out, Social Psychiatry and Psychiatric Epidemiology 40(4): 291-299.

Human Rights Watch (2001) Kenya: In the shadow of death; HIV/AIDS and children's rights in Kenya, Human Rights Watch accessed at http://www.hrw.org/reports/2001/kenya/kenya0701.PDF

Keirle K and Thomas M (2000) The influence of school health education programmes on the knowledge and behaviour of school children towards nutrition and health, Research in Science and Technological Education 18(2): 173.

Kimalat W (2001) Interview with Human Rights Watch, Human Rights Watch, Nairobi.

Lalor K (2004) Child sexual abuse in Tanzania and Kenya, Child Abuse and Neglect 28(8): 833.

Malaka DW (2003) A life skills awareness project for grade 7 learners on substance abuse and HIV/AIDS: An intervention research project, Maatskaplike Werk/Social Work 39(4): 381-392.

Malherbe BR (2002) Indigenous knowledge and practice in HIV/AIDS education and prevention with particular reference to women, Maatskaplike Werk/Social Work 38(4): 337-353.

Moller V (1997) AIDS: The ‘grandmothers' disease' in Southern Africa, Ageing and Society 17: 461-466.

Mutangadura GB (2000) Household welfare impacts of mortality of adult females in Zimbabwe: Implications for policy and program development Paper presented at The AIDS and Economics Symposium, Durban.

NASCOP (National AIDS/STD Control Programme) and Kenyan Ministry of Health (2001) AIDS in Kenya: Background, Projections, Impact, Interventions and Policy, Nairobi, Kenya: Ministry of Health.

Neema S (1998) Afflicted and affected: Consequences of HIV/AIDS on women in farming communities in Uganda Paper presented at East and Southern African Regional Conference Responding to HIV/AIDS Harare, Zimbabwe.

Nyambedha EO, Wandibba S and Aagaard-Hansen J (2003) ‘Retirement lost': The new role of the elderly as caretakers for orphans in western Kenya, Journal of Cross-Cultural Gerontology 18(1): 33-52.

Onyango A, Tucker K and Eisemon T (1994) Household headship and child nutrition: A case study in Western Kenya, Social Science and Medicine 39(12): 1633.

Pratt CB, Obeng-Quaidoo I, Okigbo C and James EL (2000) Health-information sources for Kenyan adolescents: Implications for continuing HIV/AIDS control and prevention in Sub-Saharan Africa, The Western Journal of Black Studies 24(3): 131-144.

Preble EA (1990) Impact of HIV/AIDS on African children, Social Science and Medicine 31(6): 671.

Rivers K and Aggleton P (1999) Men and the HIV Epidemic, New York: United Nations Development Program accessed at http://www.undp.org/hiv/publications/gender/mene.htm

Ruland C, Finger W, Williamson N, Tahir S, Savariaud S, Schwietzer AM and Shears KH (2005) Adolescents: Orphaned and vulnerable in the time of HIV/AIDS - YouthLens on Reproductive Health and HIV/AIDS, Youth Issues Paper 6, Family Health International, Arlington VA.

Sarigiani PA, Ryan L and Petersen AC (1999) Prevention of high-risk behaviors in adolescent women, Journal of Adolescent Health 25(2): 109-119.

Seeley J, Kajura E, Bachengana C, Okongo M, Wagner U and Mulder D (1993) The extended family and support for people with AIDS in a rural population in South West Uganda: a safety net with holes? AIDS Care 5(1): 117-122.

Shelton J, Cassell M and Adetunji J (2005) Is poverty or wealth at the root of HIV? The Lancet 366 (9491): 1057-1058.

Tahir S, Finger W and Ruland C (2005) Adolescents: Orphaned and vulnerable in the time of HIV and AIDS, Youth Lens on Reproductive Health and HIV/AIDS, YouthNet, Arlington VA.

UNAIDS, UNICEF and USAID (2004) Children on the Brink 2004: A Joint Report of New Orphan Estimates and a Framework for Action UNAIDS, Geneva.

UNAIDS (The Joint United Nations Program on HIV/AIDS)/WHO(World Health Organisation) (2004a) AIDS Epidemic Update 2004, UNAIDS, Geneva.

UNAIDS/WHO (2004b) Epidemiological fact sheet on HIV/AIDS and sexually transmitted infections - Kenya 2004 Update, UNAIDS, Geneva.

UNICEF(United Nations Children's Fund) (1999) Child domestic work, Innocenti Digest, Innocenti Research Centre, Florence.

UNICEF (2002) Briefnotes on gender and HIV, Young People and HIV/AIDS: Opportunity in Crisis, United Nations Children's Fund, New York NY.

UNICEF (2006) The State of the World's Children 2006, United Nations Children's Fund, New York NY.

Wax E (2003) A generation orphaned by AIDS: Kenyan children struggle to survive as relatives shun them or take advantage, Washington Post August 13: A01 Washington DC.

Wojcicki JM (2005) Socioeconomic status as a risk factor for HIV infection in women in East, Central and Southern Africa: A systematic review, Journal of Biosocial Science 37(1): 1-36.

Woods R (1992) Social work responses to AIDS: A programme for social work education in South Africa, Maatskaplike Werk/Social Work 28(4): 37-46.



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