Children of injection drug users: impact of parental HIV status, AIDS, and depression

We investigated the association between parental factors (including infection with human immunodeficiency virus [HIV], acquired immunodeficiency syndrome [AIDS] diagnosis, parental medical illness, and depression) and children's behavioral and emotional problems among children of injection drug...

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Bibliographic Details
Published in:Journal of urban health 2001-06, Vol.78 (2), p.327-339
Main Authors: Pilowsky, D J, Knowlton, A R, Latkin, C A, Hoover, D R, Chung, S E, Celentano, D D
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
Aggressive behavior
AIDS
Anxiety
Baltimore - epidemiology
Child
Child Behavior Disorders - epidemiology
Child Behavior Disorders - psychology
Child of Impaired Parents - psychology
Child, Preschool
Children
Children & youth
Cost of Illness
Data processing
Depression
Depressive Disorder - epidemiology
Depressive Disorder - psychology
Diagnosis, Dual (Psychiatry)
Drug abuse
Emotional behavior
Family Health
Female
General Topics
HIV
HIV Infections - epidemiology
HIV Infections - psychology
Human immunodeficiency virus
Humans
Illnesses
Infection
Injection
Logistic Models
Male
Mental depression
Parents
Parents & parenting
Poverty Areas
Psychometrics
Risk Factors
Signs and symptoms
Stereotyping
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Urban Health
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Description
Summary:We investigated the association between parental factors (including infection with human immunodeficiency virus [HIV], acquired immunodeficiency syndrome [AIDS] diagnosis, parental medical illness, and depression) and children's behavioral and emotional problems among children of injection drug users (IDUs). IDUs were recruited through community outreach. The sample included 73 parents of 73 children, aged 4 to 12 years. Parental depression (odds ratio [OR] = 4.61) and medical illness (OR = 4.70) were found to be significantly associated with internalizing (depressive and anxiety-related symptoms), but not with externalizing (aggressive and disruptive behaviors) symptoms in the children of IDUs. The clinical implications are that children of IDUs are known to be at high risk for psychiatric symptoms and disorders; these data suggest that children of depressed and/or medically ill IDU parents may be at even higher risk of internalizing symptoms (depression and anxiety symptoms) than children of IDUs who do not suffer from these conditions.
ISSN:1099-3460
1471-8505
1468-2869
DOI:10.1093/jurban/78.2.327