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        <title>InfoShare Partner - AIDS And Older Persons: Studies Of The Impact In Thailand And Cambodia</title>
        <description>Population and Health InfoShare : Newest 15 Documents by AIDS And Older Persons: Studies Of The Impact In Thailand And Cambodia. Sharing Knowledge to Improve Public Health Worldwide</description>
        <link>http://www.phishare.org/documents/AIDSELD/?order=Date%20DESC</link>
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            <title>Parents providing care to adult sons and daughters with HIV/AIDS in Thailand. ...</title>
            <link>http://data.unaids.org/Publications/IRC-pub02/JC688-Sons_Daughters_en.pdf</link>
            <description><![CDATA[This report provides a qualitative analysis of the circumstances and consequences of parental caregiving to adult children with AIDS in Thailand based on  open-ended interviews, primarily with parents of adult children who died of AIDS. The results reveal the circumstances that lead to parental caregiving, the tasks involved and the strains they created, how parents coped with these strains, and the consequences for their emotional, social, and economic well-being. The experiences and consequences revealed are influenced in part by features relatively specific to the Thai setting but at the same time reflect conditions that are likely to be common to many other developing countries experiencing serious epidemics.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Fri, 07 Dec 2007 15:48:05 +0100</pubDate>
        </item>
        <item>
            <title>Estimates of the number of parents impacted by an adult child with HIV/AIDS, Thailand 2001-2010</title>
            <link>http://www.phishare.org/files/5321_AIDS_parents_estimates.pdf</link>
            <description><![CDATA[This report provides annual estimates of the number of parents potentially affected by HIV/AIDS in Thailand 2001-2010 through having an adult child who is living with HIV/AIDS, is on ART, or who dies of AIDS related illnesses. The estimates are based on preliminary new projections of the epidemic.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Fri, 02 Nov 2007 21:23:24 +0100</pubDate>
        </item>
        <item>
            <title>Guidelines for Interviews with AIDS Parents</title>
            <link>http://www.phishare.org/files/5315_Guidelines_for_Interviews.pdf</link>
            <description><![CDATA[Guidelines used for open-ended interviews with Cambodian parents of adult children who are on ART or who died of AIDS in 2006]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Tue, 30 Oct 2007 16:04:26 +0100</pubDate>
        </item>
        <item>
            <title>Estimates of the annual number of parents who experience the death of an adult child to AIDS in ...</title>
            <link>http://www.phishare.org/files/5034_AIDS_parents_estimates.doc</link>
            <description><![CDATA[This paper provides main estimates to show that large numbers of older Cambodians lose adult sons and daughters to AIDS.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Wed, 11 Jul 2007 22:22:52 +0100</pubDate>
        </item>
        <item>
            <title>Parents of Persons with AIDS: Unrecognized Contributions and Unmet Needs</title>
            <link>http://www.phishare.org/files/4262_Global_Agingl_article.pdf</link>
            <description><![CDATA[This article summarizes the contributions and needs of parents of adults who become ill and die of AID based on systemnmatic empirical reserach in Thailand and Cambodia. Most such parents are in older ages and thus the findings reflect an important way in which the epidemic relates to older persons.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 05 Aug 2006 04:47:11 +0100</pubDate>
        </item>
        <item>
            <title>Researching the Impact of the AIDS epidemic on Older-age Parents in Africa: Lessons from ...</title>
            <link>http://www.phishare.org/files/4238_Generations_review_article.pdf</link>
            <description><![CDATA[This article addresses the methodological challenges to collection of data on the situation of parents of adults who become ill and die of HIV/AIDS. It describes the variety of quantitative and qualitative data collection strategies we followed in our research on this topic in Thailand and draws lessons for researchers interested in conducting related studies in Africa or other settings.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Thu, 27 Jul 2006 13:20:04 +0100</pubDate>
        </item>
        <item>
            <title>Older Persons AIDS Knowledge and Willingness to Provide Care in an Impoverished Nation: ...</title>
            <link>http://www.phishare.org/files/4237_OlderPersonsAIDSKnowledge.pdf</link>
            <description><![CDATA[In developing countries older persons are often called upon to be primary caregivers for their children who contract AIDS. Consequently, their understanding of the disease and willingness to provide care is critical for AIDS sufferers. We examine this issue among men and women age 60 and older in Cambodia, a country with pervasive poverty. Data primarily come from the 2004 Survey of Elderly in Cambodia with some comparison with 2000 Cambodia Demographic and Health Survey. Results indicate older women are less knowledgeable about AIDS than reproductive aged women but more likely to state a willingness to provide care. Notably, there is a strong relationship between knowledge and willingness. Moreover, although poverty and low education contribute to poor AIDS knowledge, the association is mediated by mass media exposure. Hence, we conclude that facilitating ownership of radios and televisions in poverty-stricken households may be effective for promoting AIDS understanding and caregiving willingness. This has implications both within Cambodia and globally, especially given a current emphasis on IEC campaigns to help combat the epidemic.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Thu, 27 Jul 2006 13:14:18 +0100</pubDate>
        </item>
        <item>
            <title>Poverty and the Impact of AIDS on Older Persons: Evidence from Cambodia and Thailand</title>
            <link>http://www.phishare.org/files/4023_EDCC_article.pdf</link>
