Parents’ Disclosure of Their HIV Infection to Their Children in the Context of the Family
Source: AIDS and Behavior, Volume 14, Number 5, October 2010 , pp. 1095-1105(11)
Abstract:We interviewed 33 HIV-infected parents from the HIV Cost and Services Utilization Study (HCSUS), 27 of their minor children, 19 adult children, and 15 caregivers about the process of children learning that their parents were HIV positive. We summarize the retrospective descriptions of parents’ disclosure of their HIV status to their children, from the perspective of multiple family members. We analyzed transcripts of these interviews with systematic qualitative methods. Both parents and children reported unplanned disclosure experiences with positive and negative outcomes. Parents sometimes reported that disclosure was not as negative as they feared. However, within-household analysis showed disagreement between parents and children from the same household regarding disclosure outcomes. These findings suggest that disclosure should be addressed within a family context to facilitate communication and children’s coping. Parents should consider negative and positive outcomes, unplanned disclosure and children’s capacity to adapt after disclosure when deciding whether to disclose.
Document Type: Research Article
Affiliations: 1: RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA, Email: email@example.com 2: Department of Pediatrics, School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA 3: Division of General Pediatrics, Department of Medicine, Children’s Hospital Boston, Boston, MA, USA 4: Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA 5: RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA 6: Department of Psychiatry, University of California at Los Angeles, Los Angeles, CA, USA 7: Kirksville College of Osteopathic Medicine, A.T. Still University, Kirksville, MO, USA
Publication date: 2010-10-01