            <description><![CDATA[The present study provides a comparative analysis of the impact of the AIDS epidemic in Cambodia and Thailand on the parents of adults who die of AIDS and how this impact interacts with poverty. It examines the relationship between economic status and routes through which losing an adult child can affect the parents, including caregiving during illness, payment of medical and living expenses, reduced economic activity, funeral expenses, loss of support from the deceased adult child, the fostering of orphaned grandchildren, and community reaction. Finally, an assessment is made of the impact on the overall economic situation of the parents. Generally, negative consequences appear more widespread in Cambodia, but economic status shows a stronger association with outcomes in Thailand. Thus the gap between poor Thais and Cambodians is often modest despite substantial differences in overall levels. The higher levels of hardship reported in Cambodia and the often minimal difference by economic status likely reflect the more severe levels of poverty in that country compared to Thailand. While differences in data collection methodologies may account for some of the contrasting findings, the results strongly suggest that setting matters and that the role of poverty in the AIDS epidemic is far from uniform.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sun, 14 May 2006 14:16:48 +0100</pubDate>
        </item>
        <item>
            <title>The Impact of AIDS on Older-age Parents in Cambodia</title>
            <link>http://www.phishare.org/files/4022_PDR_article.pdf</link>
            <description><![CDATA[Little systematic quantitative research is available on the parents of adults who become ill and die of AIDS despite their large number and the wide range of adverse consequences that could potentially result. The current study, based on survey data from Cambodia, is among the first of its kind. The analysis explores a range of potential economic and social effects on parents in a country characterized by extreme poverty and the highest HIV prevalence in Asia. Results indicate that parents play a major role during their adult son or daughter’s illness, often sharing living quarters, providing care, and paying for expenses related to the illness. These important contributions to how Cambodian society is coping with AIDS come at considerable cost to the parents who are commonly at advanced ages. Multivariate analysis suggests lasting negative economic consequences for economic well-being and more substantial consequences if the death was from AIDS than from other causes. Reactions from other local community members, however, are considerably more likely to sympathetic and supportive than negative. These results underscore the need for greater recognition by organizations dealing with AIDS of both the contributions older persons make in coping with the epidemic and its consequences for them.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sun, 14 May 2006 14:13:12 +0100</pubDate>
        </item>
        <item>
            <title>The Impact of Thailand's Aids Epidemic on Older Persons: Quantitative Evidence from a Survey of ...</title>
            <link>http://www.psc.isr.umich.edu/pubs/papers/rr00-448.pdf</link>
            <description><![CDATA[This report assesses the involvement of parents in Thailand in the caregiving and living arrangements of adult AIDS cases and the economic impact on the families and parents through expenditures on treatments and other routes. Interviews with local key informants in the public health system in an extensive sample of rural and urban communities provided quantitative information on these issues. The results indicate that a substantial proportion of persons with AIDS move back to their communities of origin at some stage of the illness. Two-thirds of the adults who died of AIDS either lived with or adjacent to a parent by the terminal stage of illness and a parent, usually the mother, acted as a main caregiver for about half.  The economic impacts appear to be severe for only a minority of parents although those who are from the poorer economic strata are particularly likely to be substantially affected adversely. The wide availability of government health insurance likely moderates the economic impact on families. A substantial majority of families in the upper north are reported to be open to the community about a family member being ill with AIDS but only about half of families outside the upper north were considered to be open. Negative community reactions during the time of illness to families with a member who had AIDS was reported for a fifth of the families in the upper North and a third elsewhere. Following the death, few cases of residual negative reaction were reported anywhere.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 14 Jun 2003 05:27:21 +0100</pubDate>
        </item>
        <item>
            <title>Sexual Activity among the Older Population in Thailand: Evidence from a Nationally ...</title>
            <link>http://www.psc.isr.umich.edu/pubs/papers/rr00-445.pdf</link>
            <description><![CDATA[This report examines sexual activity among Thais aged 50 and over in relation to age, gender, and health status. It is the first such study of older persons based on a large nationally representative survey in any developing country. Results indicate that substantial proportions of older married Thais remain sexually active, although at lower levels than among older persons in Western countries. Sexual activity and desire decline steadily with age for both married men and women, but at any given age both are lower for women. Overall, the sexual desire of husbands is a far more important determinant of sexual activity within marriage than that of wives. Poor health depresses activity and desire. Possible reasons for the low activity levels relative to Western countries are considered, as are the implications for the AIDS epidemic and the quality of life of older persons.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 14 Jun 2003 05:24:09 +0100</pubDate>
        </item>
        <item>
            <title>AIDS and Older Persons: An International Perspective</title>
            <link>http://www.psc.isr.umich.edu/pubs/papers/rr02-495.pdf</link>
            <description><![CDATA[The impact of the worldwide AIDS epidemic on persons age 50 and over has received relatively little consideration except in the United States where interest has focused almost exclusively on older persons living with AIDS or at risk of infection. The place of older persons in the epidemic deserves international attention because their lives are being significantly affected in a variety of ways.  Since most of the epidemic occurs in the developing regions, especially Africa and Asia, efforts to understand and deal with the concerns of older persons in relation to AIDS in those settings needs expansion. Although older persons represent a non-negligible minority of the reported global caseload, a far higher proportion are affected through the illness and death of their adult children and younger generation relatives who contract AIDS. From a global perspective, a broader concern encompassing those who are affected through the infections of others rather than a narrow concern with those who are at  risk or infected themselves is called for if the needs of the large majority of older persons adversely impacted by the epidemic is to be addressed.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 14 Jun 2003 05:20:12 +0100</pubDate>
        </item>
        <item>
            <title>Aids and Older Persons: The View from Thailand</title>
            <link>http://www.psc.isr.umich.edu/pubs/papers/rr02-497.pdf</link>
            <description><![CDATA[Although little attention has been paid to older adults in the context of the global AIDS epidemic, they not only can contract HIV themselves but, far more commonly, they experience multiple consequences as in their role as parents of younger adults who become ill and die from AIDS.  Older persons also make significant contributions to the well-being of younger adults who suffer from AIDS by playing a major role in caregiving to their infected sons and daughters and by assuming the role of foster parents for their grandchildren who are left behind as AIDS orphans emphasizing the consequences for and the contributions by older persons in their role as AIDS parents. This paper addresses the impact of the AIDS epidemic for older adults based on recent research in Thailand. The analysis is based primarily on interviews with key informants about individual AIDS cases and their families; direct survey interviews with AIDS parents and a comparison group of older persons; and in-depth interviews with AIDS parents. The first two permit quantitative analysis while the third is suited for qualitative analysis.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 14 Jun 2003 05:18:08 +0100</pubDate>
        </item>
        <item>
            <title>Health impacts of co-residence with and care giving to persons with HIV/AIDS (PHAs) on older ...</title>
            <link>http://www.psc.isr.umich.edu/pubs/papers/rr02-527.pdf</link>
            <description><![CDATA[This paper explores these potential health impacts of caregiving for 394 households having older parents who had a child die of AIDS versus 376 households with older persons who did not, based upon original survey data collected during 2000 in three provinces (from 3 sub-regions) in Thailand. We supplement these survey data with qualitative data resulting from 18 in-depth interviews of older persons who had lost an adult child to AIDS. We find that large proportions of older persons with PHA children provide a variety of time consuming and strenuous caregiving services to them. Mothers shoulder most of this burden. Mothers who have had a child die from AIDS reported lower levels of overall happiness than mothers who did not. Mothers and fathers of PHAs who died report lower levels of overall happiness now compared to 3 years ago (before the time of the death of their child) with respect to parents from households that did not experience an adult child death. Many AIDS parents experienced anxiety, insomnia, fatigue, muscle strain, and head and stomach aches during the time they cared for their ill children, and many experienced these problems often.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 14 Jun 2003 05:16:01 +0100</pubDate>
        </item>
        <item>
            <title>Community Reaction to Persons with HIV/AIDS and their Parents in Thailand</title>
            <link>http://www.psc.isr.umich.edu/pubs/papers/rr02-530.pdf</link>
            <description><![CDATA[We systematically examine community reaction to persons with HIV/AIDS (PHAs) and their families in Thailand from a variety of perspectives and using a variety of data sources. We explore these community reactions during the time of the PHAs' illness and after their deaths. Quantitative data sources include a survey of young adult PHAs (n=425); a survey of parents who suffered the death of an adult child to AIDS (n=394 cases); a KAP study of AIDS that includes both older and young adults (n=1174); and quantitative data from local key informants about cases in their area (n=286 cases).  Qualitative sources include 18 in-depth interviews of parents who lost an adult child to AIDS; 49 in-depth interviews of village health volunteers; 6 focus group discussions of community health officials; and 6 group interviews with community hospital nurses. Data were collected during 1999 - 2001 from a variety of settings throughout Thailand. We find community reaction to PHAs and their families to be somewhat variable across cases, social group, and type of observer, but overall much more positive than one might conclude from existing research on the topic. The overwhelming majority of key informant reports on communities and affected families, and parents of PHAs report either a generally positive community response or a neutral one. Results from our sample of PHAs, who are recruited from PHA support groups, are more mixed. For that minority who were treated poorly, it is suggested by at least some of our data sources that being male, living in the city, living in an area without an NGO working on AIDS, being described as having problematic character, or being at either extreme of the socioeconomic spectrum may elevate the risk of experiencing negative community reaction. Research and policy implications of the findings are discussed.]]></description>
            <author>jknodel@umich.edu (AIDS and Older Persons: Studies of the Impact in Thailand and Cambodia)</author>
            <pubDate>Sat, 14 Jun 2003 05:13:29 +0100</pubDate>
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